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Pregnancy Statistics India

Latest verified pregnancy, maternal health, fertility and antenatal care insights for India.

Published February 5, 2026· Updated July 7, 2026· 11 min read· By ParentVibes Research Team
Verified July 2026Data sources:World BankWHOUNICEFNFHS (MoHFW/IIPS)Government of India

Mixed verification status. Core figures in this report were verified against live official sources; a small number remain badged “Pending verification” until checked against their primary documents. Every statistic carries its own confidence badge — see the methodology for what each badge means.

Executive summary

India's headline pregnancy indicators have moved in the right direction over the past decade. The maternal mortality ratio fell from 129 per 100,000 live births in 2015 to 80 in 2023 (modelled MMEIG estimates), despite a COVID-19-era spike to an estimated 155 in 2021 — and now sits well below the 2023 global average of 197. Fertility has declined to 1.98 births per woman, below the replacement level of 2.1. Antenatal contact is near-universal (85.1% of pregnant women had at least one visit in 2021) and 89.4% of births are attended by skilled health staff, with institutional delivery widely reported around 88.6% in NFHS-5 (pending our primary-document check). C-section rates are rising (~21.5% widely reported, also pending). The clear laggard is nutrition: 46.6% of pregnant women were anaemic in 2023, barely two points lower than in 2015. Exclusive breastfeeding stood at 58% at the most recent available data point (2018). Every figure below carries a confidence badge: verified live, modelled estimate, official source, or pending verification.

Key statistics

Maternal mortality ratio, 2023

Modelled estimate

80 per 100,000 live births

vs 129 per 100,000 in 2015

Improving · ≈38% decline, 2015 → 2023

Modelled MMEIG estimate — down from 129 in 2015, and below the 2023 global average of 197

World Bank Open Data, indicator SH.STA.MMRT (WHO/UNICEF/UNFPA/World Bank Group/UNDESA MMEIG modelled estimate) — retrieved live July 7, 2026

Total fertility rate, 2023

Verified

1.98 births per woman

vs 2.29 in 2015

Steady · Steady decline to below replacement

Below the replacement level of 2.1 since roughly 2020

World Bank Open Data, indicator SP.DYN.TFRT.IN (UN Population Division estimates) — retrieved live July 7, 2026

Antenatal care — at least one visit, 2021

Verified

85.1%

vs 79.3% in 2016

Improving · +5.8 percentage points, 2016 → 2021

Share of pregnant women with at least one antenatal visit. The stricter 4+ visit indicator is tracked separately below.

World Bank Open Data, indicator SH.STA.ANVC.ZS (WHO/UNICEF Joint Monitoring and NFHS-based estimates) — retrieved live July 7, 2026

Births attended by skilled health staff, 2021

Verified

89.4%

vs 81.4% in 2016

Improving · +8 percentage points, 2016 → 2021

Roughly nine in ten births now have a skilled attendant present

World Bank Open Data, indicator SH.STA.BRTC.ZS (WHO/UNICEF Joint Monitoring and NFHS-based estimates) — retrieved live July 7, 2026

Anaemia among pregnant women, 2023

Modelled estimate

46.6%

vs 48.5% in 2015

Improving · Only ~2 points lower after 8 years — the slowest-moving indicator here

WHO Global Health Observatory modelled series — NFHS-5's own self-reported figure is commonly cited around 52%

World Bank Open Data, indicator SH.PRG.ANEM (WHO Global Health Observatory estimates) — retrieved live July 7, 2026

Exclusive breastfeeding, children under 6 months, 2018

Verified

58%

vs 54.9% in 2016

Improving · +3.1 percentage points, 2016 → 2018

Most recent data point available through this indicator at retrieval (none 2019+)

World Bank Open Data, indicator SH.STA.BFED.ZS (UNICEF/WHO Joint Monitoring estimates) — retrieved live July 7, 2026

Adolescent fertility rate, 2023

Verified

14.1 births per 1,000 women aged 15–19

vs 18.2 in 2015

Improving · ≈23% decline, 2015 → 2023

World Bank Open Data, indicator SP.ADO.TFRT (UN Population Division estimates) — retrieved live July 7, 2026

Antenatal care — 4 or more visits (NFHS-5, 2019–21)

Pending verification

~58% (widely reported)

Mixed · Contact is near-universal; visit frequency lags

Not re-verified against the NFHS-5 primary document during this research pass

Pending verification — commonly cited from NFHS-5 (2019–21); check the NFHS-5 India Fact Sheet (MoHFW/IIPS) before citing externally

Institutional births (NFHS-5, 2019–21)

Pending verification

~88.6% (widely reported)

Improving · Reported ~10-point rise over NFHS-4

Up from ~78.9% in NFHS-4 (2015–16); not re-verified against the primary document

Pending verification — widely reported from NFHS-5; check the NFHS-5 India Fact Sheet (MoHFW/IIPS) before citing externally

C-section deliveries (NFHS-5, 2019–21)

Pending verification

~21.5% of all deliveries (widely reported)

Mixed · Rising — more access, but also more surgical births

Up from ~17.2% in NFHS-4 (2015–16); not re-verified against the primary document

Pending verification — widely reported from NFHS-5; check the NFHS-5 India Fact Sheet (MoHFW/IIPS) before citing externally

Maternal mortality ratio — India's own SRS figure (2018–20)

Pending verification

97 per 100,000 (last public SRS bulletin)

India's Sample Registration System runs somewhat lower than the international modelled series above

Pending verification — verify against the Registrar General of India's latest SRS Special Bulletin on Maternal Mortality before publishing externally

Charts & visual data

Maternal mortality ratio, India (2015–2023)

Modelled MMEIG estimates. The 2021 spike is the COVID-19-affected estimate; the decline resumed immediately after.

12920151132017101201910120201552021902022802023

deaths per 100,000 live births

World Bank Open Data, indicator SH.STA.MMRT (MMEIG modelled estimates) — retrieved live via the World Bank API, July 7, 2026

Total fertility rate, India (2015 vs 2023)

India crossed below the replacement level of 2.1 around 2020. Intermediate years will be added as this chart is refreshed.

2.2920151.982023

births per woman

World Bank Open Data, indicator SP.DYN.TFRT.IN (UN Population Division estimates) — retrieved live July 7, 2026

Antenatal care coverage — at least one visit (2016 vs 2021)

Share of pregnant women receiving at least one antenatal care visit. The 4+ visit rate is lower (~58% widely reported from NFHS-5, pending verification).

79.3201685.12021

% of pregnant women

World Bank Open Data, indicator SH.STA.ANVC.ZS (WHO/UNICEF JMP and NFHS-based estimates) — retrieved live July 7, 2026

Anaemia among pregnant women (2015 vs 2023)

The slowest-improving indicator in this report: a decline of under two percentage points in eight years.

48.5201546.62023

% of pregnant women

World Bank Open Data, indicator SH.PRG.ANEM (WHO Global Health Observatory estimates) — retrieved live July 7, 2026

Exclusive breastfeeding, children under 6 months (2016 vs 2018)

No data point after 2018 was available through this indicator at retrieval — treat the current level as uncertain.

54.92016582018

% of children under 6 months

World Bank Open Data, indicator SH.STA.BFED.ZS (UNICEF/WHO Joint Monitoring estimates) — retrieved live July 7, 2026

Adolescent fertility rate (2015 vs 2023)

A decline of roughly one quarter over eight years.

18.2201514.12023

births per 1,000 women aged 15–19

World Bank Open Data, indicator SP.ADO.TFRT (UN Population Division estimates) — retrieved live July 7, 2026

India's pregnancy indicators at a glance — then vs now

Summary of every indicator in this report, with its verification status.

IndicatorEarlierLatestStatus
Maternal mortality (per 100,000)129 (2015)80 (2023)Verified live (modelled estimate)
Total fertility rate2.29 (2015)1.98 (2023)Verified live
ANC — at least one visit79.3% (2016)85.1% (2021)Verified live
Skilled birth attendance81.4% (2016)89.4% (2021)Verified live
Anaemia in pregnancy48.5% (2015)46.6% (2023)Verified live (modelled estimate)
Exclusive breastfeeding (<6 mo)54.9% (2016)58% (2018)Verified live
Adolescent fertility (per 1,000)18.2 (2015)14.1 (2023)Verified live
ANC — 4+ visits~58% (NFHS-5)Pending verification
Institutional births~78.9% (NFHS-4)~88.6% (NFHS-5)Pending verification
C-section deliveries~17.2% (NFHS-4)~21.5% (NFHS-5)Pending verification

Verified rows: World Bank Open Data, retrieved live July 7, 2026. Pending rows: widely reported from NFHS-5 (2019–21); verify against the NFHS-5 India Fact Sheet before citing.

Main findings

1

Maternal mortality has fallen sharply — with a visible COVID-19 scar

The modelled maternal mortality ratio for India declined from 129 per 100,000 live births in 2015 to 101 by 2019–20, spiked to an estimated 155 in 2021 during the COVID-19 pandemic, and then resumed its decline to 90 in 2022 and 80 in 2023 — a roughly 38% improvement over the period. India's own Sample Registration System figure runs somewhat lower (97 for 2018–20, pending re-verification), because national survey systems and international models measure differently.

