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 (2023 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 2000

01Darke County, OHOH51,52086.0–

02Williams County, OHOH36,54985.5–

03Holmes County, OHOH44,97083.1–

04Gallia County, OHOH29,07280.4–

05Mercer County, OHOH42,73775.6–

06Harrison County, OHOH14,07073.4–

07Defiance County, OHOH38,29273.0–

08Wayne County, OHOH116,75872.4–

09Knox County, OHOH64,00272.1–

10Miami County, OHOH112,63472.1–

11Hocking County, OHOH27,51271.4–

12Monroe County, OHOH12,99471.3–

13Pike County, OHOH27,06169.8–

14Guernsey County, OHOH38,37968.7–

15Columbiana County, OHOH99,37766.6–

16Morgan County, OHOH13,62666.4–

17Crawford County, OHOH41,89666.2–

18Fulton County, OHOH41,85365.7–

19Wyandot County, OHOH21,56765.3–

20Lorain County, OHOH323,21965.3–

21Madison County, OHOH46,98565.1–

22Carroll County, OHOH26,47564.6–

23Tuscarawas County, OHOH92,37364.2–

24Auglaize County, OHOH45,90963.0–

25Coshocton County, OHOH37,18862.8–

26Highland County, OHOH43,82361.9–

27Ashland County, OHOH52,52361.8–

28Van Wert County, OHOH29,01361.2–

29Putnam County, OHOH34,38061.2–

30Morrow County, OHOH36,30560.4–

31Ottawa County, OHOH39,48159.8–

32Fairfield County, OHOH169,75259.5–

33Paulding County, OHOH18,72759.3–

34Erie County, OHOH73,29659.2–

35Ashtabula County, OHOH96,71359.1–

36Muskingum County, OHOH87,01459.1–

37Clark County, OHOH135,34059.1–

38Lucas County, OHOH423,34758.7–

39Licking County, OHOH185,56458.5–

40Montgomery County, OHOH539,59858.2–

41Pickaway County, OHOH62,97858.1–

42Clermont County, OHOH216,97757.9–

43Allen County, OHOH100,88157.6–

44Richland County, OHOH124,89357.0–

45Scioto County, OHOH71,36556.9–

46Warren County, OHOH257,18156.6–

47Shelby County, OHOH48,06555.7–

48Vinton County, OHOH12,64555.6–

49Clinton County, OHOH42,30154.6–

50Logan County, OHOH46,30254.3–

51Hamilton County, OHOH838,41854.1–

52Geauga County, OHOH95,67653.6–

53Washington County, OHOH58,38953.5–

54Butler County, OHOH400,12853.4–

55Marion County, OHOH65,11553.3–

56Lawrence County, OHOH55,71052.8–

57Brown County, OHOH44,39752.7–

58Sandusky County, OHOH58,65552.5–

59Franklin County, OHOH1,361,53652.5–

60Greene County, OHOH174,32251.7–

61Trumbull County, OHOH198,97251.5–

62Cuyahoga County, OHOH1,232,92550.6–

63Delaware County, OHOH242,03250.1–

64Mahoning County, OHOH224,70650.0–

65Hancock County, OHOH75,03449.8–

66Henry County, OHOH27,59849.3–

67Stark County, OHOH373,77148.8–

68Champaign County, OHOH38,82048.8–

69Summit County, OHOH538,37648.1–

70Huron County, OHOH58,25047.8–

71Lake County, OHOH232,21747.4–

72Medina County, OHOH185,02547.2–

73Perry County, OHOH35,91847.1–

74Union County, OHOH73,44646.2–

75Wood County, OHOH134,17645.5–

76Jefferson County, OHOH63,59745.1–

77Adams County, OHOH27,86544.1–

78Preble County, OHOH40,66443.2–

79Ross County, OHOH76,42942.8–

80Jackson County, OHOH32,81742.7–

81Seneca County, OHOH54,52242.6–

82Hardin County, OHOH30,07240.6–

83Meigs County, OHOH21,58737.3–

84Belmont County, OHOH64,43437.2–

85Portage County, OHOH163,40437.1–

86Fayette County, OHOH28,55233.4–

87Noble County, OHOH14,27629.3–

88Athens County, OHOH63,19728.2–

SHOWING 1–88 OF 88

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