RANKING · 2024 ACS · 77 SHOWN OF 77

Highest fertility rate, Oklahoma counties

Oklahoma 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 77 counties in Oklahoma 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

01Greer County, OKOK5,373129.2–

02Harmon County, OKOK2,327123.1–

03Beckham County, OKOK22,159113.0–

04Alfalfa County, OKOK5,649105.9–

05Texas County, OKOK20,322105.0–

06Craig County, OKOK14,51898.6–

07Harper County, OKOK3,17298.4–

08Nowata County, OKOK9,52293.2–

09Jackson County, OKOK24,76489.4–

10Major County, OKOK7,53688.9–

11Ottawa County, OKOK30,43881.3–

12Murray County, OKOK13,80578.8–

13Stephens County, OKOK44,31076.0–

14Seminole County, OKOK23,44175.4–

15Jefferson County, OKOK5,43175.2–

16Cherokee County, OKOK49,19674.9–

17Caddo County, OKOK26,13074.6–

18Garfield County, OKOK61,77970.8–

19Roger Mills County, OKOK3,25970.4–

20Coal County, OKOK5,43668.1–

21Muskogee County, OKOK66,70865.4–

22Atoka County, OKOK14,60964.9–

23McCurtain County, OKOK30,74463.0–

24Sequoyah County, OKOK40,84262.8–

25Pittsburg County, OKOK43,32061.7–

26Ellis County, OKOK3,61361.3–

27Okmulgee County, OKOK37,24160.5–

28Washington County, OKOK54,03760.2–

29Carter County, OKOK48,91059.6–

30Oklahoma County, OKOK822,12559.4–

31Tulsa County, OKOK698,78259.4–

32Delaware County, OKOK41,91058.7–

33Kay County, OKOK43,49058.6–

34Osage County, OKOK46,79458.4–

35Rogers County, OKOK102,19757.7–

36Pontotoc County, OKOK38,52857.7–

37Blaine County, OKOK8,51556.7–

38Le Flore County, OKOK50,19656.5–

39Creek County, OKOK74,96756.2–

40Pawnee County, OKOK16,02956.2–

41Wagoner County, OKOK93,26355.7–

42Pushmataha County, OKOK10,80755.5–

43Mayes County, OKOK40,41655.3–

44Tillman County, OKOK6,78054.5–

45Haskell County, OKOK11,78754.1–

46Pottawatomie County, OKOK75,10254.0–

47Adair County, OKOK19,82853.0–

48Lincoln County, OKOK35,27852.9–

49Okfuskee County, OKOK11,45152.5–

50Garvin County, OKOK26,37752.4–

51Comanche County, OKOK122,15851.7–

52Noble County, OKOK10,89951.6–

53Woodward County, OKOK19,82750.9–

54Grady County, OKOK59,12848.8–

55Hughes County, OKOK13,45548.6–

56Kingfisher County, OKOK15,79548.2–

57McClain County, OKOK49,64747.2–

58Bryan County, OKOK51,36746.7–

59McIntosh County, OKOK19,75846.6–

60Custer County, OKOK28,17546.2–

61Logan County, OKOK55,47344.9–

62Dewey County, OKOK4,20743.6–

63Love County, OKOK10,78043.0–

64Cleveland County, OKOK303,97342.5–

65Canadian County, OKOK187,18942.3–

66Beaver County, OKOK4,88242.1–

67Latimer County, OKOK9,64539.0–

68Cotton County, OKOK5,43238.2–

69Grant County, OKOK4,06737.2–

70Marshall County, OKOK16,25536.8–

71Washita County, OKOK10,88435.0–

72Johnston County, OKOK10,44834.7–

73Choctaw County, OKOK14,05934.6–

74Payne County, OKOK83,88932.2–

75Woods County, OKOK8,44332.0–

76Kiowa County, OKOK8,18124.6–

77Cimarron County, OKOK2,0594.8–

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