After years of decline, U.S. births may be leveling off

ATLANTA -- After falling four years in a row, U.S. births may finally be leveling off.

The number of babies born last year -- a little shy of 4 million -- is only a few hundred less than the number in 2011, according to a government report released Sept. 6.

That suggests that lately, fewer couples may be scared away from having children because of the economy or other factors, some experts say. Among the signs of a possible turning point: The birth rate for women in their early 30s inched up for the first time since 2007.

"We may be on level course or potentially even see a rise" in birth trends in the near future, said Brady Hamilton, a statistician with the Centers for Disease Control and Prevention.

Some are a bit more pessimistic.

"The decline has slowed down, but it's still a decline," said Carol Hogue, an Emory University expert on birth trends.

Southeast Hospital provided the following birth numbers: 1,273 births in 2007; 1,266 in 2008; 1,112 in 2009; 983 in 2010; and 843 in 2011; and 867 in 2012. So far in 2013 there have been 596 births.

Judy Aslin, vice president and chief nursing officer at SoutheastHEALTH, said the primary reason for the decrease was "due to the retirement of an obstetrician who annually delivered nearly 200 babies" at the hospital "and physician staffing challenges."

"Over the past two years we have seen an increase in births and are confident that our partnerships with Dexter and other regional healthcare facilities will result in a continued increase in births at Southeast over the next few years," Aslin said in an emailed statement. She added that a third obstetrician will join Southeast Obstetrics & Gynecology in October.

Aslin said the hospital has offered obstetrics services since opening in 1928, helping deliver more than 75,000 babies.

Saint Francis Medical Center reported the following birth numbers by year: 649 in 2007; 708 in 2008; 754 in 2009; 862 in 2010; 1,022 in 2011; and 1,049 in 2012. Saint Francis reported 732 births so far in 2013.

"Since opening in 2001 -- after 35 years without obstetric services at Saint Francis -- the number of deliveries at the Family BirthPlace has grown each year," said Cathy Abrams, director of Maternal and Children's Health Services at Saint Francis, in an emailed statement. "In 2011, the Medical Center added Cape Care for Women as a Medical Partner, welcoming six trusted physicians to the Saint Francis family.

"We offer a full range of services that assist our obstetricians in delivering healthy babies, including perinatology and neonatology, if needed. We are proud to be the region's first level III neonatal intensive care unit."

A falling birth rate is a relatively new phenomenon in this country. Births were on the rise since the late 1990s and hit an all-time high of more than 4.3 million in 2007. The drop that followed was widely attributed to the nation's flagging economy. Experts believed many women or couples who were out of work or had other money problems felt they couldn't afford to start or add to their family.

The economy officially was in a recession from December 2007 until June 2009. But well into 2011, polls showed most Americans remained gloomy, citing anemic hiring, a depressed housing market and other factors.

The new CDC report is a first glimpse at 2012 birth certificate data from state health departments, but the numbers aren't expected to change much.

Highlights of the report include:

* The birth rate for all women of childbearing age -- 63 births per 1,000 women -- was essentially flat from the year before.

* Rates dropped for Hispanic women, 2 percent, and blacks, 1 percent, but less than the previous year. The rate continued to stay the same for whites, rose 4 percent for Asian-American and Pacific Islanders and fell slightly for American Indians and Alaska Natives.

* Rates fell again for women in their early 20s, down 3 percent from 2011. That's the lowest mark for women in that age group since 1940, when comprehensive national birth records were first compiled.

* For women in their late 20s, birth rates fell 1 percent. That age group accounts for more than a quarter of all of the nation's births. The rate rose a slight 1 percent for women in their early 30s, who have nearly as many babies as women in their late 20s.

* Rates also rose 2 percent for moms ages 35 and older, and 1 percent for women in their early 40s. Rates in older moms have been rising slightly in recent years, despite the overall downward trend. Experts say that's because older women generally have better jobs or financial security, and are more sensitive to the ticking away of their biological clocks.

* Birth rates for teen moms have been falling since 1991 and hit yet another historic low. The number of babies born to teens last year -- about 305,000 -- is less than half the peak of nearly 645,000 in 1970.

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The teen birth rate has been cut in half since 1991, said Bill Albert of the National Campaign to Prevent Teen and Unplanned Pregnancy, who called it a "stunning turnaround."

Experts attribute that decline to a range of factors, including less sex and more use of contraception.

Another report highlight: About 33 percent of births last year were delivered through cesarean section -- a rate unchanged from the previous two years.

C-sections are sometimes medically necessary. But health officials believe many are done out of convenience or unwarranted caution, and in the 1980s set a goal of keeping the national rate at 15 percent.

The C-section rate had been rising steadily since 1996, until it dropped slightly in 2010.

Even if the C-section rate has peaked, it's still too high -- particularly in certain states, Emory's Hogue said. For example, last year 40 percent of births were C-sections in Louisiana, and more than 38 percent in New Jersey, Mississippi and Florida, the report found.

"There's a lot of room for improvement," she said.

Southeast Missourian assistant managing editor Lucas Presson contributed to this report.

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Online:

CDC report: http://www.cdc.gov/nchs/