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Fertility & birth rates in Pakistan and United States

Updated on by Georank team

Pakistan has an annual birth rate of 27.8 births per 1,000 people, compared to 10.7 for the United States. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 3.61 in Pakistan and 1.62 in the United States — 55.2% difference.

1960 vs 2023, the fertility rate has decreased by 47% in Pakistan and by 55.8% in the United States — in 1960, it was 6.8 and 3.65, respectively.

  • Pakistan is ranked 41/196 by birth rate compared to 140/196 for the United States.
  • The mean age for first-time mothers is 22.8 years in Pakistan, compared to 27.3 years in the United States.
  • The mean age at childbearing (for all the births, not just the first) is 28.9 in Pakistan — it's 30.2 in the United States.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 41.1 in Pakistan vs 13.1 in the United States.
  • In Pakistan, 24.6% of the population is composed of women of reproductive age (15-49), compared to 22.5% in the United States.

Fertility rate in Pakistan vs United States by year

Pakistan
United States
1x
Year Fertility rate
Pakistan United States
2023 3.61 1.62
2022 3.66 1.66
2021 3.72 1.66
2020 3.77 1.64
2019 3.81 1.71
2018 3.86 1.73
2017 3.9 1.77
2016 3.9 1.82
2015 3.99 1.84
2014 4.06 1.86
2013 4.13 1.86
2012 4.2 1.88
2011 4.31 1.89
2010 4.4 1.93
2009 4.47 2
2008 4.51 2.07
2007 4.55 2.12
2006 4.59 2.11
2005 4.6 2.06
2004 4.68 2.05
2003 4.89 2.05
2002 5.01 2.02
2001 5.18 2.03
2000 5.35 2.06
1999 5.46 2.01
1998 5.51 2
1997 5.64 1.97
1996 5.77 1.98
1995 5.89 1.98
1994 6.01 2
1993 6.11 2.02
1992 6.21 2.05
1991 6.29 2.06
1990 6.36 2.08
1989 6.43 2.01
1988 6.48 1.93
1987 6.52 1.87
1986 6.55 1.84
1985 6.59 1.84
1984 6.62 1.81
1983 6.64 1.8
1982 6.67 1.83
1981 6.7 1.81
1980 6.73 1.84
1979 6.76 1.81
1978 6.78 1.76
1977 6.8 1.79
1976 6.81 1.74
1975 6.81 1.77
1974 6.81 1.84
1973 6.81 1.88
1972 6.81 2.01
1971 6.8 2.27
1970 6.8 2.48
1969 6.8 2.46
1968 6.8 2.46
1967 6.8 2.56
1966 6.8 2.72
1965 6.8 2.91
1964 6.8 3.19
1963 6.8 3.32
1962 6.8 3.46
1961 6.8 3.62
1960 6.8 3.65

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/pakistan/united-states | CC BY

According to the latest available data on birth rates, the fertility rate in Pakistan was 3.61 children per woman in 2023, compared to 1.62 in the United States in 2023. The replacement level is considered to be 2.1 children per woman.

Check Pakistan vs the United States population clock for a dynamic visualization of the changing population.

Natural population change by year

Pakistan
United States
1x
Year Natural population change
Pakistan United States
2023 5,281,745 502,372
2022 5,268,077 399,926
2021 5,065,913 199,137
2020 5,011,177 208,862
2019 5,127,011 887,476
2018 5,103,858 955,022
2017 5,090,200 1,028,037
2016 5,044,922 1,197,627
2015 5,113,507 1,270,126
2014 5,148,994 1,357,281
2013 5,176,590 1,322,711
2012 5,191,263 1,411,822
2011 5,189,412 1,441,697
2010 5,147,142 1,548,182
2009 5,028,132 1,717,920
2008 4,885,855 1,794,154
2007 4,690,187 1,897,757
2006 4,538,426 1,849,955
2005 4,294,393 1,684,445
2004 4,294,654 1,698,271
2003 4,340,688 1,653,615
2002 4,307,607 1,581,938
2001 4,304,297 1,595,826
2000 4,281,169 1,664,758
1999 4,228,026 1,564,050
1998 4,104,824 1,573,857
1997 4,043,912 1,501,014
1996 4,021,758 1,510,137
1995 3,977,175 1,546,031
1994 3,956,699 1,633,302
1993 3,915,776 1,717,685
1992 3,888,637 1,875,328
1991 3,822,363 1,926,543
1990 3,731,730 2,026,068
1989 3,648,132 1,875,826
1988 3,554,755 1,735,943
1987 3,448,813 1,720,252
1986 3,341,643 1,656,917
1985 3,233,315 1,689,258
1984 3,145,772 1,627,192
1983 3,052,738 1,636,544
1982 2,934,689 1,714,317
1981 2,790,454 1,652,153
1980 2,598,421 1,608,450
1979 2,461,311 1,597,894
1978 2,356,601 1,402,283
1977 2,257,849 1,431,556
1976 2,171,812 1,264,604
1975 2,099,811 1,252,644
1974 2,028,061 1,218,968
1973 1,971,909 1,165,499
1972 1,912,774 1,301,355
1971 1,695,374 1,640,519
1970 1,793,570 1,824,965
1969 1,733,601 1,702,487
1968 1,683,296 1,565,507
1967 1,626,737 1,669,181
1966 1,566,343 1,749,387
1965 1,496,050 1,943,030
1964 1,447,394 2,245,099
1963 1,384,934 2,289,826
1962 1,328,675 2,406,337
1961 1,273,772 2,571,681
1960 1,217,147 2,565,530

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06); U.S. Census Bureau (1960–2023, retrieved 2026-02-08).

GeoRank.org/birth-rate/pakistan/united-states | CC BY

The chart above illustrates the comparison of the absolute yearly changes in population resulting from births and deaths.

Excluding migration, the natural population change due to births and deaths from 2022 to 2023 was +2.13% in Pakistan and +0.15% in the United States.

For the past 10 years, the annual natural population change has been +2.23% in Pakistan and +0.25% in the United States.

Birth rate in Pakistan vs United States by year

Pakistan
United States

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Pakistan United States
2023 27.8 10.7
2022 28.1 11
2021 28.4 11
2020 28.6 10.9
2019 29 11.4
2018 29.3 11.6
2017 29.7 11.8
2016 30 12.2
2015 30.7 12.4
2014 31.3 12.5
2013 31.9 12.4
2012 32.5 12.6
2011 33 12.7
2010 33.5 13
2009 33.6 13.5
2008 33.6 14
2007 33.3 14.3
2006 33.2 14.3
2005 32.9 14
2004 33.2 14
2003 34.3 14.1
2002 34.9 14
2001 35.7 14.1
2000 36.5 14.4
1999 37.2 14.2
1998 37.4 14.3
1997 38 14.2
1996 38.9 14.4
1995 39.6 14.6
1994 40.4 15
1993 41.2 15.4
1992 42 15.8
1991 42.5 16.2
1990 42.9 16.7
1989 43.4 16.4
1988 43.8 16
1987 44 15.7
1986 44.1 15.6
1985 44.3 15.8
1984 44.5 15.6
1983 44.7 15.6
1982 44.6 15.9
1981 44.4 15.8
1980 43.6 15.9
1979 43.5 15.6
1978 43.5 15
1977 43.4 15.1
1976 43.4 14.6
1975 43.5 14.6
1974 43.6 14.8
1973 43.7 14.8
1972 43.8 15.6
1971 43.9 17.2
1970 44.1 18.4
1969 44.3 17.9
1968 44.7 17.6
1967 45.1 17.8
1966 45.4 18.4
1965 45.7 19.4
1964 46 21.1
1963 46.2 21.7
1962 46.4 22.4
1961 46.6 23.3
1960 46.7 23.7

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/pakistan/united-states | CC BY

The latest reported birth rate per 1,000 people in 2023 was 27.8 in Pakistan and 10.7 in the United States, compared with 46.7 and 23.7, respectively, in 1960.

Birth rate data compared

Pakistan United States
Fertility rate 3.61 1.62
Fertility rate rank 42/196 125/196
Birth rate 27.8 10.7
Birth rate rank 41/196 140/196
Population change due to births and deaths +5,281,745 +502,372
Natural population change rank 2/196 37/196
Natural population change rate +2.13% +0.15%
Population growth +1.52% +0.49%
Population growth rank 70/197 134/197
Age at first childbirth 22.8 years 27.3 years
Average age at childbearing 28.9 years 30.2 years
Annual births per 1,000 women ages 15-19 38.9 11.3
Annual births per 1,000 women ages 20-29 190.2 72.5
Annual births per 1,000 women ages 30+ 48.6 17.4
Female of reproductive age (15-49), share of population 24.6% 22.5%
Any modern method of contraceptive prevalence among married women ages 15-49 25% 66.1%
Share of births attended by skilled health staff 68% 99.1%
Maternal mortality per live birth 0.16% 0.02%
Neonatal mortality rate (before reaching 28 days of age) 3.76% 0.34%
Infant mortality rate (before reaching 1 year of age) 5.01% 0.55%
Mortality rate before reaching 5 years of age 5.85% 0.65%
Life expectancy 68.1 years 79.8 years

