Which county has the highest births per 1,000 women (15-50)?

De Baca County, New Mexico ranks #1 with 614.9 (2024 American Community Survey).

What are the top 5 counties by births per 1,000 women (15-50)?

De Baca County, New Mexico, Grant County, Kansas, Hamilton County, Florida, Madison County, Florida, McPherson County, South Dakota.

How many counties are in this ranking?

3,143 counties qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is births per 1,000 women (15-50) measured?

Annual general fertility rate: women 15-50 who gave birth in the past 12 months, per 1,000 women. Source: ACS B13016. Source: US Census Bureau, American Community Survey 5-year estimates (2024).

RANKING · 2024 ACS · 500 SHOWN OF 3,143

Highest fertility rate, US counties

US counties ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2023 ACS).

Flip the list · Lowest fertility rate, US counties →

All statesAll rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2000

501Clay County, GAGA2,81577.2–

502Van Zandt County, TXTX66,13077.2–

503Gilmer County, GAGA33,89477.0–

504Edgecombe County, NCNC49,12177.0–

505Fountain County, ININ17,01377.0–

506Magoffin County, KYKY11,11077.0–

507Stevens County, MNMN9,74777.0–

508Allen County, KYKY22,53676.9–

509Ozark County, MOMO9,17276.8–

510Osceola County, IAIA5,98076.6–

511Louisa County, VAVA42,92476.4–

512Crawford County, ININ10,50976.3–

513Yuba County, CACA88,69176.2–

514Sumter County, SCSC105,06776.2–

515Lanier County, GAGA10,62376.2–

516Knox County, MOMO3,72876.1–

517Chautauqua County, KSKS3,32176.1–

518Bonneville County, IDID135,77176.1–

519Sanborn County, SDSD2,38876.1–

520Bland County, VAVA6,15176.0–

521Iron County, WIWI6,12776.0–

522Alleghany County, NCNC11,47976.0–

523Stephens County, OKOK44,31076.0–

524Clay County, NCNC12,23975.9–

525Edwards County, ILIL5,89875.9–

526Shelby County, ININ45,88275.9–

527Lipscomb County, TXTX2,95575.8–

528Chase County, NENE3,71875.8–

529Gaines County, TXTX23,95675.8–

530Fayette County, IAIA19,04775.7–

531Mercer County, KYKY23,73375.6–

532Mercer County, OHOH42,73775.6–

533Todd County, KYKY12,97275.5–

534Converse County, WYWY13,82475.4–

535Tattnall County, GAGA24,37675.4–

536Seminole County, OKOK23,44175.4–

537Scotland County, MOMO4,79675.4–

538Barton County, KSKS24,79075.3–

539Montgomery County, IAIA10,00275.3–

540Jefferson County, OKOK5,43175.2–

541Lewis County, WAWA88,06275.2–

542Bath County, VAVA4,07675.2–

543Laurel County, KYKY63,74675.0–

544Henry County, ALAL18,39475.0–

545Cherokee County, OKOK49,19674.9–

546Morgan County, KYKY14,41574.8–

547Freeborn County, MNMN30,44074.7–

548Scurry County, TXTX16,16274.7–

549Kings County, CACA154,32774.7–

550Jackson County, ARAR16,74174.7–

551Alger County, MIMI8,64174.7–

552Brown County, KSKS9,10474.7–

553Caddo County, OKOK26,13074.6–

554Motley County, TXTX1,04374.6–

555Reagan County, TXTX3,16674.6–

556Scott County, MSMS28,07374.5–

557Eastland County, TXTX18,14374.5–

558Seward County, KSKS21,07374.5–

559Claiborne County, TNTN33,22974.4–

560Hart County, GAGA28,63974.4–

561Houston County, TXTX22,31674.3–

562Clay County, MSMS18,23874.3–

563Delta County, COCO32,17874.3–

564Cumberland County, TNTN66,30074.3–

565Wright County, MNMN157,55974.2–

566Grand County, UTUT9,79074.2–

567Daviess County, KYKY104,89874.1–

568McMinn County, TNTN57,40474.1–

569Sharp County, ARAR18,12274.1–

570Lawrence County, KYKY15,76574.0–

571Prince of Wales-Hyder Census Area, AKAK5,77774.0–

572Logan County, COCO20,65474.0–

573Traverse County, MNMN3,13073.9–

574Utah County, UTUT759,85973.9–

575Carroll County, ILIL15,41973.9–

576Traill County, NDND7,92073.9–

577Logan County, KSKS2,66173.9–

578White County, GAGA29,80273.7–

579Shelby County, TXTX24,28673.7–

580Richland County, NDND16,73173.6–

581Atchison County, KSKS16,17273.6–

582Newton County, MOMO62,26373.6–

583St. Clair County, ALAL98,20673.6–

584Clinton County, ILIL37,12873.6–

585Jennings County, ININ27,62273.6–

586Becker County, MNMN35,49773.5–

587Harrison County, OHOH14,07073.4–

588Prowers County, COCO11,88473.4–

589Guthrie County, IAIA10,78273.4–

590Glenn County, CACA28,14173.4–

591Bolivar County, MSMS28,26273.3–

592Bottineau County, NDND6,28473.3–

593Livingston County, ILIL35,05773.3–

594Gladwin County, MIMI26,07773.3–

595St. Martin Parish, LALA51,10673.2–

596Lincoln County, NCNC98,65473.2–

597Upton County, TXTX3,13173.1–

598Pleasants County, WVWV7,33873.1–

599Pawnee County, KSKS5,99173.0–

600Defiance County, OHOH38,29273.0–

601Gilmer County, WVWV7,08572.9–

602Burt County, NENE6,67872.9–

603Monroe County, WVWV12,49172.8–

604Jones County, GAGA29,17172.8–

605Rapides Parish, LALA125,87772.8–

606Platte County, MOMO114,40072.8–

607Saluda County, SCSC19,68072.8–

608Kingman County, KSKS7,02972.8–

609Waller County, TXTX69,85872.7–

610Clinton County, KYKY9,13972.7–

611Calhoun County, IAIA9,56272.7–

612Union County, GAGA27,85972.6–

613Winkler County, TXTX7,54072.6–

614Todd County, MNMN26,06072.5–

615Wayne County, OHOH116,75872.4–

616Morgan County, COCO30,30672.4–

617LaSalle County, ILIL107,77372.4–

618Crockett County, TXTX2,76972.3–

619Lewis County, TNTN13,48772.3–

620Owen County, KYKY11,60172.3–

621Houston County, TNTN8,47972.2–

622Cherokee County, SCSC58,27572.2–

623Upshur County, TXTX44,41072.2–

624Winnebago County, IAIA10,25172.2–

625Lucas County, IAIA8,84772.1–

626Vermilion Parish, LALA57,67172.1–

627Crawford County, MOMO22,92972.1–

628Knox County, OHOH64,00272.1–

629Miami County, OHOH112,63472.1–

630Guadalupe County, TXTX201,11172.1–

631Callahan County, TXTX14,49172.0–

632Glacier County, MTMT13,46372.0–

633Daggett County, UTUT93472.0–

634Gonzales County, TXTX20,15972.0–

635Roseau County, MNMN15,24672.0–

636Camden County, GAGA60,14372.0–

637Randolph County, ININ24,43872.0–

638Decatur County, IAIA7,65572.0–

639Pope County, MNMN11,42071.9–

640Idaho County, IDID17,87471.9–

641Lyon County, IAIA12,35471.8–

642Wood County, TXTX49,68871.8–

643New Kent County, VAVA28,02271.8–

644Tripp County, SDSD5,70871.8–

645Macon County, TNTN27,66371.8–

646Park County, COCO18,31471.7–

647Tehama County, CACA64,66571.7–

648Stephens County, GAGA27,85471.5–

649Wayne County, NYNY91,25071.5–

650Hardeman County, TXTX3,29271.5–

651Wapello County, IAIA35,21071.5–

652Fairfax, VAVA26,77271.5–

653Hoke County, NCNC56,93971.5–

654Knox County, NENE8,33571.5–

655Wells County, ININ28,88371.4–

656Orange County, TXTX86,26671.4–

657Hocking County, OHOH27,51271.4–

658Overton County, TNTN23,78771.4–

659Monroe County, OHOH12,99471.3–

660Taylor County, IAIA5,83571.3–

661Gratiot County, MIMI41,19071.3–

662Box Elder County, UTUT65,32071.3–

663Dickinson County, KSKS18,63771.2–

664Spencer County, KYKY20,99871.2–

665Ascension Parish, LALA135,10571.2–

666Renville County, MNMN14,35671.2–

667Tazewell County, VAVA38,63571.2–

668Emporia, VAVA5,44771.1–

669Pipestone County, MNMN9,26071.1–

670Mineral County, NVNV4,40771.0–

671Wilkes County, GAGA9,54071.0–

672Franklin County, ALAL32,44971.0–

673Fayette County, ILIL20,79070.9–

674Randolph County, ILIL29,92170.9–

675Moffat County, COCO13,12270.9–

676Garfield County, OKOK61,77970.8–

677Arthur County, NENE39670.7–

678Yellowstone County, MTMT172,69270.7–

679Orange County, NYNY417,66970.7–

680Quitman County, GAGA2,25470.6–

681Carson City, NVNV58,57170.5–

682Sebastian County, ARAR130,64170.5–

683Sullivan County, ININ20,83170.5–

684Roger Mills County, OKOK3,25970.4–

685Scott County, ININ25,05370.4–

686Okaloosa County, FLFL221,81070.4–

687Sanpete County, UTUT31,45370.3–

688Owsley County, KYKY3,93270.3–

689Henderson County, TXTX88,59570.2–

690Freestone County, TXTX20,81170.2–

691Phillips County, MTMT4,20370.2–

692Breckinridge County, KYKY21,50370.1–

693Charlton County, GAGA13,12170.1–

694Clinton County, IAIA46,00270.1–

695Crawford County, KSKS39,00870.0–

696Wadena County, MNMN14,38870.0–

697Cherokee County, ALAL26,41369.9–

698Presque Isle County, MIMI13,12869.9–

699Montgomery County, ININ38,95469.9–

700Nome Census Area, AKAK9,83069.9–

701Buchanan County, IAIA20,88369.9–

702Burke County, GAGA24,40869.9–

703Pulaski County, VAVA33,58669.9–

704Cedar County, NENE8,37369.9–

705Pike County, OHOH27,06169.8–

706Hardy County, WVWV14,33769.8–

707Fairbanks North Star, AKAK93,97269.8–

708Manassas, VAVA44,33269.8–

709Jefferson Parish, LALA431,39869.8–

710Manistee County, MIMI25,65669.7–

711Stevens County, KSKS4,98469.7–

712Clay County, TXTX10,76469.7–

713Cass County, ILIL12,46369.6–

714Chickasaw County, MSMS16,73069.6–

715Knox County, ININ35,65269.6–

716Colfax County, NENE10,93469.6–

717Coke County, TXTX3,41269.6–

718Clayton County, GAGA297,47169.6–

719Fergus County, MTMT11,82569.5–

720Lincoln County, TNTN36,85369.5–

721Franklin County, VAVA55,52669.5–

722Yell County, ARAR19,95669.5–

723Greene County, ININ31,16569.5–

724Ashland County, WIWI16,20369.5–

725Putnam County, FLFL77,73469.5–

726Brown County, NENE2,82669.5–

727Washington County, IAIA22,66769.4–

728Aurora County, SDSD2,80169.4–

729Henderson County, TNTN28,51869.4–

730Leon County, TXTX16,89469.3–

731Henderson County, ILIL5,98469.3–

732Madison County, ARAR18,41069.3–

733Ravalli County, MTMT48,58269.3–

734Yakima County, WAWA259,18569.2–

735Westmoreland County, VAVA19,71569.2–

736Attala County, MSMS17,10069.1–

737Hamilton County, NYNY5,00669.1–

738Clinton County, MOMO21,66169.1–

739Union Parish, LALA20,56169.1–

