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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
1501Montcalm County, MIMI69,40655.9
1502Granville County, NCNC61,42155.9
1503Chatham County, NCNC85,11155.9
1504Sussex County, VAVA10,75555.9
1505Bibb County, ALAL22,26255.9
1506Florence County, WIWI4,74855.9
1507Catahoula Parish, LALA8,22355.8
1508Washington County, UTUT213,67055.8
1509Pike County, MOMO17,95555.8
1510Simpson County, MSMS25,49855.8
1511Newport News, VAVA183,23055.8
1512Anchorage, AKAK287,15555.8
1513Jefferson County, KSKS18,29655.8
1514Rockwall County, TXTX140,73855.8
1515Anderson County, SCSC219,93055.8
1516Piute County, UTUT1,50955.7
1517Shelby County, OHOH48,06555.7
1518Ramsey County, MNMN541,62355.7
1519Pierce County, WAWA946,28855.7
1520Montgomery County, NYNY50,04655.7
1521Wagoner County, OKOK93,26355.7
1522Pembina County, NDND6,56855.7
1523Contra Costa County, CACA1,170,07055.6
1524Vinton County, OHOH12,64555.6
1525Warren County, MSMS41,75955.6
1526Accomack County, VAVA33,85955.6
1527Navajo County, AZAZ109,94655.6
1528Montgomery County, MOMO11,59055.6
1529Petersburg, VAVA33,73455.6
1530Honolulu County, HIHI988,70355.5
1531Scott County, MNMN159,01755.5
1532Decatur County, ININ26,57655.5
1533Caldwell County, NCNC81,10555.5
1534Pushmataha County, OKOK10,80755.5
1535Etowah County, ALAL103,88655.5
1536Marathon County, WIWI139,43255.5
1537Deaf Smith County, TXTX18,62655.5
1538Lincoln County, KYKY25,35355.5
1539Petersburg, AKAK3,39455.5
1540Mason County, WAWA71,16555.4
1541Spartanburg County, SCSC380,85755.4
1542Coweta County, GAGA160,24055.4
1543Iowa County, WIWI23,95155.4
1544Columbia County, ARAR21,89455.4
1545Campbell County, KYKY95,44155.4
1546Mayes County, OKOK40,41655.3
1547Greenville County, SCSC583,12555.3
1548Wayne County, GAGA32,48155.3
1549Crook County, OROR27,56455.2
1550Conecuh County, ALAL10,89955.2
1551Franklin County, MOMO108,09055.2
1552Miller County, MOMO25,81755.2
1553Kanabec County, MNMN16,62855.2
1554Polk County, IAIA516,54655.2
1555Clark County, WAWA532,11955.1
1556Brunswick County, VAVA15,72755.1
1557Tarrant County, TXTX2,248,46655.1
1558Waldo County, MEME40,69355.1
1559Castro County, TXTX7,29555.1
1560Montgomery County, ALAL225,89155.1
1561Valley County, MTMT7,38555.1
1562Chaves County, NMNM63,36455.1
1563Dallas County, TXTX2,661,39755.1
1564Nueces County, TXTX352,99255.1
1565Franklin County, IAIA9,86855.0
1566Fremont County, COCO50,03955.0
1567St. Francois County, MOMO67,80955.0
1568Swain County, NCNC14,02454.9
1569Mississippi County, ARAR37,82854.9
1570Taylor County, TXTX150,07754.8
1571Clark County, ININ130,45154.8
1572Tuolumne County, CACA53,16054.8
1573Cuming County, NENE8,82354.8
1574Stafford County, VAVA170,80354.8
1575Bleckley County, GAGA12,86654.7
1576Lexington County, SCSC317,58854.7
1578Oneida County, IDID5,08554.7
1579Salem County, NJNJ66,28054.7
1580Jasper County, MOMO127,42854.7
1581Bradford County, PAPA59,60054.6
1582Lebanon County, PAPA146,38054.6
1583Clinton County, OHOH42,30154.6
1584Davidson County, NCNC180,18254.6
1585Bandera County, TXTX22,87654.6
1586Cass County, MOMO115,85954.6
1587Southampton County, VAVA18,11054.6
1588Elbert County, COCO30,53454.5
1589Autauga County, ALAL61,92054.5
1590Somerset County, NJNJ356,48654.5
1591Westmoreland County, PAPA349,32454.5
1592Barrow County, GAGA99,77354.5
1593Posey County, ININ24,98854.5
1594Huntingdon County, PAPA43,00154.5
1595Goodhue County, MNMN48,19554.5
1596Saline County, KSKS53,37754.5
1597Tillman County, OKOK6,78054.5
1598Washington County, MDMD157,73154.4
1599Northumberland County, PAPA89,92054.4
1600Sumter County, GAGA28,80154.4
1601Calumet County, WIWI53,98254.4
1602Tom Green County, TXTX120,60254.4
1603Dickson County, TNTN58,66254.4
1604Seminole County, GAGA9,16254.4
1605Prince George's County, MDMD970,37454.4
1606Citrus County, FLFL171,66654.4
1607Macon County, ALAL18,13254.4
1608Panola County, TXTX23,01854.3
1609Stanly County, NCNC68,83054.3
1610Fresno County, CACA1,035,45654.3
1611Koochiching County, MNMN11,58754.3
1612Elmore County, IDID29,46554.3
1613Logan County, OHOH46,30254.3
1614Venango County, PAPA49,34654.3
1615Darlington County, SCSC62,88854.3
1616Banks County, GAGA21,27354.3
1617Gallatin County, ILIL4,61654.2
1618Allen County, KSKS12,30254.2
1619Richmond County, GAGA206,55954.2
1620Hardin County, TXTX58,72354.2
1621Hamilton County, TNTN390,83354.2
1622Cedar County, IAIA18,35954.2
1623Jasper County, MSMS15,78554.2
1624Bee County, TXTX32,51554.2
1625Fulton County, ARAR12,49254.1
1626Haskell County, OKOK11,78754.1
1627Union County, NJNJ601,86354.1
1628Davidson County, TNTN745,90454.1
1629Will County, ILIL712,25354.1
1630Hamilton County, OHOH838,41854.1
1631Marion County, ININ992,19654.1
1632Essex County, NJNJ896,37954.0
1633Indiana County, PAPA82,87854.0
1634Harrison County, MSMS217,13654.0
1635Labette County, KSKS19,68554.0
1636Pottawatomie County, OKOK75,10254.0
1637Knox County, TXTX3,19253.9
1638Brazoria County, TXTX419,08053.9
1639Wythe County, VAVA27,98353.9
1640Borden County, TXTX56753.9
1641Hardee County, FLFL25,93253.9
1642Price County, WIWI13,98853.9
1643Rutherford County, NCNC65,74553.8
1644Worth County, GAGA20,05953.8
1645Charlottesville, VAVA44,38853.8
1646Hampton, VAVA137,31553.8
1647McDowell County, NCNC45,19853.8
1648Buffalo County, NENE51,17253.8
1649Muscogee County, GAGA202,17153.8
1650Clay County, ALAL14,20753.8
1651Mecosta County, MIMI42,32053.8
1652Iroquois County, ILIL26,15053.7
1653Seward County, NENE18,03253.7
1654Klamath County, OROR70,27453.7
1655Jefferson County, PAPA43,25553.7
1656Orange County, ININ19,83453.7
1657Rio Blanco County, COCO6,68353.7
1658Chemung County, NYNY80,41553.6
1659Colonial Heights, VAVA18,73853.6
1660Keokuk County, IAIA9,79753.6
1661Greene County, ARAR47,41153.6
1662Culpeper County, VAVA57,66653.6
1663Walker County, GAGA70,25053.6
1664Bath County, KYKY13,17653.6
1665Geauga County, OHOH95,67653.6
1666Martin County, MNMN19,44053.5
1667Washington County, OHOH58,38953.5
1668Schuylkill County, PAPA145,08553.5
1669Grundy County, MOMO9,74453.5
1670Calhoun County, ARAR4,63253.5
1671Williamson County, TXTX752,82753.5
1672Clarke County, MSMS15,10253.5
1673Louisa County, IAIA10,41653.5
1674Laurens County, SCSC71,84853.5
1675Swisher County, TXTX6,70353.4
1676Allegany County, NYNY46,80053.4
1677Herkimer County, NYNY59,21953.4
1678Morrison County, MNMN34,62053.4
1679Sheridan County, NDND1,29653.4
1680Butler County, OHOH400,12853.4
1681Sioux County, NENE1,18853.4
1682Cannon County, TNTN15,29653.4
1683Marlboro County, SCSC25,48853.4
1684Kiowa County, COCO1,41253.3
1685Marion County, OHOH65,11553.3
1686Boise County, IDID8,54553.3
1687Fayette County, PAPA123,02153.3
1688Jefferson County, TNTN60,02453.3
1689Pulaski County, ARAR404,61153.3
1690Leake County, MSMS21,66253.2
1691Lumpkin County, GAGA36,17853.2
1692Washington County, VAVA53,89853.2
1693Hays County, TXTX304,39053.2
1694Dunn County, WIWI46,22353.2
1695Ogle County, ILIL51,39953.2
1696Adams County, COCO554,66853.2
1697Clay County, MOMO265,03253.1
1698Ionia County, MIMI66,55753.1
1699Greensville County, VAVA11,18153.1
1700Kent County, MIMI675,23253.1
1701Stillwater County, MTMT9,44553.1
1702Shawnee County, KSKS178,60753.1
1703Gallatin County, KYKY8,84053.1
1704Adair County, OKOK19,82853.0
1705Atlantic County, NJNJ278,65753.0
1706Mercer County, PAPA107,86053.0
1707Starke County, ININ23,42553.0
1708Atascosa County, TXTX53,59053.0
1709Allegan County, MIMI123,18853.0
1710Parker County, TXTX184,76753.0
1711Ward County, NDND68,23353.0
1712Wallowa County, OROR7,59552.9
1713Ben Hill County, GAGA17,09952.9
1714Sevier County, ARAR15,75852.9
1715Macomb County, MIMI886,22152.9
1716Bexar County, TXTX2,160,08852.9
1717Portsmouth, VAVA96,77752.9
1718Hancock County, ILIL16,80352.9
1719Hancock County, MSMS46,87352.9
1720Lincoln County, OKOK35,27852.9
1721James City County, VAVA83,32652.8
1722Clarendon County, SCSC31,04352.8
1723Calvert County, MDMD94,48452.8
1724Scott County, ARAR9,96552.8
1725Monroe County, MSMS33,31852.8
1726Island County, WAWA85,65752.8
1727Elkhart County, ININ208,77452.8
1728Gosper County, NENE1,80352.8
1729Klickitat County, WAWA24,33152.8
1730Dorchester County, MDMD33,62852.8
1731Lawrence County, OHOH55,71052.8
1732Sunflower County, MSMS22,89352.7
1733Brown County, OHOH44,39752.7
1734Cowlitz County, WAWA114,88552.7
1735Norfolk, VAVA231,01352.7
1736Suffolk County, NYNY1,546,09052.6
1737Pocahontas County, WVWV7,60252.6
1738Gibson County, ININ33,09152.6
1739Snohomish County, WAWA870,65652.6
1740Brooke County, WVWV21,14252.6
1741Vigo County, ININ106,51252.6
1742Fulton County, ININ20,09152.6
1743Appling County, GAGA19,10052.6
1744Sandusky County, OHOH58,65552.5
1745Tyler County, WVWV7,88152.5
1746Okfuskee County, OKOK11,45152.5
1747Berks County, PAPA440,07252.5
1748Emmet County, MIMI33,77552.5
1749Ste. Genevieve County, MOMO18,68952.5
1750Oswego County, NYNY118,56952.5
1751Lincoln County, IDID5,60352.5
1752Franklin County, OHOH1,361,53652.5
1753Ray County, MOMO23,39852.4
1754Chariton County, MOMO7,37752.4
1755Garvin County, OKOK26,37752.4
1756Greene County, TNTN73,83152.4
1757Highlands County, FLFL111,12252.4
1758San Joaquin County, CACA823,81552.4
1759Clallam County, WAWA78,20252.4
1760Cole County, MOMO77,90852.4
1761Clearfield County, PAPA78,10052.4
1762Steele County, MNMN37,46452.3
1764Amite County, MSMS12,48752.3
1765Franklin County, MSMS7,49152.3
1766Chippewa County, WIWI67,61452.3
1767Bryan County, GAGA52,06252.3
1768Warren County, TNTN43,71752.3
1769Elmore County, ALAL91,57752.3
1770Craighead County, ARAR116,95752.3
1771Antrim County, MIMI24,69852.3
1772Wood County, WIWI74,06052.2
1773McLeod County, MNMN36,63152.2
1774Rankin County, MSMS162,18152.2
1775Worth County, IAIA7,33852.2
1776Halifax County, NCNC46,53452.2
1777Lee County, FLFL875,60752.2
1778York County, PAPA473,19752.2
1779Pennington County, SDSD116,79252.2
1780Rowan County, KYKY24,47652.2
1781Floyd County, KYKY34,40152.2
1782Anne Arundel County, MDMD603,38052.1
1783Hernando County, FLFL221,70152.1
1784Clay County, FLFL239,59352.1
1785Upson County, GAGA28,50052.1
1786Marion County, MOMO28,52552.0
1787Polk County, MNMN30,54552.0
1788Polk County, GAGA45,51452.0
1789Fayette County, GAGA125,15652.0
1790Chesterfield County, VAVA397,14852.0
1791Gila County, AZAZ53,80152.0
1792Eagle County, COCO54,29152.0
1793Benton County, ARAR332,55451.9
1794Barren County, KYKY45,64151.9
1795Union County, KYKY12,83951.9
1796Montgomery County, PAPA877,64351.9
1797Luzerne County, PAPA332,12651.9
1798Potter County, TXTX114,45351.9
1799San Bernardino County, CACA2,224,09151.9
1800Coffee County, TNTN62,41951.9
1801Alamance County, NCNC186,17751.8
1802Alpena County, MIMI28,85351.8
1803Ventura County, CACA830,85151.8
1804Washington County, TXTX38,28851.8
1805Clinton County, MIMI80,43251.8
1806Riverside County, CACA2,544,91651.8
1807Polk County, OROR90,03751.8
1808Fairfax County, VAVA1,167,87351.7
1809Montour County, PAPA17,86851.7
1810Comanche County, OKOK122,15851.7
1811Greene County, NCNC20,70051.7
1812Rhea County, TNTN34,84451.7
1813Greene County, OHOH174,32251.7
1814Adams County, WAWA21,48851.7
1815Tooele County, UTUT87,46151.6
1816Warren County, VAVA42,74051.6
1817Boone County, KYKY145,31651.6
1818Gwinnett County, GAGA1,018,09951.6
1819Noble County, OKOK10,89951.6
1820Dakota County, MNMN457,71051.6
1821Dorchester County, SCSC178,39751.6
1822Trumbull County, OHOH198,97251.5
1823York County, VAVA71,37451.5
1824Spokane County, WAWA558,34451.5
1825Newton County, ININ14,18851.5
1826Clinton County, NYNY78,13851.5
1827Santa Cruz County, AZAZ50,02051.5
1828Luce County, MIMI6,33951.5
1829Hill County, MTMT16,16751.5
1830Chowan County, NCNC14,08251.5
1831Oldham County, TXTX1,78351.5
1832Warrick County, ININ66,80351.5
1833Dutchess County, NYNY300,70851.4
1834Hanover County, VAVA116,42351.4
1835Nolan County, TXTX14,11751.4
1836Lewis and Clark County, MTMT75,33151.4
1837Catoosa County, GAGA69,62851.4
1838Dougherty County, GAGA82,61651.4
1839Genesee County, MIMI401,09351.4
1840Caldwell County, TXTX55,15051.4
1841McHenry County, ILIL317,75151.3
1842Grady County, GAGA26,59051.3
1843Nodaway County, MOMO20,17451.3
1844Bergen County, NJNJ977,02651.3
1845Lauderdale County, ALAL97,13551.3
1846Berrien County, MIMI152,44451.3
1847Salem, VAVA25,81651.3
1848Bailey County, TXTX6,96351.2
1849Gogebic County, MIMI14,28551.2
1850Galveston County, TXTX372,20751.2
1851Potter County, PAPA15,89751.2
1852Marion County, WVWV55,58451.1
1853Carteret County, NCNC70,46951.1
1854Somerset County, MEME51,62051.1
1855Bradley County, TNTN115,46551.1
1856Collier County, FLFL417,13151.1
1857Jasper County, ILIL9,03251.1
1858Luna County, NMNM25,40751.1
1859Jackson County, MIMI159,55251.1
1860Williamsburg, VAVA15,86151.1
1861Union County, IAIA11,82951.1
1862Cooke County, TXTX44,46151.0
1863Blount County, TNTN143,82051.0
1864Sacramento County, CACA1,618,46051.0
1865Dallas County, IAIA118,45751.0
1866Oneida County, WIWI38,13151.0
1867Hampshire County, WVWV24,10551.0
1868Madison County, TNTN100,79051.0
1869Roanoke, VAVA99,11151.0
1870Linn County, OROR132,84351.0
1871Kent County, RIRI173,49551.0
1872Jefferson Davis Parish, LALA31,47151.0
1873Jefferson County, KYKY795,22251.0
1874Carbon County, MTMT11,46651.0
1875Rusk County, WIWI14,14651.0
1876Lincoln County, MEME36,59550.9
1877Woodward County, OKOK19,82750.9
1878Botetourt County, VAVA34,14450.9
1879Douglas County, NVNV50,11150.9
1880Garfield County, COCO63,47450.9
1881Osage County, KSKS15,69350.9
1882Meigs County, TNTN14,18650.9
1883San Miguel County, NMNM26,26050.9
1884Schoharie County, NYNY30,17650.9
1885Beltrami County, MNMN47,05550.9
1886Muhlenberg County, KYKY30,63450.9
1887Davis County, UTUT381,22750.9
1888Carlton County, MNMN36,71150.8
1889Johnson County, NENE5,21850.8
1890Bristol County, MAMA593,64050.8
1891Union County, NCNC267,67450.8
1892DeKalb County, ININ44,53550.8
1893Nassau County, NYNY1,398,93950.8
1894Menard County, ILIL11,86350.8
1895St. Tammany Parish, LALA279,10850.8
1896Union County, PAPA42,31350.8
1897Harding County, SDSD1,33150.8
1898Craig County, VAVA4,80050.7
1899Washington County, ARAR271,21350.7
1900St. Clair County, MOMO9,97650.7
1901Lyon County, MNMN25,68450.7
1902San Diego County, CACA3,282,24850.7
1903Henry County, ININ49,13750.7
1904Fond du Lac County, WIWI104,66950.7
1905Broome County, NYNY195,73650.6
1906Arapahoe County, COCO673,82050.6
1907Marshall County, TNTN38,07150.6
1908Worcester County, MAMA888,50250.6
1909Cherokee County, GAGA299,27350.6
1910Cuyahoga County, OHOH1,232,92550.6
1911Hancock County, ININ90,96950.6
1912Collin County, TXTX1,297,17950.6
1913Gadsden County, FLFL44,29850.5
1914Woodford County, ILIL38,11150.5
1915Bourbon County, KSKS14,31950.5
1916Maricopa County, AZAZ4,689,55850.5
1917Hopkins County, KYKY45,12750.5
1918Greene County, PAPA33,88550.5
1919Windham County, VTVT45,20450.5
1920Gordon County, GAGA61,70150.5
1921Page County, VAVA23,76250.5
1922Camden County, NJNJ535,79950.4
1923Leavenworth County, KSKS84,59050.4
1924Wake County, NCNC1,257,23550.4
1925Henry County, KYKY16,44750.4
1926Montgomery County, MDMD1,074,58250.4
1927Rock Island County, ILIL141,86950.4
1928Kennebec County, MEME129,06750.4
1929Union County, SCSC26,79950.4
1930Schuyler County, ILIL6,65750.3
1931Hancock County, MEME57,17150.3
1932Anderson County, KYKY25,22550.3
1933Person County, NCNC40,63650.3
1934Jefferson County, WVWV63,10250.3
1935Wilbarger County, TXTX12,48150.3
1936Richmond County, NYNY501,29050.3
1937Bonner County, IDID54,42050.2
1938Johnson County, GAGA9,31050.2
1939Charlotte County, FLFL217,21250.2
1940Burleson County, TXTX20,54950.2
1941Lackawanna County, PAPA216,50250.2
1942Antelope County, NENE6,35250.1
1943Callaway County, MOMO45,76550.1
1944Kleberg County, TXTX30,31550.1
1945Delaware County, OHOH242,03250.1
1946Lawrence County, ININ45,56850.1
1947Calhoun County, GAGA5,41350.1
1948Clay County, KYKY19,46550.1
1949Mahoning County, OHOH224,70650.0
1950Bedford County, VAVA83,05950.0
1951Grand Traverse County, MIMI96,72950.0
1952Bulloch County, GAGA86,94950.0
1953Hancock County, WVWV27,72950.0
1954Hamilton County, ININ387,03650.0
1955Berkeley County, WVWV139,52250.0
1956Morris County, NJNJ524,25150.0
1957Plymouth County, IAIA25,69749.9
1959Rockbridge County, VAVA22,66349.9
1960Gage County, NENE21,71149.9
1961Corson County, SDSD3,78149.9
1962Franklin County, MAMA70,69849.9
1963Washington County, MEME31,33449.8
1964Skagit County, WAWA132,97549.8
1965Yadkin County, NCNC38,32549.8
1966Hudson County, NJNJ735,03349.8
1967Clear Creek County, COCO8,99449.8
1968Hancock County, OHOH75,03449.8
1969Jackson County, MOMO732,99449.8
1970St. Lawrence County, NYNY105,48849.8
1971Lawrence County, PAPA83,91149.8
1972Walthall County, MSMS13,92849.8
1973Waushara County, WIWI25,22349.8
1974Foard County, TXTX1,04449.8
1975Gloucester County, NJNJ312,63849.7
1976Clarke County, ALAL22,01449.7
1977Boone County, MOMO191,74649.7
1978Marshall County, KYKY31,65949.7
1979Kendall County, ILIL145,47049.7
1980Catawba County, NCNC170,17249.7
1981Cumberland County, ILIL10,20849.7
1982St. Louis County, MOMO990,91149.6
1983Mineral County, WVWV26,79249.6
1984San Benito County, CACA70,08249.6
1985Nelson County, NDND2,96349.6
1986Umatilla County, OROR81,11949.6
1987Monroe County, MOMO8,95949.6
1988Teton County, MTMT6,49649.6
1989Stanislaus County, CACA557,71949.6
1990Jasper County, TXTX33,07549.5
1991Hillsborough County, NHNH433,41549.5
1992Floyd County, GAGA101,37849.5
1993Frederick County, MDMD302,88349.5
1994Pima County, AZAZ1,074,68549.4
1995Sonoma County, CACA486,44449.4
1996Spalding County, GAGA70,77549.4
1997Natchitoches Parish, LALA36,08949.4
1998Virginia Beach, VAVA453,73749.4
1999Whiteside County, ILIL54,12149.4
2000Hood River County, OROR23,72049.4
SHOWING 1,501–2,000 OF 3,143
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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES