RANKING · 2024 ACS · 14 SHOWN OF 14

Highest fertility rate, Massachusetts counties

Massachusetts counties ranked by general fertility rate, meaning births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). This list covers the 14 counties in Massachusetts that qualify, ranked against each other statewide. The median across all 14 is 46.7.

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SAME RANKING BYCities States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

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

01Dukes County, MAMA21,21981.3+182%

02Bristol County, MAMA593,64050.8+4%

03Worcester County, MAMA888,50250.6+1%

04Franklin County, MAMA70,69849.9+19%

05Essex County, MAMA826,65348.9+15%

06Hampden County, MAMA464,33847.0−12%

07Plymouth County, MAMA546,82946.7−3%

08Middlesex County, MAMA1,669,97945.8−6%

09Nantucket County, MAMA14,75844.2−55%

10Barnstable County, MAMA233,53942.9−16%

11Norfolk County, MAMA739,74939.2−19%

12Suffolk County, MAMA791,89136.7−21%

13Berkshire County, MAMA128,22434.5−14%

14Hampshire County, MAMA164,06518.8−40%

SHOWING 1–14 OF 14

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES