RANKING · 2024 ACS · 133 SHOWN OF 133

Highest fertility rate, Virginia counties

Virginia counties ranked by general fertility rate, meaning births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). This list covers the 133 counties in Virginia that qualify, ranked against each other statewide. The median across all 133 is 51.0.

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SAME RANKING BYCities States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2010

01Highland County, VAVA2,318152.9+363%

02Nelson County, VAVA14,920103.4+381%

03King and Queen County, VAVA6,74399.7+140%

04Buchanan County, VAVA18,49283.7+145%

05Franklin, VAVA8,47883.6−8%

06King William County, VAVA19,61778.3+17%

07Scott County, VAVA21,20077.7+107%

08Louisa County, VAVA42,92476.4+25%

09Bland County, VAVA6,15176.0+73%

10Bath County, VAVA4,07675.2+104%

11New Kent County, VAVA28,02271.8+109%

12Fairfax, VAVA26,77271.5+4%

13Tazewell County, VAVA38,63571.2+49%

14Emporia, VAVA5,44771.1−21%

15Pulaski County, VAVA33,58669.9+25%

16Manassas, VAVA44,33269.8−2%

17Franklin County, VAVA55,52669.5+20%

18Westmoreland County, VAVA19,71569.2+11%

19Appomattox County, VAVA17,17266.7+25%

20Hopewell, VAVA23,26166.7+100%

21King George County, VAVA29,64666.5+4%

22Madison County, VAVA14,23766.3+87%

23Dickenson County, VAVA13,23664.9+5%

24Suffolk, VAVA104,69964.3+5%

25Grayson County, VAVA15,23064.0+143%

26Clarke County, VAVA15,60963.3+112%

27Bristol, VAVA16,41863.2+36%

28Winchester, VAVA28,27263.0+45%

29Russell County, VAVA25,33262.9+102%

30Patrick County, VAVA17,42462.6+49%

31Prince William County, VAVA502,96661.7−3%

32Orange County, VAVA40,08361.1+23%

33Campbell County, VAVA55,62960.3+12%

34Lexington, VAVA7,76960.1+1895%

35Poquoson, VAVA13,29260.0+39%

36Lee County, VAVA21,64259.3+119%

37Pittsylvania County, VAVA59,49057.1+25%

38Prince George County, VAVA43,93657.0+176%

39Martinsville, VAVA13,84956.8+50%

40Essex County, VAVA10,65456.7+32%

41Charles City County, VAVA6,62356.6+53%

42Carroll County, VAVA29,29956.2−12%

43Sussex County, VAVA10,75555.9−9%

44Newport News, VAVA183,23055.8−8%

45Accomack County, VAVA33,85955.6+12%

46Petersburg, VAVA33,73455.6+79%

47Brunswick County, VAVA15,72755.1−18%

48Stafford County, VAVA170,80354.8−14%

49Southampton County, VAVA18,11054.6+7%

50Wythe County, VAVA27,98353.9+67%

51Charlottesville, VAVA44,38853.8+112%

52Hampton, VAVA137,31553.8+10%

53Colonial Heights, VAVA18,73853.6+195%

54Culpeper County, VAVA57,66653.6+5%

55Washington County, VAVA53,89853.2+41%

56Greensville County, VAVA11,18153.1+6%

57Portsmouth, VAVA96,77752.9−26%

58James City County, VAVA83,32652.8+31%

59Norfolk, VAVA231,01352.7−18%

60Chesterfield County, VAVA397,14852.0+9%

61Fairfax County, VAVA1,167,87351.7−4%

62Warren County, VAVA42,74051.6−14%

63York County, VAVA71,37451.5−5%

64Hanover County, VAVA116,42351.4+31%

65Salem, VAVA25,81651.3+18%

66Williamsburg, VAVA15,86151.1+505%

67Roanoke, VAVA99,11151.0+12%

68Botetourt County, VAVA34,14450.9+23%

69Craig County, VAVA4,80050.7+77%

70Page County, VAVA23,76250.5+4%

71Bedford County, VAVA83,05950.0+17%

72Rockbridge County, VAVA22,66349.9+32%

73Virginia Beach, VAVA453,73749.4−6%

74Loudoun County, VAVA449,74949.1−33%

75Spotsylvania County, VAVA155,38849.0−17%

76Danville, VAVA41,64748.8−18%

77Goochland County, VAVA29,18748.8−62%

78Chesapeake, VAVA255,33248.7−10%

79Fluvanna County, VAVA28,97548.7−8%

80Alexandria, VAVA160,66248.5−12%

81Staunton, VAVA26,80148.4+130%

82Lunenburg County, VAVA12,05848.3+12%

83Surry County, VAVA6,60347.6+7%

84Roanoke County, VAVA97,15047.5+5%

85Augusta County, VAVA78,94047.4+24%

86Buena Vista, VAVA6,67247.2+45%

87Buckingham County, VAVA17,13747.2−3%

88Lancaster County, VAVA10,99547.0+65%

89Waynesboro, VAVA23,95146.7−10%

90Lynchburg, VAVA81,34746.6−5%

91Amelia County, VAVA13,63246.5−14%

92Wise County, VAVA34,82446.40%

93Caroline County, VAVA34,41345.0−38%

94Rockingham County, VAVA89,31644.7−35%

95Dinwiddie County, VAVA28,89644.7+82%

96Northampton County, VAVA11,87943.6+1%

97Fauquier County, VAVA76,50343.2−1%

98Greene County, VAVA21,95843.2+57%

99Richmond, VAVA237,25741.9−16%

100Galax, VAVA6,67041.8+30%

101Isle of Wight County, VAVA41,32141.6−10%

102Henry County, VAVA49,24241.0−15%

103Frederick County, VAVA99,95540.7−37%

104Alleghany County, VAVA14,54640.5−13%

105Henrico County, VAVA342,77540.2−29%

106Albemarle County, VAVA118,35639.9−9%

107Mecklenburg County, VAVA30,74739.6−39%

108Prince Edward County, VAVA22,39139.4+65%

109Powhatan County, VAVA32,59138.1+3%

110Giles County, VAVA16,56437.9−35%

111Amherst County, VAVA31,96237.1−6%

112Floyd County, VAVA15,78936.5+1%

113Cumberland County, VAVA10,35236.0−24%

114Smyth County, VAVA28,88233.2+19%

115Falls Church, VAVA15,15933.1−43%

116Nottoway County, VAVA15,79633.0−50%

117Gloucester County, VAVA40,09732.5−4%

118Arlington County, VAVA243,93132.4−30%

119Radford, VAVA17,24331.6+104%

120Charlotte County, VAVA11,40131.5−58%

121Halifax County, VAVA33,44731.5−40%

122Shenandoah County, VAVA45,83929.9−34%

123Norton, VAVA3,47725.1+285%

124Fredericksburg, VAVA30,39325.0−34%

125Covington, VAVA5,68023.9−30%

126Montgomery County, VAVA98,43423.4−35%

127Harrisonburg, VAVA50,83917.4−39%

128Manassas Park, VAVA16,56015.6−73%

129Rappahannock County, VAVA7,43915.1−77%

130Richmond County, VAVA9,29414.5−71%

131Northumberland County, VAVA12,55713.8−79%

132Middlesex County, VAVA10,84110.6+36%

133Mathews County, VAVA8,5292.8−94%

SHOWING 1–133 OF 133

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES