RANKING · 2024 ACS · 14 SHOWN OF 14

Highest fertility rate, Massachusetts counties

Massachusetts counties ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2023 ACS). This list covers the 14 counties in Massachusetts that qualify, ranked against each other statewide.

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SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2000

01Dukes County, MAMA21,21981.3–

02Bristol County, MAMA593,64050.8–

03Worcester County, MAMA888,50250.6–

04Franklin County, MAMA70,69849.9–

05Essex County, MAMA826,65348.9–

06Hampden County, MAMA464,33847.0–

07Plymouth County, MAMA546,82946.7–

08Middlesex County, MAMA1,669,97945.8–

09Nantucket County, MAMA14,75844.2–

10Barnstable County, MAMA233,53942.9–

11Norfolk County, MAMA739,74939.2–

12Suffolk County, MAMA791,89136.7–

13Berkshire County, MAMA128,22434.5–

14Hampshire County, MAMA164,06518.8–

SHOWING 1–14 OF 14

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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES