RANKING · 2024 ACS · 100 SHOWN OF 100

Highest fertility rate, North Carolina counties

North Carolina 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 100 counties in North Carolina that qualify, ranked against each other statewide. The median across all 100 is 54.6.

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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

01Tyrrell County, NCNC3,537132.4+43%

02Northampton County, NCNC16,49198.8+129%

03Camden County, NCNC11,31594.6+262%

04Onslow County, NCNC217,17592.6−3%

05Lenoir County, NCNC55,83792.5+66%

06Washington County, NCNC10,63885.3+16%

07Franklin County, NCNC82,03778.1+78%

08Edgecombe County, NCNC49,12177.0+9%

09Alleghany County, NCNC11,47976.0+113%

10Clay County, NCNC12,23975.9+11%

11Lincoln County, NCNC98,65473.2+99%

12Hoke County, NCNC56,93971.5+10%

13Iredell County, NCNC211,79868.1+29%

14Hertford County, NCNC19,01567.9+27%

15Rockingham County, NCNC94,19567.7+57%

16Brunswick County, NCNC174,70267.6+29%

17Currituck County, NCNC33,15867.2+7%

18Mitchell County, NCNC15,06267.1+132%

19Yancey County, NCNC19,08466.3+22%

20Richmond County, NCNC42,04165.8+23%

21Rowan County, NCNC155,09665.2+27%

22Wilkes County, NCNC66,23365.2+27%

23Ashe County, NCNC27,51464.8+44%

24Henderson County, NCNC122,37564.2−9%

25Cleveland County, NCNC103,32563.5+28%

26Randolph County, NCNC149,51663.1+5%

27Craven County, NCNC105,02562.9−1%

28Wayne County, NCNC122,27862.7−11%

29Sampson County, NCNC61,50462.5+33%

30Bladen County, NCNC30,00761.9−10%

31Scotland County, NCNC33,32261.90%

32Cumberland County, NCNC338,47361.5−15%

33Cherokee County, NCNC30,83061.3−29%

34Surry County, NCNC72,28760.1+15%

35Burke County, NCNC88,65559.9+25%

36Gates County, NCNC10,23459.9+84%

37Pamlico County, NCNC12,75859.8−5%

38Johnston County, NCNC256,44859.3−1%

39Pender County, NCNC72,11159.2+9%

40Moore County, NCNC110,61958.7+9%

41Duplin County, NCNC51,57158.3−18%

42Harnett County, NCNC150,13756.6+22%

43Transylvania County, NCNC34,21156.5+8%

44Gaston County, NCNC246,55856.4−2%

45Anson County, NCNC21,75856.3−7%

46Granville County, NCNC61,42155.9+19%

47Chatham County, NCNC85,11155.9+3%

48Caldwell County, NCNC81,10555.5+8%

49Swain County, NCNC14,02454.9−28%

50Davidson County, NCNC180,18254.6+21%

51Stanly County, NCNC68,83054.3−4%

52Rutherford County, NCNC65,74553.8+1%

53McDowell County, NCNC45,19853.8−29%

54Halifax County, NCNC46,53452.2−36%

55Alamance County, NCNC186,17751.8−5%

56Greene County, NCNC20,70051.7−59%

57Chowan County, NCNC14,08251.5+54%

58Carteret County, NCNC70,46951.1+4%

59Union County, NCNC267,67450.8−9%

60Wake County, NCNC1,257,23550.4−12%

61Person County, NCNC40,63650.3−17%

62Yadkin County, NCNC38,32549.8−28%

63Catawba County, NCNC170,17249.7+4%

64Mecklenburg County, NCNC1,233,38349.3−12%

65Columbus County, NCNC50,48748.9−22%

66Pasquotank County, NCNC42,20148.6−21%

67Madison County, NCNC22,55347.9+46%

68Warren County, NCNC18,89847.8−54%

69Forsyth County, NCNC401,71847.6−8%

70Robeson County, NCNC119,94146.8−39%

71Alexander County, NCNC36,95844.6−32%

72Cabarrus County, NCNC249,72543.7−21%

73Caswell County, NCNC22,56343.5−12%

74Guilford County, NCNC562,23442.9−16%

75Avery County, NCNC18,11042.4−49%

76Pitt County, NCNC182,93641.3−5%

77Stokes County, NCNC46,12640.6−26%

78Lee County, NCNC70,25840.6−38%

79New Hanover County, NCNC245,95938.9−25%

80Wilson County, NCNC81,15038.7−30%

81Bertie County, NCNC17,08638.3−47%

82Durham County, NCNC347,24038.2−47%

83Davie County, NCNC45,85537.8−7%

84Perquimans County, NCNC13,49036.6−11%

85Vance County, NCNC42,63836.3−9%

86Dare County, NCNC38,24536.3+27%

87Jones County, NCNC9,57536.1−23%

88Nash County, NCNC99,36534.8−34%

89Buncombe County, NCNC277,41734.5−42%

90Beaufort County, NCNC44,67033.3−47%

91Montgomery County, NCNC26,40332.5−47%

92Polk County, NCNC20,53330.2+67%

93Martin County, NCNC21,60128.8−55%

94Orange County, NCNC152,49826.8−10%

95Jackson County, NCNC45,03925.9−52%

96Macon County, NCNC39,23225.2−63%

97Graham County, NCNC8,19025.0−57%

98Haywood County, NCNC63,36923.9−54%

99Watauga County, NCNC54,78615.4−53%

100Hyde County, NCNC4,5540.0−100%

SHOWING 1–100 OF 100

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