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Fertility & birth rates in San Marino and United States

Updated on by Georank team

San Marino has an annual birth rate of 5.6 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 1.15 in San Marino and 1.62 in the United States — 40.7% difference.

1960 vs 2023, the fertility rate has decreased by 52.7% in San Marino and by 55.8% in the United States — in 1960, it was 2.43 and 3.65, respectively.

  • San Marino is ranked 195/196 by birth rate compared to 140/196 for the United States.
  • The mean age for first-time mothers is 31.5 years in San Marino, compared to 27.3 years in the United States.
  • The mean age at childbearing (for all the births, not just the first) is 32.8 in San Marino — 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 1.16 in San Marino vs 13.1 in the United States.
  • In San Marino, 19.7% of the population is composed of women of reproductive age (15-49), compared to 22.5% in the United States.

Fertility rate in San Marino vs United States by year

San Marino
United States
1x
Year Fertility rate
San Marino United States
2023 1.15 1.62
2022 1.14 1.66
2021 1.13 1.66
2020 1.11 1.64
2019 1.1 1.71
2018 1.08 1.73
2017 1.05 1.77
2016 1.13 1.82
2015 1.2 1.84
2014 1.26 1.86
2013 1.48 1.86
2012 1.29 1.88
2011 1.46 1.89
2010 1.46 1.93
2009 1.36 2
2008 1.52 2.07
2007 1.26 2.12
2006 1.24 2.11
2005 1.2 2.06
2004 1.3 2.05
2003 1.3 2.05
2002 1.43 2.02
2001 1.52 2.03
2000 1.4 2.06
1999 1.29 2.01
1998 1.26 2
1997 1.24 1.97
1996 1.21 1.98
1995 1.17 1.98
1994 1.14 2
1993 1.12 2.02
1992 1.15 2.05
1991 1.17 2.06
1990 1.16 2.08
1989 1.15 2.01
1988 1.14 1.93
1987 1.14 1.87
1986 1.15 1.84
1985 1.17 1.84
1984 1.2 1.81
1983 1.25 1.8
1982 1.3 1.83
1981 1.41 1.81
1980 1.53 1.84
1979 1.63 1.81
1978 1.77 1.76
1977 1.87 1.79
1976 1.95 1.74
1975 2.05 1.77
1974 2.13 1.84
1973 2.23 1.88
1972 2.29 2.01
1971 2.33 2.27
1970 2.32 2.48
1969 2.31 2.46
1968 2.3 2.46
1967 2.31 2.56
1966 2.33 2.72
1965 2.33 2.91
1964 2.37 3.19
1963 2.4 3.32
1962 2.43 3.46
1961 2.68 3.62
1960 2.43 3.65

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

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

According to the latest available data on birth rates, the fertility rate in San Marino was 1.15 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 San Marino vs the United States population clock for a dynamic visualization of the changing population.

Natural population change by year

San Marino
United States
1x
Year Natural population change
San Marino United States
2023 -92 502,372
2022 -58 399,926
2021 -99 199,137
2020 -122 208,862
2019 -17 887,476
2018 -11 955,022
2017 -51 1,028,037
2016 10 1,197,627
2015 36 1,270,126
2014 46 1,357,281
2013 73 1,322,711
2012 54 1,411,822
2011 105 1,441,697
2010 126 1,548,182
2009 145 1,717,920
2008 159 1,794,154
2007 69 1,897,757
2006 75 1,849,955
2005 66 1,684,445
2004 121 1,698,271
2003 79 1,653,615
2002 112 1,581,938
2001 132 1,595,826
2000 107 1,664,758
1999 80 1,564,050
1998 74 1,573,857
1997 71 1,501,014
1996 63 1,510,137
1995 51 1,546,031
1994 43 1,633,302
1993 38 1,717,685
1992 42 1,875,328
1991 45 1,926,543
1990 41 2,026,068
1989 36 1,875,826
1988 34 1,735,943
1987 31 1,720,252
1986 40 1,656,917
1985 44 1,689,258
1984 46 1,627,192
1983 54 1,636,544
1982 61 1,714,317
1981 76 1,652,153
1980 90 1,608,450
1979 104 1,597,894
1978 121 1,402,283
1977 117 1,431,556
1976 126 1,264,604
1975 141 1,252,644
1974 153 1,218,968
1973 167 1,165,499
1972 173 1,301,355
1971 174 1,640,519
1970 173 1,824,965
1969 173 1,702,487
1968 171 1,565,507
1967 171 1,669,181
1966 173 1,749,387
1965 169 1,943,030
1964 163 2,245,099
1963 158 2,289,826
1962 155 2,406,337
1961 174 2,571,681
1960 139 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/san-marino/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 -0.27% in San Marino and +0.15% in the United States.

For the past 10 years, the annual natural population change has been -0.1% in San Marino and +0.25% in the United States.

Birth rate in San Marino vs United States by year

San Marino
United States

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
San Marino United States
2023 5.6 10.7
2022 6.1 11
2021 6.2 11
2020 6.4 10.9
2019 6.7 11.4
2018 6.8 11.6
2017 6.7 11.8
2016 7.9 12.2
2015 8.2 12.4
2014 9.1 12.5
2013 9.7 12.4
2012 8.7 12.6
2011 10 12.7
2010 10.3 13
2009 10.7 13.5
2008 11 14
2007 9.4 14.3
2006 10 14.3
2005 9.5 14
2004 10.4 14
2003 10.7 14.1
2002 11.9 14
2001 12.8 14.1
2000 12 14.4
1999 11.1 14.2
1998 11 14.3
1997 11 14.2
1996 10.8 14.4
1995 10.4 14.6
1994 10.2 15
1993 10 15.4
1992 10.2 15.8
1991 10.3 16.2
1990 10.1 16.7
1989 9.88 16.4
1988 9.73 16
1987 9.6 15.7
1986 9.48 15.6
1985 9.52 15.8
1984 9.63 15.6
1983 9.87 15.6
1982 10.2 15.9
1981 10.8 15.8
1980 11.5 15.9
1979 12.2 15.6
1978 13.1 15
1977 13 15.1
1976 14 14.6
1975 14.8 14.6
1974 15.4 14.8
1973 16.2 14.8
1972 16.5 15.6
1971 16.7 17.2
1970 17 18.4
1969 17.1 17.9
1968 17.1 17.6
1967 17.2 17.8
1966 17.5 18.4
1965 17.4 19.4
1964 17.4 21.1
1963 17.5 21.7
1962 17.7 22.4
1961 19.4 23.3
1960 17.5 23.7

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

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

The latest reported birth rate per 1,000 people in 2023 was 5.6 in San Marino and 10.7 in the United States, compared with 17.5 and 23.7, respectively, in 1960.

Birth rate data compared

San Marino United States
Fertility rate 1.15 1.62
Fertility rate rank 188/196 125/196
Birth rate 5.6 10.7
Birth rate rank 195/196 140/196
Population change due to births and deaths -92 +502,372
Natural population change rank 159/196 37/196
Natural population change rate -0.27% +0.15%
Population growth +0.35% +0.49%
Population growth rank 145/197 134/197
Age at first childbirth 31.5 years 27.3 years
Average age at childbearing 32.8 years 30.2 years
Annual births per 1,000 women ages 15-19 0 11.3
Annual births per 1,000 women ages 20-29 34.4 72.5
Annual births per 1,000 women ages 30+ 11 17.4
Female of reproductive age (15-49), share of population 19.7% 22.5%
Any modern method of contraceptive prevalence among married women ages 15-49 n/a 66.1%
Share of births attended by skilled health staff n/a 99.1%
Maternal mortality per live birth 0.008% 0.02%
Neonatal mortality rate (before reaching 28 days of age) 0.06% 0.34%
Infant mortality rate (before reaching 1 year of age) 0.14% 0.55%
Mortality rate before reaching 5 years of age 0.14% 0.65%
Life expectancy 86 years 79.8 years

