RANKING · 2024 ACS · 115 SHOWN OF 115

Highest fertility rate, Missouri counties

Missouri 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 115 counties in Missouri 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

01Mercer County, MOMO3,404120.2–

02Carroll County, MOMO8,417114.7–

03Washington County, MOMO23,810109.7–

04Barton County, MOMO11,795106.3–

05Shannon County, MOMO7,285105.7–

06Iron County, MOMO9,318102.8–

07Daviess County, MOMO8,558100.5–

08Douglas County, MOMO12,34298.0–

09Audrain County, MOMO24,52897.6–

10Dallas County, MOMO18,02597.2–

11DeKalb County, MOMO9,79597.1–

12Harrison County, MOMO8,28195.8–

13Cedar County, MOMO14,88891.6–

14Morgan County, MOMO22,41891.0–

15Caldwell County, MOMO9,01290.3–

16Wright County, MOMO19,67189.3–

17Putnam County, MOMO4,54686.7–

18Stoddard County, MOMO28,28486.1–

19Dunklin County, MOMO26,85585.9–

20Benton County, MOMO20,53685.3–

21Worth County, MOMO1,91485.2–

22Madison County, MOMO12,85884.8–

23Laclede County, MOMO36,94383.4–

24Maries County, MOMO8,39783.1–

25Gentry County, MOMO6,38483.0–

26Holt County, MOMO4,20078.2–

27Lincoln County, MOMO66,67678.2–

28Ozark County, MOMO9,17276.8–

29Knox County, MOMO3,72876.1–

30Scotland County, MOMO4,79675.4–

31Newton County, MOMO62,26373.6–

32Platte County, MOMO114,40072.8–

33Crawford County, MOMO22,92972.1–

34Clinton County, MOMO21,66169.1–

35Pettis County, MOMO44,25469.1–

36Dade County, MOMO7,80468.7–

37Osage County, MOMO13,61168.5–

38Hickory County, MOMO9,04468.2–

39Howell County, MOMO40,79866.6–

40Linn County, MOMO11,81566.4–

41Wayne County, MOMO10,78266.4–

42Henry County, MOMO22,67166.0–

43Pemiscot County, MOMO14,46565.9–

44Bollinger County, MOMO10,64664.6–

45Buchanan County, MOMO83,54063.5–

46Christian County, MOMO96,72563.3–

47Scott County, MOMO37,97562.3–

48Webster County, MOMO43,05461.7–

49Cooper County, MOMO17,13661.5–

50Moniteau County, MOMO15,42861.0–

51Shelby County, MOMO5,87060.2–

52Adair County, MOMO25,68460.1–

53Clark County, MOMO6,47560.0–

54Butler County, MOMO41,90459.7–

55Macon County, MOMO15,19058.3–

56Perry County, MOMO19,09357.5–

57Ralls County, MOMO10,44457.3–

58Polk County, MOMO33,60457.3–

59Saline County, MOMO23,26557.2–

60Gasconade County, MOMO14,78457.2–

61Greene County, MOMO309,28656.9–

62Taney County, MOMO57,00156.7–

63Bates County, MOMO16,51256.7–

64Texas County, MOMO25,99456.6–

65Pike County, MOMO17,95555.8–

66Montgomery County, MOMO11,59055.6–

67Franklin County, MOMO108,09055.2–

68Miller County, MOMO25,81755.2–

69St. Francois County, MOMO67,80955.0–

70Jasper County, MOMO127,42854.7–

71Cass County, MOMO115,85954.6–

72Grundy County, MOMO9,74453.5–

73Clay County, MOMO265,03253.1–

74Ste. Genevieve County, MOMO18,68952.5–

75Ray County, MOMO23,39852.4–

76Chariton County, MOMO7,37752.4–

77Cole County, MOMO77,90852.4–

78Marion County, MOMO28,52552.0–

79Nodaway County, MOMO20,17451.3–

80St. Clair County, MOMO9,97650.7–

81Callaway County, MOMO45,76550.1–

82Jackson County, MOMO732,99449.8–

83Boone County, MOMO191,74649.7–

84St. Louis County, MOMO990,91149.6–

85Monroe County, MOMO8,95949.6–

86Jefferson County, MOMO233,13249.0–

87Camden County, MOMO44,04748.8–

88Lewis County, MOMO9,87948.6–

89McDonald County, MOMO23,99247.8–

90St. Charles County, MOMO426,49946.6–

91New Madrid County, MOMO15,08646.6–

92Randolph County, MOMO24,51346.5–

93Stone County, MOMO32,50346.4–

94Vernon County, MOMO19,94645.5–

95Schuyler County, MOMO4,14044.8–

96Ripley County, MOMO10,71744.7–

97Carter County, MOMO5,41844.5–

98Livingston County, MOMO14,70844.3–

99Dent County, MOMO14,58443.6–

100Atchison County, MOMO5,17542.4–

101Phelps County, MOMO45,24741.9–

102Johnson County, MOMO56,67041.4–

103Pulaski County, MOMO54,44241.3–

104Andrew County, MOMO18,24140.3–

105Howard County, MOMO10,18039.4–

106St. Louis, MOMO278,14439.3–

107Barry County, MOMO36,20037.1–

108Lafayette County, MOMO33,53136.9–

109Lawrence County, MOMO39,40135.4–

110Mississippi County, MOMO12,00333.9–

111Reynolds County, MOMO5,99233.0–

112Cape Girardeau County, MOMO83,99932.8–

113Warren County, MOMO39,01630.1–

114Sullivan County, MOMO5,73827.1–

115Oregon County, MOMO8,70926.6–

SHOWING 1–115 OF 115

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