Health Insurance
How US and State Fertility Rates Have Changed Since 2005
Western states experienced the biggest declines, while Southern states generally experienced the smallest.
A pregnant woman caresses her stomach while looking at an ultrasound. Source: Getty Images
Methodology
ValuePenguin researchers analyzed Centers for Disease Control and Prevention (CDC) fertility rate data from 2005 through 2023. States were ranked based on percentage changes in fertility rates during this period. We also analyzed fertility rate changes between 2022 and 2023.
The fertility rate is defined as the number of births per 1,000 women ages 15 to 44.
Analysts also used CDC data compiled by KFF to compare the number of deaths to births by state in 2022 — the latest available year for both data points.