Children 0-14 years as share of population

San Marino
Factual

UN forecast
United States
Factual

UN forecast
1x
Year Young
San Marino United States
2100 11.9% 14.4%
2099 11.9% 14.4%
2098 11.9% 14.4%
2097 12% 14.4%
2096 12% 14.4%
2095 12% 14.5%
2094 12.1% 14.5%
2093 12.1% 14.5%
2092 12.2% 14.5%
2091 12.2% 14.6%
2090 12.3% 14.6%
2089 12.3% 14.7%
2088 12.3% 14.7%
2087 12.4% 14.7%
2086 12.4% 14.8%
2085 12.4% 14.8%
2084 12.4% 14.8%
2083 12.4% 14.9%
2082 12.4% 14.9%
2081 12.3% 14.9%
2080 12.3% 14.9%
2079 12.2% 14.9%
2078 12.2% 14.9%
2077 12.1% 14.9%
2076 12% 14.9%
2075 11.9% 14.9%
2074 11.8% 14.9%
2073 11.7% 14.9%
2072 11.6% 14.9%
2071 11.5% 14.9%
2070 11.5% 14.9%
2069 11.4% 14.9%
2068 11.4% 14.9%
2067 11.3% 14.9%
2066 11.3% 14.9%
2065 11.3% 15%
2064 11.3% 15%
2063 11.3% 15%
2062 11.4% 15.1%
2061 11.4% 15.1%
2060 11.5% 15.2%
2059 11.5% 15.3%
2058 11.6% 15.4%
2057 11.6% 15.5%
2056 11.7% 15.5%
2055 11.7% 15.6%
2054 11.7% 15.7%
2053 11.8% 15.8%
2052 11.7% 15.8%
2051 11.7% 15.9%
2050 11.7% 15.9%
2049 11.6% 16%
2048 11.5% 16%
2047 11.4% 16%
2046 11.2% 16%
2045 11.1% 16%
2044 11% 16%
2043 10.8% 16%
2042 10.6% 16%
2041 10.5% 15.9%
2040 10.3% 15.9%
2039 10.2% 15.9%
2038 10% 15.9%
2037 9.93% 15.9%
2036 9.9% 15.9%
2035 9.89% 15.9%
2034 9.93% 15.9%
2033 9.99% 16%
2032 10% 16.1%
2031 10.2% 16.2%
2030 10.4% 16.3%
2029 10.6% 16.5%
2028 11% 16.6%
2027 11.2% 16.8%
2026 11.6% 17%
2025 12.1% 17.2%
2024 12.3% 17.3%
2023 12.7% 17.6%
2022 13% 17.9%
2021 13.2% 18.1%
2020 13.4% 18.4%
2019 13.7% 18.6%
2018 14% 18.8%
2017 14.4% 18.9%
2016 14.7% 19.1%
2015 14.9% 19.2%
2014 15.1% 19.3%
2013 15.1% 19.4%
2012 15.2% 19.5%
2011 15.3% 19.6%
2010 15.4% 19.7%
2009 15.4% 19.8%
2008 15.4% 19.9%
2007 15.3% 20%
2006 15.3% 20.2%
2005 15.3% 20.3%
2004 15.2% 20.5%
2003 15.2% 20.7%
2002 15.1% 20.9%
2001 15% 21%
2000 14.9% 21.2%
1999 14.9% 21.3%
1998 14.9% 21.4%
1997 14.9% 21.5%
1996 14.9% 21.7%
1995 14.9% 21.8%
1994 15% 21.9%
1993 15.2% 21.9%
1992 15.4% 21.8%
1991 15.8% 21.7%
1990 16.1% 21.6%
1989 16.5% 21.5%
1988 17% 21.3%
1987 17.5% 21.3%
1986 18% 21.3%
1985 18.6% 21.5%
1984 19.1% 21.7%
1983 19.7% 21.8%
1982 20.3% 22%
1981 21% 22.1%
1980 21.7% 22.4%
1979 22.4% 22.8%
1978 23% 23.2%
1977 23.9% 23.8%
1976 24.7% 24.4%
1975 25.1% 25.2%
1974 25.4% 25.9%
1973 25.7% 26.6%
1972 25.9% 27.4%
1971 26% 28%
1970 25.9% 28.6%
1969 25.6% 29%
1968 25.3% 29.5%
1967 24.9% 30%
1966 24.5% 30.4%
1965 24.3% 30.7%
1964 24.5% 30.9%
1963 24.8% 31.1%
1962 25% 31.3%
1961 25% 31.4%
1960 25% 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/san-marino/united-states | CC BY

Children aged 0-14 make up 12.3% of the population in San Marino and 17.3% in the United States in 2024, compared to 16.1% and 21.6% respectively in 1990.

Demographics of San Marino 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/san-marino/united-states | CC BY

Maternal mortality chart: San Marino vs United States

San Marino
United States
1x
Year Maternal mortality per 100K births
San Marino United States
2023 8 17
2022 22 20
2021 35 31
2020 46 22
2019 7 18
2018 7 18
2017 7 18
2016 7 18
2015 8 17
2014 8 17
2013 8 16
2012 8 16
2011 8 15
2010 8 15
2009 8 15
2008 8 14
2007 8 13
2006 12 13
2005 12 13
2004 13 13
2003 13 13
2002 14 13
2001 14 13
2000 14 12
1999 9 12
1998 9 11
1997 10 11
1996 10 11
1995 10 12
1994 10 11
1993 11 12
1992 11 11
1991 11 12
1990 11 12
1989 12 12
1988 12 12
1987 12 11
1986 12 11
1985 12 11

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

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

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 8 deaths per 100,000 live births in San Marino, 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

San Marino
United States

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
San Marino United States
2023 0.14% 0.65%
2022 0.15% 0.65%
2021 0.15% 0.65%
2020 0.16% 0.65%
2019 0.17% 0.65%
2018 0.17% 0.65%
2017 0.18% 0.66%
2016 0.19% 0.67%
2015 0.2% 0.68%
2014 0.21% 0.68%
2013 0.23% 0.69%
2012 0.24% 0.7%
2011 0.25% 0.72%
2010 0.27% 0.73%
2009 0.28% 0.75%
2008 0.3% 0.76%
2007 0.32% 0.77%
2006 0.34% 0.79%
2005 0.37% 0.8%
2004 0.39% 0.81%
2003 0.42% 0.81%
2002 0.46% 0.82%
2001 0.5% 0.83%
2000 0.54% 0.84%
1999 0.58% 0.86%
1998 0.63% 0.87%
1997 0.69% 0.89%
1996 0.75% 0.92%
1995 0.81% 0.95%
1994 0.89% 0.98%
1993 0.97% 1.01%
1992 1.06% 1.05%
1991 1.16% 1.09%
1990 1.27% 1.12%
1989 1.39% 1.16%
1988 1.52% 1.19%
1987 1.66% 1.21%
1986 1.82% 1.24%
1985 1.99% 1.27%
1984 - 1.3%
1983 - 1.34%
1982 - 1.39%
1981 - 1.44%
1980 - 1.5%
1979 - 1.56%
1978 - 1.63%
1977 - 1.71%
1976 - 1.79%
1975 - 1.88%
1974 - 1.97%
1973 - 2.06%
1972 - 2.15%
1971 - 2.24%
1970 - 2.32%
1969 - 2.41%
1968 - 2.49%
1967 - 2.57%
1966 - 2.64%
1965 - 2.71%
1964 - 2.77%
1963 - 2.83%
1962 - 2.89%
1961 - 2.95%
1960 - 3.01%

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

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

The chance that a newborn baby will die before reaching age five is 0.14% in San Marino 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) (2021–2022, retrieved 2026-03-10)

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