RANKING · 2024 ACS · 133 SHOWN OF 133

Highest fertility rate, Virginia counties

Virginia 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 133 counties in Virginia 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

01Highland County, VAVA2,318152.9–

02Nelson County, VAVA14,920103.4–

03King and Queen County, VAVA6,74399.7–

04Buchanan County, VAVA18,49283.7–

05Franklin, VAVA8,47883.6–

06King William County, VAVA19,61778.3–

07Scott County, VAVA21,20077.7–

08Louisa County, VAVA42,92476.4–

09Bland County, VAVA6,15176.0–

10Bath County, VAVA4,07675.2–

11New Kent County, VAVA28,02271.8–

12Fairfax, VAVA26,77271.5–

13Tazewell County, VAVA38,63571.2–

14Emporia, VAVA5,44771.1–

15Pulaski County, VAVA33,58669.9–

16Manassas, VAVA44,33269.8–

17Franklin County, VAVA55,52669.5–

18Westmoreland County, VAVA19,71569.2–

19Appomattox County, VAVA17,17266.7–

20Hopewell, VAVA23,26166.7–

21King George County, VAVA29,64666.5–

22Madison County, VAVA14,23766.3–

23Dickenson County, VAVA13,23664.9–

24Suffolk, VAVA104,69964.3–

25Grayson County, VAVA15,23064.0–

26Clarke County, VAVA15,60963.3–

27Bristol, VAVA16,41863.2–

28Winchester, VAVA28,27263.0–

29Russell County, VAVA25,33262.9–

30Patrick County, VAVA17,42462.6–

31Prince William County, VAVA502,96661.7–

32Orange County, VAVA40,08361.1–

33Campbell County, VAVA55,62960.3–

34Lexington, VAVA7,76960.1–

35Poquoson, VAVA13,29260.0–

36Lee County, VAVA21,64259.3–

37Pittsylvania County, VAVA59,49057.1–

38Prince George County, VAVA43,93657.0–

39Martinsville, VAVA13,84956.8–

40Essex County, VAVA10,65456.7–

41Charles City County, VAVA6,62356.6–

42Carroll County, VAVA29,29956.2–

43Sussex County, VAVA10,75555.9–

44Newport News, VAVA183,23055.8–

45Accomack County, VAVA33,85955.6–

46Petersburg, VAVA33,73455.6–

47Brunswick County, VAVA15,72755.1–

48Stafford County, VAVA170,80354.8–

49Southampton County, VAVA18,11054.6–

50Wythe County, VAVA27,98353.9–

51Charlottesville, VAVA44,38853.8–

52Hampton, VAVA137,31553.8–

53Colonial Heights, VAVA18,73853.6–

54Culpeper County, VAVA57,66653.6–

55Washington County, VAVA53,89853.2–

56Greensville County, VAVA11,18153.1–

57Portsmouth, VAVA96,77752.9–

58James City County, VAVA83,32652.8–

59Norfolk, VAVA231,01352.7–

60Chesterfield County, VAVA397,14852.0–

61Fairfax County, VAVA1,167,87351.7–

62Warren County, VAVA42,74051.6–

63York County, VAVA71,37451.5–

64Hanover County, VAVA116,42351.4–

65Salem, VAVA25,81651.3–

66Williamsburg, VAVA15,86151.1–

67Roanoke, VAVA99,11151.0–

68Botetourt County, VAVA34,14450.9–

69Craig County, VAVA4,80050.7–

70Page County, VAVA23,76250.5–

71Bedford County, VAVA83,05950.0–

72Rockbridge County, VAVA22,66349.9–

73Virginia Beach, VAVA453,73749.4–

74Loudoun County, VAVA449,74949.1–

75Spotsylvania County, VAVA155,38849.0–

76Danville, VAVA41,64748.8–

77Goochland County, VAVA29,18748.8–

78Chesapeake, VAVA255,33248.7–

79Fluvanna County, VAVA28,97548.7–

80Alexandria, VAVA160,66248.5–

81Staunton, VAVA26,80148.4–

82Lunenburg County, VAVA12,05848.3–

83Surry County, VAVA6,60347.6–

84Roanoke County, VAVA97,15047.5–

85Augusta County, VAVA78,94047.4–

86Buena Vista, VAVA6,67247.2–

87Buckingham County, VAVA17,13747.2–

88Lancaster County, VAVA10,99547.0–

89Waynesboro, VAVA23,95146.7–

90Lynchburg, VAVA81,34746.6–

91Amelia County, VAVA13,63246.5–

92Wise County, VAVA34,82446.4–

93Caroline County, VAVA34,41345.0–

94Rockingham County, VAVA89,31644.7–

95Dinwiddie County, VAVA28,89644.7–

96Northampton County, VAVA11,87943.6–

97Fauquier County, VAVA76,50343.2–

98Greene County, VAVA21,95843.2–

99Richmond, VAVA237,25741.9–

100Galax, VAVA6,67041.8–

101Isle of Wight County, VAVA41,32141.6–

102Henry County, VAVA49,24241.0–

103Frederick County, VAVA99,95540.7–

104Alleghany County, VAVA14,54640.5–

105Henrico County, VAVA342,77540.2–

106Albemarle County, VAVA118,35639.9–

107Mecklenburg County, VAVA30,74739.6–

108Prince Edward County, VAVA22,39139.4–

109Powhatan County, VAVA32,59138.1–

110Giles County, VAVA16,56437.9–

111Amherst County, VAVA31,96237.1–

112Floyd County, VAVA15,78936.5–

113Cumberland County, VAVA10,35236.0–

114Smyth County, VAVA28,88233.2–

115Falls Church, VAVA15,15933.1–

116Nottoway County, VAVA15,79633.0–

117Gloucester County, VAVA40,09732.5–

118Arlington County, VAVA243,93132.4–

119Radford, VAVA17,24331.6–

120Charlotte County, VAVA11,40131.5–

121Halifax County, VAVA33,44731.5–

122Shenandoah County, VAVA45,83929.9–

123Norton, VAVA3,47725.1–

124Fredericksburg, VAVA30,39325.0–

125Covington, VAVA5,68023.9–

126Montgomery County, VAVA98,43423.4–

127Harrisonburg, VAVA50,83917.4–

128Manassas Park, VAVA16,56015.6–

129Rappahannock County, VAVA7,43915.1–

130Richmond County, VAVA9,29414.5–

131Northumberland County, VAVA12,55713.8–

132Middlesex County, VAVA10,84110.6–

133Mathews County, VAVA8,5292.8–

SHOWING 1–133 OF 133

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