Children 0-14 years as share of population

Pakistan
Factual

UN forecast
United States
Factual

UN forecast
1x
Year Young
Pakistan United States
2100 19.3% 14.4%
2099 19.4% 14.4%
2098 19.5% 14.4%
2097 19.7% 14.4%
2096 19.8% 14.4%
2095 19.9% 14.5%
2094 20% 14.5%
2093 20.2% 14.5%
2092 20.3% 14.5%
2091 20.4% 14.6%
2090 20.6% 14.6%
2089 20.7% 14.7%
2088 20.9% 14.7%
2087 21% 14.7%
2086 21.2% 14.8%
2085 21.4% 14.8%
2084 21.5% 14.8%
2083 21.7% 14.9%
2082 21.9% 14.9%
2081 22% 14.9%
2080 22.2% 14.9%
2079 22.4% 14.9%
2078 22.6% 14.9%
2077 22.8% 14.9%
2076 23% 14.9%
2075 23.1% 14.9%
2074 23.3% 14.9%
2073 23.5% 14.9%
2072 23.7% 14.9%
2071 23.9% 14.9%
2070 24.1% 14.9%
2069 24.3% 14.9%
2068 24.5% 14.9%
2067 24.7% 14.9%
2066 24.9% 14.9%
2065 25.1% 15%
2064 25.3% 15%
2063 25.5% 15%
2062 25.7% 15.1%
2061 26% 15.1%
2060 26.2% 15.2%
2059 26.5% 15.3%
2058 26.7% 15.4%
2057 27% 15.5%
2056 27.3% 15.5%
2055 27.5% 15.6%
2054 27.8% 15.7%
2053 28.1% 15.8%
2052 28.4% 15.8%
2051 28.7% 15.9%
2050 29% 15.9%
2049 29.3% 16%
2048 29.6% 16%
2047 29.9% 16%
2046 30.2% 16%
2045 30.4% 16%
2044 30.7% 16%
2043 30.9% 16%
2042 31.1% 16%
2041 31.4% 15.9%
2040 31.6% 15.9%
2039 31.8% 15.9%
2038 32.1% 15.9%
2037 32.3% 15.9%
2036 32.6% 15.9%
2035 32.9% 15.9%
2034 33.1% 15.9%
2033 33.4% 16%
2032 33.7% 16.1%
2031 34% 16.2%
2030 34.3% 16.3%
2029 34.7% 16.5%
2028 35.1% 16.6%
2027 35.6% 16.8%
2026 36% 17%
2025 36.5% 17.2%
2024 36.7% 17.3%
2023 37% 17.6%
2022 37.3% 17.9%
2021 37.6% 18.1%
2020 37.9% 18.4%
2019 38.1% 18.6%
2018 38.3% 18.8%
2017 38.5% 18.9%
2016 38.6% 19.1%
2015 38.8% 19.2%
2014 38.9% 19.3%
2013 38.9% 19.4%
2012 39% 19.5%
2011 39.1% 19.6%
2010 39.3% 19.7%
2009 39.6% 19.8%
2008 40% 19.9%
2007 40.4% 20%
2006 40.9% 20.2%
2005 41.3% 20.3%
2004 41.8% 20.5%
2003 42.3% 20.7%
2002 42.6% 20.9%
2001 42.9% 21%
2000 43.3% 21.2%
1999 43.6% 21.3%
1998 43.9% 21.4%
1997 44.1% 21.5%
1996 44.3% 21.7%
1995 44.5% 21.8%
1994 44.5% 21.9%
1993 44.5% 21.9%
1992 44.3% 21.8%
1991 44.1% 21.7%
1990 44.1% 21.6%
1989 44% 21.5%
1988 43.8% 21.3%
1987 43.7% 21.3%
1986 43.6% 21.3%
1985 43.5% 21.5%
1984 43.3% 21.7%
1983 43.1% 21.8%
1982 43% 22%
1981 43.1% 22.1%
1980 43.3% 22.4%
1979 43.7% 22.8%
1978 43.8% 23.2%
1977 43.9% 23.8%
1976 44% 24.4%
1975 44.1% 25.2%
1974 44.1% 25.9%
1973 44.1% 26.6%
1972 44.1% 27.4%
1971 44% 28%
1970 43.9% 28.6%
1969 43.7% 29%
1968 43.5% 29.5%
1967 43.3% 30%
1966 43% 30.4%
1965 42.7% 30.7%
1964 42.2% 30.9%
1963 41.8% 31.1%
1962 41.6% 31.3%
1961 41.4% 31.4%
1960 41.3% 31.3%

Data sources: World Bank | Health (1960–2024, retrieved 2026-04-06); United Nations | World Population Prospects (2025–2100, retrieved 2026-03-10); U.S. Census Bureau (1960–2024, retrieved 2026-02-08).

GeoRank.org/birth-rate/pakistan/united-states | CC BY

Children aged 0-14 make up 36.7% of the population in Pakistan and 17.3% in the United States in 2024, compared to 44.1% and 21.6% respectively in 1990.

Demographics of Pakistan and the United States compared.

Fertility rates around the globe

1x

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/pakistan/united-states | CC BY

Maternal mortality chart: Pakistan vs United States

Pakistan
United States
1x
Year Maternal mortality per 100K births
Pakistan United States
2023 155 17
2022 160 20
2021 193 31
2020 178 22
2019 173 18
2018 178 18
2017 184 18
2016 193 18
2015 202 17
2014 211 17
2013 220 16
2012 227 16
2011 234 15
2010 240 15
2009 246 15
2008 254 14
2007 265 13
2006 284 13
2005 316 13
2004 333 13
2003 358 13
2002 380 13
2001 400 13
2000 419 12
1999 438 12
1998 456 11
1997 476 11
1996 482 11
1995 485 12
1994 479 11
1993 473 12
1992 459 11
1991 443 12
1990 434 12
1989 439 12
1988 441 12
1987 442 11
1986 436 11
1985 432 11

Data sources: World Bank | Gender (1985–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/pakistan/united-states | CC BY

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 155 deaths per 100,000 live births in Pakistan, compared to 17 deaths in the United States.

U.S. figures are less comparable to other countries, because reporting changes between 2003 and 2018 doubled the number of maternal deaths captured in official records without an actual doubling in mortality, and coding was revised again in 2018.

Under-five mortality rates

Pakistan
United States

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Pakistan United States
2023 5.85% 0.65%
2022 6.05% 0.65%
2021 6.25% 0.65%
2020 6.46% 0.65%
2019 6.67% 0.65%
2018 6.88% 0.65%
2017 7.1% 0.66%
2016 7.33% 0.67%
2015 7.56% 0.68%
2014 7.8% 0.68%
2013 8.04% 0.69%
2012 8.27% 0.7%
2011 8.49% 0.72%
2010 8.71% 0.73%
2009 8.91% 0.75%
2008 9.1% 0.76%
2007 9.29% 0.77%
2006 9.47% 0.79%
2005 9.65% 0.8%
2004 9.85% 0.81%
2003 10.1% 0.81%
2002 10.3% 0.82%
2001 10.5% 0.83%
2000 10.8% 0.84%
1999 11.1% 0.86%
1998 11.5% 0.87%
1997 11.8% 0.89%
1996 12.1% 0.92%
1995 12.5% 0.95%
1994 12.8% 0.98%
1993 13.1% 1.01%
1992 13.4% 1.05%
1991 13.7% 1.09%
1990 14% 1.12%
1989 14.2% 1.16%
1988 14.5% 1.19%
1987 14.8% 1.21%
1986 15% 1.24%
1985 15.3% 1.27%
1984 15.6% 1.3%
1983 15.8% 1.34%
1982 16.1% 1.39%
1981 16.3% 1.44%
1980 16.5% 1.5%
1979 16.7% 1.56%
1978 16.9% 1.63%
1977 17.1% 1.71%
1976 17.4% 1.79%
1975 17.6% 1.88%
1974 17.8% 1.97%
1973 18.1% 2.06%
1972 18.4% 2.15%
1971 18.7% 2.24%
1970 19% 2.32%
1969 19.4% 2.41%
1968 19.7% 2.49%
1967 20.2% 2.57%
1966 20.6% 2.64%
1965 21.2% 2.71%
1964 21.8% 2.77%
1963 22.5% 2.83%
1962 23.3% 2.89%
1961 24.1% 2.95%
1960 25% 3.01%

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/pakistan/united-states | CC BY

The chance that a newborn baby will die before reaching age five is 5.85% in Pakistan and 0.65% in the United States. Above is a chart with historical data on under-five mortality rates.

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Data sources:

  1. World Bank | Health (1960–2024, retrieved 2026-04-06)
  2. United Nations | World Population Prospects (2025–2100, retrieved 2026-03-10)
  3. U.S. Census Bureau (1960–2025, retrieved 2026-02-08)
  4. United Nations Economic Commission for Europe (UNECE) (2021, retrieved 2026-03-10)
  5. Central Intelligence Agency (CIA) (2025, retrieved 2026-02-20)

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