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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).

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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
1001Pottawattamie County, IAIA92,99663.3
1002Craven County, NCNC105,02563.3
1003Jefferson County, MOMO233,13263.3
1004Spartanburg County, SCSC380,85763.3
1005Henderson County, KYKY44,25563.3
1006Stark County, ILIL5,31963.3
1007Dickey County, NDND4,89563.2
1008Washington County, OROR611,70863.2
1009Pamlico County, NCNC12,75863.2
1010Orange County, ININ19,83463.2
1011Pitkin County, COCO16,62563.2
1012Ware County, GAGA36,90663.2
1013Richmond County, GAGA206,55963.2
1014Maui County, HIHI160,59263.2
1015Tattnall County, GAGA24,37663.2
1016Calhoun County, ILIL4,30063.1
1017Jackson County, MIMI159,55263.1
1018Johnson County, KYKY22,05163.1
1019Turner County, SDSD9,31463.1
1020Koochiching County, MNMN11,58763.1
1021Beaufort County, NCNC44,67063.1
1022Roane County, TNTN57,39563.1
1023Sauk County, WIWI66,65263.1
1024Lewis County, WAWA88,06263.1
1025Suwannee County, FLFL48,14963.0
1026Dade County, GAGA16,15463.0
1027Wilson County, KSKS8,29963.0
1028Columbus County, NCNC50,48763.0
1029Mercer County, ILIL15,22963.0
1030Lincoln County, MTMT22,32863.0
1031Androscoggin County, MEME116,48762.9
1032Tallapoosa County, ALAL40,95362.9
1033Hocking County, OHOH27,51262.9
1034Umatilla County, OROR81,11962.9
1035Furnas County, NENE4,52462.9
1036Montgomery County, IAIA10,00262.9
1037Perry County, ARAR10,30962.9
1038Alamosa County, COCO16,68862.9
1039Paulding County, GAGA190,99662.9
1040Storey County, NVNV4,26062.8
1041St. Louis, MOMO278,14462.8
1042Liberty County, TXTX121,36462.8
1043Cumberland County, NJNJ157,14862.8
1044McLeod County, MNMN36,63162.8
1045Russell County, ALAL58,89862.8
1046Carter County, OKOK48,91062.8
1047Ionia County, MIMI66,55762.8
1048Randolph County, ALAL23,16362.7
1049Buffalo County, WIWI13,31862.7
1050Will County, ILIL712,25362.7
1051Benton County, MNMN41,74462.7
1052Colorado County, TXTX21,43962.7
1053Smith County, TXTX252,54962.7
1054Putnam County, OHOH34,38062.7
1055Currituck County, NCNC33,15862.7
1056Sunflower County, MSMS22,89362.7
1057Douglas County, ILIL19,88062.6
1058Muskogee County, OKOK66,70862.6
1059Salem County, NJNJ66,28062.6
1060Taylor County, KYKY26,76362.6
1061Fillmore County, NENE5,45862.6
1062Nobles County, MNMN22,33862.6
1063Washington Parish, LALA44,93762.6
1064Atascosa County, TXTX53,59062.5
1065Clay County, TXTX10,76462.5
1066Berrien County, MIMI152,44462.5
1067Petroleum County, MTMT54862.5
1068Orange County, NYNY417,66962.5
1069Dakota County, NENE21,68762.4
1070Choctaw County, OKOK14,05962.4
1071Jasper County, IAIA38,15362.4
1072Webster County, KYKY12,92962.4
1073Neshoba County, MSMS28,73262.4
1074Campbell County, KYKY95,44162.4
1075Chatham County, GAGA311,85562.4
1076Westmoreland County, VAVA19,71562.3
1077Yankton County, SDSD23,63562.3
1078Isanti County, MNMN44,38662.3
1079Meade County, SDSD30,71162.3
1080Jerauld County, SDSD1,65462.3
1081Douglas County, WAWA46,47362.3
1082Coal County, OKOK5,43662.3
1083Rockland County, NYNY357,39762.3
1084Bolivar County, MSMS28,26262.3
1085Johnson County, GAGA9,31062.3
1086Wayne County, IAIA6,73862.3
1087Tishomingo County, MSMS18,63962.2
1088Massac County, ILIL13,50262.2
1089Jones County, GAGA29,17162.2
1090Highland County, OHOH43,82362.2
1091Montgomery County, TXTX781,19462.2
1092Cattaraugus County, NYNY75,39062.2
1093Weston County, WYWY6,84062.2
1094Polk County, TXTX53,43462.2
1095Rock County, WIWI166,47262.2
1096Newton County, ARAR7,02662.2
1097Gage County, NENE21,71162.2
1098Kenton County, KYKY175,77962.2
1099Spalding County, GAGA70,77562.2
1100Calhoun County, SCSC14,18862.1
1101Dickenson County, VAVA13,23662.1
1102Maricopa County, AZAZ4,689,55862.1
1103Vermillion County, ININ15,48862.1
1104Sumter County, GAGA28,80162.0
1105DeKalb County, ALAL74,08562.0
1106Washington County, ARAR271,21362.0
1107Dauphin County, PAPA293,35162.0
1108Scotland County, NCNC33,32262.0
1109Riverside County, CACA2,544,91662.0
1110Dodge County, NENE38,05761.9
1111Lawrence County, ALAL33,84361.9
1112Pasquotank County, NCNC42,20161.9
1113Clay County, IAIA16,20261.9
1114Scott County, TNTN22,67161.9
1115Van Buren County, ARAR16,23861.9
1116Harrison County, WVWV64,22161.9
1117Mesa County, COCO162,84561.8
1118Del Norte County, CACA26,41061.8
1119Licking County, OHOH185,56461.8
1120Baker County, OROR16,65861.8
1121Brown County, WIWI275,80361.8
1122Clark County, NVNV2,407,22661.8
1123Franklin County, GAGA25,94861.8
1124Hughes County, SDSD17,57061.8
1125Carver County, MNMN114,37961.7
1126Tangipahoa Parish, LALA141,34661.7
1127Sandoval County, NMNM159,56561.7
1128Bollinger County, MOMO10,64661.7
1129Sussex County, VAVA10,75561.7
1130Grafton County, NHNH93,22561.7
1131Gwinnett County, GAGA1,018,09961.6
1132Gregory County, SDSD4,03761.6
1133Carroll County, ARAR29,26361.6
1134Sioux County, IAIA36,77461.6
1135Labette County, KSKS19,68561.6
1136Grant County, MNMN6,08561.6
1137Talladega County, ALAL81,60361.6
1138Grant Parish, LALA22,07561.6
1139Stanton County, NENE5,74461.6
1140Livingston Parish, LALA155,03661.5
1141Montgomery County, MDMD1,074,58261.5
1142Kendall County, TXTX53,28961.5
1143Corson County, SDSD3,78161.5
1144Doña Ana County, NMNM229,09161.5
1145El Paso County, COCO757,04061.5
1146Wayne County, MOMO10,78261.5
1147Colquitt County, GAGA47,43861.4
1148Barnwell County, SCSC20,65361.4
1149Harvey County, KSKS33,58061.4
1150McCurtain County, OKOK30,74461.4
1151Rhea County, TNTN34,84461.4
1152Real County, TXTX2,74561.4
1153Bronx County, NYNY1,406,33261.4
1154Greeley County, NENE2,15461.4
1155Oceana County, MIMI27,17761.4
1156Huron County, OHOH58,25061.4
1157Santa Clara County, CACA1,914,39161.3
1158Louisa County, VAVA42,92461.3
1159Sherman County, KSKS5,76361.3
1160Wayne County, ININ66,16961.3
1161Baker County, FLFL29,73761.3
1162Flathead County, MTMT115,42961.3
1163Douglas County, COCO399,39661.3
1164Traill County, NDND7,92061.2
1165Sumner County, KSKS22,31261.2
1166Greene County, PAPA33,88561.2
1167Lubbock County, TXTX328,90661.2
1168Butler County, MOMO41,90461.2
1169Cobb County, GAGA793,34561.1
1170Robertson County, TXTX17,83961.1
1171Dade County, MOMO7,80461.1
1172Kent County, MIMI675,23261.1
1173Livingston County, KYKY8,86361.0
1174Monroe County, WIWI46,57261.0
1175Suffolk, VAVA104,69961.0
1176Boyle County, KYKY31,63261.0
1177Custer County, IDID4,63661.0
1178Linn County, IAIA232,02861.0
1179Marinette County, WIWI42,57460.9
1180Denver County, COCO740,61360.9
1181Mariposa County, CACA16,91860.9
1182Thomas County, KSKS7,72560.9
1183Shelby County, KYKY51,24360.9
1184Caroline County, MDMD34,11660.9
1185Johnson County, TXTX218,04860.9
1186Ross County, OHOH76,42960.8
1187Logan County, KYKY28,66960.8
1188Montgomery County, NCNC26,40360.8
1189Ouachita Parish, LALA158,54260.8
1190Louisa County, IAIA10,41660.8
1191Lincoln County, SDSD77,14560.8
1192McLennan County, TXTX272,02060.8
1193San Bernardino County, CACA2,224,09160.7
1194Plymouth County, IAIA25,69760.7
1195Cass County, MOMO115,85960.7
1196Crow Wing County, MNMN69,13260.7
1197McCone County, MTMT1,72060.7
1198Hinds County, MSMS211,88860.7
1199Person County, NCNC40,63660.6
1200Newport News, VAVA183,23060.6
1201Blaine County, IDID25,51760.6
1202Yalobusha County, MSMS12,37560.6
1203Knox County, TXTX3,19260.6
1204Allen County, OHOH100,88160.6
1205Parke County, ININ16,64260.6
1206Madison County, TNTN100,79060.6
1208Morrison County, MNMN34,62060.6
1209Brazoria County, TXTX419,08060.5
1210Tioga County, NYNY47,45360.5
1211Weld County, COCO378,42660.5
1212Tyler County, TXTX20,44360.5
1213Saginaw County, MIMI187,68860.5
1214Lake County, FLFL456,06860.5
1215Waupaca County, WIWI51,46160.4
1216Valencia County, NMNM82,01360.4
1217Ramsey County, MNMN541,62360.4
1218Hardin County, KYKY113,48260.4
1219Pierce County, WAWA946,28860.4
1220Anson County, NCNC21,75860.4
1221Wasco County, OROR26,31060.4
1222McClain County, OKOK49,64760.4
1223Coryell County, TXTX85,59260.4
1224Kitsap County, WAWA283,37460.3
1225Morgan County, ALAL126,48360.3
1226Randall County, TXTX152,35160.3
1227Essex County, NJNJ896,37960.3
1228Leon County, TXTX16,89460.3
1229Hardin County, ILIL3,58860.3
1230Warren County, MOMO39,01660.2
1231Lake County, ININ504,61260.2
1232Logan County, OHOH46,30260.2
1233Panola County, TXTX23,01860.2
1234Newaygo County, MIMI51,62260.2
1235Murray County, GAGA41,60760.2
1236Randolph County, NCNC149,51660.2
1237Madison County, ININ135,08860.1
1238Presidio County, TXTX5,43360.1
1239Columbiana County, OHOH99,37760.1
1240Jackson County, FLFL49,62960.1
1241Marion County, FLFL442,66060.1
1242Trempealeau County, WIWI31,17160.1
1243Marion County, ININ992,19660.1
1244Yavapai County, AZAZ252,55260.0
1245Geneva County, ALAL27,55460.0
1246Karnes County, TXTX15,01860.0
1247Madison County, MSMS116,29859.9
1248Caddo Parish, LALA224,22659.9
1249Chilton County, ALAL47,70859.9
1250Sheridan County, MTMT3,43659.9
1251Dakota County, MNMN457,71059.9
1252Laurel County, KYKY63,74659.9
1253Hancock County, WVWV27,72959.9
1254Allen Parish, LALA22,67259.9
1255Waushara County, WIWI25,22359.8
1256Johnston County, NCNC256,44859.8
1257Berrien County, GAGA18,93259.8
1258Grainger County, TNTN25,73959.8
1259Franklin County, OHOH1,361,53659.8
1260Warren County, VAVA42,74059.8
1261Effingham County, GAGA74,39759.8
1262Danville, VAVA41,64759.8
1263Chelan County, WAWA81,94159.7
1264Grant County, WIWI52,44659.7
1265Union County, NJNJ601,86359.7
1266Live Oak County, TXTX11,92959.7
1267Richardson County, NENE7,53059.7
1268Warren County, TNTN43,71759.7
1269Owen County, ININ21,88659.7
1270Jones County, IAIA21,25359.7
1271Washington County, FLFL26,69559.7
1272Chippewa County, WIWI67,61459.6
1273Lucas County, OHOH423,34759.6
1274Warren County, KYKY149,37559.6
1275Beauregard Parish, LALA36,67359.6
1276Marion County, ARAR17,59359.6
1277Moniteau County, MOMO15,42859.5
1278Racine County, WIWI198,91959.5
1279Pike County, ILIL14,23159.5
1280Woodruff County, ARAR5,71059.4
1281Ascension Parish, LALA135,10559.4
1282Jefferson County, KYKY795,22259.4
1283Garfield County, OKOK61,77959.4
1284Big Horn County, WYWY12,02459.4
1285Montgomery County, KSKS30,17759.4
1286Union County, KYKY12,83959.4
1287Apache County, AZAZ64,44559.4
1288Black Hawk County, IAIA131,53259.3
1289Rice County, MNMN69,93959.3
1290York County, NENE14,56459.3
1291Humboldt County, CACA131,64759.3
1292Marshall County, ALAL103,53759.3
1293Hudson County, NJNJ735,03359.3
1294Olmsted County, MNMN166,73159.2
1295Champaign County, OHOH38,82059.2
1296Pontotoc County, OKOK38,52859.2
1297DeKalb County, GAGA774,39459.2
1298Honolulu County, HIHI988,70359.2
1299Delaware County, NYNY44,30559.2
1300McCreary County, KYKY17,12459.2
1301Buncombe County, NCNC277,41759.2
1302Johnson County, KSKS636,90659.2
1303Travis County, TXTX1,389,67059.2
1304Teton County, IDID13,25459.1
1305Richland County, ILIL15,21959.1
1306Spotsylvania County, VAVA155,38859.1
1307Leake County, MSMS21,66259.1
1308Thomas County, GAGA46,36859.1
1309Nolan County, TXTX14,11759.1
1310Montgomery County, ALAL225,89159.1
1311Anne Arundel County, MDMD603,38059.1
1312Jo Daviess County, ILIL21,59459.1
1313Medina County, TXTX56,88159.0
1314Lewis and Clark County, MTMT75,33159.0
1315Potter County, PAPA15,89759.0
1316Henderson County, TNTN28,51858.9
1317Genesee County, NYNY58,41658.9
1318Madera County, CACA167,92758.9
1319Stearns County, MNMN164,11058.9
1320Pend Oreille County, WAWA14,45758.9
1321Ripley County, ININ29,43458.9
1322Washington County, MDMD157,73158.9
1323Columbia County, OROR54,09158.9
1324Lexington County, SCSC317,58858.8
1325Union County, SCSC26,79958.8
1326Chester County, SCSC33,00158.8
1327Aleutians East, AKAK3,47958.8
1328Napa County, CACA132,94958.8
1329York County, SCSC306,88758.8
1330Clarke County, MSMS15,10258.8
1331Jones County, MSMS66,49658.8
1332Johnson County, ARAR26,22558.8
1333Lake County, ILIL719,33958.8
1334Frederick County, MDMD302,88358.8
1335Guadalupe County, TXTX201,11158.8
1336Scott County, IAIA175,25958.8
1337Lac qui Parle County, MNMN6,70458.7
1338Giles County, VAVA16,56458.7
1339Clark County, WAWA532,11958.7
1340Camden County, NJNJ535,79958.7
1341Carlton County, MNMN36,71158.7
1342Curry County, OROR22,62158.7
1343Pontotoc County, MSMS32,09658.7
1344Wabash County, ININ30,71358.7
1345Comal County, TXTX209,16658.7
1346Van Buren County, MIMI76,07158.6
1347Washoe County, NVNV509,38658.6
1348Collin County, TXTX1,297,17958.6
1349Wright County, MOMO19,67158.6
1350Pulaski County, ARAR404,61158.5
1351Menard County, ILIL11,86358.5
1352Mason County, WVWV24,70758.5
1353Jay County, ININ20,11858.5
1354Jones County, TXTX20,86158.5
1355Claiborne County, TNTN33,22958.5
1356Mason County, ILIL12,41158.5
1357Greenville County, SCSC583,12558.5
1358Alpena County, MIMI28,85358.5
1359Bourbon County, KYKY20,24358.4
1360Barton County, MOMO11,79558.4
1361Taylor County, GAGA7,81858.4
1362San Miguel County, NMNM26,26058.4
1363Milwaukee County, WIWI924,21658.4
1364Benton County, ARAR332,55458.4
1365Somervell County, TXTX10,26158.4
1366Columbia County, WIWI58,13258.4
1367Muhlenberg County, KYKY30,63458.4
1368Dunklin County, MOMO26,85558.4
1369Cape May County, NJNJ93,39058.3
1370Lincoln County, MEME36,59558.3
1371Emmet County, IAIA9,10758.3
1372Langlade County, WIWI19,53458.3
1373Texas County, MOMO25,99458.3
1374Darke County, OHOH51,52058.3
1375Bates County, MOMO16,51258.3
1376Shasta County, CACA181,64858.3
1377Pennington County, MNMN13,68658.2
1378Lincoln County, WAWA11,98258.2
1379Bergen County, NJNJ977,02658.2
1380Falls Church, VAVA15,15958.2
1381Tazewell County, ILIL130,04958.2
1382Love County, OKOK10,78058.2
1383Hamilton County, OHOH838,41858.2
1384Roscommon County, MIMI23,91458.2
1385Chesterfield County, SCSC44,74058.2
1386Nemaha County, NENE7,10258.2
1387Greene County, ARAR47,41158.2
1388Seminole County, OKOK23,44158.1
1389Union County, ININ6,86358.1
1390Tucker County, WVWV6,54058.1
1391Ottawa County, OKOK30,43858.1
1392Kenai Peninsula, AKAK61,95158.1
1393Calhoun County, FLFL13,28958.1
1394Iroquois County, ILIL26,15058.1
1395Johnson County, ININ174,26258.1
1396Pueblo County, COCO169,27758.1
1397Posey County, ININ24,98858.1
1398Chaffee County, COCO20,83158.0
1399Brooke County, WVWV21,14258.0
1400Mason County, WAWA71,16558.0
1401Issaquena County, MSMS1,26358.0
1402Okeechobee County, FLFL42,60857.9
1403Orleans County, VTVT27,60057.9
1404Sebastian County, ARAR130,64157.9
1405Gunnison County, COCO17,43957.9
1406Minnehaha County, SDSD212,69157.9
1407Waldo County, MEME40,69357.9
1408Orange County, TXTX86,26657.9
1409Fulton County, KYKY6,21857.9
1410Ben Hill County, GAGA17,09957.8
1411Williamsburg County, SCSC29,66257.8
1412Bernalillo County, NMNM667,60157.8
1413Hardin County, OHOH30,07257.8
1414Ravalli County, MTMT48,58257.8
1415Banks County, GAGA21,27357.8
1416Franklin County, VAVA55,52657.8
1417Fort Bend County, TXTX975,19157.7
1418Madison County, ARAR18,41057.7
1419Coweta County, GAGA160,24057.7
1420Gibson County, TNTN51,77957.7
1421Graham County, NCNC8,19057.7
1422Madison County, ILIL263,11057.7
1423St. Tammany Parish, LALA279,10857.7
1424Mohave County, AZAZ228,10257.6
1425Warren County, OHOH257,18157.6
1426Towner County, NDND2,04057.6
1427Greene County, MSMS13,70757.6
1428Blount County, ALAL60,15657.6
1429Russell County, KYKY18,60857.6
1430Moultrie County, ILIL14,37157.6
1431Evans County, GAGA11,02857.6
1432Grant County, NMNM27,25257.5
1433Carbon County, PAPA65,86857.5
1434Hawkins County, TNTN59,55957.5
1435Grant County, ININ66,52457.5
1436Lewis County, NYNY26,47957.5
1437Gaston County, NCNC246,55857.5
1438Escambia County, FLFL333,83457.5
1439Seward County, NENE18,03257.5
1440Clinton County, ILIL37,12857.5
1441Austin County, TXTX33,62557.5
1442Big Stone County, MNMN5,05457.5
1443Atchison County, MOMO5,17557.5
1444Hennepin County, MNMN1,284,78457.5
1445Oneida County, WIWI38,13157.4
1446Texas County, OKOK20,32257.4
1447Osceola County, IAIA5,98057.4
1448Scott County, MNMN159,01757.4
1449Dickens County, TXTX1,69257.4
1450Howard County, MDMD339,18357.4
1451Dallas County, ALAL35,14057.4
1452Johnson County, TNTN18,71857.4
1453Colusa County, CACA21,83657.4
1454Rensselaer County, NYNY160,51057.3
1455East Baton Rouge Parish, LALA456,18057.3
1456Denton County, TXTX1,069,34657.3
1457Washington County, ININ28,38357.3
1458Snohomish County, WAWA870,65657.3
1459Monroe County, FLFL80,40657.3
1460Monroe County, ALAL18,96557.2
1461Cecil County, MDMD107,13157.2
1462Polk County, IAIA516,54657.2
1463Vernon County, WIWI31,44357.2
1464Okmulgee County, OKOK37,24157.2
1465Garland County, ARAR99,69557.2
1466Jefferson Parish, LALA431,39857.2
1467Sacramento County, CACA1,618,46057.2
1468St. Francois County, MOMO67,80957.1
1469Nez Perce County, IDID42,90557.1
1470Wayne County, MIMI1,769,03857.1
1471Marion County, MSMS24,00157.1
1472Kandiyohi County, MNMN44,72057.1
1473Summit County, UTUT43,14157.1
1474Sandusky County, OHOH58,65557.1
1475Davidson County, TNTN745,90457.1
1476Delaware County, OHOH242,03257.0
1477Adams County, ILIL64,26757.0
1478Colleton County, SCSC39,38257.0
1479Union County, MSMS28,45957.0
1480Ashland County, OHOH52,52357.0
1481Wake County, NCNC1,257,23557.0
1482Berkeley County, SCSC274,66657.0
1483Henrico County, VAVA342,77556.9
1484Lebanon County, PAPA146,38056.9
1485Franklin County, KSKS26,29956.9
1486Bamberg County, SCSC12,79656.9
1487Wagoner County, OKOK93,26356.9
1488Piute County, UTUT1,50956.9
1489Jefferson County, WIWI86,50556.9
1490Manitowoc County, WIWI81,71056.9
1491Pecos County, TXTX14,56056.9
1492Manassas Park, VAVA16,56056.9
1493Pierce County, NENE7,37856.8
1494Fulton County, PAPA14,48356.8
1495Genesee County, MIMI401,09356.8
1496Cheatham County, TNTN42,77856.8
1497Lee County, MSMS83,73156.8
1498Pope County, ARAR64,97656.8
1499Dorchester County, SCSC178,39756.8
1500Randolph County, ILIL29,92156.8
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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES