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This article examines the dynamics and factors affecting the birth rate in the Republic of Crimea. The study is based on an analysis of official statistics from Rosstat and regional data from Krymstat for the period 2014–2024. The article presents data showing that the total fertility rate in the Republic of Crimea as of the end of 2023 was 1.419, which is slightly higher than the national average (1.41). However, this positive difference does not offset the overall downward trend in the birth rate. The main reason for this decline has been identified: a decrease in the number of families deciding to have their first or second child, indicating significant changes in the birth structure associated with the ongoing trend of postponing the birth of their first child. This shift negatively impacts the birth rate due to natural age-related changes in the body, including reproductive functions, which complicates the implementation of plans to have children. Moreover, with age, people develop established notions of comfort and a familiar way of life, and the arrival of a new family member is seen as a risk of losing this familiar lifestyle. This is especially evident when planning a second or third child, without whose birth it is impossible to ensure a full population renewal and overcome existing negative demographic trends. Using the “age shifting” method in forecasting, it was concluded that shifts in the age structure of the Crimean population could lead to an increase in the number of births starting in 2028. This scenario is based on projected changes in the age structure of the population while maintaining current fertility rates (excluding possible demographic policy measures). A number of specific measures are proposed to increase the birth rate in the Republic of Crimea.