Pregnancy at 45 sits at the intersection of demographics, health risks, and care access. In the United States, women aged 45–54 reported a 1.7% pregnancy rate in the past year (2022), while in the UK, 7.1% of babies were born to mothers aged 40–44 (2022). Across the page, you’ll see how fertility concerns, IVF outcomes, and prenatal habits like folic acid use connect to outcomes by age.
Key Takeaways
- 1The share of women in the US aged 40–44 in the labor force was 69.8% in 2023
- 2In the United States, women aged 40–44 accounted for 6.6% of the female population in 2023
- 3In OECD countries, the average number of births per woman was 1.6 in 2022
- 4The proportion of births to mothers aged 40–44 increased from 3.8% in 2002 to 4.5% in 2022 in the United States
- 5In the UK, 7.1% of babies were born to mothers aged 40–44 in 2022
- 6In the United States, 623,471 abortions were reported in 2020 (Guttmacher estimate)
- 720.0% of births were delivered by cesarean in the United States among women aged 40–44 in 2022 — cesarean delivery share
- 81.7% of women aged 45–54 in the United States reported having been pregnant in the past year in 2022 — share of women pregnant within the last 12 months
- 9In the United States, the rate of stillbirth was 5.8 per 1,000 births in 2020
- 10In 2021, live birth rates per embryo transfer for women aged 40–42 were 12.1% in the SART Clinic Outcomes Reports
- 11In 2019, the probability of live birth per started treatment cycle for women aged 45–46 using IVF with their own eggs was 3% or less (as summarized in a systematic review of IVF outcomes)
- 1260.0% of women aged 40+ in a US survey reported using some form of fertility treatment or related services when trying to conceive (2019) — share using fertility services
- 1388.0% of pregnant women in the UK were taking folic acid at some point during early pregnancy (2016 survey) — share taking folic acid during early pregnancy
- 14Among women aged 35–44 in the United States, the unintended pregnancy rate was 62.0 per 1,000 women per year
- 15In the United States, 24% of people ages 40–49 report using some form of preconception care (as measured by survey indicators in the National Health Interview Survey)
In their 40s, many women stay employed and conceive, but fertility concerns and higher risks remain key.
Related reading
01Socioeconomic & Demographics
4- 1The share of women in the US aged 40–44 in the labor force was 69.8% in 2023
- 2In the United States, women aged 40–44 accounted for 6.6% of the female population in 2023
- 3In OECD countries, the average number of births per woman was 1.6 in 2022
- 4In 2022, the total fertility rate was 1.66 children per woman in the United States (OECD/World Bank-style indicator as reported by World Bank)
More related reading
02Fertility & Outcomes
5- 1The proportion of births to mothers aged 40–44 increased from 3.8% in 2002 to 4.5% in 2022 in the United States
- 2In the UK, 7.1% of babies were born to mothers aged 40–44 in 2022
- 3In the United States, 623,471 abortions were reported in 2020 (Guttmacher estimate)
- 4Of births in the United States, 15% are to women age 35–39 and 4% are to women age 40–44
- 5In the United States, 14.2% of pregnancies end in miscarriage (miscarriage prevalence estimate reported in a published analysis of pregnancy outcomes)
More related reading
03Industry Overview
6- 120.0% of births were delivered by cesarean in the United States among women aged 40–44 in 2022 — cesarean delivery share
- 21.7% of women aged 45–54 in the United States reported having been pregnant in the past year in 2022 — share of women pregnant within the last 12 months
- 3In the United States, the rate of stillbirth was 5.8 per 1,000 births in 2020
- 46.1% of women aged 40–44 in the US reported being unable to become pregnant or not trying to become pregnant due to fertility concerns (2017–2019 BRFSS) — share reporting fertility concern-related status
- 57.4% of pregnancies ended in stillbirth in a US cohort of singleton pregnancies (Florida, 2011–2018) — share of pregnancies resulting in stillbirth
- 688.0% of infertile women aged 40–44 had visited a healthcare provider for infertility services within 12 months (US survey) — share with provider visit within 12 months
04Assisted Reproduction
2- 1In 2021, live birth rates per embryo transfer for women aged 40–42 were 12.1% in the SART Clinic Outcomes Reports
- 2In 2019, the probability of live birth per started treatment cycle for women aged 45–46 using IVF with their own eggs was 3% or less (as summarized in a systematic review of IVF outcomes)
More related reading
05Contraception & Planning
5- 160.0% of women aged 40+ in a US survey reported using some form of fertility treatment or related services when trying to conceive (2019) — share using fertility services
- 288.0% of pregnant women in the UK were taking folic acid at some point during early pregnancy (2016 survey) — share taking folic acid during early pregnancy
- 3Among women aged 35–44 in the United States, the unintended pregnancy rate was 62.0 per 1,000 women per year
- 4In the United Kingdom, 12.5% of women aged 40–44 used contraception at the time of conception (analysis reported in a published UK study)
- 553.0% of women aged 40–44 reported using contraception at risk prior to conception in the UK (study analysis) — contraception use at time of conception
More related reading
06Preconception & Care
2- 1In the United States, 24% of people ages 40–49 report using some form of preconception care (as measured by survey indicators in the National Health Interview Survey)
- 2The WHO recommends folic acid supplementation of 400 micrograms (0.4 mg) daily for women of reproductive age to reduce the risk of neural tube defects
Cite this report
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APA
Magnus Öberg. (2026, September 20). Pregnancy At 45 Statistics. Statpit. https://statpit.com/pregnancy-at-45-statistics
MLA
Magnus Öberg. "Pregnancy At 45 Statistics." Statpit, 20 Sep 2026, https://statpit.com/pregnancy-at-45-statistics.
Chicago
Magnus Öberg. 2026. "Pregnancy At 45 Statistics." Statpit. https://statpit.com/pregnancy-at-45-statistics.
Sources and references
24 datasets cited across this report. Attribution is report-level.
8 additional datasets are cited and not shown individually.

