RANKING · 2024 ACS · 500 SHOWN OF 3,143

Highest fertility rate, US counties

US counties ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). De Baca County, New Mexico leads at 614.9. 3,143 counties qualify in total. Texas carries 7 of the top 25 entries.

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SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2010

USUnited States334,922,49951.3–

01De Baca County, NMNM1,647614.9+1085%

02Grant County, KSKS7,028280.1+258%

03Hamilton County, FLFL14,180277.0+293%

04Madison County, FLFL18,759248.0+409%

05McPherson County, SDSD2,347246.8+344%

06Terrell County, TXTX702219.5+397%

07Mineral County, COCO910219.3–

08Clarke County, IAIA9,574210.8+634%

09Niobrara County, WYWY2,341205.8+2732%

10Alpine County, CACA1,043196.9+505%

11Collingsworth County, TXTX2,487194.6+84%

12Live Oak County, TXTX11,929192.5+223%

13Campbell County, SDSD1,377191.4+329%

14Billings County, NDND1,071190.5+727%

15Edwards County, TXTX1,370187.5–

16Deuel County, NENE1,862182.7+382%

17Kent County, TXTX674181.8+68%

18McMullen County, TXTX544179.3–

19Jeff Davis County, TXTX1,711177.8+83%

20Echols County, GAGA3,685175.2+54%

21Meriwether County, GAGA21,516172.2+340%

22Kidder County, NDND2,393162.2+125%

23Sioux County, NDND3,667161.7+99%

24Petroleum County, MTMT548159.4+155%

25Crittenden County, KYKY8,807159.0+895%

26Doddridge County, WVWV7,634158.7+280%

27Liberty County, MTMT1,957158.2+459%

28Stonewall County, TXTX1,186156.8–

29Pointe Coupee Parish, LALA19,520156.7+119%

30Gooding County, IDID16,446156.6+95%

31Highland County, VAVA2,318152.9+363%

32Walworth County, SDSD5,217151.1+110%

33Taylor County, FLFL21,210146.3+36%

34Boone County, NENE5,355145.5+50%

35Presidio County, TXTX5,433143.9+139%

36George County, MSMS26,331143.1+180%

37Concordia Parish, LALA17,836140.3+235%

38Carter County, MTMT1,383138.6+693%

39Haskell County, KSKS3,599138.1+31%

40Meade County, KSKS3,852137.3+338%

41Hitchcock County, NENE2,467137.0+223%

42McCook County, SDSD5,964136.2+92%

43Hot Springs County, WYWY4,600136.1+91%

44Furnas County, NENE4,524136.0+116%

45Howard County, NENE6,538135.9+149%

46Hale County, TXTX31,819135.4+102%

47Cameron Parish, LALA4,718133.9+205%

48Hayes County, NENE821133.3+9%

49Tyrrell County, NCNC3,537132.4+43%

50Pike County, MSMS38,712131.5+182%

51Fannin County, GAGA26,111131.3+135%

52Kemper County, MSMS8,600130.7+19%

53Dawson County, TXTX11,776130.1+57%

54Briscoe County, TXTX1,474129.9+454%

55Mellette County, SDSD2,137129.6−18%

56Phillips County, KSKS4,728129.6+217%

57Treasure County, MTMT728129.3–

58Greer County, OKOK5,373129.2+466%

59Pondera County, MTMT6,072128.1+270%

60Copper River Census Area, AKAK2,666128.1–

61Clark County, IDID783128.0−17%

62Treutlen County, GAGA6,466127.8+280%

63Jackson County, TXTX15,393127.1+90%

64Rush County, KSKS2,845126.3+162%

65Boyd County, NENE1,674126.1+76%

66Prairie County, MTMT1,112125.0+85%

67McHenry County, NDND5,130124.5+128%

68Benson County, NDND5,759123.8+65%

69McKenzie County, NDND15,192123.7+35%

70Keith County, NENE8,100123.7+141%

71Beaver County, UTUT7,301123.4+11%

72Hampton County, SCSC18,174123.2+119%

73Harmon County, OKOK2,327123.1+7%

74Calaveras County, CACA46,605122.6+224%

75Garfield County, MTMT1,148122.4–

76Curry County, NMNM46,655122.0+50%

77Lyman County, SDSD3,694120.7+44%

78Musselshell County, MTMT5,582120.2+14%

79Mercer County, MOMO3,404120.2+172%

80Griggs County, NDND2,239119.4+189%

81Hettinger County, NDND2,492119.4+147%

82Douglas County, ILIL19,880119.0+90%

83Shackelford County, TXTX3,197118.9+83%

84Humboldt County, NVNV17,267118.6+50%

85Aransas County, TXTX26,146118.5+20%

86Wayne County, UTUT2,587118.4+9%

87Calhoun County, TXTX19,599118.1+68%

88Harper County, KSKS5,370117.8−0%

89Hand County, SDSD3,121117.4+47%

90Jim Hogg County, TXTX4,555117.2+124%

91Douglas County, SDSD2,888117.1+137%

92East Carroll Parish, LALA6,760117.0+113%

93Swift County, MNMN9,763116.7+74%

94Clark County, SDSD4,031115.8+52%

95Atkinson County, GAGA8,454115.2+47%

96Carroll County, MOMO8,417114.7+121%

97Livingston County, KYKY8,863114.4+87%

98Newton County, TXTX11,954114.3+50%

99Storey County, NVNV4,260114.1+82%

100Coleman County, TXTX7,915113.7+424%

101Golden Valley County, MTMT844113.5–

102Kimball County, NENE3,391113.1+347%

103Beckham County, OKOK22,159113.0+34%

104Wallace County, KSKS1,441112.7+44%

105Ness County, KSKS2,617112.5+146%

106Modoc County, CACA8,426112.4+111%

107Moody County, SDSD6,632112.3+41%

108Rice County, KSKS9,266112.3+36%

109Edmunds County, SDSD4,022111.3+68%

110Wibaux County, MTMT885111.1+175%

111Rock County, NENE1,259111.1+483%

112Gilpin County, COCO6,073111.1+74%

113Madison County, GAGA32,919111.1+175%

114Day County, SDSD5,484110.8+48%

115Adams County, ININ36,650110.6+22%

116Stafford County, KSKS4,005110.5+147%

117Karnes County, TXTX15,018110.3+84%

118Glasscock County, TXTX1,128110.2+360%

119Judith Basin County, MTMT2,162110.1+356%

120Clinch County, GAGA6,847109.7+284%

121Washington County, MOMO23,810109.7+134%

122Park County, WYWY31,171109.7+69%

123Lynn County, TXTX6,017109.6+231%

124Wayne County, IAIA6,738109.1+75%

125Wahkiakum County, WAWA4,873108.8+72%

126Kit Carson County, COCO7,069108.8+38%

127Audubon County, IAIA5,509108.7+144%

128Trinity County, TXTX14,384108.5+19%

129Powder River County, MTMT1,781108.5−8%

130Smith County, KSKS3,566108.3+66%

131Kusilvak Census Area, AKAK7,932108.3–

132Cottle County, TXTX1,224108.0+223%

133Union County, FLFL16,250107.6+18%

134Clay County, NENE6,170107.5+55%

135Fayette County, TXTX25,459107.3+53%

136Perry County, TNTN9,126107.2+53%

137Sublette County, WYWY8,929107.1+129%

138Carroll County, MSMS9,226107.0+106%

139Hyde County, SDSD1,191107.0+45%

140Lane County, KSKS1,508106.7+205%

141Mason County, WVWV24,707106.7+82%

142Barton County, MOMO11,795106.3+82%

143Washington County, COCO4,732106.1+144%

144Alfalfa County, OKOK5,649105.9+55%

145Greenwood County, KSKS5,826105.8+156%

146Dundy County, NENE1,568105.7+2020%

147Shannon County, MOMO7,285105.7+110%

148Bear Lake County, IDID6,727105.7+2%

149Pottawatomie County, KSKS27,186105.7+41%

150Uintah County, UTUT38,278105.4+22%

151Greeley County, NENE2,154105.4+72%

152Phelps County, NENE8,994105.2+105%

153Webster County, MSMS10,167105.1+19%

154Lee County, ARAR8,029105.0+188%

155Texas County, OKOK20,322105.0+83%

156Malheur County, OROR32,261104.7+61%

157Geary County, KSKS36,338104.7−2%

158Ellsworth County, KSKS6,257104.7+118%

159Ouachita County, ARAR21,731104.5+44%

160Kingsbury County, SDSD5,284104.2+10%

161Ziebach County, SDSD2,389104.1−2%

162Monroe County, ARAR6,244104.0+45%

163Liberty County, GAGA70,313103.8+53%

164Macon County, GAGA11,756103.7+180%

165Nelson County, VAVA14,920103.4+381%

166Cerro Gordo County, IAIA42,372102.9+81%

167Clay County, ARAR14,052102.9+91%

168Iron County, MOMO9,318102.8+105%

169Valley County, NENE4,094102.6+156%

170Webster County, WVWV7,760102.5+189%

171Issaquena County, MSMS1,263102.4+77%

172Mountrail County, NDND9,395102.2+108%

173Okanogan County, WAWA45,230102.1+29%

174Lincoln County, WIWI28,403102.0+33%

175Mahnomen County, MNMN5,153101.9+14%

176Hockley County, TXTX21,600101.5+58%

177Gove County, KSKS2,631101.2+722%

178Val Verde County, TXTX47,835100.9+18%

179Gray County, KSKS5,652100.7+31%

180San Juan County, COCO813100.6–

181Daviess County, MOMO8,558100.5+33%

182St. Francis County, ARAR21,800100.3+164%

183Robertson County, TXTX17,839100.2+64%

184Sheridan County, NENE4,809100.2+31%

185Tama County, IAIA16,79699.8+56%

186King and Queen County, VAVA6,74399.7+140%

187Cross County, ARAR16,18699.6+127%

188Powell County, KYKY12,81299.5+22%

189LaMoure County, NDND4,13599.4+221%

190Sumner County, KSKS22,31299.4+62%

191Red Willow County, NENE10,30799.3+101%

192Brown County, ILIL6,40199.3−13%

193Ochiltree County, TXTX9,28499.0+5%

194Phillips County, COCO4,42099.0−0%

195Polk County, ARAR19,48698.9+33%

196Northampton County, NCNC16,49198.8+129%

197Duchesne County, UTUT20,85698.8+6%

198Box Butte County, NENE10,49498.8+90%

199Crisp County, GAGA19,23798.7+85%

200Terrell County, GAGA8,65698.7+34%

201Lake County, SDSD10,99398.6+111%

202Craig County, OKOK14,51898.6+197%

203Morton County, KSKS2,47098.4+10%

204Harper County, OKOK3,17298.4−8%

205Owyhee County, IDID12,66198.3+15%

206Cumberland County, KYKY5,99298.2–

207Douglas County, MOMO12,34298.0+183%

208Claiborne Parish, LALA13,35497.8+13%

209Colorado County, TXTX21,43997.8+56%

210Lee County, IAIA32,30697.7+75%

211Audrain County, MOMO24,52897.6+105%

212Moultrie County, ILIL14,37197.6+70%

213Marshall County, ILIL11,47397.4+185%

214Baca County, COCO3,34797.4+31%

215Polk County, NENE5,27097.2+6%

216Dallas County, MOMO18,02597.2+110%

217DeKalb County, MOMO9,79597.1+101%

218Limestone County, TXTX22,84996.9+85%

219Randolph County, ARAR18,87696.9+11%

220Los Alamos County, NMNM19,40796.9+258%

221Custer County, NENE10,50096.7+79%

222Greenbrier County, WVWV31,57896.6+114%

223Chippewa County, MNMN12,40696.6+83%

224Emmons County, NDND3,21596.5+12%

225Vernon Parish, LALA45,09196.1−1%

226Garfield County, WAWA2,41696.1+290%

227Lake County, OROR8,18795.9+37%

228Harrison County, MOMO8,28195.8+32%

229Sioux County, IAIA36,77495.6+55%

230Jerauld County, SDSD1,65495.6+53%

231Emanuel County, GAGA23,14795.5+27%

232Lafayette County, ARAR5,88895.4+209%

233Grenada County, MSMS20,86895.3+5%

234Pierce County, NENE7,37895.1+67%

235Marion County, TNTN29,80495.0+47%

236Wabaunsee County, KSKS7,01894.7+165%

237Asotin County, WAWA22,54594.7+3%

238Howard County, TXTX30,50494.6−17%

239Camden County, NCNC11,31594.6+262%

240Red Lake County, MNMN3,94094.5+28%

241Steele County, NDND1,79794.5+481%

242Carbon County, WYWY14,01394.4−3%

243Holmes County, FLFL20,11994.4+106%

244Butler County, IAIA14,04994.3+77%

245Macon County, ILIL99,30094.1+40%

246Logan County, NDND1,85993.9+441%

247Jewell County, KSKS2,83093.8+41%

248Tillamook County, OROR27,38493.7+91%

249Ohio County, ININ5,99493.6+68%

250Watonwan County, MNMN11,45993.6+7%

251Franklin County, NYNY46,50093.4+70%

252LaGrange County, ININ41,30593.3−32%

253Colusa County, CACA21,83693.3+63%

254Nowata County, OKOK9,52293.2−3%

255Stark County, NDND34,01393.2+99%

256Howard County, IAIA9,41593.2+30%

257Wilkin County, MNMN6,28893.2+39%

258Clay County, KSKS7,99093.2−4%

259Hamlin County, SDSD6,90093.1+25%

260Lewis County, IDID3,70492.8+87%

261Hamilton County, IAIA14,94492.7+34%

262Crook County, WYWY7,85292.6+88%

263Onslow County, NCNC217,17592.6−3%

264Ramsey County, NDND11,53092.6+122%

265Davis County, IAIA9,23092.6−3%

266Clayton County, IAIA16,84592.6+32%

267Lenoir County, NCNC55,83792.5+66%

268Ector County, TXTX173,80192.4+13%

269Morehouse Parish, LALA23,70592.4+75%

270Tensas Parish, LALA3,70092.4+964%

271Menominee County, WIWI4,19992.3−8%

272Dickey County, NDND4,89592.0+46%

273Wetzel County, WVWV13,73491.9+39%

274Rosebud County, MTMT8,25391.7+70%

275Lamar County, ALAL13,58791.7+740%

276Todd County, SDSD8,86391.6−12%

277Cedar County, MOMO14,88891.6+15%

278Grant County, MNMN6,08591.5+49%

279Graves County, KYKY37,05091.4+68%

280Beadle County, SDSD19,62491.3+32%

281Clark County, WIWI35,05291.3+12%

282San Jacinto County, TXTX29,48891.2+136%

283Washington County, KSKS5,53391.2+9%

284Mower County, MNMN40,97191.1+26%

285Morgan County, MOMO22,41891.0−1%

286Cherokee County, TXTX53,33791.0+42%

287Greene County, MSMS13,70790.7+57%

288Hutchinson County, SDSD7,41390.6+385%

289Coffee County, GAGA44,40790.5+86%

290Delaware County, NYNY44,30590.4+53%

291Caldwell County, MOMO9,01290.3+74%

292Nobles County, MNMN22,33890.1+44%

293Dawson County, GAGA35,36590.0+114%

294Linn County, KSKS9,95089.9+134%

295Fillmore County, NENE5,45889.8+43%

296Jay County, ININ20,11889.7+53%

297Jackson County, OKOK24,76489.4+41%

298Hall County, NENE63,63389.4+24%

299Morgan County, TNTN22,16089.3+40%

300Wright County, MOMO19,67189.3+52%

301Sequatchie County, TNTN17,86189.3−16%

302Rock County, MNMN9,52489.1+35%

303Sedgwick County, COCO2,24789.1+26%

304Toole County, MTMT5,21189.0+513%

305Major County, OKOK7,53688.9+26%

306Worcester County, MDMD54,45988.8+36%

307Quitman County, MSMS5,36488.8−11%

308Cheyenne County, NENE9,52888.8+77%

309Whitley County, ININ35,04688.6+108%

310Bledsoe County, TNTN15,92088.5+115%

311Hamilton County, ILIL7,85988.4+110%

312Wabash County, ILIL10,90788.3+62%

313Reno County, KSKS61,53988.2+25%

314Tallapoosa County, ALAL40,95388.1+40%

315Daviess County, ININ34,20988.1+31%

316Noxubee County, MSMS9,79888.0+190%

317Stark County, ILIL5,31987.8+39%

318Lincoln County, WAWA11,98287.8+51%

319Kearny County, KSKS3,88887.7+63%

320Cochran County, TXTX2,54687.7+18%

321Ward County, TXTX11,12587.6−1%

322Fallon County, MTMT2,95987.5+470%

323Columbia County, WAWA4,14187.3+101%

324Bent County, COCO5,71687.2+84%

325Evans County, GAGA11,02887.2+52%

326Towner County, NDND2,04087.2+51%

327Desha County, ARAR9,98487.1+25%

328Lawrence County, ILIL13,79087.1+14%

329Glynn County, GAGA87,59987.0+107%

330Terrebonne Parish, LALA104,16386.9+30%

331Casey County, KYKY16,20586.9+102%

332Cascade County, MTMT85,02986.8+27%

333Putnam County, MOMO4,54686.7+121%

334Yates County, NYNY24,54786.5+21%

335Benton County, MSMS7,50286.4−23%

336Grimes County, TXTX34,25286.4−2%

337Chambers County, TXTX57,59486.4+31%

338Titus County, TXTX31,56386.3+8%

339Grant County, NDND2,20686.3−9%

340Little River County, ARAR11,76386.2+53%

341Franklin County, ARAR17,72586.2+9%

342Yoakum County, TXTX7,43886.1+30%

343Stoddard County, MOMO28,28486.1+145%

344Potter County, SDSD2,37786.0+82%

345Avoyelles Parish, LALA37,94186.0+82%

346Darke County, OHOH51,52086.0+48%

347Caldwell County, KYKY12,60985.9+66%

348Dunklin County, MOMO26,85585.9+47%

349Monona County, IAIA8,53985.9+35%

350Jackson County, SDSD2,66685.9+272%

351Lincoln County, OROR50,63685.8+76%

352DeKalb County, TNTN21,87385.8+76%

353Chickasaw County, IAIA11,66385.7+7%

354Redwood County, MNMN15,26585.6−2%

355Colquitt County, GAGA47,43885.6+39%

356Williams County, OHOH36,54985.5+76%

357Dolores County, COCO2,46685.4+784%

358Franklin County, TXTX10,99485.4+53%

359Washington County, NCNC10,63885.3+16%

360Benton County, MOMO20,53685.3+165%

361Worth County, MOMO1,91485.2+453%

362Alcorn County, MSMS34,56985.2+138%

363Custer County, MTMT12,03485.0−12%

364Jasper County, SCSC38,53384.8+79%

365Decatur County, KSKS2,71684.8+602%

366Madison County, MOMO12,85884.8+185%

367Hancock County, IAIA10,52884.7+118%

368Calhoun County, SCSC14,18884.6+36%

369Midland County, TXTX187,85584.6+31%

370Lincoln County, MNMN5,58384.5+49%

