I’ve seen this on charts in the news just this week. It might have been used widely before but I’ve not seen it as a measure before. My AIBU, before anyone asks, is I don’t think it should be ‘fertility rate’ when it seems to be describing number of births over a period of time. Calling it ‘fertility rate’ seems to be implying that women’s fertility is in decline. It may well be but it could also be choice/effective campaign against teen pregnancy/lack of decent men to procreate with?