RANKING · 2010 CENSUS · 100 SHOWN OF 100

Highest fertility rate, North Carolina counties · 2010

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

01Greene County, NCNC20,700126.9–

02Warren County, NCNC18,898104.1–

03Onslow County, NCNC217,17595.0–

04Tyrrell County, NCNC3,53792.6–

05Cherokee County, NCNC30,83086.6–

06Avery County, NCNC18,11082.5–

07Halifax County, NCNC46,53481.4–

08Robeson County, NCNC119,94176.5–

09McDowell County, NCNC45,19876.1–

10Swain County, NCNC14,02475.9–

11Washington County, NCNC10,63873.3–

12Cumberland County, NCNC338,47372.7–

13Bertie County, NCNC17,08671.9–

14Durham County, NCNC347,24071.7–

15Duplin County, NCNC51,57170.9–

16Edgecombe County, NCNC49,12170.6–

17Henderson County, NCNC122,37570.5–

18Wayne County, NCNC122,27870.4–

19Yadkin County, NCNC38,32569.0–

20Bladen County, NCNC30,00768.8–

21Macon County, NCNC39,23268.8–

22Clay County, NCNC12,23968.6–

23Alexander County, NCNC36,95865.7–

24Lee County, NCNC70,25865.6–

25Hoke County, NCNC56,93964.8–

26Martin County, NCNC21,60163.4–

27Craven County, NCNC105,02563.3–

28Pamlico County, NCNC12,75863.2–

29Beaufort County, NCNC44,67063.1–

30Columbus County, NCNC50,48763.0–

31Currituck County, NCNC33,15862.7–

32Scotland County, NCNC33,32262.0–

33Pasquotank County, NCNC42,20161.9–

34Montgomery County, NCNC26,40360.8–

35Person County, NCNC40,63660.6–

36Anson County, NCNC21,75860.4–

37Randolph County, NCNC149,51660.2–

38Johnston County, NCNC256,44859.8–

39Buncombe County, NCNC277,41759.2–

40Graham County, NCNC8,19057.7–

41Gaston County, NCNC246,55857.5–

42Wake County, NCNC1,257,23557.0–

43Stanly County, NCNC68,83056.5–

44Mecklenburg County, NCNC1,233,38355.9–

45Lenoir County, NCNC55,83755.8–

46Union County, NCNC267,67455.6–

47Wilson County, NCNC81,15055.6–

48Cabarrus County, NCNC249,72555.1–

49Stokes County, NCNC46,12654.7–

50Alamance County, NCNC186,17754.6–

51Yancey County, NCNC19,08454.2–

52Pender County, NCNC72,11154.2–

53Jackson County, NCNC45,03954.1–

54Moore County, NCNC110,61954.1–

55Chatham County, NCNC85,11154.1–

56Richmond County, NCNC42,04153.7–

57Hertford County, NCNC19,01553.6–

58Rutherford County, NCNC65,74553.1–

59Iredell County, NCNC211,79853.0–

60Nash County, NCNC99,36552.9–

61Haywood County, NCNC63,36952.6–

62Transylvania County, NCNC34,21152.5–

63Surry County, NCNC72,28752.3–

64Brunswick County, NCNC174,70252.3–

65New Hanover County, NCNC245,95951.8–

66Caldwell County, NCNC81,10551.6–

67Forsyth County, NCNC401,71851.5–

68Guilford County, NCNC562,23451.3–

69Wilkes County, NCNC66,23351.1–

70Rowan County, NCNC155,09651.1–

71Caswell County, NCNC22,56349.7–

72Cleveland County, NCNC103,32549.6–

73Carteret County, NCNC70,46949.4–

74Burke County, NCNC88,65548.0–

75Catawba County, NCNC170,17247.6–

76Jones County, NCNC9,57547.1–

77Granville County, NCNC61,42147.1–

78Sampson County, NCNC61,50446.9–

79Harnett County, NCNC150,13746.3–

80Davidson County, NCNC180,18245.0–

81Ashe County, NCNC27,51444.9–

82Franklin County, NCNC82,03743.9–

83Pitt County, NCNC182,93643.6–

84Rockingham County, NCNC94,19543.1–

85Northampton County, NCNC16,49143.1–

86Perquimans County, NCNC13,49041.3–

87Hyde County, NCNC4,55440.9–

88Davie County, NCNC45,85540.6–

89Vance County, NCNC42,63839.9–

90Lincoln County, NCNC98,65436.8–

91Alleghany County, NCNC11,47935.7–

92Chowan County, NCNC14,08233.4–

93Madison County, NCNC22,55332.9–

94Watauga County, NCNC54,78632.8–

95Gates County, NCNC10,23432.6–

96Orange County, NCNC152,49829.6–

97Mitchell County, NCNC15,06228.9–

98Dare County, NCNC38,24528.6–

99Camden County, NCNC11,31526.2–

100Polk County, NCNC20,53318.1–

SHOWING 1–100 OF 100

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