6 Countries with the Lowest Fertility Rates

5. Macau  

Children Born per Woman: 1.23 

Macao stands among the countries with the lowest fertility rates, with a slight increase to 1.313 births per woman in 2024. Despite this, the country maintains a remarkably low infant mortality rate of 2.259 deaths per 1000 live births, showcasing a consistent decline. Research in Macao suggests that women undergoing IVF treatment do not face increased clinical pregnancy loss compared to natural conception, though biochemical loss rates post-IVF are higher. IVF doesn’t inherently alter pregnancy loss risk compared to natural conception.