371Marshall County, KSKS9,85284.5+7%

372Wichita County, KSKS2,03184.3+10%

373Wayne County, KYKY19,59784.2+64%

374Grant County, NENE56184.1+5%

375Itawamba County, MSMS24,15284.0+75%

376Effingham County, GAGA74,39784.0+41%

377Phillips County, ARAR14,25584.0+31%

378Suwannee County, FLFL48,14984.0+33%

379Trousdale County, TNTN12,62384.0+26%

380Edgefield County, SCSC29,80883.9+137%

381Valencia County, NMNM82,01383.9+39%

382Buchanan County, VAVA18,49283.7+145%

383Richland Parish, LALA19,58283.7+55%

384Langlade County, WIWI19,53483.6+43%

385Franklin, VAVA8,47883.6−8%

386Platte County, NENE35,64983.4+60%

387Laclede County, MOMO36,94383.4+55%

388Holmes County, OHOH44,97083.1−13%

389Maries County, MOMO8,39783.1+144%

390Gentry County, MOMO6,38483.0+59%

391O'Brien County, IAIA14,22082.9−3%

392Humboldt County, IAIA9,40982.9+141%

393Hood County, TXTX70,50182.9+70%

394Armstrong County, TXTX1,84382.8+48%

395Sevier County, UTUT22,82782.7+1%

396Ocean County, NJNJ673,74682.7+25%

397Pendleton County, KYKY14,80082.6+6%

398Chattooga County, GAGA25,30082.3+10%

399Webster County, NENE3,33682.3+889%

400Turner County, GAGA8,98382.3+99%

401Stanton County, NENE5,74482.3+34%

402Zapata County, TXTX13,75382.3−44%

403Meade County, SDSD30,71182.2+32%

404Coffee County, ALAL56,95382.2+46%

405Pierce County, NDND3,83882.1−22%

406Amador County, CACA41,87682.1+90%

407Cottonwood County, MNMN11,40581.9+67%

408Union County, SDSD17,40281.8−3%

409Maverick County, TXTX58,82381.8−8%

410Chester County, SCSC33,00181.8+39%

411Buena Vista County, IAIA20,44981.7+22%

412Cherokee County, KSKS19,10581.7+16%

413Clearwater County, MNMN8,64781.7+105%

414Jasper County, ININ33,89481.6+64%

415Lee County, TXTX18,72981.6+16%

416Nemaha County, KSKS10,05481.5−12%

417Walsh County, NDND10,17981.5+0%

418Christian County, KYKY70,11581.4−18%

419Dukes County, MAMA21,21981.3+182%

420Ottawa County, OKOK30,43881.3+40%

421Franklin County, ININ23,28681.2+80%

422Finney County, KSKS37,50581.1−2%

423Decatur County, TNTN11,82081.0+111%

424Miller County, ARAR42,35781.0+19%

425Choctaw County, ALAL11,90481.0−1%

426Moore County, TXTX21,89181.0+5%

427Pepin County, WIWI7,51380.8+109%

428Chesterfield County, SCSC44,74080.8+39%

429Grundy County, IAIA12,36180.8+13%

430Lawrence County, ALAL33,84380.7+30%

431Lincoln County, SDSD77,14580.7+33%

432Cherokee County, IAIA11,36980.6+58%

433Curry County, OROR22,62180.5+37%

434Kiowa County, KSKS2,43280.5+205%

435Holmes County, MSMS15,46580.4−1%

436Gallia County, OHOH29,07280.4+24%

437Jefferson County, NENE7,07080.3+10%

438Montgomery County, ILIL28,07680.3+88%

439Fentress County, TNTN20,32280.3+6%

440Burke County, NDND2,13280.3−13%

441Lyon County, NVNV65,08880.3+81%

442Newberry County, SCSC39,56180.3+58%

443Bethel Census Area, AKAK18,39180.2−40%

444McLean County, KYKY9,06480.2−1%

445Wharton County, TXTX42,06080.2+52%

446Cook County, MNMN5,52280.1+82%

447Yankton County, SDSD23,63580.0+28%

448Chambers County, ALAL34,25380.0+76%

449Rockland County, NYNY357,39779.9+28%

450Madera County, CACA167,92779.8+35%

451Anderson County, KSKS8,01879.8−3%

452Skagway, AKAK1,10479.7+181%

453Spink County, SDSD6,15579.7+54%

454Lea County, NMNM74,74979.7+13%

455Irion County, TXTX1,46379.6–

456Minidoka County, IDID22,91179.6+4%

457Lowndes County, GAGA122,86779.5+22%

458Jasper County, GAGA17,63279.5−5%

459Beauregard Parish, LALA36,67379.4+33%

460Floyd County, TXTX4,88179.4+194%

461Marion County, GAGA7,67679.3+171%

462Stephens County, TXTX9,38079.3+7%

463Douglas County, MNMN40,12079.3+24%

464Austin County, TXTX33,62579.2+38%

465Crawford County, IAIA16,23779.2−1%

466Ohio County, KYKY23,93479.2+18%

467Cassia County, IDID26,39779.1−20%

468Grant Parish, LALA22,07579.0+28%

469Garden County, NENE1,80478.9+206%

470Vernon County, WIWI31,44378.9+38%

471Neshoba County, MSMS28,73278.8+26%

472Murray County, OKOK13,80578.8+95%

473Reeves County, TXTX12,13878.7−44%

474McNairy County, TNTN26,23678.7+66%

475Fulton County, NYNY52,21678.5+70%

476Grant County, OROR7,07578.5+118%

477Mercer County, NDND8,44178.4−9%

478King William County, VAVA19,61778.3+17%

479Holt County, MOMO4,20078.2−7%

480Mitchell County, TXTX8,94778.2+47%

481Hanson County, SDSD3,45678.2+20%

482Lincoln County, MOMO66,67678.2+40%

483Franklin County, NCNC82,03778.1+78%

484Morris County, TXTX12,13377.9+57%

485Rio Grande County, COCO11,08777.9+100%

486Franklin County, WAWA102,61277.8−15%

487Scott County, VAVA21,20077.7+107%

488Wilkinson County, MSMS7,58277.7+119%

489Martin County, ININ9,85677.7+95%

490Gilchrist County, FLFL20,48877.6+15%

491Jones County, IAIA21,25377.6+30%

492Lafayette County, WIWI17,47877.6+57%

493Lake County, TNTN6,24977.6−4%

494Coryell County, TXTX85,59277.5+28%

495Dubois County, ININ44,01677.5+38%

496Jackson County, WIWI20,99977.5+5%

497Robertson County, TNTN80,17577.5+17%

498Carroll County, ININ20,65577.4+40%

499McCormick County, SCSC10,21577.2+93%

500Lake County, CACA67,77277.2+55%

SHOWING 1–500 OF 3,143

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Download CSV (full list, 3,143 rows)

UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES

Frequently asked

Which county has the highest births per 1,000 women (15-50)?

De Baca County, New Mexico ranks #1 with 614.9 (2024 American Community Survey).

What are the top 5 counties by births per 1,000 women (15-50)?

De Baca County, New Mexico, Grant County, Kansas, Hamilton County, Florida, Madison County, Florida, McPherson County, South Dakota.

How many counties are in this ranking?

3,143 counties qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is births per 1,000 women (15-50) measured?

Annual general fertility rate: women 15-50 who gave birth in the past 12 months, per 1,000 women. Source: ACS B13016. Source: US Census Bureau, American Community Survey 5-year estimates (2024).