The report presents 2022 U.S. birth data, including trends in fertility, maternal and infant characteristics, and delivery methods. In 2022, there were 3,667,758 births, nearly the same as 2021. The general fertility rate declined 1% to 56.0 births per 1,000 females aged 15–44. Birth rates for women aged 15–19 and 20–24 decreased, while rates for women aged 25–29 and 35–44 increased. The total fertility rate declined slightly to 1,656.5 births per 1,000 women. Prenatal care began in the first trimester for 77.0% of women, down from 78.3% in 2021. Smoking during pregnancy decreased to 3.7%. Cesarean delivery rates remained at 32.1%. Medicaid covered 41.3% of births. Preterm birth rates declined 1% to 10.38%, while low birthweight rates rose 1% to 8.60%. Twin birth rates remained at 31.2 per 1,000 births, while triplet and higher-order multiple birth rates declined slightly. Birth rates varied by race and Hispanic origin, with Hispanic and Native Hawaiian and Other Pacific Islander women seeing increases, while Black and White women saw decreases. Birth rates by state showed declines in 28 states and increases in 3. Teenage birth rates continued to decline, with the rate for 15–19 year olds at 13.6 per 1,000. Birth rates for unmarried women decreased to 37.2 per 1,000, while rates for married women increased to 84.2 per 1,000. Smoking during pregnancy decreased significantly, with 3.7% of women reporting smoking. Prenatal care initiation in the first trimester decreased for most racial and Hispanic groups. Cesarean delivery rates remained stable, with Black women having the highest rate. Medicaid covered 41.3% of births, while private insurance coverage decreased slightly. Birthweight rates increased slightly, with low birthweight rates rising to 8.60%. Multiple birth rates remained stable, with twin rates at 31.2 per 1,000 births. The report highlights trends in birth data, including changes in fertility rates, maternal characteristics, and delivery methods.The report presents 2022 U.S. birth data, including trends in fertility, maternal and infant characteristics, and delivery methods. In 2022, there were 3,667,758 births, nearly the same as 2021. The general fertility rate declined 1% to 56.0 births per 1,000 females aged 15–44. Birth rates for women aged 15–19 and 20–24 decreased, while rates for women aged 25–29 and 35–44 increased. The total fertility rate declined slightly to 1,656.5 births per 1,000 women. Prenatal care began in the first trimester for 77.0% of women, down from 78.3% in 2021. Smoking during pregnancy decreased to 3.7%. Cesarean delivery rates remained at 32.1%. Medicaid covered 41.3% of births. Preterm birth rates declined 1% to 10.38%, while low birthweight rates rose 1% to 8.60%. Twin birth rates remained at 31.2 per 1,000 births, while triplet and higher-order multiple birth rates declined slightly. Birth rates varied by race and Hispanic origin, with Hispanic and Native Hawaiian and Other Pacific Islander women seeing increases, while Black and White women saw decreases. Birth rates by state showed declines in 28 states and increases in 3. Teenage birth rates continued to decline, with the rate for 15–19 year olds at 13.6 per 1,000. Birth rates for unmarried women decreased to 37.2 per 1,000, while rates for married women increased to 84.2 per 1,000. Smoking during pregnancy decreased significantly, with 3.7% of women reporting smoking. Prenatal care initiation in the first trimester decreased for most racial and Hispanic groups. Cesarean delivery rates remained stable, with Black women having the highest rate. Medicaid covered 41.3% of births, while private insurance coverage decreased slightly. Birthweight rates increased slightly, with low birthweight rates rising to 8.60%. Multiple birth rates remained stable, with twin rates at 31.2 per 1,000 births. The report highlights trends in birth data, including changes in fertility rates, maternal characteristics, and delivery methods.