MMR: 129 (2015) → 155 (2021, COVID-affected) → 80 (2023)

ParentVibes insight

ParentVibes' pregnancy tools consistently see the heaviest use around appointment scheduling and danger-sign content — organisational support that complements, and never replaces, the clinical care driving these gains.

Why it matters for parents

A falling MMR means pregnancy in India is safer than it was a decade ago — and the 2021 spike is a reminder that staying connected to antenatal care matters most exactly when health systems are under strain.

World Bank Open Data, SH.STA.MMRT (MMEIG modelled estimates), retrieved live July 7, 2026; SRS 2018–20 figure pending verification

2

India is now a below-replacement-fertility country

The total fertility rate fell from 2.29 births per woman in 2015 to 1.98 in 2023, crossing below the replacement level of 2.1 around 2020 — consistent with NFHS-5's finding that TFR fell below replacement nationally. Adolescent fertility is falling even faster: from 18.2 to 14.1 births per 1,000 women aged 15–19 over the same period, a decline of roughly a quarter.

TFR: 2.29 (2015) → 1.98 (2023) · Adolescent: 18.2 → 14.1 per 1,000

ParentVibes insight

Smaller, more deliberately planned families are visible across ParentVibes too: preconception planning tools and fertility calculators are among the platform's most-used features.

Why it matters for parents

Fewer, later, more planned pregnancies change what support parents need — more preconception preparation and fertility awareness, and more attention per pregnancy.

World Bank Open Data, SP.DYN.TFRT.IN and SP.ADO.TFRT (UN Population Division estimates), retrieved live July 7, 2026

3

Antenatal contact is near-universal — visit frequency is the real gap

85.1% of pregnant women had at least one antenatal visit in 2021, up from 79.3% in 2016. But 'at least one visit' is a low bar: the indicator health planners track is four or more visits, which NFHS-5 is widely reported to put around 58% nationally. That figure is flagged pending verification here, but the direction of the gap is clear — most women make contact with antenatal care, and far fewer complete the recommended schedule.

≥1 ANC visit: 85.1% (2021) · 4+ visits: ~58% (pending verification)

ParentVibes insight

This is precisely the gap reminder tools exist for: the ParentVibes pregnancy dashboard's appointment tracking targets follow-through on visits 2, 3 and 4 — not the first booking, which most families already make.

Why it matters for parents

One early visit is not enough to catch problems that develop across a pregnancy. Completing the full recommended visit schedule is one of the highest-value things an expecting family can do.

World Bank Open Data, SH.STA.ANVC.ZS, retrieved live July 7, 2026; NFHS-5 4+ visit figure pending verification against the India Fact Sheet

4

Nine in ten births now have skilled attendance

89.4% of births were attended by skilled health staff in 2021, up from 81.4% in 2016. Institutional delivery is widely reported at ~88.6% in NFHS-5 (up from ~78.9% in NFHS-4), consistent with two decades of maternal health programs shifting births into facilities — though the NFHS-5 figure remains flagged here pending a primary-document check.

Skilled birth attendance: 81.4% (2016) → 89.4% (2021)

ParentVibes insight

Delivery-planning content — hospital bag checklists, contraction timing, when-to-go guidance — is among the most-read late-pregnancy material on ParentVibes, matching a population that overwhelmingly plans a facility birth.

Why it matters for parents

Skilled attendance at birth is one of the strongest predictors of surviving obstetric emergencies. The practical question for most Indian families has shifted from whether to deliver in a facility to which facility and how to get there in time.

World Bank Open Data, SH.STA.BRTC.ZS, retrieved live July 7, 2026; NFHS-5 institutional delivery figure pending verification

5

C-section rates are rising alongside institutional delivery

NFHS-5 is widely and consistently reported as showing ~21.5% of deliveries by caesarean section nationally, up from ~17.2% in NFHS-4. Both figures await our primary-document verification, but the direction — a steady rise as more births move into institutions, with large private-vs-public and state-level differences reported in the literature — is consistent across sources.

C-sections: ~17.2% (NFHS-4) → ~21.5% (NFHS-5) — pending verification

ParentVibes insight

Questions about C-section recovery and birth planning are recurring themes in the ParentVibes community, suggesting families want balanced information before delivery, not after.

Why it matters for parents

A C-section can be life-saving when medically indicated. Rising rates make it more important, not less, to discuss delivery options, indications and recovery openly with your obstetrician ahead of time.

