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Business Environment Profiles - United States

Number of births

Published: 16 July 2025

Key Metrics

Number of births

Total (2025)

4 Million people

Annualized Growth 2020-25

0.1 %

Definition of Number of births

This driver represents the number of registered annual births in the United States. Historical data is sourced from the National Center for Health Statistics and the number of births is forecasted with projections from the US Census Bureau.

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Recent Trends – Number of births

The number of births in the United States is projected to reach 3.63 million in 2025, reflecting a marginal increase of 0.1% over the previous year. Despite this slight uptick, the country continues to remain below the replacement level, meaning deaths outnumber births. Economic factors such as persistent inflation and ongoing challenges in housing affordability have remained significant constraints on the capacity for birth rates to expand significantly in recent years, even as some financially secure households may be encouraged to start or grow their families by recent economic improvements.

During the 2020 to 2025 period, the number of births in the US demonstrated volatility associated largely with external shocks. In 2021, there was a brief 1.4% surge in births as society emerged from the COVID-19 pandemic, with many households resuming delayed life plans. A moderate 0.1% rise followed in 2022. However, inflation intensified beginning in 2021 and continued to escalate over the period, weighing heavily on prospective parents' financial decision-making. In 2023, the number of births dropped by 2.0% to 3.60 million, reflecting how heightened consumer prices and concerns over economic stability led many households to postpone or avoid childbearing.

Macro trends within the period from 2020 to 2025 further underpinned the sluggish growth in the number of births. Youth birth rates particularly declined, and the birth rate among foreign-born women, a group previously more likely to have larger families, also fell. Cultural shifts regarding family size preferences, coupled with individuals' changing life priorities, reinforced the delay or avoidance of childbirth during these years. The period was also marked by more people living single or marrying at later ages, contributing to a persistently low growth rate in births.

In summary, while 2025 is expected to deliver a minor recovery in birth numbers, the 2021-2025 period was characterized by ongoing demographic changes, persistent macroeconomic uncertainty, and evolving social patterns. Together, these factors kept the number of annual births largely stagnant, with economic headwinds serving as a primary impediment to any significant or sustained growth during the period.

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5-Year Outlook – Number of births

In 2026, the number of births in the US is forecast to edge up to 3.63 million, reflecting a negl...

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