| Rank | Country | | Total fertility rate |
44 | Samoa | 4.16 | 4.16 children born/woman (2009 est.) |
45 | Central African Republic | 4.14 | 4.14 children born/woman (2009 est.) |
46 | Cote d'Ivoire | 4.12 | 4.12 children born/woman (2009 est.) |
47 | Kiribati | 4.04 | 4.04 children born/woman (2009 est.) |
48 | Iraq | 3.86 | 3.86 children born/woman (2009 est.) |
49 | Saudi Arabia | 3.83 | 3.83 children born/woman (2009 est.) |
50 | Haiti | 3.81 | 3.81 children born/woman (2009 est.) |
51 | Paraguay | 3.75 | 3.75 children born/woman (2009 est.) |
52 | Zimbabwe | 3.69 | 3.69 children born/woman (2009 est.) |
53 | Ghana | 3.68 | 3.68 children born/woman (2009 est.) |
54 | Papua New Guinea | 3.62 | 3.62 children born/woman (2009 est.) |
55 | Pakistan | 3.60 | 3.6 children born/woman (2009 est.) |
56 | Marshall Islands | 3.59 | 3.59 children born/woman (2009 est.) |
57 | Solomon Islands | 3.52 | 3.52 children born/woman (2009 est.) |
58 | Guatemala | 3.47 | 3.47 children born/woman (2009 est.) |
59 | Belize | 3.36 | 3.36 children born/woman (2009 est.) |
60 | American Samoa | 3.29 | 3.29 children born/woman (2009 est.) |
61 | Timor-Leste | 3.28 | 3.28 children born/woman (2009 est.) |
62 | Honduras | 3.27 | 3.27 children born/woman (2009 est.) |
63 | Philippines | 3.27 | 3.27 children born/woman (2009 est.) |
64 | Swaziland | 3.24 | 3.24 children born/woman (2009 est.) |
65 | West Bank | 3.22 | 3.22 children born/woman (2009 est.) |