RANKING · 2024 ACS · 53 SHOWN OF 53

Highest fertility rate, North Dakota counties

North Dakota 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 53 counties in North Dakota 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

01Billings County, NDND1,071190.5–

02Kidder County, NDND2,393162.2–

03Sioux County, NDND3,667161.7–

04McHenry County, NDND5,130124.5–

05Benson County, NDND5,759123.8–

06McKenzie County, NDND15,192123.7–

07Griggs County, NDND2,239119.4–

08Hettinger County, NDND2,492119.4–

09Mountrail County, NDND9,395102.2–

10LaMoure County, NDND4,13599.4–

11Emmons County, NDND3,21596.5–

12Steele County, NDND1,79794.5–

13Logan County, NDND1,85993.9–

14Stark County, NDND34,01393.2–

15Ramsey County, NDND11,53092.6–

16Dickey County, NDND4,89592.0–

17Towner County, NDND2,04087.2–

18Grant County, NDND2,20686.3–

19Pierce County, NDND3,83882.1–

20Walsh County, NDND10,17981.5–

21Burke County, NDND2,13280.3–

22Mercer County, NDND8,44178.4–

23Traill County, NDND7,92073.9–

24Richland County, NDND16,73173.6–

25Bottineau County, NDND6,28473.3–

26Morton County, NDND34,60165.7–

27McLean County, NDND9,74063.9–

28Grand Forks County, NDND74,50163.9–

29Rolette County, NDND11,68861.6–

30Burleigh County, NDND103,25161.2–

31Cass County, NDND201,79456.1–

32Pembina County, NDND6,56855.7–

33Sheridan County, NDND1,29653.4–

34Ward County, NDND68,23353.0–

35Nelson County, NDND2,96349.6–

36Wells County, NDND3,72948.1–

37Foster County, NDND3,21247.5–

38McIntosh County, NDND2,45145.8–

39Dunn County, NDND4,05844.1–

40Barnes County, NDND10,57342.6–

41Eddy County, NDND2,32939.8–

42Ransom County, NDND5,61739.0–

43Williams County, NDND41,76738.1–

44Bowman County, NDND2,76236.4–

45Renville County, NDND2,33133.6–

46Sargent County, NDND3,71132.7–

47Cavalier County, NDND3,49722.6–

48Stutsman County, NDND21,41421.1–

49Oliver County, NDND1,89817.6–

50Golden Valley County, NDND1,80816.8–

51Slope County, NDND6289.9–

52Adams County, NDND2,2752.7–

53Divide County, NDND2,1100.0–

SHOWING 1–53 OF 53

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