740Kandiyohi County, MNMN44,72069.1–

741Pettis County, MOMO44,25469.1–

742Butler County, KSKS69,48469.0–

743Benewah County, IDID10,50869.0–

744Eddy County, NMNM62,50968.9–

745Wright County, IAIA12,80168.9–

746Campbell County, WYWY48,14568.9–

747Lauderdale County, MSMS70,31768.9–

748Pocahontas County, IAIA6,81968.9–

749Warren County, NYNY65,02068.9–

750Jones County, MSMS66,49668.9–

751Andrews County, TXTX18,91468.8–

752Park County, MTMT18,21468.8–

753Randolph County, ALAL23,16368.8–

754LaSalle Parish, LALA15,15468.7–

755Guernsey County, OHOH38,37968.7–

756Jefferson County, NYNY111,54068.7–

757Dallas County, ALAL35,14068.7–

758Newton County, MSMS20,96068.7–

759Dade County, MOMO7,80468.7–

760Franklin Parish, LALA19,00268.6–

761Franklin County, ILIL36,91668.6–

762West Feliciana Parish, LALA15,13468.6–

763Lawrence County, ARAR16,27368.6–

764Marion County, ILIL36,38268.5–

765Osage County, MOMO13,61168.5–

766Chisago County, MNMN59,14268.5–

767Douglas County, WAWA46,47368.5–

768Elliott County, KYKY7,26568.5–

769Adams County, IDID5,01368.4–

770Harvey County, KSKS33,58068.4–

771Kearney County, NENE6,79068.4–

772Madison County, IAIA17,27068.3–

773Wakulla County, FLFL38,08968.3–

774Switzerland County, ININ10,03768.3–

775Campbell County, TNTN40,29068.3–

776Bedford County, TNTN55,27368.3–

777Wood County, WVWV82,38568.3–

778Lander County, NVNV5,87268.3–

779Roane County, TNTN57,39568.2–

780Hickory County, MOMO9,04468.2–

781Matanuska-Susitna, AKAK118,66668.1–

782Putnam County, ILIL5,61968.1–

783Dale County, ALAL49,91268.1–

784Cass County, NENE27,65768.1–

785Coal County, OKOK5,43668.1–

786Iredell County, NCNC211,79868.1–

787Richland County, MTMT11,37768.1–

788Grant County, WAWA105,72768.0–

789Union County, ARAR36,92668.0–

790Pearl River County, MSMS59,36367.9–

791Hertford County, NCNC19,01567.9–

792Piscataquis County, MEME17,40967.9–

793Plaquemines Parish, LALA22,25667.9–

794Jackson County, IAIA19,28867.9–

795Lake of the Woods County, MNMN3,77067.8–

796Perry County, ININ19,38967.8–

797Effingham County, ILIL34,51967.8–

798Brantley County, GAGA18,93667.8–

799Murray County, GAGA41,60767.8–

800Barron County, WIWI46,48467.7–

801Hickman County, TNTN26,21967.7–

802Prentiss County, MSMS25,28467.7–

803Hartley County, TXTX4,90467.7–

804Washington County, ILIL13,56467.7–

805Rockingham County, NCNC94,19567.7–

806Iberia Parish, LALA66,84667.7–

807Carroll County, KYKY11,14167.6–

808Grays Harbor County, WAWA78,14467.6–

809Brunswick County, NCNC174,70267.6–

810Smith County, TNTN20,98167.6–

811Pulaski County, ININ12,46367.5–

812Sibley County, MNMN15,35667.4–

813Roberts County, SDSD10,25567.4–

814Boone County, IAIA26,79967.3–

815Clinton County, PAPA37,87067.3–

816Crawford County, ARAR62,65767.3–

817Goshen County, WYWY12,64067.2–

818Madison County, MTMT10,02667.2–

819Lincoln County, NENE33,30367.2–

820Currituck County, NCNC33,15867.2–

821Lawrence County, TNTN46,91467.1–

822Mitchell County, NCNC15,06267.1–

823Otter Tail County, MNMN61,04167.1–

824Scotts Bluff County, NENE35,58667.1–

825Belknap County, NHNH65,14767.1–

826Sullivan County, NYNY80,58667.1–

827Ford County, ILIL13,21667.1–

828Rush County, ININ16,76767.1–

829Kewaunee County, WIWI20,75867.0–

830Bay County, FLFL204,47967.0–

831Deer Lodge County, MTMT9,70967.0–

832Sullivan County, PAPA5,85667.0–

833Dade County, GAGA16,15467.0–

834Frontier County, NENE2,65566.9–

835Roane County, WVWV13,31766.9–

836Wasatch County, UTUT38,51466.8–

837Bell County, KYKY22,82966.8–

838St. James Parish, LALA18,93866.8–

839Maui County, HIHI160,59266.8–

840Juneau County, WIWI26,64966.7–

841Keya Paha County, NENE79266.7–

842Appomattox County, VAVA17,17266.7–

843Hopewell, VAVA23,26166.7–

844Howard County, ININ83,90466.6–

845White County, ARAR80,08566.6–

846Columbiana County, OHOH99,37766.6–

847Howell County, MOMO40,79866.6–

848Marshall County, SDSD4,42666.6–

849Webb County, TXTX281,22466.5–

850Newaygo County, MIMI51,62266.5–

851Bell County, TXTX402,24866.5–

852Alamosa County, COCO16,68866.5–

853King George County, VAVA29,64666.5–

854Erath County, TXTX43,91166.5–

855Kauai County, HIHI73,40066.5–

856Linn County, MOMO11,81566.4–

857Wayne County, MOMO10,78266.4–

858Minnehaha County, SDSD212,69166.4–

859Rockcastle County, KYKY16,14866.4–

860Osceola County, MIMI23,51666.4–

861Richland County, ILIL15,21966.4–

862Morgan County, OHOH13,62666.4–

863Yancey County, NCNC19,08466.3–

864Lincoln County, NMNM19,84466.3–

865Madison County, VAVA14,23766.3–

866Wyandotte County, KSKS170,59766.3–

867Ottawa County, KSKS5,74466.2–

868Crawford County, OHOH41,89666.2–

869Otoe County, NENE16,53166.1–

870Oconee County, SCSC83,77566.1–

871Whitley County, KYKY37,29766.1–

872Henry County, MOMO22,67166.0–

873Scott County, KYKY62,26266.0–

874Olmsted County, MNMN166,73166.0–

875Washington Parish, LALA44,93766.0–

876Edwards County, KSKS2,64066.0–

877Costilla County, COCO3,67966.0–

878Conway County, ARAR21,39365.9–

879Milam County, TXTX26,25865.9–

880Johnson County, ARAR26,22565.9–

881Pemiscot County, MOMO14,46565.9–

882Morgan County, GAGA22,09565.8–

883Richmond County, NCNC42,04165.8–

884Dawson County, NENE24,45265.8–

885Sherburne County, MNMN104,19465.8–

886Mohave County, AZAZ228,10265.8–

887Willacy County, TXTX19,97165.8–

888Independence County, ARAR38,78565.7–

889Morton County, NDND34,60165.7–

890Weber County, UTUT278,17465.7–

891Fulton County, OHOH41,85365.7–

892Boone County, ILIL53,56865.7–

893Cass County, MIMI51,67765.7–

894Aitkin County, MNMN16,25265.7–

895Irwin County, GAGA9,02065.6–

896Hunt County, TXTX123,33665.6–

897Sitka, AKAK8,31965.5–

898Ellis County, TXTX240,86765.5–

899Ontario County, NYNY113,13065.4–

900Muskogee County, OKOK66,70865.4–

901Armstrong County, PAPA63,69865.4–

902Guadalupe County, NMNM4,34365.4–

903Howard County, ARAR12,30665.4–

904Jackson County, TNTN12,46665.3–

905Wyandot County, OHOH21,56765.3–

906Lorain County, OHOH323,21965.3–

907Winston County, MSMS17,47365.3–

908Lewis County, KYKY12,90165.3–

909Goliad County, TXTX7,20865.3–

910Preston County, WVWV34,00465.2–

911Okeechobee County, FLFL42,60865.2–

912Sheridan County, MTMT3,43665.2–

913Trigg County, KYKY14,51265.2–

914Rowan County, NCNC155,09665.2–

915Wilkes County, NCNC66,23365.2–

