RANKING · 2024 ACS · 115 SHOWN OF 115

Highest fertility rate, Missouri counties

Missouri 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 115 counties in Missouri that qualify, ranked against each other statewide. The median across all 115 is 57.3.

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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

01Mercer County, MOMO3,404120.2+172%

02Carroll County, MOMO8,417114.7+121%

03Washington County, MOMO23,810109.7+134%

04Barton County, MOMO11,795106.3+82%

05Shannon County, MOMO7,285105.7+110%

06Iron County, MOMO9,318102.8+105%

07Daviess County, MOMO8,558100.5+33%

08Douglas County, MOMO12,34298.0+183%

09Audrain County, MOMO24,52897.6+105%

10Dallas County, MOMO18,02597.2+110%

11DeKalb County, MOMO9,79597.1+101%

12Harrison County, MOMO8,28195.8+32%

13Cedar County, MOMO14,88891.6+15%

14Morgan County, MOMO22,41891.0−1%

15Caldwell County, MOMO9,01290.3+74%

16Wright County, MOMO19,67189.3+52%

17Putnam County, MOMO4,54686.7+121%

18Stoddard County, MOMO28,28486.1+145%

19Dunklin County, MOMO26,85585.9+47%

20Benton County, MOMO20,53685.3+165%

21Worth County, MOMO1,91485.2+453%

22Madison County, MOMO12,85884.8+185%

23Laclede County, MOMO36,94383.4+55%

24Maries County, MOMO8,39783.1+144%

25Gentry County, MOMO6,38483.0+59%

26Holt County, MOMO4,20078.2−7%

27Lincoln County, MOMO66,67678.2+40%

28Ozark County, MOMO9,17276.8+197%

29Knox County, MOMO3,72876.1+184%

30Scotland County, MOMO4,79675.4−47%

31Newton County, MOMO62,26373.6+69%

32Platte County, MOMO114,40072.8+31%

33Crawford County, MOMO22,92972.1+9%

34Clinton County, MOMO21,66169.1+45%

35Pettis County, MOMO44,25469.1+27%

36Dade County, MOMO7,80468.7+12%

37Osage County, MOMO13,61168.5+44%

38Hickory County, MOMO9,04468.2+237%

39Howell County, MOMO40,79866.6+35%

40Linn County, MOMO11,81566.4+25%

41Wayne County, MOMO10,78266.4+8%

42Henry County, MOMO22,67166.0+33%

43Pemiscot County, MOMO14,46565.9+4%

44Bollinger County, MOMO10,64664.6+5%

45Buchanan County, MOMO83,54063.5−12%

46Christian County, MOMO96,72563.3−8%

47Scott County, MOMO37,97562.3−17%

48Webster County, MOMO43,05461.7−15%

49Cooper County, MOMO17,13661.5+10%

50Moniteau County, MOMO15,42861.0+2%

51Shelby County, MOMO5,87060.2+115%

52Adair County, MOMO25,68460.1+32%

53Clark County, MOMO6,47560.0−22%

54Butler County, MOMO41,90459.7−2%

55Macon County, MOMO15,19058.3−25%

56Perry County, MOMO19,09357.5+4%

57Ralls County, MOMO10,44457.3−15%

58Polk County, MOMO33,60457.3−28%

59Saline County, MOMO23,26557.2+20%

60Gasconade County, MOMO14,78457.2+4%

61Greene County, MOMO309,28656.9+5%

62Taney County, MOMO57,00156.7+25%

63Bates County, MOMO16,51256.7−3%

64Texas County, MOMO25,99456.6−3%

65Pike County, MOMO17,95555.8−16%

66Montgomery County, MOMO11,59055.6+8%

67Franklin County, MOMO108,09055.2+3%

68Miller County, MOMO25,81755.2−1%

69St. Francois County, MOMO67,80955.0−4%

70Jasper County, MOMO127,42854.7+4%

71Cass County, MOMO115,85954.6−10%

72Grundy County, MOMO9,74453.5+35%

73Clay County, MOMO265,03253.1+5%

74Ste. Genevieve County, MOMO18,68952.5+39%

75Ray County, MOMO23,39852.4+48%

76Chariton County, MOMO7,37752.4+34%

77Cole County, MOMO77,90852.4+5%

78Marion County, MOMO28,52552.0−39%

79Nodaway County, MOMO20,17451.3+34%

80St. Clair County, MOMO9,97650.7+38%

81Callaway County, MOMO45,76550.1+5%

82Jackson County, MOMO732,99449.8−11%

83Boone County, MOMO191,74649.7+5%

84St. Louis County, MOMO990,91149.60%

85Monroe County, MOMO8,95949.6+11%

86Jefferson County, MOMO233,13249.0−23%

87Camden County, MOMO44,04748.8+37%

88Lewis County, MOMO9,87948.6+14%

89McDonald County, MOMO23,99247.8−35%

90St. Charles County, MOMO426,49946.6−14%

91New Madrid County, MOMO15,08646.6−39%

92Randolph County, MOMO24,51346.5−48%

93Stone County, MOMO32,50346.4+12%

94Vernon County, MOMO19,94645.5−36%

95Schuyler County, MOMO4,14044.8−66%

96Ripley County, MOMO10,71744.7−11%

97Carter County, MOMO5,41844.5+125%

98Livingston County, MOMO14,70844.3+12%

99Dent County, MOMO14,58443.6−4%

100Atchison County, MOMO5,17542.4−26%

101Phelps County, MOMO45,24741.9+5%

102Johnson County, MOMO56,67041.4−17%

103Pulaski County, MOMO54,44241.3−44%

104Andrew County, MOMO18,24140.3−46%

105Howard County, MOMO10,18039.4−54%

106St. Louis, MOMO278,14439.3−37%

107Barry County, MOMO36,20037.1+2%

108Lafayette County, MOMO33,53136.9−50%

109Lawrence County, MOMO39,40135.4−50%

110Mississippi County, MOMO12,00333.9−72%

111Reynolds County, MOMO5,99233.0−17%

112Cape Girardeau County, MOMO83,99932.8−30%

113Warren County, MOMO39,01630.1−50%

114Sullivan County, MOMO5,73827.1−38%

115Oregon County, MOMO8,70926.6+15%

SHOWING 1–115 OF 115

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