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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).

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RELATEDOldest by median ageYoungest by median ageMost foreign-born residentsHighest uninsured rateMost womenMost men
YEAR20102024
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RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2000
1001Twin Falls County, IDID97,53963.2
1002Starr County, TXTX66,31963.2
1003Bristol, VAVA16,41863.2
1004Pinal County, AZAZ539,38063.1
1005Grant County, WVWV11,04163.1
1006Wirt County, WVWV4,87963.1
1007Adair County, IAIA7,40363.1
1008Jackson County, ILIL52,50163.1
1009Carroll County, ARAR29,26363.1
1010Chugach Census Area, AKAK6,55363.1
1011Lyon County, KSKS32,26663.1
1012Randolph County, NCNC149,51663.1
1013Lafourche Parish, LALA95,50563.1
1014Cleburne County, ARAR25,67263.1
1015Yuma County, AZAZ224,44963.0
1016McCurtain County, OKOK30,74463.0
1017El Paso County, TXTX877,85863.0
1018Auglaize County, OHOH45,90963.0
1019Winchester, VAVA28,27263.0
1020St. Johns County, FLFL346,32863.0
1021Pickens County, GAGA37,16762.9
1022Craven County, NCNC105,02562.9
1023Black Hawk County, IAIA131,53262.9
1024Crane County, TXTX4,55462.9
1025Russell County, VAVA25,33262.9
1026Sheridan County, WYWY33,24162.8
1027Wilson County, KSKS8,29962.8
1028Coshocton County, OHOH37,18862.8
1029Sequoyah County, OKOK40,84262.8
1030McCone County, MTMT1,72062.7
1031Van Buren County, IAIA7,13162.7
1032Talbot County, MDMD38,23862.7
1033Wayne County, NCNC122,27862.7
1034Bartow County, GAGA120,80062.7
1035Mitchell County, IAIA10,65062.6
1036Crittenden County, ARAR46,21062.6
1037Patrick County, VAVA17,42462.6
1038Lemhi County, IDID8,47462.5
1039Mason County, ILIL12,41162.5
1040Tangipahoa Parish, LALA141,34662.5
1041Sampson County, NCNC61,50462.5
1042Huntington County, ININ37,22462.5
1043Nye County, NVNV57,33662.5
1044Pulaski County, KYKY67,38462.4
1045Green County, WIWI37,22762.4
1046Norman County, MNMN6,33662.4
1047Wabasha County, MNMN21,53762.4
1048Yamhill County, OROR110,02462.3
1049Scott County, MOMO37,97562.3
1050Kerr County, TXTX54,03762.3
1051Hancock County, TNTN7,07562.3
1052Sweet Grass County, MTMT3,76262.3
1053Dickinson County, IAIA18,07762.2
1054Green County, KYKY11,64462.2
1055Big Stone County, MNMN5,05462.2
1056St. Landry Parish, LALA80,76562.2
1057Georgetown County, SCSC65,91262.2
1058White County, ININ25,16462.1
1059Dodge County, MNMN21,37662.1
1060Solano County, CACA455,37662.1
1061Cloud County, KSKS8,83362.1
1062Dawson County, MTMT8,69262.0
1063Kern County, CACA927,06862.0
1064Kaufman County, TXTX209,23562.0
1065Hawaii County, HIHI210,04362.0
1066Oglala Lakota County, SDSD13,33861.9
1067Bladen County, NCNC30,00761.9
1068Fannin County, TXTX39,26561.9
1069Marion County, KSKS11,63461.9
1070Cowley County, KSKS34,38261.9
1071Franklin County, GAGA25,94861.9
1072Bracken County, KYKY8,51161.9
1073Webster County, IAIA36,83861.9
1074Scotland County, NCNC33,32261.9
1075Cleburne County, ALAL15,97061.9
1076Highland County, OHOH43,82361.9
1077Lamar County, TXTX51,50361.8
1078Ashland County, OHOH52,52361.8
1079Perry County, KYKY26,55561.8
1080Le Sueur County, MNMN29,45361.8
1081Florence County, SCSC138,50461.8
1082Marshall County, IAIA39,89061.7
1083Pittsburg County, OKOK43,32061.7
1084Prince William County, VAVA502,96661.7
1085Jackson County, FLFL49,62961.7
1086Warren County, PAPA37,03861.7
1087Webster County, MOMO43,05461.7
1088Liberty County, TXTX121,36461.7
1089Shiawassee County, MIMI67,68161.7
1090Manitowoc County, WIWI81,71061.6
1091Drew County, ARAR17,05461.6
1092Dillingham Census Area, AKAK4,48361.6
1093Thurston County, NENE6,75261.6
1094Rolette County, NDND11,68861.6
1095Benton County, IAIA26,00461.6
1096Cooper County, MOMO17,13661.5
1097Lafayette Parish, LALA257,94961.5
1098Teller County, COCO24,75661.5
1099Yuma County, COCO9,89661.5
1100Carroll County, MDMD176,67761.5
1101Johnson County, TNTN18,71861.5
1102Apache County, AZAZ64,44561.5
1103Mifflin County, PAPA46,12761.5
1104Cumberland County, NCNC338,47361.5
1105Henry County, IAIA19,34961.4
1106Allendale County, SCSC7,35561.4
1107Woodbury County, IAIA106,64961.4
1108Branch County, MIMI45,99361.4
1109Hidalgo County, TXTX921,54961.3
1110Washington County, ININ28,38361.3
1111Cherokee County, NCNC30,83061.3
1112Cherry County, NENE5,56161.3
1113Winston County, ALAL23,82961.3
1114Lee County, SCSC15,73061.3
1115Aleutians East, AKAK3,47961.3
1116Mobile County, ALAL411,65861.3
1117Ellis County, OKOK3,61361.3
1118St. Mary's County, MDMD116,69261.2
1119Weld County, COCO378,42661.2
1120Burleigh County, NDND103,25161.2
1121Van Wert County, OHOH29,01361.2
1122Jackson County, MSMS147,66661.2
1123Putnam County, OHOH34,38061.2
1124Polk County, TXTX53,43461.1
1125Caribou County, IDID7,25261.1
1126Orange County, VAVA40,08361.1
1127Otsego County, MIMI26,08061.1
1128Roosevelt County, NMNM18,61561.1
1129Mille Lacs County, MNMN27,75361.1
1130Tipton County, ININ15,31961.1
1131Lincoln County, WYWY21,18061.1
1132Fillmore County, MNMN21,54061.0
1133Moniteau County, MOMO15,42861.0
1134Talladega County, ALAL81,60361.0
1135Chattahoochee County, GAGA8,46561.0
1136Chautauqua County, NYNY124,12661.0
1137Medina County, TXTX56,88161.0
1138Sabine County, TXTX10,01261.0
1139Frio County, TXTX18,82361.0
1140Franklin County, TNTN45,57960.9
1141Dimmit County, TXTX8,02460.9
1142Iron County, MIMI11,75760.9
1143Marion County, ALAL29,09760.9
1144Doña Ana County, NMNM229,09160.9
1145Susquehanna County, PAPA38,23760.9
1146Cocke County, TNTN37,88960.9
1147Outagamie County, WIWI195,89460.8
1148Cattaraugus County, NYNY75,39060.8
1149Noble County, ININ47,93760.8
1150Dixie County, FLFL18,03860.8
1151Tulare County, CACA485,14660.8
1152Arkansas County, ARAR15,83660.7
1153Lowndes County, MSMS57,34660.7
1154Baker County, OROR16,65860.7
1155West Carroll Parish, LALA9,15660.7
1156Martin County, KYKY10,69760.7
1157Shawano County, WIWI41,56060.7
1158Washington County, MSMS40,44660.7
1159Gem County, IDID21,77360.7
1160Juab County, UTUT13,56760.6
1161Natrona County, WYWY80,52660.6
1162Grant County, WIWI52,44660.6
1163Stone County, MSMS19,65460.6
1164Putnam County, GAGA23,72260.6
1165Pratt County, KSKS9,11760.6
1166Scott County, TNTN22,67160.6
1167Jefferson County, FLFL16,00760.5
1168Mackinac County, MIMI11,23660.5
1169Erie County, PAPA265,83260.5
1170Morrill County, NENE4,40460.5
1171Russell County, ALAL58,89860.5
1172Okmulgee County, OKOK37,24160.5
1173Charleston County, SCSC436,20060.5
1174Walton County, FLFL93,28860.4
1175Morrow County, OHOH36,30560.4
1176Refugio County, TXTX6,65760.4
1177Clay County, MNMN67,73460.4
1178Mills County, TXTX4,58060.3
1179Campbell County, VAVA55,62960.3
1180Graham County, AZAZ40,15760.3
1181Bibb County, GAGA157,55660.3
1182Montgomery County, GAGA8,63560.2
1183Shelby County, MOMO5,87060.2
1184Livingston County, MIMI197,31560.2
1185Trempealeau County, WIWI31,17160.2
1186Rutherford County, TNTN386,35260.2
1187Washington County, OKOK54,03760.2
1188Matagorda County, TXTX36,46360.2
1189Winnebago County, ILIL283,67460.2
1190Ritchie County, WVWV8,03460.1
1191Gray County, TXTX20,91960.1
1192Victoria County, TXTX92,65660.1
1193Surry County, NCNC72,28760.1
1194Young County, TXTX18,15460.1
1195Adair County, MOMO25,68460.1
1196Lexington, VAVA7,76960.1
1197Taylor County, WIWI20,11860.1
1198Cache County, UTUT145,00060.0
1199El Paso County, COCO757,04060.0
1200Poquoson, VAVA13,29260.0
1201Clark County, MOMO6,47560.0
1202Marshall County, MSMS34,65460.0
1203Weston County, WYWY6,84060.0
1204Wexford County, MIMI34,44560.0
1205Adams County, MSMS30,06159.9
1206Meeker County, MNMN23,60359.9
1207Lamar County, GAGA20,94159.9
1208Yellow Medicine County, MNMN9,47759.9
1209Burke County, NCNC88,65559.9
1210Oceana County, MIMI27,17759.9
1211Gates County, NCNC10,23459.9
1212Ottawa County, OHOH39,48159.8
1213Fremont County, IDID14,20859.8
1214Caldwell Parish, LALA9,34459.8
1215Mahaska County, IAIA21,88059.8
1216Sanilac County, MIMI40,08359.8
1217Pamlico County, NCNC12,75859.8
1218Marion County, KYKY20,11559.8
1219Montrose County, COCO44,59159.8
1220Otero County, COCO17,68359.7
1221Douglas County, NENE606,46059.7
1222Trego County, KSKS2,74059.7
1223Socorro County, NMNM15,83859.7
1224Carroll County, IAIA20,30359.7
1225Butler County, MOMO41,90459.7
1226Cass County, MNMN31,43059.6
1227Carter County, OKOK48,91059.6
1228Calcasieu Parish, LALA208,46659.6
1229Big Horn County, MTMT12,75259.5
1230Marion County, FLFL442,66059.5
1231Fairfield County, OHOH169,75259.5
1232Otsego County, NYNY60,58959.5
1233Oklahoma County, OKOK822,12559.4
1234Tulsa County, OKOK698,78259.4
1235Jefferson County, ILIL36,14759.4
1236Jackson County, ININ47,37059.4
1237Hamilton County, KSKS2,50059.4
1238Charles County, MDMD176,59359.4
1239Barbour County, ALAL24,60759.4
1240Hamilton County, NENE9,67859.4
1241Owen County, ININ21,88659.4
1242Holt County, NENE10,06759.3
1243Cheatham County, TNTN42,77859.3
1244Lee County, VAVA21,64259.3
1245Montgomery County, TXTX781,19459.3
1246Paulding County, OHOH18,72759.3
1247Taylor County, WVWV16,28759.3
1248Johnston County, NCNC256,44859.3
1249St. Clair County, ILIL250,70859.3
1250Mendocino County, CACA88,12259.2
1251Tioga County, PAPA40,50259.2
1252Macoupin County, ILIL43,74859.2
1253Dodge County, WIWI89,09759.2
1254Hall County, GAGA226,56859.2
1255Erie County, OHOH73,29659.2
1256Woodruff County, ARAR5,71059.2
1257Paulding County, GAGA190,99659.2
1258Forrest County, MSMS79,03459.2
1259Taylor County, GAGA7,81859.2
1260Pender County, NCNC72,11159.2
1261Terry County, TXTX11,72059.1
1262Ashtabula County, OHOH96,71359.1
1263Muskingum County, OHOH87,01459.1
1264Wrangell, AKAK2,00759.1
1265Smith County, MSMS13,99159.1
1266Clark County, OHOH135,34059.1
1267Arenac County, MIMI15,06859.1
1268Bronx County, NYNY1,406,33259.1
1269Lauderdale County, TNTN24,61759.1
1270Comal County, TXTX209,16659.0
1271Lapeer County, MIMI89,51659.0
1273Blue Earth County, MNMN70,63459.0
1274Choctaw County, MSMS8,04859.0
1275Clatsop County, OROR40,92659.0
1276Tate County, MSMS28,72559.0
1277Wayne County, MIMI1,769,03858.9
1278Clinton County, ININ33,32258.9
1279Wayne County, WVWV37,30958.9
1280Menominee County, MIMI22,94158.9
1281Isanti County, MNMN44,38658.8
1282Wheeler County, OROR1,47258.8
1283Shoshone County, IDID14,13058.8
1284Santa Rosa County, FLFL211,11558.8
1285Knox County, KYKY29,53258.8
1286Butler County, KYKY12,52058.8
1287Lafayette County, FLFL8,79258.8
1288Montezuma County, COCO26,67858.8
1289Johnson County, KYKY22,05158.8
1290Grayson County, KYKY27,40658.7
1291Saginaw County, MIMI187,68858.7
1292Moore County, NCNC110,61958.7
1293Lucas County, OHOH423,34758.7
1294Delaware County, OKOK41,91058.7
1295Jo Daviess County, ILIL21,59458.7
1296Winneshiek County, IAIA19,73358.7
1297Kittson County, MNMN4,03158.7
1298Kay County, OKOK43,49058.6
1299Butte County, SDSD10,85658.6
1300Kent County, DEDE194,78658.6
1301Rock County, WIWI166,47258.6
1302Mineral County, MTMT5,18558.6
1303Sheboygan County, WIWI118,04758.6
1304Johnson County, TXTX218,04858.6
1305Deschutes County, OROR213,07258.6
1306Delaware County, IAIA17,67458.5
1307Washington County, NYNY59,35358.5
1308Lee County, ILIL32,91458.5
1309Brown County, MNMN25,51758.5
1310Licking County, OHOH185,56458.5
1311Nemaha County, NENE7,10258.4
1312Houston County, MNMN18,40058.4
1313Muscatine County, IAIA41,85358.4
1314Nacogdoches County, TXTX66,03558.4
1315Acadia Parish, LALA57,03258.4
1316Yazoo County, MSMS22,94758.4
1317Osage County, OKOK46,79458.4
1318Letcher County, KYKY19,95258.4
1319Monroe County, WIWI46,57258.3
1320Macon County, MOMO15,19058.3
1321Mercer County, ILIL15,22958.3
1322Lake County, COCO7,55258.3
1323Williamson County, ILIL67,22558.3
1324Duplin County, NCNC51,57158.3
1325Madison County, NENE36,10658.3
1326Fall River County, SDSD7,46758.2
1327Franklin County, KYKY52,64958.2
1328Jefferson County, TXTX254,32158.2
1329Harris County, TXTX5,045,02658.2
1330Montgomery County, ARAR8,57958.2
1331Montgomery County, OHOH539,59858.2
1332Monroe County, FLFL80,40658.2
1333Uvalde County, TXTX24,96358.1
1334Greene County, ILIL11,31358.1
1335Merced County, CACA297,26058.1
1336Allen County, ININ402,32958.1
1337Pickaway County, OHOH62,97858.1
1338Escambia County, FLFL333,83458.1
1339Menifee County, KYKY6,43058.1
1340Monroe County, IAIA7,40658.1
1341Harford County, MDMD266,44658.1
1342Douglas County, WIWI43,99058.1
1343Penobscot County, MEME157,96758.0
1344Lake County, ININ504,61258.0
1345Jerome County, IDID26,36258.0
1346Turner County, SDSD9,31458.0
1347Lee County, KYKY7,29757.9
1348Searcy County, ARAR7,84857.9
1349Kosciusko County, ININ80,89257.9
1350Grant County, KYKY26,18157.9
1351Washakie County, WYWY7,59757.9
1352Sumter County, FLFL157,77257.9
1353Clermont County, OHOH216,97757.9
1354Linn County, IAIA232,02857.9
1355Harrison County, ININ40,43757.9
1356Douglas County, GAGA154,29357.9
1357Harrison County, WVWV64,22157.9
1358Boyle County, KYKY31,63257.8
1359Essex County, NYNY36,43857.7
1360Falls County, TXTX17,86957.7
1361Floyd County, ININ82,15357.7
1362Rogers County, OKOK102,19757.7
1363La Plata County, COCO56,89857.7
1364Clarion County, PAPA36,68057.7
1365Marin County, CACA253,69457.7
1366Pontotoc County, OKOK38,52857.7
1367Imperial County, CACA181,41157.6
1368Monroe County, MIMI156,00457.6
1369Rawlins County, KSKS2,43157.6
1370Allen County, OHOH100,88157.6
1371Wise County, TXTX83,77857.6
1372Bosque County, TXTX18,91857.6
1373Allamakee County, IAIA14,23857.6
1374Tunica County, MSMS8,81957.6
1375Sangamon County, ILIL194,17057.6
1376Kenton County, KYKY175,77957.6
1377Pike County, ILIL14,23157.6
1378Perry County, MOMO19,09357.5
1379Benton County, TNTN16,18357.5
1380Crawford County, MIMI13,72257.5
1381West Baton Rouge Parish, LALA28,75657.5
1382Schenectady County, NYNY162,58157.5
1383Abbeville County, SCSC24,83657.5
1384Taylor County, KYKY26,76357.5
1385Putnam County, WVWV56,88557.4
1386Warren County, IAIA57,33157.4
1387Hopkins County, TXTX39,06357.4
1388Chelan County, WAWA81,94157.4
1389Adams County, IAIA3,61757.4
1390Randolph County, WVWV26,88257.4
1391Johnson County, ININ174,26257.4
1392Dodge County, NENE38,05757.3
1393Marinette County, WIWI42,57457.3
1394Saunders County, NENE23,70257.3
1395Hubbard County, MNMN22,36957.3
1396Wayne County, ININ66,16957.3
1397Ralls County, MOMO10,44457.3
1398Polk County, MOMO33,60457.3
1399Cape May County, NJNJ93,39057.3
1400Duval County, FLFL1,062,96357.3
1401Sedgwick County, KSKS538,43357.3
1402Logan County, WVWV30,37557.3
1403Ware County, GAGA36,90657.3
1404Palo Alto County, IAIA8,89957.3
1405Dakota County, NENE21,68757.3
1406Meade County, KYKY30,69957.3
1407Panola County, MSMS32,69157.2
1408Saline County, MOMO23,26557.2
1409Gasconade County, MOMO14,78457.2
1410Hamblen County, TNTN68,84357.2
1411St. Clair County, MIMI160,48657.2
1412Wayne County, ILIL15,88257.2
1413Rice County, MNMN69,93957.2
1414Boyd County, KYKY47,75157.2
1415Knox County, ILIL47,76757.2
1416Stevens County, WAWA49,66857.2
1417Hillsdale County, MIMI45,73857.2
1418Pend Oreille County, WAWA14,45757.1
1419Mitchell County, GAGA20,46757.1
1420Cass County, ININ37,83657.1
1421Russell County, KYKY18,60857.1
1422Pittsylvania County, VAVA59,49057.1
1423Door County, WIWI30,61657.1
1424Union County, MSMS28,45957.1
1425Calhoun County, MIMI133,40857.1
1426Placer County, CACA442,08157.0
1427Richland County, OHOH124,89357.0
1428Martin County, FLFL166,27257.0
1429Warren County, ILIL16,22257.0
1430Prince George County, VAVA43,93657.0
1431Fayette County, TNTN45,07157.0
1432Kitsap County, WAWA283,37457.0
1433Kendall County, TXTX53,28957.0
1434Columbia County, WIWI58,13257.0
1435Stearns County, MNMN164,11056.9
1436Greene County, MOMO309,28656.9
1437Ripley County, ININ29,43456.9
1438Columbia County, OROR54,09156.9
1439Scioto County, OHOH71,36556.9
1440Warren County, ININ8,47456.9
1441Henderson County, KYKY44,25556.9
1442Ellis County, KSKS29,07556.8
1443Martinsville, VAVA13,84956.8
1444Parke County, ININ16,64256.8
1445Union County, ILIL16,65656.8
1446Bartholomew County, ININ85,72956.8
1447Taney County, MOMO57,00156.7
1448Harding County, NMNM61756.7
1449Lewis County, NYNY26,47956.7
1450Bates County, MOMO16,51256.7
1451Blaine County, OKOK8,51556.7
1452Greene County, IAIA8,65856.7
1453Essex County, VAVA10,65456.7
1454Van Buren County, ARAR16,23856.7
1455Peoria County, ILIL178,55356.6
1456Nez Perce County, IDID42,90556.6
1457Shelby County, KYKY51,24356.6
1458Harnett County, NCNC150,13756.6
1459Texas County, MOMO25,99456.6
1460Pulaski County, GAGA10,17256.6
1461Charles City County, VAVA6,62356.6
1462Fayette County, KYKY329,75156.6
1463Marquette County, WIWI15,92756.6
1464Warren County, OHOH257,18156.6
1465Le Flore County, OKOK50,19656.5
1466Van Buren County, MIMI76,07156.5
1467Transylvania County, NCNC34,21156.5
1468DuPage County, ILIL934,29856.5
1469Haskell County, TXTX5,49956.5
1470Gaston County, NCNC246,55856.4
1471Porter County, ININ176,04956.4
1472St. Lucie County, FLFL402,44956.4
1473Aiken County, SCSC181,51556.4
1474Iberville Parish, LALA29,57956.4
1475Clare County, MIMI31,54356.3
1476Carter County, KYKY26,14956.3
1477Wayne County, NENE10,02056.3
1478Anson County, NCNC21,75856.3
1479Putnam County, NYNY99,02856.3
1480Schoolcraft County, MIMI8,18756.3
1481Toombs County, GAGA27,54556.3
1482Johnson County, KSKS636,90656.3
1483Bacon County, GAGA11,07056.2
1484Carroll County, VAVA29,29956.2
1485Cumberland County, NJNJ157,14856.2
1486Marion County, OROR355,77756.2
1487Marshall County, ALAL103,53756.2
1488Miami County, ININ34,48756.2
1489Crawford County, WIWI15,91056.2
1490Creek County, OKOK74,96756.2
1491Pawnee County, OKOK16,02956.2
1492Cass County, NDND201,79456.1
1493Thomas County, KSKS7,72556.1
1494Elk County, PAPA29,92656.1
1495Brewster County, TXTX9,45856.1
1496Lac qui Parle County, MNMN6,70456.1
1497Pennington County, MNMN13,68656.1
1498Putnam County, TNTN86,61256.0
1499Genesee County, NYNY58,41656.0
1500Montgomery County, TNTN249,93555.9
SHOWING 1,001–1,500 OF 3,143
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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES