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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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SAME RANKING BYCitiesStatesMetrosZIP codes
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, MIMI69,40656.8
1502Cerro Gordo County, IAIA42,37256.8
1503Hendricks County, ININ193,51056.7
1504St. Joseph County, MIMI60,96856.7
1505Lincoln County, MNMN5,58356.7
1506Brazos County, TXTX249,08856.7
1507Calhoun County, MIMI133,40856.7
1508St. Clair County, ILIL250,70856.6
1509Adams County, PAPA107,59456.6
1510Jefferson County, ALAL665,74256.6
1511Sussex County, NJNJ148,06356.6
1512Fulton County, OHOH41,85356.6
1513Brown County, SDSD37,56156.6
1514Stanly County, NCNC68,83056.5
1515Clearfield County, PAPA78,10056.5
1516Little River County, ARAR11,76356.5
1517Larue County, KYKY15,18456.4
1518Warren County, PAPA37,03856.4
1519Cherry County, NENE5,56156.4
1520Jackson County, ININ47,37056.4
1521Natrona County, WYWY80,52656.4
1522Tuscarawas County, OHOH92,37356.3
1523Lehigh County, PAPA384,38356.3
1524Clare County, MIMI31,54356.3
1525Charlton County, GAGA13,12156.3
1526Hall County, TXTX2,73756.3
1527Livingston County, MIMI197,31556.3
1528Baltimore, MDMD569,99756.3
1529Atoka County, OKOK14,60956.3
1530Steele County, MNMN37,46456.2
1531Winona County, MNMN50,52356.2
1532Piatt County, ILIL16,79156.2
1533Kent County, DEDE194,78656.2
1534Lamar County, TXTX51,50356.2
1535Cook County, ILIL5,194,62556.2
1536Ellis County, TXTX240,86756.2
1537Cherokee County, ALAL26,41356.2
1538Huntington County, ININ37,22456.2
1539McCulloch County, TXTX7,47256.2
1540Armstrong County, TXTX1,84356.1
1541Dubois County, ININ44,01656.1
1542Hampton County, SCSC18,17456.1
1543Coffee County, ALAL56,95356.1
1544Mahoning County, OHOH224,70656.1
1545Anderson County, TNTN82,06656.1
1546Cooper County, MOMO17,13656.1
1547Mills County, IAIA14,79356.1
1548Pulaski County, VAVA33,58656.0
1549Cavalier County, NDND3,49756.0
1550Lafayette Parish, LALA257,94956.0
1551Clinton County, KYKY9,13956.0
1552Levy County, FLFL48,52056.0
1553Richland County, SCSC434,95656.0
1554Forest County, WIWI9,57456.0
1555Lincoln County, MOMO66,67655.9
1556Mecklenburg County, NCNC1,233,38355.9
1557Manatee County, FLFL468,20055.9
1558Fannin County, GAGA26,11155.9
1559Edmonson County, KYKY12,74955.9
1560Saline County, ARAR133,28855.9
1561San Diego County, CACA3,282,24855.9
1562Jackson County, MOMO732,99455.8
1563Prince George's County, MDMD970,37455.8
1564Marathon County, WIWI139,43255.8
1565Ohio County, ININ5,99455.8
1566Columbia County, GAGA169,18955.8
1567Lee County, IAIA32,30655.8
1568White County, ARAR80,08555.8
1569Dodge County, WIWI89,09755.8
1570Lenoir County, NCNC55,83755.8
1571Baltimore County, MDMD847,65055.8
1572Platte County, MOMO114,40055.8
1573Orange County, FLFL1,528,00255.8
1574Henry County, KYKY16,44755.8
1575Charleston County, SCSC436,20055.7
1576Miller County, MOMO25,81755.7
1577Mille Lacs County, MNMN27,75355.7
1578Osage County, OKOK46,79455.7
1579Franklin County, TXTX10,99455.7
1580Lee County, FLFL875,60755.7
1581Tyler County, WVWV7,88155.7
1582Union County, NCNC267,67455.6
1583Sullivan County, NHNH43,96155.6
1584Wadena County, MNMN14,38855.6
1585Florence County, WIWI4,74855.6
1586Schuyler County, NYNY16,92455.6
1587Douglas County, GAGA154,29355.6
1588Wilson County, NCNC81,15055.6
1589McPherson County, SDSD2,34755.6
1590Caledonia County, VTVT30,41455.6
1591Bedford County, PAPA47,48055.6
1592Rock Island County, ILIL141,86955.5
1593Crawford County, WIWI15,91055.5
1594Herkimer County, NYNY59,21955.5
1595Greene County, ININ31,16555.5
1596Hendry County, FLFL48,27655.5
1597York County, MEME222,43455.4
1598Rusk County, TXTX54,85455.4
1599Cowley County, KSKS34,38255.4
1600Boone County, KYKY145,31655.4
1601Lamar County, MSMS67,40355.3
1602Perry County, MOMO19,09355.3
1603Bossier Parish, LALA131,86755.2
1604Stephenson County, ILIL43,22055.2
1605Blue Earth County, MNMN70,63455.2
1606Carroll County, ININ20,65555.2
1607Cabarrus County, NCNC249,72555.1
1608Kenosha County, WIWI168,44855.0
1609Tuolumne County, CACA53,16055.0
1610Gordon County, GAGA61,70155.0
1611Grayson County, KYKY27,40655.0
1612Wyoming County, NYNY39,74155.0
1613Alexandria, VAVA160,66255.0
1614Brown County, MNMN25,51755.0
1615Union County, ILIL16,65654.9
1616Franklin County, NYNY46,50054.9
1617Clermont County, OHOH216,97754.9
1618Chester County, PAPA557,11654.9
1619Ventura County, CACA830,85154.9
1620Tulsa County, OKOK698,78254.9
1621San Mateo County, CACA743,56854.9
1622Gasconade County, MOMO14,78454.9
1623Santa Fe County, NMNM156,90754.9
1624Henry County, TNTN32,89654.8
1625Otter Tail County, MNMN61,04154.8
1626Fulton County, GAGA1,098,79154.8
1627Knox County, KYKY29,53254.8
1628East Carroll Parish, LALA6,76054.8
1629Roseau County, MNMN15,24654.8
1630Washita County, OKOK10,88454.8
1631Jefferson County, GAGA15,01154.8
1632Butte County, CACA209,21154.8
1633Muskingum County, OHOH87,01454.8
1634Nueces County, TXTX352,99254.8
1635Hamilton County, TNTN390,83354.8
1636Chenango County, NYNY45,71554.7
1637Anderson County, SCSC219,93054.7
1638Stokes County, NCNC46,12654.7
1639Wayne County, NYNY91,25054.7
1640Sumter County, FLFL157,77254.7
1641Cass County, MIMI51,67754.7
1642West Feliciana Parish, LALA15,13454.7
1643Cleveland County, OKOK303,97354.7
1644Clallam County, WAWA78,20254.7
1645Wicomico County, MDMD106,89954.7
1646Warren County, MSMS41,75954.7
1647Wabash County, ILIL10,90754.7
1648Alamance County, NCNC186,17754.6
1649Josephine County, OROR87,86754.6
1650Doniphan County, KSKS7,59454.6
1651Woodford County, ILIL38,11154.6
1652Putnam County, ININ37,87654.5
1653Holt County, NENE10,06754.5
1654Jefferson County, WAWA33,97054.5
1655McHenry County, NDND5,13054.5
1656Howard County, NENE6,53854.5
1657Marion County, OHOH65,11554.4
1658Grand Isle County, VTVT7,51154.4
1659Beaver County, OKOK4,88254.4
1660Clayton County, GAGA297,47154.4
1661Clark County, ININ130,45154.4
1662St. Mary Parish, LALA46,55254.4
1663York County, VAVA71,37454.3
1664Bibb County, GAGA157,55654.3
1665Pima County, AZAZ1,074,68554.3
1666Lycoming County, PAPA112,58754.3
1667Graves County, KYKY37,05054.3
1668Yamhill County, OROR110,02454.3
1669Williamson County, TNTN272,06154.3
1670Wexford County, MIMI34,44554.3
1671Lavaca County, TXTX20,65154.3
1672Pulaski County, ININ12,46354.3
1673Arapahoe County, COCO673,82054.2
1674Pettis County, MOMO44,25454.2
1675Montgomery County, OHOH539,59854.2
1676Yancey County, NCNC19,08454.2
1677Lyon County, MNMN25,68454.2
1678Washington County, WIWI139,23854.2
1679Pender County, NCNC72,11154.2
1680Anoka County, MNMN381,60554.2
1681Chesapeake, VAVA255,33254.2
1682Barber County, KSKS4,08354.2
1683Kings County, NYNY2,653,96354.2
1684Sevier County, TNTN101,34254.2
1685McHenry County, ILIL317,75154.2
1686Tate County, MSMS28,72554.2
1687Allegany County, NYNY46,80054.2
1688Churchill County, NVNV25,85154.1
1689Grand County, COCO16,49654.1
1690Horry County, SCSC427,55154.1
1691Butler County, OHOH400,12854.1
1692Jackson County, NCNC45,03954.1
1693Moore County, NCNC110,61954.1
1694St. Charles County, MOMO426,49954.1
1695Chatham County, NCNC85,11154.1
1696Monroe County, MIMI156,00454.1
1697Amelia County, VAVA13,63254.1
1698Renville County, MNMN14,35654.1
1699Preston County, WVWV34,00454.0
1700Rosebud County, MTMT8,25354.0
1701Walworth County, WIWI106,12754.0
1702Lonoke County, ARAR76,66454.0
1703Custer County, NENE10,50054.0
1704Greene County, MOMO309,28654.0
1705Wilkinson County, GAGA8,65054.0
1706Bradford County, PAPA59,60054.0
1707Fairfax County, VAVA1,167,87353.9
1708Jackson County, MSMS147,66653.9
1709Fairfield County, OHOH169,75253.9
1710Montmorency County, MIMI9,84253.9
1711Richland Parish, LALA19,58253.9
1712Putnam County, FLFL77,73453.9
1713Multnomah County, OROR795,39153.9
1714Defiance County, OHOH38,29253.8
1715Franklin County, MOMO108,09053.8
1716Lincoln County, NMNM19,84453.8
1717Valley County, MTMT7,38553.8
1718Clay County, ARAR14,05253.8
1719Crawford County, ARAR62,65753.8
1720Orange County, CACA3,149,50753.8
1721Lafourche Parish, LALA95,50553.8
1722Lumpkin County, GAGA36,17853.8
1723Kearny County, KSKS3,88853.7
1724Dearborn County, ININ51,60953.7
1725Northumberland County, PAPA89,92053.7
1726Oconto County, WIWI40,19553.7
1727Richmond County, NCNC42,04153.7
1728Hertford County, NCNC19,01553.6
1729Campbell County, VAVA55,62953.6
1730Laclede County, MOMO36,94353.6
1731Eaton County, MIMI109,58153.6
1732Dorchester County, MDMD33,62853.6
1733Atlantic County, NJNJ278,65753.6
1734Wheeler County, OROR1,47253.6
1735DuPage County, ILIL934,29853.6
1736Mason County, KYKY16,93653.5
1737Washington County, NENE21,30253.5
1738Iberville Parish, LALA29,57953.5
1739Appomattox County, VAVA17,17253.5
1740Miami County, ININ34,48753.5
1741Lauderdale County, ALAL97,13553.5
1742Northampton County, PAPA324,41153.5
1743Darlington County, SCSC62,88853.4
1744Clark County, OHOH135,34053.4
1745Sibley County, MNMN15,35653.4
1746Modoc County, CACA8,42653.4
1747Spokane County, WAWA558,34453.4
1748Sumter County, SCSC105,06753.3
1749St. Lucie County, FLFL402,44953.3
1750Hampden County, MAMA464,33853.3
1751Mitchell County, TXTX8,94753.3
1752Linn County, MOMO11,81553.3
1753Crisp County, GAGA19,23753.2
1754Fluvanna County, VAVA28,97553.2
1755Decatur County, ININ26,57653.2
1756Onondaga County, NYNY466,58453.2
1757Greenlee County, AZAZ9,31253.2
1758Allamakee County, IAIA14,23853.2
1759Monroe County, ILIL34,84053.2
1760Bienville Parish, LALA12,26953.2
1761Palm Beach County, FLFL1,575,72653.2
1762Geauga County, OHOH95,67653.2
1763Stone County, ARAR12,70353.2
1764Butler County, IAIA14,04953.2
1765Rutherford County, NCNC65,74553.1
1766Shelby County, OHOH48,06553.1
1767Kossuth County, IAIA14,32253.1
1768Cass County, NDND201,79453.1
1769Cherokee County, GAGA299,27353.1
1770Siskiyou County, CACA42,01353.1
1771Los Angeles County, CACA9,694,93453.1
1772King County, WAWA2,344,93953.1
1773Logan County, ARAR21,63353.1
1774Long County, GAGA21,55753.1
1775Goodhue County, MNMN48,19553.1
1776Lauderdale County, TNTN24,61753.1
1777Cass County, TXTX28,65153.0
1778Houston County, TXTX22,31653.0
1779Lawrence County, PAPA83,91153.0
1780Hancock County, TNTN7,07553.0
1781Iredell County, NCNC211,79853.0
1782Hernando County, FLFL221,70153.0
1783Coconino County, AZAZ144,36853.0
1784Creek County, OKOK74,96752.9
1785Elmore County, ALAL91,57752.9
1786Talbot County, MDMD38,23852.9
1787Chippewa County, MNMN12,40652.9
1788Elliott County, KYKY7,26552.9
1789Nash County, NCNC99,36552.9
1790Schuylkill County, PAPA145,08552.9
1791Eddy County, NDND2,32952.9
1792Wheeler County, GAGA7,57052.8
1793Woodward County, OKOK19,82752.8
1794Philadelphia County, PAPA1,574,28152.8
1795Etowah County, ALAL103,88652.8
1796Wharton County, TXTX42,06052.8
1797Poinsett County, ARAR22,48352.8
1798Crockett County, TNTN14,00652.8
1799Morehouse Parish, LALA23,70552.8
1800Medina County, OHOH185,02552.8
1801Hancock County, OHOH75,03452.8
1802Orleans Parish, LALA362,15452.8
1803Pierce County, WIWI43,51952.7
1804Bremer County, IAIA25,29652.7
1805Monroe County, PAPA167,17952.7
1806Mercer County, WVWV57,50352.7
1807Chemung County, NYNY80,41552.7
1808Jasper County, MOMO127,42852.7
1809Hawaii County, HIHI210,04352.6
1810Virginia Beach, VAVA453,73752.6
1811Knott County, KYKY13,32152.6
1812Berkeley County, WVWV139,52252.6
1813Price County, WIWI13,98852.6
1814Henry County, ININ49,13752.6
1815Clay County, FLFL239,59352.6
1816Steuben County, NYNY91,85552.6
1817Tioga County, PAPA40,50252.6
1818Autauga County, ALAL61,92052.6
1819Carbon County, UTUT20,68052.6
1820Fannin County, TXTX39,26552.6
1821Haywood County, NCNC63,36952.6
1822Vermilion County, ILIL71,25952.5
1823Blanco County, TXTX13,58152.5
1824Placer County, CACA442,08152.5
1825Antrim County, MIMI24,69852.5
1826Transylvania County, NCNC34,21152.5
1827Calcasieu Parish, LALA208,46652.5
1828Santa Barbara County, CACA442,06552.5
1829Cass County, ININ37,83652.5
1830Jackson County, ARAR16,74152.5
1831Halifax County, VAVA33,44752.5
1832Limestone County, TXTX22,84952.4
1833Hempstead County, ARAR19,08052.4
1834Wood County, WVWV82,38552.4
