RANKING · 2010 CENSUS · 115 SHOWN OF 115

Highest fertility rate, Missouri counties · 2010

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

01Scotland County, MOMO4,796141.6–

02Schuyler County, MOMO4,140130.6–

03Mississippi County, MOMO12,003119.5–

04Morgan County, MOMO22,41892.2–

05Randolph County, MOMO24,51389.0–

06Howard County, MOMO10,18085.6–

07Marion County, MOMO28,52584.9–

08Holt County, MOMO4,20083.7–

09Polk County, MOMO33,60480.1–

10Cedar County, MOMO14,88880.0–

11Macon County, MOMO15,19077.5–

12Clark County, MOMO6,47577.2–

13New Madrid County, MOMO15,08675.8–

14Daviess County, MOMO8,55875.7–

15Scott County, MOMO37,97575.1–

16Andrew County, MOMO18,24174.7–

17Lafayette County, MOMO33,53174.0–

18McDonald County, MOMO23,99274.0–

19Pulaski County, MOMO54,44273.2–

20Harrison County, MOMO8,28172.7–

21Webster County, MOMO43,05472.3–

22Buchanan County, MOMO83,54071.9–

23Vernon County, MOMO19,94671.4–

24Lawrence County, MOMO39,40171.3–

25Christian County, MOMO96,72568.5–

26Ralls County, MOMO10,44467.7–

27Pike County, MOMO17,95566.5–

28Crawford County, MOMO22,92965.9–

29Pemiscot County, MOMO14,46563.3–

30Jefferson County, MOMO233,13263.3–

31St. Louis, MOMO278,14462.8–

32Bollinger County, MOMO10,64661.7–

33Wayne County, MOMO10,78261.5–

34Butler County, MOMO41,90461.2–

35Dade County, MOMO7,80461.1–

36Cass County, MOMO115,85960.7–

37Warren County, MOMO39,01660.2–

38Moniteau County, MOMO15,42859.5–

39Wright County, MOMO19,67158.6–

40Barton County, MOMO11,79558.4–

41Dunklin County, MOMO26,85558.4–

42Texas County, MOMO25,99458.3–

43Bates County, MOMO16,51258.3–

44Atchison County, MOMO5,17557.5–

45St. Francois County, MOMO67,80957.1–

46Cooper County, MOMO17,13656.1–

47Lincoln County, MOMO66,67655.9–

48Jackson County, MOMO732,99455.8–

49Platte County, MOMO114,40055.8–

50Miller County, MOMO25,81755.7–

51Perry County, MOMO19,09355.3–

52Gasconade County, MOMO14,78454.9–

53Pettis County, MOMO44,25454.2–

54St. Charles County, MOMO426,49954.1–

55Greene County, MOMO309,28654.0–

56Franklin County, MOMO108,09053.8–

57Laclede County, MOMO36,94353.6–

58Linn County, MOMO11,81553.3–

59Jasper County, MOMO127,42852.7–

60Gentry County, MOMO6,38452.1–

61Carroll County, MOMO8,41752.0–

62Caldwell County, MOMO9,01251.9–

63Montgomery County, MOMO11,59051.7–

64Ripley County, MOMO10,71750.5–

65Clay County, MOMO265,03250.4–

66Iron County, MOMO9,31850.2–

67Shannon County, MOMO7,28550.2–

68Henry County, MOMO22,67149.8–

69Johnson County, MOMO56,67049.8–

70Cole County, MOMO77,90849.7–

71St. Louis County, MOMO990,91149.4–

72Howell County, MOMO40,79849.3–

73DeKalb County, MOMO9,79548.3–

74Callaway County, MOMO45,76547.9–

75Clinton County, MOMO21,66147.7–

76Saline County, MOMO23,26547.6–

77Audrain County, MOMO24,52847.5–

78Osage County, MOMO13,61147.4–

79Cape Girardeau County, MOMO83,99947.2–

80Boone County, MOMO191,74647.2–

81Washington County, MOMO23,81046.9–

82Dallas County, MOMO18,02546.3–

83Adair County, MOMO25,68445.7–

84Taney County, MOMO57,00145.6–

85Dent County, MOMO14,58445.5–

86Monroe County, MOMO8,95944.8–

87Mercer County, MOMO3,40444.3–

88Newton County, MOMO62,26343.5–

89Sullivan County, MOMO5,73843.3–

90Lewis County, MOMO9,87942.8–

91Stone County, MOMO32,50341.4–

92Reynolds County, MOMO5,99239.9–

93Phelps County, MOMO45,24739.8–

94Livingston County, MOMO14,70839.7–

95Grundy County, MOMO9,74439.6–

96Chariton County, MOMO7,37739.2–

97Putnam County, MOMO4,54639.2–

98Nodaway County, MOMO20,17438.3–

99Ste. Genevieve County, MOMO18,68937.8–

100St. Clair County, MOMO9,97636.8–

101Barry County, MOMO36,20036.5–

102Camden County, MOMO44,04735.5–

103Ray County, MOMO23,39835.3–

104Stoddard County, MOMO28,28435.1–

105Douglas County, MOMO12,34234.6–

106Maries County, MOMO8,39734.0–

107Benton County, MOMO20,53632.2–

108Madison County, MOMO12,85829.8–

109Shelby County, MOMO5,87028.0–

110Knox County, MOMO3,72826.8–

111Ozark County, MOMO9,17225.9–

112Oregon County, MOMO8,70923.1–

113Hickory County, MOMO9,04420.2–

114Carter County, MOMO5,41819.8–

115Worth County, MOMO1,91415.4–

SHOWING 1–115 OF 115

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