RANKING · 2010 CENSUS · 14 SHOWN OF 14

Highest fertility rate, Massachusetts counties · 2010

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

01Nantucket County, MAMA14,75897.7–

02Hampden County, MAMA464,33853.3–

03Barnstable County, MAMA233,53951.4–

04Worcester County, MAMA888,50250.2–

05Middlesex County, MAMA1,669,97949.0–

06Bristol County, MAMA593,64048.7–

07Norfolk County, MAMA739,74948.5–

08Plymouth County, MAMA546,82948.2–

09Suffolk County, MAMA791,89146.3–

10Essex County, MAMA826,65342.6–

11Franklin County, MAMA70,69841.8–

12Berkshire County, MAMA128,22440.1–

13Hampshire County, MAMA164,06531.1–

14Dukes County, MAMA21,21928.8–

SHOWING 1–14 OF 14

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