Pending verification — widely reported from NFHS-5 (2019–21); verify against the NFHS-5 India Fact Sheet (MoHFW/IIPS) before citing

6

Anaemia is the stubborn exception to India's progress

While mortality and care-access indicators improved substantially, anaemia among pregnant women barely moved: 48.5% in 2015 to 46.6% in 2023 on the WHO Global Health Observatory modelled series. NFHS-5's own household-survey figure is commonly cited even higher, around 52%. Nearly half of pregnant women in India remain anaemic. Exclusive breastfeeding, meanwhile, improved from 54.9% (2016) to 58% (2018) — but no newer data point was available through this indicator, so the current picture is genuinely uncertain.

Anaemia in pregnancy: 48.5% (2015) → 46.6% (2023)

ParentVibes insight

Nutrition-in-pregnancy content — iron-rich diets, supplement schedules — is a steady, high-interest topic across ParentVibes' week-by-week guides, but information alone hasn't moved this number nationally; screening and supplementation adherence are the levers.

Why it matters for parents

Anaemia raises the risk of low birth weight, preterm birth and maternal complications. Iron-folic acid supplementation and anaemia screening are standard parts of Indian antenatal care — ask about your haemoglobin at every visit.

World Bank Open Data, SH.PRG.ANEM (WHO GHO estimates) and SH.STA.BFED.ZS (UNICEF/WHO JME), retrieved live July 7, 2026

What this means for parents

The big picture is genuinely reassuring: pregnancy in India is measurably safer than a decade ago, skilled care at birth is now the norm rather than the exception, and almost every expecting mother makes contact with antenatal care. If you're pregnant today, the system-level odds are better than they have ever been.

The two places where the data says individual behaviour still moves the needle most: complete the full recommended schedule of antenatal visits (not just the first one), and take anaemia seriously — nearly half of pregnant women in India are anaemic, and screening plus iron-folic acid supplementation at your regular visits is the established response. Both are exactly the kind of follow-through that a reminder system helps with.

Finally, remember what population statistics can and can't tell you. These are national averages built from surveys and models — they describe India, not your pregnancy. Your own risk profile, care plan and delivery decisions belong in a conversation with your doctor or midwife.

Methodology

Core figures in this report were retrieved live from the World Bank Open Data API on July 7, 2026, drawing on the underlying WHO/UNICEF/UNFPA/World Bank/UNDESA inter-agency estimates (MMEIG for maternal mortality, the WHO/UNICEF Joint Monitoring estimates for care coverage and breastfeeding, WHO Global Health Observatory for anaemia, and UN Population Division for fertility). These international series are modelled or smoothed for cross-country comparability and can differ from India's own household surveys (NFHS) and registration system (SRS). NFHS-5-specific figures — 4+ ANC visits, institutional delivery, C-section rate — are widely and consistently reported but could not be re-read against the official NFHS-5 PDFs during this research session (the documents did not return extractable text), so they are explicitly badged "Pending verification" rather than presented as checked. This is a tooling limitation of the research pass, not evidence the figures are wrong.

Data sources

  • World Bank Open Data API — indicators SH.STA.MMRT, SH.STA.BRTC.ZS, SH.STA.ANVC.ZS, SP.DYN.TFRT.IN, SP.ADO.TFRT, SH.PRG.ANEM, SH.STA.BFED.ZS (retrieved live July 7, 2026)
  • WHO — Maternal mortality fact sheet (updated 7 April 2025) for global context
  • National Family Health Survey NFHS-5, 2019–21 (MoHFW/IIPS) — cited figures pending primary-document verification
  • Sample Registration System (SRS) Special Bulletin on Maternal Mortality, Registrar General of India — pending verification

How to read the data badges in this report

  • Verified

    Retrieved live from the primary source (World Bank Open Data API) by ParentVibes on July 7, 2026, with the indicator code recorded.

  • Modelled estimate

    Also retrieved live, but the number itself is a statistically modelled estimate (MMEIG maternal mortality, WHO GHO anaemia) built for cross-country comparability — expect it to differ from raw NFHS survey figures.

  • Official source

    Published by an official body (e.g. the WHO maternal mortality fact sheet) and cited directly from that publication.

  • Public dataset

    Openly downloadable dataset — anyone can re-check these figures at the linked indicator page.

  • Pending verification

    Widely and consistently reported (NFHS-5 4+ ANC visits, institutional delivery, C-section rate; SRS MMR), but the official primary documents could not be re-read during this research session. Flagged rather than silently included — verify before citing externally.

Limitations

  • Modelled international estimates (World Bank/WHO/MMEIG) are built for cross-country comparability and differ from India's own survey and registration figures — e.g. the modelled MMR (80 for 2023) vs the SRS bulletin figure (97 for 2018–20). Neither is 'wrong'; they measure differently, over different periods.
  • NFHS-5 fieldwork covers 2019–21, so NFHS-derived figures lag current conditions by several years.
  • Indicator definitions matter: 85.1% antenatal coverage refers to at least ONE visit; the stricter 4+ visit rate is far lower (~58%, pending verification). Quoting the first as if it were the second overstates care completion.
  • The exclusive breastfeeding series ends at 2018 — the current national rate is genuinely unknown through this indicator.
  • Anaemia estimates differ by method: the WHO GHO modelled series (46.6%, 2023) sits below commonly cited NFHS-5 household-survey figures (~52%).
  • All figures are national averages that mask large state, rural/urban and income differences.
  • ParentVibes distinguishes verified from pending figures deliberately: a figure everyone repeats is not the same as a figure checked against its primary document, and readers deserve to know which is which.

Sources & citations

Frequently asked questions

What is the maternal mortality ratio in India?

India's maternal mortality ratio was 80 per 100,000 live births in 2023, according to modelled MMEIG estimates published via World Bank Open Data (retrieved July 2026) — down from 129 in 2015. India's own Sample Registration System last publicly reported 97 per 100,000 for 2018–20; the two series measure differently, so the gap is expected.

What is India's total fertility rate?

1.98 births per woman in 2023 (UN Population Division estimates via World Bank Open Data), below the replacement level of 2.1. India has been below replacement level since roughly 2020, consistent with NFHS-5's findings.

How many pregnant women in India receive antenatal care?

85.1% of pregnant women had at least one antenatal care visit in 2021 (up from 79.3% in 2016). The stricter indicator — four or more visits — is widely reported at around 58% from NFHS-5, though that figure is pending verification against the primary document in this report.

How common is anaemia during pregnancy in India?

46.6% of pregnant women were anaemic in 2023 according to WHO Global Health Observatory modelled estimates — nearly half, and only about two percentage points lower than in 2015. NFHS-5's own household-survey figure is commonly cited around 52%. Anaemia screening and iron-folic acid supplementation are standard parts of Indian antenatal care.

What is skilled birth attendance, and what is India's rate?

Skilled birth attendance means a trained health professional (doctor, nurse or midwife) is present at delivery. In India, 89.4% of births were attended by skilled health staff in 2021, up from 81.4% in 2016.

What share of births in India happen in hospitals or health facilities?

NFHS-5 (2019–21) is widely reported as showing about 88.6% institutional births, up from about 78.9% in NFHS-4 (2015–16). This report flags that figure as pending verification because we could not re-read the official NFHS-5 document during our July 2026 research pass.

What is India's C-section rate?

About 21.5% of all deliveries, as widely reported from NFHS-5 (2019–21), up from about 17.2% in NFHS-4 — a figure this report flags as pending verification against the primary document. A C-section can be life-saving when medically indicated; discuss delivery options with your obstetrician.

What is exclusive breastfeeding, and what is India's rate?

Exclusive breastfeeding means an infant under 6 months receives only breast milk. India's rate was 58% at the most recent available data point (2018, UNICEF/WHO estimates via World Bank Open Data), up from 54.9% in 2016. No newer national figure was available through this indicator at retrieval.

What is India's adolescent fertility rate?

14.1 births per 1,000 women aged 15–19 in 2023, down from 18.2 in 2015 — a decline of roughly a quarter in eight years (UN Population Division estimates via World Bank Open Data).

Did COVID-19 affect maternal mortality in India?

The modelled estimates show a clear spike: India's MMR rose to an estimated 155 per 100,000 live births in 2021 (from 101 in 2020) before falling to 90 in 2022 and 80 in 2023. The 2021 figure is explicitly a COVID-19-affected estimate.

What's the difference between NFHS data and WHO/World Bank estimates?

NFHS is India's own large household survey — it asks families directly and reports raw survey results for a specific fieldwork period. WHO/World Bank figures are modelled estimates that smooth multiple data sources into internationally comparable series. They often differ (e.g. anaemia: 46.6% modelled vs ~52% commonly cited from NFHS-5), and neither is simply 'wrong' — they answer slightly different questions.

Can I cite the statistics in this report?

Figures badged 'Verified', 'Modelled estimate', 'Official source' or 'Public dataset' can be cited with attribution to the underlying source (linked in the references) — please mention the retrieval date. Figures badged 'Pending verification' should be checked against their primary document (linked in the references) before you cite them externally.

ParentVibes tools for this topic

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This report offers general, population-level information and is not medical advice for any individual. Always consult your doctor for decisions about your own or your child's health. Read our Medical Disclaimer and Research Methodology.