1835Summers County, WVWV11,53252.4
1836Grand Traverse County, MIMI96,72952.4
1837Campbell County, TNTN40,29052.4
1838Sabine County, TXTX10,01252.3
1839Providence County, RIRI678,17952.3
1840Surry County, NCNC72,28752.3
1841Cheyenne County, COCO1,71352.3
1842Ottawa County, OHOH39,48152.3
1843Bulloch County, GAGA86,94952.3
1844Brunswick County, NCNC174,70252.3
1845Jim Hogg County, TXTX4,55552.2
1846Platte County, NENE35,64952.2
1847Stark County, OHOH373,77152.2
1848Wyoming County, PAPA25,79052.2
1849Peoria County, ILIL178,55352.2
1850Erie County, PAPA265,83252.2
1851Cedar County, IAIA18,35952.1
1852Gentry County, MOMO6,38452.1
1853Wayne County, WVWV37,30952.1
1854Carroll County, MSMS9,22652.1
1855Thurston County, NENE6,75252.0
1856Flagler County, FLFL140,36052.0
1857St. Clair County, ALAL98,20652.0
1858Box Butte County, NENE10,49452.0
1859Coshocton County, OHOH37,18852.0
1860Perry County, ININ19,38952.0
1861Santa Cruz County, CACA258,85252.0
1862Van Zandt County, TXTX66,13052.0
1863Queens County, NYNY2,358,18252.0
1864Douglas County, OROR111,95152.0
1865Mobile County, ALAL411,65852.0
1866Carroll County, MOMO8,41752.0
1867Caldwell County, MOMO9,01251.9
1868Gallatin County, KYKY8,84051.9
1869Richmond County, NYNY501,29051.9
1870Pulaski County, KYKY67,38451.9
1871Covington County, MSMS17,89851.9
1872Stephens County, GAGA27,85451.9
1873Ottawa County, MIMI308,45951.9
1874Coahoma County, MSMS19,84951.9
1875Williamson County, ILIL67,22551.9
1876Lane County, OROR381,58451.9
1877West Carroll Parish, LALA9,15651.9
1878De Baca County, NMNM1,64751.9
1879Middlesex County, NJNJ883,33551.9
1880Rockcastle County, KYKY16,14851.8
1881Indian River County, FLFL172,79951.8
1882Mifflin County, PAPA46,12751.8
1883Vanderburgh County, ININ181,99551.8
1884Bandera County, TXTX22,87651.8
1885Cleveland County, ARAR7,22451.8
1886Spink County, SDSD6,15551.8
1887New Hanover County, NCNC245,95951.8
1888Houghton County, MIMI37,84251.8
1889Westchester County, NYNY1,015,74351.8
1890La Plata County, COCO56,89851.8
1891Waynesboro, VAVA23,95151.8
1892Butler County, KSKS69,48451.8
1893Caldwell County, KYKY12,60951.7
1894Grayson County, TXTX153,61351.7
1895Galveston County, TXTX372,20751.7
1896Ashley County, ARAR17,83151.7
1897Lawrence County, TNTN46,91451.7
1898LaPorte County, ININ111,29451.7
1899Montgomery County, MOMO11,59051.7
1900Kingfisher County, OKOK15,79551.6
1901Duval County, FLFL1,062,96351.6
1902Grays Harbor County, WAWA78,14451.6
1903Polk County, WIWI45,80351.6
1904Washington County, TNTN141,19951.6
1905Caldwell County, NCNC81,10551.6
1906Madison County, ALAL433,51651.6
1907Taylor County, IAIA5,83551.5
1908Cuyahoga County, OHOH1,232,92551.5
1909Forsyth County, NCNC401,71851.5
1910Adams County, MSMS30,06151.5
1911Bureau County, ILIL32,51051.5
1912Walker County, TXTX83,84251.5
1913Baldwin County, GAGA44,02951.5
1914Forsyth County, GAGA282,80551.4
1915Clarion County, PAPA36,68051.4
1916Carlisle County, KYKY4,74751.4
1917Barnstable County, MAMA233,53951.4
1918Collier County, FLFL417,13151.3
1919Guilford County, NCNC562,23451.3
1920Morgan County, OHOH13,62651.3
1921Winnebago County, ILIL283,67451.3
1922Cumberland County, TNTN66,30051.3
1923Wayne County, KYKY19,59751.3
1924Jefferson County, COCO580,45151.3
1925Bond County, ILIL16,95951.3
1926Bullitt County, KYKY86,45451.3
1927Phelps County, NENE8,99451.3
1928Keith County, NENE8,10051.3
1929Brookings County, SDSD37,63551.2
1930Marion County, IAIA34,19251.2
1931St. Clair County, MIMI160,48651.2
1932Madison County, KYKY101,69651.2
1933Culpeper County, VAVA57,66651.2
1934Schoolcraft County, MIMI8,18751.2
1935Hunt County, TXTX123,33651.2
1936Burnet County, TXTX57,01551.2
1937Magoffin County, KYKY11,11051.1
1938Wilkes County, NCNC66,23351.1
1939Rowan County, NCNC155,09651.1
1940Clinton County, IAIA46,00251.1
1941Scioto County, OHOH71,36551.1
1942Delaware County, PAPA580,93751.1
1943Wallowa County, OROR7,59551.1
1944Bennington County, VTVT36,63051.1
1945Franklin County, VTVT51,17751.1
1946Ohio County, WVWV40,49651.1
1947Macon County, ALAL18,13251.1
1948Contra Costa County, CACA1,170,07051.1
1949Cherokee County, IAIA11,36951.1
1950Gallatin County, MTMT128,74051.1
1951George County, MSMS26,33151.0
1952Wilson County, TNTN175,03351.0
1953Ontonagon County, MIMI5,82351.0
1954Acadia Parish, LALA57,03251.0
1955Southampton County, VAVA18,11051.0
1956Macoupin County, ILIL43,74851.0
1957Daviess County, KYKY104,89850.9
1958Putnam County, WVWV56,88550.9
1959Waukesha County, WIWI417,21050.9
1960Pickens County, GAGA37,16750.9
1961Piscataquis County, MEME17,40950.9
1962Sequoyah County, OKOK40,84250.9
1963Oakland County, MIMI1,288,33750.9
1964Trinity County, CACA15,72050.9
1965Teton County, MTMT6,49650.8
1966Wayne County, ILIL15,88250.8
1967Summit County, OHOH538,37650.8
1968Hill County, TXTX39,50350.8
1969Kerr County, TXTX54,03750.8
1970Lee County, ALAL189,88150.8
1971Charles County, MDMD176,59350.8
1972Newberry County, SCSC39,56150.7
1973Broward County, FLFL2,013,31750.7
1974Hillsborough County, FLFL1,574,11550.7
1975Ellis County, OKOK3,61350.7
1976Shelby County, ININ45,88250.7
1977Sheboygan County, WIWI118,04750.7
1978Knox County, OHOH64,00250.6
1979Pratt County, KSKS9,11750.6
1980Hopkins County, TXTX39,06350.6
1981Venango County, PAPA49,34650.6
1982Chouteau County, MTMT5,86550.6
1983Bay County, MIMI102,12350.6
1984Shoshone County, IDID14,13050.6
1985Cherokee County, SCSC58,27550.6
1986Howard County, ININ83,90450.5
1987Muscatine County, IAIA41,85350.5
1988Ripley County, MOMO10,71750.5
1989Pike County, KYKY54,72150.5
1990Burke County, GAGA24,40850.5
1991Broome County, NYNY195,73650.5
1992Cherokee County, OKOK49,19650.5
1993Bosque County, TXTX18,91850.5
1994Montgomery County, PAPA877,64350.5
1995Wayne County, OHOH116,75850.4
1996Clay County, MOMO265,03250.4
1997Miami County, OHOH112,63450.4
1998Swisher County, TXTX6,70350.4
1999Carroll County, KYKY11,14150.4
2000Harford County, MDMD266,44650.4
SHOWING 1,501–2,000 OF 3,131
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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES