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

Conecuh County, Alabama ranks #1 with 211.8 (2010 American Community Survey).

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

Conecuh County, Alabama, Harding County, New Mexico, Butler County, Alabama, McPherson County, Nebraska, Kenedy County, Texas.

How many counties are in this ranking?

3,131 counties qualify after filtering for population minimums and data availability. The ranking covers 2010 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 (2010).

RANKING · 2010 CENSUS · 500 SHOWN OF 3,131

Highest fertility rate, US counties · 2010

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

501Lampasas County, TXTX23,65774.3–

502Baca County, COCO3,34774.3–

503Conway County, ARAR21,39374.3–

504Lamb County, TXTX12,57974.2–

505Branch County, MIMI45,99374.2–

506Kern County, CACA927,06874.2–

507Boundary County, IDID13,99774.0–

508Cochran County, TXTX2,54674.0–

509Wyandotte County, KSKS170,59774.0–

510Knox County, NENE8,33574.0–

511Lafayette County, MOMO33,53174.0–

512McDonald County, MOMO23,99274.0–

513Newton County, ININ14,18873.9–

514Jackson County, WIWI20,99973.9–

515Pickaway County, OHOH62,97873.9–

516Stephens County, TXTX9,38073.9–

517Auglaize County, OHOH45,90973.9–

518Terrell County, GAGA8,65673.7–

519Fergus County, MTMT11,82573.6–

520Morton County, NDND34,60173.6–

521Hyde County, SDSD1,19173.6–

522Red Lake County, MNMN3,94073.6–

523Delta County, TXTX5,54973.6–

524Skagit County, WAWA132,97573.6–

525Comanche County, OKOK122,15873.5–

526Scott County, MSMS28,07373.5–

527Clinton County, OHOH42,30173.5–

528Marion County, ILIL36,38273.5–

529Montrose County, COCO44,59173.5–

530Osage County, KSKS15,69373.4–

531Chester County, TNTN17,99473.4–

532Beaufort County, SCSC204,43373.4–

533Trimble County, KYKY8,70173.4–

534Ballard County, KYKY7,59473.3–

535Washington County, NCNC10,63873.3–

536Loudoun County, VAVA449,74973.3–

537Calhoun County, IAIA9,56273.3–

538Goshen County, WYWY12,64073.3–

539Pulaski County, MOMO54,44273.2–

540Newton County, MSMS20,96073.1–

541Houston County, MNMN18,40073.1–

542Rolette County, NDND11,68873.0–

543Clark County, KYKY37,88873.0–

544Adams County, WIWI21,75272.9–

545Uinta County, WYWY20,72872.9–

546Eagle County, COCO54,29172.9–

547Yellowstone County, MTMT172,69272.9–

548Kinney County, TXTX3,12872.8–

549Jennings County, ININ27,62272.8–

550Jefferson County, NENE7,07072.8–

551Reagan County, TXTX3,16672.7–

552Paulding County, OHOH18,72772.7–

553Harrison County, MOMO8,28172.7–

554Dickinson County, IAIA18,07772.7–

555Cumberland County, NCNC338,47372.7–

556Roosevelt County, NMNM18,61572.6–

557Tillman County, OKOK6,78072.6–

558Navarro County, TXTX57,18172.6–

559Winston County, MSMS17,47372.6–

560Harrison County, ININ40,43772.5–

561Jasper County, ILIL9,03272.5–

562Caroline County, VAVA34,41372.4–

563Bracken County, KYKY8,51172.4–

564Ouachita County, ARAR21,73172.3–

565St. James Parish, LALA18,93872.3–

566Webster County, MOMO43,05472.3–

567Hardin County, IAIA16,45572.2–

568Jefferson County, NYNY111,54072.2–

