Pennsylvania ranks number 20 on the list of Best and Worst States to have a baby, according to a 2025 report by WalletHub.
The report reflects a mix of strengths and persistent challenges for new parents. The study assessed all 50 state, along with Washington, D.C., across 31 indicators. These include cost, health care access, and family support services.
Pennsylvania’s highest mark came in health care availability, ranking 10th for pediatricians and family medicine physicians per capita. However, the state placed 34th for average annual early childcare costs and 27th in parental leave policy. These two areas are criticla for working families.
Additional findings show Pennsylvania ranked 23rd for infants mortality and low birthweight rates, 29th for OB-GYN and midwife access, and 26th for child-care centers per capita.
The report cited experts who stressed the importance of affordable housing, family-friendly urban planning, and early childhood education programs for improivng outcomes. They also highlights the need for local governments to support caregivers through policy reform and infrastructure investment.
WalletHub analyst Chip Lupo noted that most supportive states “minimize costs while providing top-notch care.”
To read the full report and see how other states faired, visit WalletHub.
