RANKING · 2024 ACS · 24 SHOWN OF 24

Highest fertility rate, Maryland counties

Maryland 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 24 counties in Maryland that qualify, ranked against each other statewide. The median across all 24 is 50.4.

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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

01Worcester County, MDMD54,45988.8+36%

02Talbot County, MDMD38,23862.7+18%

03Carroll County, MDMD176,67761.5+49%

04St. Mary's County, MDMD116,69261.2−4%

05Charles County, MDMD176,59359.4+17%

06Harford County, MDMD266,44658.1+15%

07Washington County, MDMD157,73154.4−8%

08Prince George's County, MDMD970,37454.4−3%

09Calvert County, MDMD94,48452.8+7%

10Dorchester County, MDMD33,62852.8−2%

11Anne Arundel County, MDMD603,38052.1−12%

12Montgomery County, MDMD1,074,58250.4−18%

13Frederick County, MDMD302,88349.5−16%

14Kent County, MDMD19,56549.1+44%

15Wicomico County, MDMD106,89948.3−12%

16Baltimore, MDMD569,99748.2−14%

17Baltimore County, MDMD847,65048.0−14%

18Garrett County, MDMD28,37046.6−6%

19Cecil County, MDMD107,13145.7−20%

20Allegany County, MDMD66,84845.2+37%

21Caroline County, MDMD34,11641.6−32%

22Howard County, MDMD339,18340.6−29%

23Queen Anne's County, MDMD54,44832.1−27%

24Somerset County, MDMD24,97328.7+209%

SHOWING 1–24 OF 24

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