916Madison County, OHOH46,98565.1–

917Ogemaw County, MIMI21,12165.1–

918Barber County, KSKS4,08365.1–

919Palo Pinto County, TXTX30,79165.1–

920Stephenson County, ILIL43,22065.1–

921Franklin County, KSKS26,29965.1–

922Ashley County, ARAR17,83165.1–

923Oneida County, NYNY226,39265.0–

924Missaukee County, MIMI15,27465.0–

925Montgomery County, KYKY28,82265.0–

926Atoka County, OKOK14,60964.9–

927Dickenson County, VAVA13,23664.9–

928Jones County, TXTX20,86164.9–

929Jackson County, MNMN9,85764.8–

930Sutter County, CACA98,78764.8–

931Ashe County, NCNC27,51464.8–

932Bingham County, IDID51,15364.8–

933DeSoto County, MSMS197,91864.7–

934Oconto County, WIWI40,19564.7–

935Morgan County, UTUT13,38364.7–

936Carroll County, OHOH26,47564.6–

937Butler County, NENE8,50764.6–

938Bollinger County, MOMO10,64664.6–

939Jackson County, GAGA99,26564.6–

940Miner County, SDSD2,28164.6–

941Carroll County, GAGA131,03664.6–

942San Saba County, TXTX5,78764.6–

943Charles Mix County, SDSD9,30364.6–

944Grayson County, TXTX153,61364.6–

945Boundary County, IDID13,99764.5–

946Hendricks County, ININ193,51064.5–

947Sherman County, NENE2,92464.5–

948Big Horn County, WYWY12,02464.4–

949Montague County, TXTX21,96664.4–

950Suffolk, VAVA104,69964.3–

951Anoka County, MNMN381,60564.3–

952Hot Spring County, ARAR33,45164.3–

953Coahoma County, MSMS19,84964.3–

954Chenango County, NYNY45,71564.3–

955Bureau County, ILIL32,51064.2–

956Crawford County, PAPA81,79264.2–

957Tuscarawas County, OHOH92,37364.2–

958Faribault County, MNMN13,88864.2–

959Dallam County, TXTX7,50864.2–

960Washington County, GAGA19,45364.2–

961Henderson County, NCNC122,37564.2–

962Baylor County, TXTX3,47264.1–

963Sweetwater County, WYWY41,26764.1–

964Hinds County, MSMS211,88864.1–

965Dubuque County, IAIA99,38164.1–

966Kenosha County, WIWI168,44864.1–

967Midland County, MIMI83,75464.0–

968Berkeley County, SCSC274,66664.0–

969Laramie County, WYWY102,93864.0–

970Grayson County, VAVA15,23064.0–

971Thayer County, NENE4,84264.0–

972Cayuga County, NYNY74,36564.0–

973Saline County, ARAR133,28864.0–

974Livingston County, NYNY61,43863.9–

975Lancaster County, PAPA563,15963.9–

976McLean County, NDND9,74063.9–

977Marengo County, ALAL18,31163.9–

978Kane County, UTUT8,59763.9–

979Grand Forks County, NDND74,50163.9–

980Marion County, MSMS24,00163.8–

981Lancaster County, SCSC114,29663.8–

982Sauk County, WIWI66,65263.8–

983Columbia County, FLFL74,09463.8–

984Evangeline Parish, LALA31,98063.8–

985Brown County, SDSD37,56163.8–

986Fulton County, PAPA14,48363.7–

987Hardeman County, TNTN25,27463.7–

988Cullman County, ALAL94,00963.7–

989Colleton County, SCSC39,38263.6–

990Lamb County, TXTX12,57963.6–

991Appanoose County, IAIA12,07763.6–

992Wyoming County, PAPA25,79063.6–

993Buchanan County, MOMO83,54063.5–

994Lowndes County, ALAL9,35963.5–

995Cleveland County, NCNC103,32563.5–

996Washington County, ALAL14,82263.4–

997Ford County, KSKS33,99363.4–

998Woodson County, KSKS3,11863.3–

999Christian County, MOMO96,72563.3–

1000Clarke County, VAVA15,60963.3–

SHOWING 501–1,000 OF 3,143

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