RANKING · 2010 CENSUS · 133 SHOWN OF 133

Highest fertility rate, Virginia counties · 2010

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

01Goochland County, VAVA29,187127.1–

02Franklin, VAVA8,47890.7–

03Emporia, VAVA5,44789.6–

04Charlotte County, VAVA11,40175.6–

05Loudoun County, VAVA449,74973.3–

06Caroline County, VAVA34,41372.4–

07Manassas, VAVA44,33271.2–

08Portsmouth, VAVA96,77771.1–

09Fairfax, VAVA26,77269.1–

10Rockingham County, VAVA89,31668.3–

11King William County, VAVA19,61767.1–

12Brunswick County, VAVA15,72767.1–

13Northumberland County, VAVA12,55766.7–

14Nottoway County, VAVA15,79665.5–

15Frederick County, VAVA99,95565.0–

16Mecklenburg County, VAVA30,74764.7–

17Norfolk, VAVA231,01364.4–

18Rappahannock County, VAVA7,43964.3–

19King George County, VAVA29,64664.0–

20Carroll County, VAVA29,29963.8–

21Prince William County, VAVA502,96663.4–

22Stafford County, VAVA170,80363.4–

23Westmoreland County, VAVA19,71562.3–

24Dickenson County, VAVA13,23662.1–

25Sussex County, VAVA10,75561.7–

26Louisa County, VAVA42,92461.3–

27Suffolk, VAVA104,69961.0–

28Newport News, VAVA183,23060.6–

29Warren County, VAVA42,74059.8–

30Danville, VAVA41,64759.8–

31Spotsylvania County, VAVA155,38859.1–

32Giles County, VAVA16,56458.7–

33Falls Church, VAVA15,15958.2–

34Franklin County, VAVA55,52657.8–

35Henrico County, VAVA342,77556.9–

36Manassas Park, VAVA16,56056.9–

37Pulaski County, VAVA33,58656.0–

38Alexandria, VAVA160,66255.0–

39York County, VAVA71,37454.3–

40Chesapeake, VAVA255,33254.2–

41Amelia County, VAVA13,63254.1–

42Fairfax County, VAVA1,167,87353.9–

43Campbell County, VAVA55,62953.6–

44Appomattox County, VAVA17,17253.5–

45Fluvanna County, VAVA28,97553.2–

46Virginia Beach, VAVA453,73752.6–

47Halifax County, VAVA33,44752.5–

48Waynesboro, VAVA23,95151.8–

49Culpeper County, VAVA57,66651.2–

50Southampton County, VAVA18,11051.0–

51Greensville County, VAVA11,18150.0–

52Richmond, VAVA237,25750.0–

53Richmond County, VAVA9,29449.9–

54Orange County, VAVA40,08349.6–

55Accomack County, VAVA33,85949.5–

56Buckingham County, VAVA17,13748.9–

57Lynchburg, VAVA81,34748.8–

58Hampton, VAVA137,31548.8–

59Page County, VAVA23,76248.6–

60Henry County, VAVA49,24248.5–

61Tazewell County, VAVA38,63547.9–

62Chesterfield County, VAVA397,14847.6–

63Cumberland County, VAVA10,35247.1–

64Alleghany County, VAVA14,54646.8–

65Arlington County, VAVA243,93146.6–

66Wise County, VAVA34,82446.6–

67Bristol, VAVA16,41846.5–

68Isle of Wight County, VAVA41,32146.3–

69Pittsylvania County, VAVA59,49045.9–

70Mathews County, VAVA8,52945.9–

71Roanoke, VAVA99,11145.6–

72Roanoke County, VAVA97,15045.1–

73Shenandoah County, VAVA45,83945.0–

74Surry County, VAVA6,60344.4–

75Albemarle County, VAVA118,35643.9–

76Bland County, VAVA6,15143.8–

77Fauquier County, VAVA76,50343.8–

78Salem, VAVA25,81643.5–

79Winchester, VAVA28,27243.4–

80Lunenburg County, VAVA12,05843.3–

81Poquoson, VAVA13,29243.2–

82Northampton County, VAVA11,87943.0–

83Essex County, VAVA10,65443.0–

84Bedford County, VAVA83,05942.9–

85Patrick County, VAVA17,42442.0–

86King and Queen County, VAVA6,74341.6–

87Botetourt County, VAVA34,14441.4–

88James City County, VAVA83,32640.3–

89Amherst County, VAVA31,96239.4–

90Hanover County, VAVA116,42339.1–

91Augusta County, VAVA78,94038.1–

92Martinsville, VAVA13,84937.9–

93Rockbridge County, VAVA22,66337.8–

94Washington County, VAVA53,89837.8–

95Fredericksburg, VAVA30,39337.7–

96Scott County, VAVA21,20037.6–

97Charles City County, VAVA6,62337.0–

98Powhatan County, VAVA32,59136.9–

99Bath County, VAVA4,07636.8–

100Montgomery County, VAVA98,43436.2–

101Floyd County, VAVA15,78936.0–

102Madison County, VAVA14,23735.4–

103New Kent County, VAVA28,02234.4–

104Covington, VAVA5,68034.4–

105Buchanan County, VAVA18,49234.2–

106Gloucester County, VAVA40,09733.8–

107Hopewell, VAVA23,26133.4–

108Highland County, VAVA2,31833.0–

109Buena Vista, VAVA6,67232.5–

110Wythe County, VAVA27,98332.3–

111Galax, VAVA6,67032.1–

112Russell County, VAVA25,33231.2–

113Petersburg, VAVA33,73431.0–

114Clarke County, VAVA15,60929.9–

115Harrisonburg, VAVA50,83928.6–

116Craig County, VAVA4,80028.6–

117Lancaster County, VAVA10,99528.5–

118Smyth County, VAVA28,88227.9–

119Greene County, VAVA21,95827.5–

120Lee County, VAVA21,64227.1–

121Grayson County, VAVA15,23026.4–

122Charlottesville, VAVA44,38825.4–

123Dinwiddie County, VAVA28,89624.6–

124Prince Edward County, VAVA22,39123.8–

125Nelson County, VAVA14,92021.5–

126Staunton, VAVA26,80121.0–

127Prince George County, VAVA43,93620.7–

128Colonial Heights, VAVA18,73818.2–

129Radford, VAVA17,24315.5–

130Williamsburg, VAVA15,8618.4–

131Middlesex County, VAVA10,8417.8–

132Norton, VAVA3,4776.5–

133Lexington, VAVA7,7693.0–

SHOWING 1–133 OF 133

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