NCHS Data Brief ■ No. 152 ■ May 2014

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

National Center for Health Statistics

First Births to Older Women Continue to Rise

T.J. Mathews, M.S.; and Brady E. Hamilton, Ph.D.

Key findings

Data from the National 

Vital Statistics System

• The first birth rate for 

women aged 35–39 increased 

from 1970 to 2006, decreased 

from 2006 to 2010, and 

increased again in both 2011 

and 2012.

• The first birth rate for 

women aged 40–44 was 

steady in the 1970s and started 

increasing in the 1980s. The 

rate more than doubled from 

1990 to 2012.

• For women aged 35–39 and 

40–44 all race and Hispanic 

origin groups had increasing 

first birth rates from 1990 to 

2012.

• Since 2000, 46 states and 

DC had an increase in the first 

birth rate for women aged 

35–39. For women aged 40–44, 

rates increased in 31 states and 

DC. 

The average age of women at first birth has risen over the past 4 decades 

(1–3). This increase is in part a reflection of the shift in first births to women 

35 years and older. Delayed childbearing affects the size, composition, and 

future growth of the population in the United States (2). Increased health risks 

to older mothers, especially those 40 years and older, and their infants are 

well documented (4–7), first time older mothers are generally better educated 

and more likely to have more resources including higher incomes than those 

at the youngest reproductive ages (8). This report explores trends in first 

births to women aged 35–39 and 40–44 years from 1970 to 2012, and by 

race and Hispanic origin from 1990 to 2012 (the most recent year for which 

comparable data are available). Trends in first births for older women by state 

are examined for the recent period, 2000 to 2012. 

Keywords: first births • older women

First birth rates for women 35–39 generally increased from 

the mid-1970s to 2012, while steady increases for women 

40–44 began later in the early-1980s. 

0

3

6

9

12

40–44 years

35–39 years

1970 1980 1990 2000 2012

Year

Rate per 1,000 women in 

specified age group

Figure 1. First birth rates by selected age of mother: United States, 1970–2012 

NOTE: Access data table for Figure 1 at: http://www.cdc.gov/nchs/data/databriefs/db152_table.pdf#1.

SOURCE: CDC/NCHS, National Vital Statistics System.
NCHS Data Brief ■ No. 152 ■ May 2014

■  2  ■

• First birth rates for women aged 35–39 started to increase in the mid-1970s and rose sixfold from 1973 to 2006 (from 1.7 to 10.9 per 1,000) (Figure 1). The rate for women aged

35–39 decreased slightly from 2006 to 2010 (10.4 per 1,000 in 2010) but then increased

to 11.0 in 2012.

• First birth rates for women aged 40–44 were essentially stable during the 1970s and early 

1980s, but increased more than four-fold from 1985 through 2012 (from 0.5 to 2.3).

First birth rates for women aged 35–39 rose among all race and Hispanic 

origin groups from 1990 to 2012.

• First birth rates increased for women aged 35–39 for all race and Hispanic origin groups 

from 1990 to 2000; the largest increases were seen for non-Hispanic black (41%), nonHispanic white (34%), and Asian or Pacific Islander (API) (33%) women (Figure 2).

• First birth rates increased for all but one group for the most recent time period, 2000 to 

2012; increases were largest among non-Hispanic white (27%), non-Hispanic black (26%), 

and API (22%) women. The rate was essentially unchanged for American Indian or Alaska 

Native (AI/AN) women.

• AI/AN women aged 35–39 had the lowest first birth rates from 1990 to 2012 and API 

women had the highest rates. In 2012, the first birth rate for API (19.7) was more than six 

times as high as for AI/AN women (3.0).

0

5

10

15

20

25 1990 2000 2012

Non-Hispanic Hispanic AI/AN API

black

Non-Hispanic

white

All races

Rates per 1,000 women aged 35–39

Figure 2. First birth rates for women aged 35–39 years, by race and Hispanic origin: United States, 1990, 2000, and 2012

SOURCE: CDC/NCHS, National Vital Statistics System.

6.7

8.9

11.0

7.0

9.4

11.9

4.1

5.8

7.3

5.7

6.8 7.6

2.4 2.9 3.0

12.2

16.2

19.7
NCHS Data Brief ■ No. 152 ■ May 2014

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First birth rates for women aged 40–44 increased steadily among all race 

and Hispanic origin groups from 1990 to 2012.

• Among the oldest mothers, increases in first birth rates were largest for non-Hispanic black 

(171%) and for non-Hispanic white (130%) women (Figure 3).

• Of all race and Hispanic origin groups, API women at age 40–44 had the highest first birth 

rates from 1990 to 2012.

1990 2000 2012

Rates per 1,000 women aged 40–44

Figure 3. First birth rates for women aged 40–44 years, by race and Hispanic origin: United States, 1990, 2000, and 2012

SOURCE: CDC/NCHS, National Vital Statistics System.

1.0

1.7

2.3

1.0

1.7

2.3

0.7

1.2

1.9

1.1

1.5

1.8

0.4

0.6 0.6

2.2

3.1

4.3

0

1

2

3

4

5

Non-Hispanic Hispanic AI/AN API

black

Non-Hispanic

white

All races
NCHS Data Brief ■ No. 152 ■ May 2014

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First birth rates for women aged 35–39 rose in nearly all states from 2000 to 

2012.

• The first birth rate for women aged 35–39 rose 40% or more in the District of Columbia, 

New York, North Dakota, Oregon, Rhode Island, South Dakota, Washington, and Wyoming 

from 2000 to 2012 (Figure 4). 

• During this same time period the first birth rate for women aged 35–39 increased 30.0 to 

39.9% in 9 states and from 20.0 to 29.9% in 21 states.

• First birth rates were essentially unchanged in Arizona, Idaho, Mississippi, and Oklahoma 

from 2000 to 2012. 

Figure 4. Percent increase in first birth rates for women aged 35–39, by state: United States, 2000 and 2012

NOTE: Access data table for Figure 4 at: http://www.cdc.gov/nchs/data/databriefs/db152_table.pdf#2.

SOURCE: CDC/NCHS, National Vital Statistics System. 

CA

AK

HI

20.0 to 29.9 percent

30.0 to 39.9 percent 

40 percent or more

ID

WA

OR

NV

AZ

ND

SD

NE

TX

KS MO

IA

MN

IL IN

MS

FL

OH

MI

PA

MD

DE

NJ

CT RI

MA

ME

VT

NH

MT

WY

UT

CO

NM

WI

DC

NY

SC

NC

GA

VA

AL

KY

WV

TN

OK AR

LA

Less than 20 percent

No significant change U.S. rate increased 23.6%
NCHS Data Brief ■ No. 152 ■ May 2014

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Thirty-three states and DC had an increase in the first birth rates for women 

aged 40–44 from 2000 to 2012.

• The first birth rate for women aged 40–44 rose 60% or more in the District of Columbia, 

Minnesota, Nebraska, and South Carolina from 2000 to 2012 (Figure 5). 

• Fifteen states, many in the mid-west, had rises of 40.0 to 59.9% in first birth rates among 

women in this age group; rates rose 30.0 to 39.9% in eight states. 

• In contrast to the states with increases for women 40–44, first birth rates were unchanged in 

fifteen states during 2000 to 2012. 

Figure 5. Percent increase in first birth rates for women aged 40–44, by state: United States, 2000 and 2012. 

CA

AK

HI

30.0 to 39.9 years

40.0 to 59.9 percent 

60 percent or more

ID

WA

OR

NV

AZ

ND

SD

NE

TX

KS MO

IA

MN

IL IN

MS

FL

OH

MI

PA

MD

DE

NJ

CT RI

MA

ME

VT

NH

MT

WY

UT

CO

NM

WI

DC

NY

SC

NC

GA

VA

AL

KY

WV

TN

NOTE: Access data table for Figure 5 at: http://www.cdc.gov/nchs/data/databriefs/db152_table.pdf#2.

SOURCE: CDC/NCHS, National Vital Statistics System.

OK AR

LA

Less than 30 percent

No significant change

U.S. rate increased 35.3%

Rate not calculated, 

based on fewer than 

20 births in the

numerator.
NCHS Data Brief ■ No. 152 ■ May 2014

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Summary

Increases in the number, percentage, and rate of first births to older women have been observed 

over the last 4 decades. In 2012 there were more than 9 times as many first births to women aged 

35 years and older than there were 4 decades earlier. Over the past two decades first birth rates 

rose for older women of all race and Hispanic origins. For the more recent period, 2000–2012, 

first birth rates for women 35–39 years rose 24% and 35% for women aged 40–44. Increases in 

first birth rates among women 35–39 years were observed in all but four states; two-thirds of the 

states had increases for women aged 40–44. 

While first birth rates for women 35 and over have increased over the past few decades, first birth 

rates for women aged 30–34 by comparison have increased but not as steadily since the early 

2000s (4). First birth rates for women aged less than 30, particularly those aged less than 20, have 

declined in the past decade. However, the increase in first births to older mothers from 2000 to 

2012 has persisted even as total births declined (4). Changing US trends in first births to older 

women has an important impact on population structure such as lower total fertility and family 

size. 

Definitions

First birth rate: The number of first births per 1,000 women.

Older women: Women aged 35 and over.

Data Sources and Methods

This report contains data from the Natality Data File from the National Vital Statistics System 

(NVSS). The vital statistics natality file includes information for all births occurring in the United 

States. The natality files include information on a wide range of maternal and infant demographic 

and health characteristics for babies born in the United States. The natality files are available from 

NCHS at: http://www.cdc.gov/nchs/data_access/VitalStatsOnline.htm. Data for 2012 and earlier 

years may also be accessed from the interactive data access tool, VitalStats, available at:

http://www.cdc.gov/nchs/VitalStats.htm. 

Percentage of first births and first birth rates, for 2012 and earlier years are based on final birth 

data. Information on the 2012 data is available elsewhere (5). Population data for computing birth 

rates for 2012 were provided by the U.S. Census Bureau and are projected based on the April 1, 

2010 census (9). See, Births: Final Data for 2012, for more information on the rates (4). Rates 

shown here may differ from rates computed on the basis of other population estimates (10). Rates 

for Hispanic, non-Hispanic white, and non-Hispanic black women in 1990 exclude data for New 

Hampshire and Oklahoma, which did not report Hispanic origin. These two states accounted for 

1.6% of births in 1990 (11).

About the authors

T.J. Mathews and Brady E. Hamilton are with CDC’s NCHS, Division of Vital Statistics, 

Reproductive Statistics Branch.
NCHS Data Brief ■ No. 152 ■ May 2014

■  7  ■

References

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health stat vol 21 no 47. Hyattsville, MD: National Center for Health Statistics. 1989.

2. Mathews TJ, Hamilton BE. Delayed childbearing: More women are having their first child 

later in life. NCHS data brief, no 21. Hyattsville, MD: National Center for Health Statistics. 2009.

3. Gregory E. Ready: Why women are embracing the new later motherhood, with a new preface. 

Basic Books. 2012. 

4. Martin JA, Hamilton BE, Osterman MJK et al. Births: Final Data for 2012. National vital 

statistics reports; vol 62 no 9. Hyattsville, MD: National Center for Health Statistics. 2013.

5. Mathews TJ, MacDorman MF. Infant mortality statistics from the 2009 period linked birth/

infant death data set. National vital statistics reports; vol 61 no 8. Hyattsville, MD: National 

Center for Health Statistics. 2013.

6. Nabukera S, Wingate MS, Alexander GS, Salihu HM. First-time births among women 30 

years and older in the United States: patterns and risk of adverse outcomes. J Reprod Med Vol 

51(9). 2006.

7. Balasch J, Gratacos E. Delayed childbearing: Effects on fertility and the outcome of 

pregnancy. Fetal Diagn Ther Vol 29. 2011.

8. Martinez GM, Daniels K, Chandra A. Fertility of men and women aged 15–44 years in the 

United States: National Survey of Family Growth, 2006–2010. National health statistics reports; 

no 51. Hyattsville, MD: National Center for Health Statistics. 2012.

9. National Center for Health Statistics, Postcensal estimates of the resident population of 

the United States for July 1, 2011 and national intercensal estimates of the resident population 

of the United States for July 1, 2000–July 1, 2009, by year, county, single year of age, bridged 

race, Hispanic origin, and sex. Prepared under a collaborative arrangement with the U.S. Census 

Bureau. Available from: http://www.cdc.gov/nchs/nvss/bridged_race.htm.

10. Martin JA, Hamilton BE, Ventura SJ, et al. Births: Final Data for 2010. National vital 

statistics reports; vol 61 no 1. Hyattsville, MD: National Center for Health Statistics. 2012.

11. National Center for Health Statistics. Advance Report of Final Natality Statistics, 1990. 

Monthly vital statistics report; vol 41 no 9 suppl. Hyattsville, MD: Public Health Service. 1993.
NCHS Data Brief ■ No. 152 ■ May 2014

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Suggested citation

Mathews TJ, Hamilton BE. First births to 

older women continue to rise. NCHS data 

brief, no 152. Hyattsville, MD: National 

Center for Health Statistics. 2014.

Copyright information

All material appearing in this report is in 

the public domain and may be reproduced 

or copied without permission; citation as to 

source, however, is appreciated.

National Center for Health 

Statistics

Charles J. Rothwell, M.S., M.B.A., Director

Jennifer H. Madans, Ph.D., Associate 

Director for Science

Division of Vital Statistics

Delton Atkinson, M.P.H., M.P.H., P.M.P., 

Director

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