RANKING · 2024 ACS · 88 SHOWN OF 88

Highest fertility rate, Ohio counties

Ohio 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 88 counties in Ohio 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

01Darke County, OHOH51,52086.0+48%

02Williams County, OHOH36,54985.5+76%

03Holmes County, OHOH44,97083.1−13%

04Gallia County, OHOH29,07280.4+24%

05Mercer County, OHOH42,73775.6−11%

06Harrison County, OHOH14,07073.4+10%

07Defiance County, OHOH38,29273.0+36%

08Wayne County, OHOH116,75872.4+43%

09Knox County, OHOH64,00272.1+42%

10Miami County, OHOH112,63472.1+43%

11Hocking County, OHOH27,51271.4+13%

12Monroe County, OHOH12,99471.3+123%

13Pike County, OHOH27,06169.8+49%

14Guernsey County, OHOH38,37968.7+8%

15Columbiana County, OHOH99,37766.6+11%

16Morgan County, OHOH13,62666.4+29%

17Crawford County, OHOH41,89666.2+35%

18Fulton County, OHOH41,85365.7+16%

19Wyandot County, OHOH21,56765.3−22%

20Lorain County, OHOH323,21965.3+33%

21Madison County, OHOH46,98565.1+37%

22Carroll County, OHOH26,47564.6−6%

23Tuscarawas County, OHOH92,37364.2+14%

24Auglaize County, OHOH45,90963.0−15%

25Coshocton County, OHOH37,18862.8+21%

26Highland County, OHOH43,82361.9−1%

27Ashland County, OHOH52,52361.8+9%

28Van Wert County, OHOH29,01361.2+28%

29Putnam County, OHOH34,38061.2−2%

30Morrow County, OHOH36,30560.4−20%

31Ottawa County, OHOH39,48159.8+14%

32Fairfield County, OHOH169,75259.5+10%

33Paulding County, OHOH18,72759.3−18%

34Erie County, OHOH73,29659.2+37%

35Ashtabula County, OHOH96,71359.1+37%

36Muskingum County, OHOH87,01459.1+8%

37Clark County, OHOH135,34059.1+11%

38Lucas County, OHOH423,34758.7−2%

39Licking County, OHOH185,56458.5−5%

40Montgomery County, OHOH539,59858.2+7%

41Pickaway County, OHOH62,97858.1−21%

42Clermont County, OHOH216,97757.9+5%

43Allen County, OHOH100,88157.6−5%

44Richland County, OHOH124,89357.0−10%

45Scioto County, OHOH71,36556.9+11%

46Warren County, OHOH257,18156.6−2%

47Shelby County, OHOH48,06555.7+5%

48Vinton County, OHOH12,64555.6−21%

49Clinton County, OHOH42,30154.6−26%

50Logan County, OHOH46,30254.3−10%

51Hamilton County, OHOH838,41854.1−7%

52Geauga County, OHOH95,67653.6+1%

53Washington County, OHOH58,38953.5+10%

54Butler County, OHOH400,12853.4−1%

55Marion County, OHOH65,11553.3−2%

56Lawrence County, OHOH55,71052.8+24%

57Brown County, OHOH44,39752.7+5%

58Sandusky County, OHOH58,65552.5−8%

59Franklin County, OHOH1,361,53652.5−12%

60Greene County, OHOH174,32251.7+8%

61Trumbull County, OHOH198,97251.5+7%

62Cuyahoga County, OHOH1,232,92550.6−2%

63Delaware County, OHOH242,03250.1−12%

64Mahoning County, OHOH224,70650.0−11%

65Hancock County, OHOH75,03449.8−6%

66Henry County, OHOH27,59849.3−30%

67Stark County, OHOH373,77148.8−7%

68Champaign County, OHOH38,82048.8−18%

69Summit County, OHOH538,37648.1−5%

70Huron County, OHOH58,25047.8−22%

71Lake County, OHOH232,21747.4+9%

72Medina County, OHOH185,02547.2−11%

73Perry County, OHOH35,91847.1−32%

74Union County, OHOH73,44646.2−2%

75Wood County, OHOH134,17645.5+25%

76Jefferson County, OHOH63,59745.1+16%

77Adams County, OHOH27,86544.1−33%

78Preble County, OHOH40,66443.2−7%

79Ross County, OHOH76,42942.8−30%

80Jackson County, OHOH32,81742.7−51%

81Seneca County, OHOH54,52242.6−2%

82Hardin County, OHOH30,07240.6−30%

83Meigs County, OHOH21,58737.3+0%

84Belmont County, OHOH64,43437.2−24%

85Portage County, OHOH163,40437.1−10%

86Fayette County, OHOH28,55233.4−49%

87Noble County, OHOH14,27629.3−25%

88Athens County, OHOH63,19728.2−21%

SHOWING 1–88 OF 88

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