RANKING · 2024 ACS · 100 SHOWN OF 100

Highest fertility rate, North Carolina counties

North Carolina 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 100 counties in North Carolina 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

01Tyrrell County, NCNC3,537132.4–

02Northampton County, NCNC16,49198.8–

03Camden County, NCNC11,31594.6–

04Onslow County, NCNC217,17592.6–

05Lenoir County, NCNC55,83792.5–

06Washington County, NCNC10,63885.3–

07Franklin County, NCNC82,03778.1–

08Edgecombe County, NCNC49,12177.0–

09Alleghany County, NCNC11,47976.0–

10Clay County, NCNC12,23975.9–

11Lincoln County, NCNC98,65473.2–

12Hoke County, NCNC56,93971.5–

13Iredell County, NCNC211,79868.1–

14Hertford County, NCNC19,01567.9–

15Rockingham County, NCNC94,19567.7–

16Brunswick County, NCNC174,70267.6–

17Currituck County, NCNC33,15867.2–

18Mitchell County, NCNC15,06267.1–

19Yancey County, NCNC19,08466.3–

20Richmond County, NCNC42,04165.8–

21Rowan County, NCNC155,09665.2–

22Wilkes County, NCNC66,23365.2–

23Ashe County, NCNC27,51464.8–

24Henderson County, NCNC122,37564.2–

25Cleveland County, NCNC103,32563.5–

26Randolph County, NCNC149,51663.1–

27Craven County, NCNC105,02562.9–

28Wayne County, NCNC122,27862.7–

29Sampson County, NCNC61,50462.5–

30Bladen County, NCNC30,00761.9–

31Scotland County, NCNC33,32261.9–

32Cumberland County, NCNC338,47361.5–

33Cherokee County, NCNC30,83061.3–

34Surry County, NCNC72,28760.1–

35Burke County, NCNC88,65559.9–

36Gates County, NCNC10,23459.9–

37Pamlico County, NCNC12,75859.8–

38Johnston County, NCNC256,44859.3–

39Pender County, NCNC72,11159.2–

40Moore County, NCNC110,61958.7–

41Duplin County, NCNC51,57158.3–

42Harnett County, NCNC150,13756.6–

43Transylvania County, NCNC34,21156.5–

44Gaston County, NCNC246,55856.4–

45Anson County, NCNC21,75856.3–

46Granville County, NCNC61,42155.9–

47Chatham County, NCNC85,11155.9–

48Caldwell County, NCNC81,10555.5–

49Swain County, NCNC14,02454.9–

50Davidson County, NCNC180,18254.6–

51Stanly County, NCNC68,83054.3–

52Rutherford County, NCNC65,74553.8–

53McDowell County, NCNC45,19853.8–

54Halifax County, NCNC46,53452.2–

55Alamance County, NCNC186,17751.8–

56Greene County, NCNC20,70051.7–

57Chowan County, NCNC14,08251.5–

58Carteret County, NCNC70,46951.1–

59Union County, NCNC267,67450.8–

60Wake County, NCNC1,257,23550.4–

61Person County, NCNC40,63650.3–

62Yadkin County, NCNC38,32549.8–

63Catawba County, NCNC170,17249.7–

64Mecklenburg County, NCNC1,233,38349.3–

65Columbus County, NCNC50,48748.9–

66Pasquotank County, NCNC42,20148.6–

67Madison County, NCNC22,55347.9–

68Warren County, NCNC18,89847.8–

69Forsyth County, NCNC401,71847.6–

70Robeson County, NCNC119,94146.8–

71Alexander County, NCNC36,95844.6–

72Cabarrus County, NCNC249,72543.7–

73Caswell County, NCNC22,56343.5–

74Guilford County, NCNC562,23442.9–

75Avery County, NCNC18,11042.4–

76Pitt County, NCNC182,93641.3–

77Stokes County, NCNC46,12640.6–

78Lee County, NCNC70,25840.6–

79New Hanover County, NCNC245,95938.9–

80Wilson County, NCNC81,15038.7–

81Bertie County, NCNC17,08638.3–

82Durham County, NCNC347,24038.2–

83Davie County, NCNC45,85537.8–

84Perquimans County, NCNC13,49036.6–

85Vance County, NCNC42,63836.3–

86Dare County, NCNC38,24536.3–

87Jones County, NCNC9,57536.1–

88Nash County, NCNC99,36534.8–

89Buncombe County, NCNC277,41734.5–

90Beaufort County, NCNC44,67033.3–

91Montgomery County, NCNC26,40332.5–

92Polk County, NCNC20,53330.2–

93Martin County, NCNC21,60128.8–

94Orange County, NCNC152,49826.8–

95Jackson County, NCNC45,03925.9–

96Macon County, NCNC39,23225.2–

97Graham County, NCNC8,19025.0–

98Haywood County, NCNC63,36923.9–

99Watauga County, NCNC54,78615.4–

100Hyde County, NCNC4,5540.0–

SHOWING 1–100 OF 100

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