Births : final data for 2020
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Filetype[PDF-1.20 MB]


English
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  • Description:
    Objectives—This report presents 2020 data on U.S. births according to a wide variety of characteristics. Trends in fertility patterns and maternal and infant characteristics are described and interpreted.

    Methods—Descriptive tabulations of data reported on the birth certificates of the 3.61 million births that occurred in 2020 are presented. Data are presented for maternal age, live-birth order, race and Hispanic origin, marital status, tobacco use, prenatal care, source of payment for the delivery, method of delivery, gestational age, birthweight, and plurality. Selected data by mother's state of residence and birth rates by age also are shown. Trend data for 2010 to 2020 are presented for selected items. Trend data by race and Hispanic origin are shown for 2016–2020.

    Results—A total of 3,613,647 births were registered in the United States in 2020, down 4% from 2019. The general fertility rate declined by 4% from 2019 to 56.0 births per 1,000 women aged 15–44 in 2020. The birth rate for females aged 15–19 fell 8% between 2019 and 2020. Birth rates declined for women aged 20–44 from 2% to 5% between 2019 and 2020. The total fertility rate declined to 1,641.0 births per 1,000 women in 2020. Birth rates declined for both married and unmarried women from 2019 to 2020. The percentage of women who began prenatal care in the first trimester of pregnancy rose to 77.7% in 2020; the percentage of all women who smoked during pregnancy declined to 5.5%. The cesarean delivery rate increased to 31.8% in 2020. Medicaid was the source of payment for 42.0% of all 2020 births. The preterm birth rate declined to 10.09% in 2020 from 10.23% in 2019; the rate of low birthweight declined from 2019 to 8.24%. The twin birth rate declined 3% to 32.1 per 1,000 births, and the triplet and higher-order multiple birth rate declined 9% to 79.6 per 100,000 births from 2019 to 2020.

    Suggested citation: Osterman MJK, Hamilton BE, Martin JA, Driscoll AK, Valenzuela CP. Births: Final data for 2020. National Vital Statistics Reports; vol 70 no 17. Hyattsville, MD: National Center for Health Statistics. 2022.

    CS328079

  • Series:
    NCHS National Vital Statistics Reports
  • Document Type:
    Report
  • Genre:
    Statistics
  • Place as Subject:
    United States
  • CIO:
    National Center for Health Statistics (U.S.)
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