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RANKING · 2024 ACS · 66 SHOWN OF 66

Highest fertility rate, South Dakota counties

South 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 66 counties in South Dakota that qualify, ranked against each other statewide.

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SAME RANKING BYCitiesStatesMetrosZIP codes
RELATEDOldest by median ageYoungest by median ageMost foreign-born residentsHighest uninsured rateMost womenMost men
YEAR20102024
Highest fertility rate by state
RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2000
01McPherson County, SDSD2,347246.8
02Campbell County, SDSD1,377191.4
03Walworth County, SDSD5,217151.1
04McCook County, SDSD5,964136.2
05Mellette County, SDSD2,137129.6
06Lyman County, SDSD3,694120.7
07Hand County, SDSD3,121117.4
08Douglas County, SDSD2,888117.1
09Clark County, SDSD4,031115.8
10Moody County, SDSD6,632112.3
11Edmunds County, SDSD4,022111.3
12Day County, SDSD5,484110.8
13Hyde County, SDSD1,191107.0
14Kingsbury County, SDSD5,284104.2
15Ziebach County, SDSD2,389104.1
16Lake County, SDSD10,99398.6
17Jerauld County, SDSD1,65495.6
18Hamlin County, SDSD6,90093.1
19Todd County, SDSD8,86391.6
20Beadle County, SDSD19,62491.3
21Hutchinson County, SDSD7,41390.6
22Potter County, SDSD2,37786.0
23Jackson County, SDSD2,66685.9
24Meade County, SDSD30,71182.2
25Union County, SDSD17,40281.8
26Lincoln County, SDSD77,14580.7
27Yankton County, SDSD23,63580.0
28Spink County, SDSD6,15579.7
29Hanson County, SDSD3,45678.2
30Sanborn County, SDSD2,38876.1
31Tripp County, SDSD5,70871.8
32Aurora County, SDSD2,80169.4
33Roberts County, SDSD10,25567.4
34Marshall County, SDSD4,42666.6
35Minnehaha County, SDSD212,69166.4
36Miner County, SDSD2,28164.6
37Charles Mix County, SDSD9,30364.6
38Brown County, SDSD37,56163.8
39Oglala Lakota County, SDSD13,33861.9
40Butte County, SDSD10,85658.6
41Fall River County, SDSD7,46758.2
42Turner County, SDSD9,31458.0
43Pennington County, SDSD116,79252.2
44Harding County, SDSD1,33150.8
45Corson County, SDSD3,78149.9
46Haakon County, SDSD1,80248.3
47Bon Homme County, SDSD7,24447.7
48Grant County, SDSD7,53447.3
49Bennett County, SDSD3,30746.0
50Dewey County, SDSD5,41944.9
51Buffalo County, SDSD1,80244.7
52Brookings County, SDSD37,63543.4
53Hughes County, SDSD17,57042.3
54Brule County, SDSD5,27841.8
55Perkins County, SDSD2,85341.5
56Gregory County, SDSD4,03741.0
57Davison County, SDSD20,06938.9
58Codington County, SDSD29,56238.1
59Lawrence County, SDSD29,45934.4
60Custer County, SDSD9,43134.3
61Deuel County, SDSD4,40833.7
62Stanley County, SDSD3,01825.8
63Clay County, SDSD15,03124.3
64Faulk County, SDSD2,17824.2
65Jones County, SDSD9138.2
66Sully County, SDSD1,4797.6
SHOWING 1–66 OF 66
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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES