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Excess Births during the COVID-19 Pandemic

Summary: The COVID-19 pandemic led to a decline in births in 2020 followed by a rebound in 2021. We present new estimates of “excess” births during the pandemic, which show that on net over the two-year period, births were roughly in line with pre-pandemic trends.

Key Points

  • From January 2020 to February 2021, 70,000 fewer births occurred than expected based on pre-pandemic patterns.

  • Over the course of 2021, birth rates rebounded to levels above pre-pandemic norms. By December 2021, the cumulative number of births had nearly returned to its expected value if the pandemic had not happened.

  • In 2021, the number of births by college educated women aged 25-39 rose greatly above its expected value. The relative increase in fertility was greatest among college educated women aged 25-29. In 2021, about 40,000 excess births were attributable to college educated women aged 25-49.


Excess Births during the COVID-19 Pandemic

Background

The COVID-19 pandemic led initially to a decline in the number of births in 2020 followed by a rebound in 2021. Previous research has found that births in the U.S. fell below pre-pandemic trends in 2020 but exceeded them in 2021, and identified similar patterns in other high-income countries.

In this brief, we present new estimates of the pandemic’s impact on U.S. fertility. While much of the prior research has relied on extrapolating aggregate pre-pandemic linear trends to infer what would have happened if there had been no pandemic, we instead adapt methods used to measure excess mortality related to COVID-19.

To estimate “excess” births during the pandemic, we first estimate monthly expected births given recent fertility patterns. We deem an observed count of monthly births to be in “excess” if the number of observed births is statistically different (in either direction) from expected births under pre-pandemic trends. Otherwise, we use the observed value as the expected number of births. We then define the difference between observed and expected births to be the number excess births. This method provides estimates more robust to the random nature of the natality process than simply defining excess to be the difference between observed births and a pre-pandemic trend, regardless of how unexpected the observed value is.

Monthly Excess Births during the Pandemic

Figure 1 plots estimated expected births in 2020 in 2021 against the actual observed number of births. Note that births exhibit strong seasonality, peaking in the summer and falling in winter, which is reflected in expected births. Births began to drop consistently below expectations in August of 2020 and then plummeted in late 2020 to early 2021, bottoming out with 21,000 fewer births than expected in February 2021. However, from April 2021 onwards, the number of births leapt back up and maintained or outpaced expectations for most of the year.

Figure 1: Monthly Expected and Observed Births, January 2020-December 2021

Source: Penn Wharton Budget Model estimates from National Vital Statistics System and Census Bureau data.

Figure 2 shows cumulative monthly excess births during this period. In total, negative excess births in 2020 and early 2021 reduced the number of births by 70,000 through February 2021, relative to expectations. The boom of positive excess births in 2021 reversed this decline, however, and by the end of 2021 had largely offset the previous year’s shortfall.

Figure 2: Cumulative Excess Births, January 2020-December 2021

Source: Penn Wharton Budget Model estimates from National Vital Statistics System and Census Bureau data.

Annually, Table 1 shows that there were around 36,000 fewer births in 2020 and 34,000 more births in 2021 than expected, for a net effect close to zero over the two-year period.

Table 1: Births and Excess Births, 2020 and 2021

2020 2021 Net
Total Births 3,617,034 3,666,993 7,284,027
Excess Births -36,287 33,947 -2,340
Excess Fertility by Age by Education

The massive decline in expected births during the later months of 2020 and the early months of 2021 was anticipated as a behavioral fertility to public health and economic conditions during the first few months of the pandemic. Moreover, many of the ‘missing’ births from earlier in 2020 have been attributed to a decline in immigration of pregnant women due to travel restrictions and behavioral response. However, the rise in fertility to levels exceeding pre-pandemic trends was unanticipated. To analyze this pattern further, we examine excess fertility across age and educational attainment.

To compare the excess fertility across socio-demographic groups, we calculate the percentage relative excess births (sometimes called the “P-score”), defined as the ratio of excess births to expected births multiplied by one hundred. We refer to this measure as the “relative excess.” Groups with positive (negative) relative excess experienced a rise (drop) in fertility relative to pre-pandemic trends.

Figure 3: Relative Excess Fertility by Age Group, 2020 and 2021

Source: Penn Wharton Budget Model estimates from National Vital Statistics System and Census Bureau data.

Fertility fell below expectations in 2020 for all age groups except ages 15-19, which saw a slight relative increase in 2020, as seen in Figure 3. In 2021, fertility rose above pre-pandemic trends among ages 15-29 and 35-39, with women aged 25-29 experiencing the largest relative increase in births. Fertility among early women in their early 30s was slightly below expectation, whereas fertility in women 40-49 remained depressed, despite some recovery from declines in 2020.

Figure 4: Total Excess Fertility by Educational Attainemnt and Relative Excess Fertility by 5 Year Age Group and Educational Attainment (Ages 25-49), 2020 and 2021

Source: Penn Wharton Budget Model estimates from National Vital Statistics System and Census Bureau data.

In 2021, fertility exceeded expectations among college-educated women aged 25-39. Notably, relative excess fertility rose to nearly 10% among college-educated women aged 25-29 (see Figure 4). Women older than 39 and younger women without college degrees generally maintained levels of fertility slightly below expectation in 2020 and 2021.The greatest magnitude change in relative fertility was among women aged 45-49, an effect attributable to low expected fertility rates.

In general, we find excess fertility in 2021 was driven by two groups: women aged 15-24 and college-educated women aged 25-39. In particular, the boom in births by college-educated women aged 25 to 29 resulted in around 26,000 excess births, accounting for nearly 80% of all excess births in 2021. A suggested explanation for this pattern is that during the pandemic women who otherwise would have delayed having families chose to begin them.



This analysis was produced by Duncan Haystead under the direction of Alex Arnon and the faculty director, Kent Smetters. Mariko Paulson prepared the brief for the website.

  Date	Expected	Observed
  2020-01-01 00:00:00	302929.2997	305302
  2020-02-01 00:00:00	287147.5297	283153
  2020-03-01 00:00:00	299648.8891	302117
  2020-04-01 00:00:00	291447.0483	290695
  2020-05-01 00:00:00	302344.9589	301662
  2020-06-01 00:00:00	306533.0806	302343
  2020-07-01 00:00:00	321092.3954	321864
  2020-08-01 00:00:00	320852.2004	319819
  2020-09-01 00:00:00	317156.983	311922
  2020-10-01 00:00:00	307924.9995	305305
  2020-11-01 00:00:00	301047.6411	282779
  2020-12-01 00:00:00	295196.2604	290073
  2021-01-01 00:00:00	292034.182	277324
  2021-02-01 00:00:00	287810.8471	266501
  2021-03-01 00:00:00	290884.7248	302871
  2021-04-01 00:00:00	293391.6416	293375
  2021-05-01 00:00:00	299600.8102	301101
  2021-06-01 00:00:00	310109.0026	313780
  2021-07-01 00:00:00	318075.5948	326346
  2021-08-01 00:00:00	323328.7732	330485
  2021-09-01 00:00:00	317909.1402	326047
  2021-10-01 00:00:00	309430.9335	315653
  2021-11-01 00:00:00	298202.4874	302068
  2021-12-01 00:00:00	292267.2227	311442
  Date	Excess Births
  2020-01-01 00:00:00	2372.700276
  2020-02-01 00:00:00	-1621.82946
  2020-03-01 00:00:00	846.2814855
  2020-04-01 00:00:00	94.23319129
  2020-05-01 00:00:00	-588.7256811
  2020-06-01 00:00:00	-4778.806257
  2020-07-01 00:00:00	-4007.201693
  2020-08-01 00:00:00	-5040.402141
  2020-09-01 00:00:00	-10275.38516
  2020-10-01 00:00:00	-12895.38465
  2020-11-01 00:00:00	-31164.02571
  2020-12-01 00:00:00	-36287.28608
  2021-01-01 00:00:00	-50997.46808
  2021-02-01 00:00:00	-72307.31518
  2021-03-01 00:00:00	-60321.03994
  2021-04-01 00:00:00	-60337.68151
  2021-05-01 00:00:00	-58837.49175
  2021-06-01 00:00:00	-55166.49434
  2021-07-01 00:00:00	-46896.08909
  2021-08-01 00:00:00	-39739.86234
  2021-09-01 00:00:00	-31602.00254
  2021-10-01 00:00:00	-25379.93599
  2021-11-01 00:00:00	-21514.42336
  2021-12-01 00:00:00	-2339.646014
  Year	Age Group	Relative Excess
  2020	15-19	0.776651723
  2020	20-24	-1.134283356
  2020	25-29	-0.09380881
  2020	30-34	-1.449274959
  2020	35-39	-1.56791098
  2020	40-44	-3.002461609
  2020	45-49	-4.492174285
  2021	15-19	2.036030822
  2021	20-24	0.250958232
  2021	25-29	3.020512936
  2021	30-34	-0.299724048
  2021	35-39	1.062144885
  2021	40-44	-2.560691511
  2021	45-49	-2.716092161
  Year	AgeGroup	Education	RelativeExcess
  2020	25-49	No high school degree	-1.126883904
  2020	25-49	High school degree or GED	-0.603517986
  2020	25-49	Some four-year college or Associate's degree	-0.989795953
  2020	25-49	Bachelor's  degree or above	-1.306668444
  2021	25-49	No high school degree	-1.705574577
  2021	25-49	High school degree or GED	-0.630237472
  2021	25-49	Some four-year college or Associate's degree	-0.08379224
  2021	25-49	Bachelor's  degree or above	3.080603132
  2020	25-29	No high school degree	-0.061577445
  2020	30-34	No high school degree	-2.307051643
  2020	35-39	No high school degree	-0.547925968
  2020	40-44	No high school degree	-3.032817166
  2020	45-49	No high school degree	-7.351154494
  2020	25-29	High school degree or GED	-0.409873651
  2020	30-34	High school degree or GED	-0.601251698
  2020	35-39	High school degree or GED	-0.848862341
  2020	40-44	High school degree or GED	-2.297150938
  2020	45-49	High school degree or GED	-3.75614368
  2020	25-29	Some four-year college or Associate's degree	-0.641521328
  2020	30-34	Some four-year college or Associate's degree	-1.175241279
  2020	35-39	Some four-year college or Associate's degree	-0.998676998
  2020	40-44	Some four-year college or Associate's degree	-3.525848541
  2020	45-49	Some four-year college or Associate's degree	1.13520344
  2020	25-29	Bachelor's  degree or above	0.87006663
  2020	30-34	Bachelor's  degree or above	-1.74629143
  2020	35-39	Bachelor's  degree or above	-2.167574035
  2020	40-44	Bachelor's  degree or above	-2.980419639
  2020	45-49	Bachelor's  degree or above	-5.935119778
  2021	25-29	No high school degree	0.459757891
  2021	30-34	No high school degree	-3.630981396
  2021	35-39	No high school degree	-1.72877258
  2021	40-44	No high school degree	-3.440032079
  2021	45-49	No high school degree	-16.13980903
  2021	25-29	High school degree or GED	-0.035299904
  2021	30-34	High school degree or GED	-1.018266314
  2021	35-39	High school degree or GED	-1.094346654
  2021	40-44	High school degree or GED	-3.749430272
  2021	45-49	High school degree or GED	0.991456578
  2021	25-29	Some four-year college or Associate's degree	1.118301993
  2021	30-34	Some four-year college or Associate's degree	-0.84283374
  2021	35-39	Some four-year college or Associate's degree	-0.617258541
  2021	40-44	Some four-year college or Associate's degree	-3.926855116
  2021	45-49	Some four-year college or Associate's degree	0.162468493
  2021	25-29	Bachelor's  degree or above	9.38487533
  2021	30-34	Bachelor's  degree or above	0.696757375
  2021	35-39	Bachelor's  degree or above	2.777182359
  2021	40-44	Bachelor's  degree or above	-1.378972656
  2021	45-49	Bachelor's  degree or above	-1.184908139