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US fertility drops again in 2025, continuing multi-year trend

Provisional 2025 data from the Centers for Disease Control and Prevention’s National Center for Health Statistics show that US fertility continued its long-term decline, with both births and fertility rates falling again.

The report estimates 3,606,400 births in 2025, a 1 percent decrease from 2024. The general fertility rate declined to 53.1 births per 1,000 women ages 15 to 44, also down 1 percent year over year and continuing a multi-decade downward trend.

Other indicators were mixed, with the cesarean delivery rate rising slightly to 32.5 percent and the preterm birth rate remaining essentially unchanged at 10.41 percent.

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