Births in western Europe are less than the amount needed to keep the population stable: the population of those countries is long term decreasing. (but there is often immigration to make up for it)
I think the US is about even, or slightly positive. But then the US has a lot less people than Europe on a per land area measure.
It is not a plus, because in the US there is no need to control births. To the contrary, there are not enough births.