569St. Croix County, WIWI98,27672.1–

570Nevada County, ARAR7,94272.1–

571Walworth County, SDSD5,21772.1–

572Mower County, MNMN40,97172.1–

573Lincoln County, TNTN36,85372.0–

574Kidder County, NDND2,39372.0–

575Metcalfe County, KYKY10,58372.0–

576Scotts Bluff County, NENE35,58672.0–

577Barbour County, ALAL24,60772.0–

578Rusk County, WIWI14,14672.0–

579Lucas County, IAIA8,84771.9–

580Bertie County, NCNC17,08671.9–

581Buchanan County, MOMO83,54071.9–

582Hall County, NENE63,63371.9–

583Lewis County, KYKY12,90171.8–

584Gila County, AZAZ53,80171.8–

585Boyd County, NENE1,67471.8–

586Cass County, MNMN31,43071.8–

587Howard County, IAIA9,41571.8–

588Fayette County, ININ23,53371.8–

589Bourbon County, KSKS14,31971.8–

590Polk County, GAGA45,51471.7–

591Clay County, GAGA2,81571.7–

592Durham County, NCNC347,24071.7–

593Barren County, KYKY45,64171.7–

594Colbert County, ALAL59,47471.7–

595La Paz County, AZAZ16,71171.7–

596Otoe County, NENE16,53171.6–

597Dougherty County, GAGA82,61671.6–

598Monroe County, ARAR6,24471.6–

599Arkansas County, ARAR15,83671.6–

600Pointe Coupee Parish, LALA19,52071.6–

601Frio County, TXTX18,82371.5–

602Pawnee County, OKOK16,02971.5–

603Jefferson County, ARAR62,98771.5–

604Webb County, TXTX281,22471.4–

605Marion County, TXTX9,89671.4–

606Vernon County, MOMO19,94671.4–

607Saline County, ILIL22,77271.4–

608Yates County, NYNY24,54771.4–

609Lawrence County, MOMO39,40171.3–

610Grady County, OKOK59,12871.3–

611Hot Springs County, WYWY4,60071.3–

612Grundy County, IAIA12,36171.2–

613Manassas, VAVA44,33271.2–

614Fresno County, CACA1,035,45671.1–

615Bottineau County, NDND6,28471.1–

616Portsmouth, VAVA96,77771.1–

617McCook County, SDSD5,96471.0–

618Otero County, NMNM70,36871.0–

619Sitka, AKAK8,31971.0–

620Chisago County, MNMN59,14270.9–

621Duplin County, NCNC51,57170.9–

622Cedar County, NENE8,37370.8–

623Archer County, TXTX9,12970.8–

624Major County, OKOK7,53670.8–

625Sedgwick County, KSKS538,43370.8–

626Boise County, IDID8,54570.8–

627Freestone County, TXTX20,81170.8–

628Cochise County, AZAZ126,33270.7–

629Bonner County, IDID54,42070.7–

630Blaine County, NENE45870.7–

631Des Moines County, IAIA38,07770.7–

632Kay County, OKOK43,49070.6–

633Edgecombe County, NCNC49,12170.6–

634Sedgwick County, COCO2,24770.6–

635Vinton County, OHOH12,64570.5–

636Otero County, COCO17,68370.5–

637Rowan County, KYKY24,47670.5–

638White County, ILIL13,25070.5–

639Dawson County, NENE24,45270.5–

640Pembina County, NDND6,56870.5–

641Cherokee County, KSKS19,10570.5–

642Henry County, OHOH27,59870.5–

643Henderson County, NCNC122,37570.5–

644Hamilton County, FLFL14,18070.5–

645Washington County, IDID11,58370.5–

646Calumet County, WIWI53,98270.5–

647Marshall County, TNTN38,07170.5–

648Wayne County, NCNC122,27870.4–

649Lea County, NMNM74,74970.3–

650Reno County, KSKS61,53970.3–

651Burt County, NENE6,67870.3–

652Brown County, KSKS9,10470.3–

653Dodge County, MNMN21,37670.3–

654Lee County, TXTX18,72970.2–

655DeSoto County, MSMS197,91870.2–

656Switzerland County, ININ10,03770.2–

657Leavenworth County, KSKS84,59070.2–

658Calhoun County, TXTX19,59970.1–

659Fulton County, ARAR12,49270.1–

660Snyder County, PAPA39,65570.1–

661Bell County, KYKY22,82970.1–

662Marion County, SCSC28,24270.0–

663Caddo County, OKOK26,13070.0–

664Lake County, OROR8,18770.0–

665Toombs County, GAGA27,54570.0–

666Fayette County, TXTX25,45969.9–

667DeSoto County, FLFL37,07869.9–

668Clayton County, IAIA16,84569.9–

669Pennington County, SDSD116,79269.9–

670Perry County, TNTN9,12669.9–

671Rankin County, MSMS162,18169.9–

672Salt Lake County, UTUT1,220,91669.8–

673Clinton County, ININ33,32269.8–

674Hill County, MTMT16,16769.8–

675Nelson County, KYKY49,03669.8–

676Grundy County, ILIL54,05269.8–

677Benton County, WAWA221,72269.8–

678Columbia County, ARAR21,89469.7–

679Effingham County, ILIL34,51969.6–

680Camden County, GAGA60,14369.6–

681Cass County, IAIA12,96069.6–

682Douglas County, NENE606,46069.6–

683Pearl River County, MSMS59,36369.6–

684Kootenai County, IDID191,86469.5–

685Ida County, IAIA6,77769.5–

686Perry County, OHOH35,91869.5–

687Wright County, MNMN157,55969.5–

688Harris County, TXTX5,045,02669.5–

689Oldham County, TXTX1,78369.5–

690Desha County, ARAR9,98469.4–

691Coffee County, TNTN62,41969.4–

692Beadle County, SDSD19,62469.4–

693Osborne County, KSKS3,28569.3–

694Pittsburg County, OKOK43,32069.3–

695Clay County, NENE6,17069.3–

696Washington County, IAIA22,66769.3–

697Imperial County, CACA181,41169.3–

698Wayne County, GAGA32,48169.2–

699Cooke County, TXTX44,46169.2–

700Deuel County, SDSD4,40869.2–

701Miller County, GAGA5,81269.2–

702Montour County, PAPA17,86869.1–

703Fairfax, VAVA26,77269.1–

704Greenwood County, SCSC70,37969.1–

705Greene County, ALAL7,06769.1–

706Hardeman County, TNTN25,27469.1–

707San Augustine County, TXTX7,72269.1–

708Wayne County, TNTN16,41669.0–

709Williams County, NDND41,76769.0–

710Yadkin County, NCNC38,32569.0–

711Sheridan County, WYWY33,24169.0–

712Hamilton County, IAIA14,94469.0–

713Gillespie County, TXTX28,52768.9–

714Kleberg County, TXTX30,31568.9–

715Marshall County, MNMN8,79868.9–

716Saguache County, COCO6,73268.8–

717Bladen County, NCNC30,00768.8–

718Carroll County, OHOH26,47568.8–

719De Soto Parish, LALA27,38168.8–

720Macon County, NCNC39,23268.8–

721Pike County, ININ12,00368.8–

722Calhoun County, ALAL115,83468.8–

723Wood County, WIWI74,06068.7–

724Livingston County, ILIL35,05768.7–

725Routt County, COCO25,32968.7–

726Canadian County, OKOK187,18968.7–

727Logan County, OKOK55,47368.7–

728Wichita County, TXTX129,55568.7–

729Lancaster County, NENE334,04968.7–

730Saline County, KSKS53,37768.6–

731Marshall County, IAIA39,89068.6–

732Clay County, NCNC12,23968.6–

733Bowie County, TXTX92,69668.6–

734Madison County, NENE36,10668.5–

735Christian County, MOMO96,72568.5–

736Buchanan County, IAIA20,88368.5–

737Lander County, NVNV5,87268.5–

738Alfalfa County, OKOK5,64968.4–

739Graham County, KSKS2,37168.4–

740Eastland County, TXTX18,14368.4–

741Rockingham County, VAVA89,31668.3–

742Scott County, KSKS4,81568.3–

743San Joaquin County, CACA823,81568.3–

744St. Landry Parish, LALA80,76568.3–

