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 (2024 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 2010

01Billings County, NDND1,071190.5+727%

02Kidder County, NDND2,393162.2+125%

03Sioux County, NDND3,667161.7+99%

04McHenry County, NDND5,130124.5+128%

05Benson County, NDND5,759123.8+65%

06McKenzie County, NDND15,192123.7+35%

07Griggs County, NDND2,239119.4+189%

08Hettinger County, NDND2,492119.4+147%

09Mountrail County, NDND9,395102.2+108%

10LaMoure County, NDND4,13599.4+221%

11Emmons County, NDND3,21596.5+12%

12Steele County, NDND1,79794.5+481%

13Logan County, NDND1,85993.9+441%

14Stark County, NDND34,01393.2+99%

15Ramsey County, NDND11,53092.6+122%

16Dickey County, NDND4,89592.0+46%

17Towner County, NDND2,04087.2+51%

18Grant County, NDND2,20686.3−9%

19Pierce County, NDND3,83882.1−22%

20Walsh County, NDND10,17981.5+0%

21Burke County, NDND2,13280.3−13%

22Mercer County, NDND8,44178.4−9%

23Traill County, NDND7,92073.9+21%

24Richland County, NDND16,73173.6−12%

25Bottineau County, NDND6,28473.3+3%

26Morton County, NDND34,60165.7−11%

27McLean County, NDND9,74063.9+68%

28Grand Forks County, NDND74,50163.9+35%

29Rolette County, NDND11,68861.6−16%

30Burleigh County, NDND103,25161.2−5%

31Cass County, NDND201,79456.1+6%

32Pembina County, NDND6,56855.7−21%

33Sheridan County, NDND1,29653.4+138%

34Ward County, NDND68,23353.0−20%

35Nelson County, NDND2,96349.6+162%

36Wells County, NDND3,72948.1+264%

37Foster County, NDND3,21247.5−47%

38McIntosh County, NDND2,45145.8−48%

39Dunn County, NDND4,05844.1+848%

40Barnes County, NDND10,57342.6−13%

41Eddy County, NDND2,32939.8−25%

42Ransom County, NDND5,61739.0−50%

43Williams County, NDND41,76738.1−45%

44Bowman County, NDND2,76236.4−19%

45Renville County, NDND2,33133.6−78%

46Sargent County, NDND3,71132.7−3%

47Cavalier County, NDND3,49722.6−60%

48Stutsman County, NDND21,41421.1−57%

49Oliver County, NDND1,89817.6−85%

50Golden Valley County, NDND1,80816.8–

51Slope County, NDND6289.9−69%

52Adams County, NDND2,2752.7−91%

53Divide County, NDND2,1100.0–

SHOWING 1–53 OF 53

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES