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 (2024 ACS). This list covers the 66 counties in South 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

01McPherson County, SDSD2,347246.8+344%

02Campbell County, SDSD1,377191.4+329%

03Walworth County, SDSD5,217151.1+110%

04McCook County, SDSD5,964136.2+92%

05Mellette County, SDSD2,137129.6−18%

06Lyman County, SDSD3,694120.7+44%

07Hand County, SDSD3,121117.4+47%

08Douglas County, SDSD2,888117.1+137%

09Clark County, SDSD4,031115.8+52%

10Moody County, SDSD6,632112.3+41%

11Edmunds County, SDSD4,022111.3+68%

12Day County, SDSD5,484110.8+48%

13Hyde County, SDSD1,191107.0+45%

14Kingsbury County, SDSD5,284104.2+10%

15Ziebach County, SDSD2,389104.1−2%

16Lake County, SDSD10,99398.6+111%

17Jerauld County, SDSD1,65495.6+53%

18Hamlin County, SDSD6,90093.1+25%

19Todd County, SDSD8,86391.6−12%

20Beadle County, SDSD19,62491.3+32%

21Hutchinson County, SDSD7,41390.6+385%

22Potter County, SDSD2,37786.0+82%

23Jackson County, SDSD2,66685.9+272%

24Meade County, SDSD30,71182.2+32%

25Union County, SDSD17,40281.8−3%

26Lincoln County, SDSD77,14580.7+33%

27Yankton County, SDSD23,63580.0+28%

28Spink County, SDSD6,15579.7+54%

29Hanson County, SDSD3,45678.2+20%

30Sanborn County, SDSD2,38876.1−1%

31Tripp County, SDSD5,70871.8+127%

32Aurora County, SDSD2,80169.4−17%

33Roberts County, SDSD10,25567.4−42%

34Marshall County, SDSD4,42666.6+37%

35Minnehaha County, SDSD212,69166.4+15%

36Miner County, SDSD2,28164.6−3%

37Charles Mix County, SDSD9,30364.6−23%

38Brown County, SDSD37,56163.8+13%

39Oglala Lakota County, SDSD13,33861.9–

40Butte County, SDSD10,85658.6−34%

41Fall River County, SDSD7,46758.2+1038%

42Turner County, SDSD9,31458.0−8%

43Pennington County, SDSD116,79252.2−25%

44Harding County, SDSD1,33150.8+6%

45Corson County, SDSD3,78149.9−19%

46Haakon County, SDSD1,80248.3−67%

47Bon Homme County, SDSD7,24447.7−30%

48Grant County, SDSD7,53447.3−44%

49Bennett County, SDSD3,30746.0+2%

50Dewey County, SDSD5,41944.9−69%

51Buffalo County, SDSD1,80244.7−68%

52Brookings County, SDSD37,63543.4−15%

53Hughes County, SDSD17,57042.3−31%

54Brule County, SDSD5,27841.8−63%

55Perkins County, SDSD2,85341.5−12%

56Gregory County, SDSD4,03741.0−33%

57Davison County, SDSD20,06938.9−42%

58Codington County, SDSD29,56238.1−41%

59Lawrence County, SDSD29,45934.4−17%

60Custer County, SDSD9,43134.3+17%

61Deuel County, SDSD4,40833.7−51%

62Stanley County, SDSD3,01825.8−74%

63Clay County, SDSD15,03124.3+18%

64Faulk County, SDSD2,17824.2−63%

65Jones County, SDSD9138.2−90%

66Sully County, SDSD1,4797.6−84%

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