745Marshall County, OKOK16,25568.3–

746Bon Homme County, SDSD7,24468.2–

747Linn County, OROR132,84368.2–

748Bastrop County, TXTX118,90868.2–

749Miller County, ARAR42,35768.2–

750Jefferson Davis Parish, LALA31,47168.1–

751Adams County, NENE31,07168.1–

752Lincoln County, KSKS2,86168.1–

753Cascade County, MTMT85,02968.1–

754Sawyer County, WIWI18,84668.1–

755Island County, WAWA85,65768.1–

756Elkhart County, ININ208,77468.0–

757Forest County, PAPA6,61468.0–

758Bailey County, TXTX6,96368.0–

759Jefferson County, TXTX254,32167.9–

760Clay County, ININ26,41067.9–

761Atchison County, KSKS16,17267.9–

762Jackson County, ALAL54,28167.8–

763Young County, TXTX18,15467.8–

764Angelina County, TXTX88,15467.7–

765Yukon-Koyukuk Census Area, AKAK5,02867.7–

766Ralls County, MOMO10,44467.7–

767Kaufman County, TXTX209,23567.7–

768Tarrant County, TXTX2,248,46667.7–

769Liberty County, GAGA70,31367.7–

770McCracken County, KYKY67,55367.7–

771Davison County, SDSD20,06967.6–

772Iowa County, IAIA16,50467.6–

773Sarpy County, NENE208,30367.6–

774Panola County, MSMS32,69167.6–

775Clay County, MSMS18,23867.5–

776Sumter County, ALAL11,58867.5–

777Lamoille County, VTVT26,29467.5–

778Houston County, GAGA178,21467.5–

779Prairie County, MTMT1,11267.5–

780Tom Green County, TXTX120,60267.5–

781Muskegon County, MIMI177,90167.4–

782Gilchrist County, FLFL20,48867.4–

783Hartley County, TXTX4,90467.4–

784Marion County, OROR355,77767.4–

785Walker County, GAGA70,25067.4–

786Southeast Fairbanks Census Area, AKAK7,27067.3–

787Morris County, KSKS5,34867.3–

788Rio Blanco County, COCO6,68367.3–

789Cowlitz County, WAWA114,88567.3–

790Daviess County, ININ34,20967.3–

791Ohio County, KYKY23,93467.2–

792Macon County, ILIL99,30067.2–

793Whiteside County, ILIL54,12167.2–

794Tippah County, MSMS21,38967.2–

795Kershaw County, SCSC73,16667.2–

796Runnels County, TXTX9,69367.2–

797King William County, VAVA19,61767.1–

798Brunswick County, VAVA15,72767.1–

799Terrebonne Parish, LALA104,16367.1–

800Copiah County, MSMS27,49767.1–

801Hale County, TXTX31,81967.0–

802Benewah County, IDID10,50867.0–

803Swift County, MNMN9,76367.0–

804Buena Vista County, IAIA20,44967.0–

805Wilkin County, MNMN6,28867.0–

806Rapides Parish, LALA125,87767.0–

807Jackson County, TXTX15,39366.9–

808Wakulla County, FLFL38,08966.9–

809Harrison County, OHOH14,07066.9–

810Adams County, COCO554,66866.9–

811Matanuska-Susitna, AKAK118,66666.8–

812Northumberland County, VAVA12,55766.7–

813Le Flore County, OKOK50,19666.7–

814Thurston County, WAWA304,26166.7–

815Keya Paha County, NENE79266.7–

816Miner County, SDSD2,28166.7–

817Burnett County, WIWI17,22366.7–

818Jackson County, GAGA99,26566.7–

819Navajo County, AZAZ109,94666.6–

820Sabine Parish, LALA21,83466.6–

821Madison County, IDID55,17266.6–

822Trousdale County, TNTN12,62366.6–

823Kane County, ILIL525,75766.5–

824Jewell County, KSKS2,83066.5–

825Kosciusko County, ININ80,89266.5–

826Pike County, MOMO17,95566.5–

827Iowa County, WIWI23,95166.4–

828Wetzel County, WVWV13,73466.4–

829Roger Mills County, OKOK3,25966.4–

830Newton County, GAGA125,58366.4–

831Grundy County, TNTN14,11666.4–

832Washington County, MSMS40,44666.4–

833Williamson County, TXTX752,82766.4–

834Assumption Parish, LALA19,72066.3–

835Robertson County, TNTN80,17566.3–

836Bullock County, ALAL9,78066.2–

837Ward County, NDND68,23366.2–

838Spencer County, KYKY20,99866.2–

839Wapello County, IAIA35,21066.2–

840Shawano County, WIWI41,56066.2–

841Butts County, GAGA27,21866.2–

842Adams County, OHOH27,86566.2–

843Yoakum County, TXTX7,43866.1–

844Ocean County, NJNJ673,74666.1–

845Muscogee County, GAGA202,17166.1–

846Edmunds County, SDSD4,02266.1–

847Woodson County, KSKS3,11866.1–

848Lincoln County, MSMS35,01266.1–

849Upshur County, TXTX44,41066.1–

850Rock County, MNMN9,52466.0–

851Crockett County, TXTX2,76966.0–

852Solano County, CACA455,37666.0–

853Lyon County, KSKS32,26666.0–

854Fairbanks North Star, AKAK93,97266.0–

855Rio Arriba County, NMNM39,83265.9–

856Allen County, ININ402,32965.9–

857Crawford County, MOMO22,92965.9–

858Oklahoma County, OKOK822,12565.8–

859Scott County, ININ25,05365.8–

860San Patricio County, TXTX72,05365.8–

861Marion County, ALAL29,09765.8–

862Carroll County, GAGA131,03665.8–

863Harrison County, MSMS217,13665.8–

864Vigo County, ININ106,51265.8–

865Jefferson County, KSKS18,29665.7–

866Sutton County, TXTX3,20365.7–

867Chambers County, TXTX57,59465.7–

868Fayette County, OHOH28,55265.7–

869Alexander County, NCNC36,95865.7–

870Clay County, ALAL14,20765.6–

871Campbell County, WYWY48,14565.6–

872Lincoln County, WVWV19,17765.6–

873Lee County, NCNC70,25865.6–

874Baldwin County, ALAL267,76165.5–

875Kings County, CACA154,32765.5–

876Worcester County, MDMD54,45965.5–

877Nottoway County, VAVA15,79665.5–

878Polk County, FLFL874,79065.5–

879Fayette County, TNTN45,07165.5–

880Worth County, GAGA20,05965.4–

881Allegan County, MIMI123,18865.4–

882Lowndes County, GAGA122,86765.4–

883Hanson County, SDSD3,45665.4–

884Parker County, TXTX184,76765.3–

885Beaverhead County, MTMT10,04365.3–

886Anderson County, TXTX59,80565.3–

887Dallam County, TXTX7,50865.3–

888Malheur County, OROR32,26165.2–

889Christian County, ILIL33,44365.2–

890Stevens County, MNMN9,74765.2–

891Seneca County, NYNY32,88365.2–

892Smith County, KSKS3,56665.2–

893Harlan County, KYKY24,72565.1–

894Morrill County, NENE4,40465.1–

895Johnson County, WYWY8,90865.0–

896Adair County, KYKY19,42365.0–

897Park County, WYWY31,17165.0–

898Bexar County, TXTX2,160,08865.0–

899Frederick County, VAVA99,95565.0–

900Grant County, WVWV11,04165.0–

901Shackelford County, TXTX3,19764.9–

902Polk County, OROR90,03764.9–

903Stanislaus County, CACA557,71964.9–

904Dale County, ALAL49,91264.9–

905Franklin County, PAPA160,65264.9–

906Shawnee County, KSKS178,60764.8–

907Walton County, FLFL93,28864.8–

908Franklin County, TNTN45,57964.8–

909Kauai County, HIHI73,40064.8–

910Hoke County, NCNC56,93964.8–

911Midland County, TXTX187,85564.8–

912Codington County, SDSD29,56264.7–

913Mecklenburg County, VAVA30,74764.7–

914Gallia County, OHOH29,07264.7–

915Dallas County, TXTX2,661,39764.7–

916Nacogdoches County, TXTX66,03564.7–

917El Paso County, TXTX877,85864.6–

918Buffalo County, NENE51,17264.6–

919Okaloosa County, FLFL221,81064.5–

920Mayes County, OKOK40,41664.5–

921Hamilton County, ININ387,03664.5–

922Lake and Peninsula, AKAK1,35764.5–

923Faulk County, SDSD2,17864.5–

924Walton County, GAGA112,69664.5–

925Norfolk, VAVA231,01364.4–

926Twin Falls County, IDID97,53964.4–

927Marion County, TNTN29,80464.4–

928Charlevoix County, MIMI26,03664.3–

929Richland County, WIWI17,03664.3–

930Rappahannock County, VAVA7,43964.3–

931Woodbury County, IAIA106,64964.3–

932Morgan County, COCO30,30664.3–

933Orangeburg County, SCSC83,17764.3–

934Uvalde County, TXTX24,96364.2–

935Yellow Medicine County, MNMN9,47764.2–

936Burleigh County, NDND103,25164.2–

937Juneau County, WIWI26,64964.2–

938Phillips County, ARAR14,25564.2–

939Bay County, FLFL204,47964.2–

940Edgar County, ILIL16,32364.2–

941Jefferson County, ILIL36,14764.2–

942Cherokee County, TXTX53,33764.1–

943Morgan County, WVWV18,02764.1–

944Douglas County, MNMN40,12064.1–

945Mercer County, KYKY23,73364.1–

946Hockley County, TXTX21,60064.0–

947Lancaster County, SCSC114,29664.0–

948Brooks County, TXTX6,57964.0–

949Benton County, IAIA26,00464.0–

950Lee County, KYKY7,29764.0–

951Ashland County, WIWI16,20364.0–

952King George County, VAVA29,64664.0–

953Lancaster County, PAPA563,15964.0–

954Houston County, ALAL110,31864.0–

955Taylor County, TXTX150,07764.0–

956McDuffie County, GAGA21,64063.9–

957Concho County, TXTX3,60763.9–

958Tama County, IAIA16,79663.9–

959Nicollet County, MNMN34,27363.9–

960Pickens County, ALAL18,22163.8–

961Tipton County, TNTN62,28763.8–

962Edwards County, KSKS2,64063.8–

963Monterey County, CACA433,72963.8–

964Monona County, IAIA8,53963.8–

965Page County, IAIA14,85663.8–

966Carroll County, VAVA29,29963.8–

967Waller County, TXTX69,85863.7–

968Ada County, IDID546,14163.7–

969Gilpin County, COCO6,07363.7–

970Sutter County, CACA98,78763.7–

971Torrance County, NMNM16,10063.6–

972St. Mary's County, MDMD116,69263.6–

973Eddy County, NMNM62,50963.6–

974Humphreys County, TNTN19,64663.6–

975Richland County, OHOH124,89363.6–

976Lawrence County, ININ45,56863.6–

977Jackson Parish, LALA15,83463.6–

978Heard County, GAGA12,14963.6–

979Morgan County, TNTN22,16063.6–

980Guernsey County, OHOH38,37963.6–

981Hancock County, KYKY9,05063.6–

982Jackson County, OKOK24,76463.6–

983Bedford County, TNTN55,27363.5–

984Dixon County, NENE5,60263.5–

985Boone County, ININ80,68963.5–

986Frontier County, NENE2,65563.4–

987Martin County, NCNC21,60163.4–

988Ford County, ILIL13,21663.4–

989Hamblen County, TNTN68,84363.4–

990Spencer County, ININ20,06163.4–

991Kankakee County, ILIL105,52563.4–

992Wahkiakum County, WAWA4,87363.4–

993Thomas County, NENE63963.4–

994Starke County, ININ23,42563.4–

995Brooks County, GAGA16,10163.4–

996Prince William County, VAVA502,96663.4–

997Stafford County, VAVA170,80363.4–

998Henderson County, TXTX88,59563.3–

999Pemiscot County, MOMO14,46563.3–

1000Converse County, WYWY13,82463.3–

SHOWING 501–1,000 OF 3,131

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