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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
2001Brown County, OHOH44,39750.4
2002Armstrong County, PAPA63,69850.4
2003Oconee County, GAGA44,89350.3
2004Ellis County, KSKS29,07550.3
2005McLean County, ILIL171,41950.3
2006Martin County, FLFL166,27250.3
2007Cheyenne County, NENE9,52850.3
2008Iron County, MOMO9,31850.2
2009Erath County, TXTX43,91150.2
2010Shannon County, MOMO7,28550.2
2011Worcester County, MAMA888,50250.2
2012Charlotte County, FLFL217,21250.1
2013Rockwall County, TXTX140,73850.1
2014Mecosta County, MIMI42,32050.1
2015Stephens County, OKOK44,31050.1
2016McKinley County, NMNM68,11950.0
2017Greensville County, VAVA11,18150.0
2018Sumner County, TNTN215,53850.0
2019Richmond, VAVA237,25750.0
2020Mendocino County, CACA88,12250.0
2021Nevada County, CACA101,91150.0
2022Burlington County, NJNJ481,43950.0
2023Berks County, PAPA440,07250.0
2024Erie County, NYNY946,74149.9
2025Baraga County, MIMI8,16949.9
2026Richmond County, VAVA9,29449.9
2027Lincoln County, ARAR12,76449.9
2028Red River Parish, LALA7,16549.9
2029Lake County, CACA67,77249.9
2030Clarendon County, SCSC31,04349.9
2031Bartholomew County, ININ85,72949.9
2032Costilla County, COCO3,67949.9
2033New Castle County, DEDE588,02649.9
2034Nye County, NVNV57,33649.8
2035Missaukee County, MIMI15,27449.8
2036Suffolk County, NYNY1,546,09049.8
2037Jasper County, ININ33,89449.8
2038Henry County, MOMO22,67149.8
2039Butler County, PAPA200,16949.8
2040Latah County, IDID41,84249.8
2041Coos County, NHNH31,34349.8
2042Morris County, TXTX12,13349.8
2043Johnson County, MOMO56,67049.8
2044San Juan County, WAWA18,57749.7
2045Cole County, MOMO77,90849.7
2046Garrett County, MDMD28,37049.7
2047Warrick County, ININ66,80349.7
2048Juniata County, PAPA23,40349.7
2049Green Lake County, WIWI19,30549.7
2050Caswell County, NCNC22,56349.7
2051Cocke County, TNTN37,88949.7
2052Miami-Dade County, FLFL2,802,02949.7
2053Schoharie County, NYNY30,17649.6
2054Santa Rosa County, FLFL211,11549.6
2055Cleveland County, NCNC103,32549.6
2056Washington County, GAGA19,45349.6
2057Larimer County, COCO377,29249.6
2058Orange County, VAVA40,08349.6
2059Jessamine County, KYKY57,14749.6
2060Sangamon County, ILIL194,17049.6
2061Washington County, ILIL13,56449.5
2062Accomack County, VAVA33,85949.5
2063Lewis County, IDID3,70449.5
2064Lincoln County, KYKY25,35349.5
2065Hickman County, TNTN26,21949.5
2066Pike County, ALAL33,68849.5
2067Lafayette County, WIWI17,47849.5
2068Red Willow County, NENE10,30749.5
2069Douglas County, WIWI43,99049.5
2070Macomb County, MIMI886,22149.5
2071Schenectady County, NYNY162,58149.4
2072St. Louis County, MOMO990,91149.4
2073Passaic County, NJNJ531,62449.4
2074Carteret County, NCNC70,46949.4
2075Nuckolls County, NENE4,10049.4
2076Natchitoches Parish, LALA36,08949.4
2077Brevard County, FLFL663,98249.4
2078Douglas County, SDSD2,88849.4
2079Calvert County, MDMD94,48449.4
2080St. Charles Parish, LALA50,58649.3
2081Montague County, TXTX21,96649.3
2082Porter County, ININ176,04949.3
2083Lowndes County, MSMS57,34649.3
2084Perry County, PAPA46,80649.3
2085Oktibbeha County, MSMS51,89649.3
2086Howell County, MOMO40,79849.3
2087Itasca County, MNMN45,40449.3
2088Greene County, TNTN73,83149.3
2089Jackson County, KYKY13,32549.3
2090Fayette County, ILIL20,79049.2
2091Miami County, KSKS36,24049.2
2092Huntingdon County, PAPA43,00149.2
2093Lorain County, OHOH323,21949.2
2094San Benito County, CACA70,08249.2
2095Jasper County, MSMS15,78549.2
2096Crook County, WYWY7,85249.2
2097Bayfield County, WIWI16,78749.2
2098Mountrail County, NDND9,39549.2
2099Hardin County, TXTX58,72349.2
2100Coos County, OROR63,99249.2
2101Monroe County, KYKY11,19149.2
2102Cottonwood County, MNMN11,40549.2
2103Carter County, KYKY26,14949.1
2104Tillamook County, OROR27,38449.1
2105Gilmer County, GAGA33,89449.1
2106Whitley County, KYKY37,29749.1
2107Jefferson County, OROR25,74049.1
2108Monmouth County, NJNJ651,03549.1
2109Garfield County, COCO63,47449.0
2110Terry County, TXTX11,72049.0
2111Middlesex County, MAMA1,669,97949.0
2112Iosco County, MIMI25,26649.0
2113Rush County, ININ16,76748.9
2114Boyd County, KYKY47,75148.9
2115Crawford County, OHOH41,89648.9
2116Barnes County, NDND10,57348.9
2117Buckingham County, VAVA17,13748.9
2118Hays County, TXTX304,39048.9
2119Union County, ARAR36,92648.9
2120Hood County, TXTX70,50148.9
2121Putnam County, TNTN86,61248.8
2122Lynchburg, VAVA81,34748.8
2123Johnson County, IAIA160,04448.8
2124Delaware County, IAIA17,67448.8
2125Hampton, VAVA137,31548.8
2126DeKalb County, TNTN21,87348.8
2127Goliad County, TXTX7,20848.8
2128Portage County, WIWI71,94348.8
2129Limestone County, ALAL122,92848.8
2130Tippecanoe County, ININ190,45648.8
2131Madison County, FLFL18,75948.7
2132St. Joseph County, ININ272,86148.7
2133Aiken County, SCSC181,51548.7
2134Bristol County, MAMA593,64048.7
2135Tuscola County, MIMI52,68048.7
2136Lincoln County, OROR50,63648.6
2137Stutsman County, NDND21,41448.6
2138Page County, VAVA23,76248.6
2139Alameda County, CACA1,636,63048.6
2140Coffee County, GAGA44,40748.6
2141Belmont County, OHOH64,43448.6
2142Lincoln County, WYWY21,18048.6
2143DeKalb County, ILIL101,83548.6
2144Wabasha County, MNMN21,53748.6
2145Elk County, PAPA29,92648.5
2146Henry County, VAVA49,24248.5
2147St. Louis County, MNMN200,51848.5
2148Norfolk County, MAMA739,74948.5
2149Breckinridge County, KYKY21,50348.5
2150Broomfield County, COCO79,17448.5
2151Dane County, WIWI590,37548.5
2152Williams County, OHOH36,54948.5
2153Marshall County, SDSD4,42648.5
2154Lenawee County, MIMI97,77948.5
2155Washington County, OHOH58,38948.5
2156Rutherford County, TNTN386,35248.5
2157Caldwell Parish, LALA9,34448.4
2158Gloucester County, NJNJ312,63848.4
2159Hettinger County, NDND2,49248.4
2160Wilson County, TXTX56,13948.4
2161Sarasota County, FLFL479,95848.4
2162Somerset County, NJNJ356,48648.4
2163Clay County, MNMN67,73448.4
2164Raleigh County, WVWV71,77548.4
2165Montgomery County, NYNY50,04648.4
2166Trumbull County, OHOH198,97248.3
2167Laramie County, WYWY102,93848.3
2168Anderson County, KYKY25,22548.3
2169DeKalb County, MOMO9,79548.3
2170Pope County, MNMN11,42048.2
2171Independence County, ARAR38,78548.2
2172Rush County, KSKS2,84548.2
2173Montgomery County, KYKY28,82248.2
2174Woodford County, KYKY27,88348.2
2175Adair County, IAIA7,40348.2
2176Washington County, MEME31,33448.2
2177Plymouth County, MAMA546,82948.2
2178Culberson County, TXTX2,26748.2
2179Payne County, OKOK83,88948.2
2180West Baton Rouge Parish, LALA28,75648.1
2181Yolo County, CACA224,41048.1
2182Fayette County, KYKY329,75148.1
2183Hillsborough County, NHNH433,41548.1
2184Plaquemines Parish, LALA22,25648.1
2185Hudspeth County, TXTX3,43348.1
2186Cullman County, ALAL94,00948.1
2187Floyd County, ININ82,15348.0
2188Knox County, ININ35,65248.0
2189Itawamba County, MSMS24,15248.0
2190Burke County, NCNC88,65548.0
2191Warren County, NYNY65,02048.0
2192Ellsworth County, KSKS6,25748.0
2193Knox County, TNTN511,45348.0
2194Harding County, SDSD1,33148.0
2195Mercer County, NJNJ399,28948.0
2196Callaway County, MOMO45,76547.9
2197Walla Walla County, WAWA62,36147.9
2198Crawford County, GAGA12,20647.9
2199Van Wert County, OHOH29,01347.9
2200Pipestone County, MNMN9,26047.9
2201Tazewell County, VAVA38,63547.9
2202Mineral County, NVNV4,40747.9
2203Volusia County, FLFL606,57347.9
2204St. Lawrence County, NYNY105,48847.8
2205Carson County, TXTX5,80547.8
2206Outagamie County, WIWI195,89447.8
2207Chautauqua County, NYNY124,12647.8
2208Warren County, NJNJ112,95347.8
2209Brown County, ININ15,77747.8
2210Forrest County, MSMS79,03447.7
2211Haywood County, TNTN17,04247.7
2212Kent County, RIRI173,49547.7
2213Clinton County, MOMO21,66147.7
2214Somerset County, MEME51,62047.7
2215Putnam County, GAGA23,72247.7
2216Estill County, KYKY13,96247.7
2217Georgetown County, SCSC65,91247.7
2218McMinn County, TNTN57,40447.7
2219San Luis Obispo County, CACA282,36747.6
2220Greene County, OHOH174,32247.6
2221Chesterfield County, VAVA397,14847.6
2222Saline County, MOMO23,26547.6
2223Catawba County, NCNC170,17247.6
2224Sullivan County, ININ20,83147.6
2225Madison County, OHOH46,98547.6
2226Dooly County, GAGA11,15647.6
2227York County, PAPA473,19747.6
2228Saratoga County, NYNY241,34347.5
2229Haskell County, OKOK11,78747.5
2230Audrain County, MOMO24,52847.5
2231Lapeer County, MIMI89,51647.5
2232Henry County, ILIL48,09547.5
2233McNairy County, TNTN26,23647.5
2234Stone County, MSMS19,65447.5
2235Oconee County, SCSC83,77547.5
2236Sussex County, DEDE277,14047.5
2237Ketchikan Gateway, AKAK13,54947.5
2238Ingham County, MIMI289,70947.4
2239Grand Forks County, NDND74,50147.4
2240Osage County, MOMO13,61147.4
2241Jackson County, OROR221,79547.4
2242Leon County, FLFL299,04847.4
2243Bent County, COCO5,71647.4
2244Tuscaloosa County, ALAL241,36847.3
2245Unicoi County, TNTN17,85647.3
2246Blair County, PAPA119,54147.3
2247Jasper County, SCSC38,53347.3
2248DeWitt County, TXTX20,30947.3
2249Avoyelles Parish, LALA37,94147.3
2250Potter County, SDSD2,37747.3
2251Ozaukee County, WIWI94,34647.3
2252Allegheny County, PAPA1,225,03547.3
2253Pasco County, FLFL674,51647.3
2254Rains County, TXTX13,54247.3
2255Montgomery County, ININ38,95447.2
2256Morris County, NJNJ524,25147.2
2257Bacon County, GAGA11,07047.2
2258Osceola County, FLFL481,71847.2
2259Perkins County, SDSD2,85347.2
2260Cape Girardeau County, MOMO83,99947.2
2261Palo Alto County, IAIA8,89947.2
2262Green County, KYKY11,64447.2
2263Boone County, MOMO191,74647.2
2264Marlboro County, SCSC25,48847.2
2265Hancock County, ININ90,96947.1
2266Le Sueur County, MNMN29,45347.1
2267Jones County, NCNC9,57547.1
2268Cumberland County, VAVA10,35247.1
2269Ontario County, NYNY113,13047.1
2270Union County, OHOH73,44647.1
2271Granville County, NCNC61,42147.1
2272White County, GAGA29,80247.1
2273Putnam County, NYNY99,02847.0
2274Polk County, TNTN18,59247.0
2275Hardin County, TNTN27,98347.0
2276Rockdale County, GAGA98,41647.0
2277Crawford County, KSKS39,00847.0
2278Garvin County, OKOK26,37747.0
2279Boone County, ILIL53,56847.0
2280Oldham County, KYKY70,98647.0
2281Sampson County, NCNC61,50446.9
2282Harrison County, IAIA14,62346.9
2283Washington County, MOMO23,81046.9
2284Plumas County, CACA18,58346.8
2285Marion County, WVWV55,58446.8
2286Sublette County, WYWY8,92946.8
2287Faribault County, MNMN13,88846.8
2288Pushmataha County, OKOK10,80746.8
2289Pike County, OHOH27,06146.8
2290Stark County, NDND34,01346.8
2291Sonoma County, CACA486,44446.8
2292Deschutes County, OROR213,07246.8
2293Barry County, MIMI63,99146.8
2294Alleghany County, VAVA14,54646.8
2295Clinton County, MIMI80,43246.7
2296Hardee County, FLFL25,93246.7
2297Carroll County, ILIL15,41946.7
2298Lake County, SDSD10,99346.7
2299Allen County, KSKS12,30246.6
2300Arlington County, VAVA243,93146.6
2301Pike County, MSMS38,71246.6
2302Wise County, VAVA34,82446.6
2303Sharp County, ARAR18,12246.5
2304Winnebago County, WIWI174,21846.5
2305Sully County, SDSD1,47946.5
2306Bristol, VAVA16,41846.5
2307Kingman County, KSKS7,02946.5
2308San Saba County, TXTX5,78746.5
2309Boulder County, COCO328,56046.5
2310Cheshire County, NHNH78,26946.5
2311Hillsdale County, MIMI45,73846.4
2312Brown County, TXTX38,71146.4
2313Hancock County, MEME57,17146.4
2314Otsego County, MIMI26,08046.4
2315Isle of Wight County, VAVA41,32146.3
2316Preble County, OHOH40,66446.3
2317Dutchess County, NYNY300,70846.3
2318Wheatland County, MTMT2,10046.3
2319Harnett County, NCNC150,13746.3
2320Cass County, NENE27,65746.3
2321Winston County, ALAL23,82946.3
2322Dallas County, MOMO18,02546.3
2323Suffolk County, MAMA791,89146.3
2324Murray County, MNMN7,94246.2
2325Silver Bow County, MTMT36,11846.2
2326Fulton County, NYNY52,21646.2
2327Washington County, PAPA210,80246.2
2328Steuben County, ININ34,79946.1
2329Orleans County, NYNY39,82546.1
2330Laurens County, SCSC71,84846.1
2331Lake County, COCO7,55246.1
2332Duval County, TXTX9,40246.1
2333St. Bernard Parish, LALA45,64246.0
2334Monroe County, WVWV12,49146.0
2335Gratiot County, MIMI41,19046.0
2336Monroe County, NYNY750,50646.0
2337Luzerne County, PAPA332,12646.0
2338Okfuskee County, OKOK11,45145.9
2339Lyon County, KYKY9,12345.9
2340Beaver County, PAPA166,03245.9
2341Marshall County, WVWV29,15945.9
2342Fayette County, PAPA123,02145.9
2343Clackamas County, OROR426,28045.9
2344Cayuga County, NYNY74,36545.9
2345Holmes County, FLFL20,11945.9
2346Pittsylvania County, VAVA59,49045.9
2347Jackson County, IAIA19,28845.9
2348Mathews County, VAVA8,52945.9
2349Simpson County, KYKY20,78845.8
2350Shelby County, ALAL238,55245.8
2351District of Columbia, DCDC693,64545.8
2352Hot Spring County, ARAR33,45145.8
2353Shiawassee County, MIMI67,68145.8
2354Barron County, WIWI46,48445.8
2355Kanawha County, WVWV172,38145.8
2356Benzie County, MIMI18,56845.8
2357Franklin County, ILIL36,91645.8
2358Kalkaska County, MIMI18,69345.7
2359Appling County, GAGA19,10045.7
2360Ness County, KSKS2,61745.7
2361Adair County, MOMO25,68445.7
2362Letcher County, KYKY19,95245.7
2363Chippewa County, MIMI36,08145.7
2364Keokuk County, IAIA9,79745.6
2365Pottawatomie County, OKOK75,10245.6
2366Roanoke, VAVA99,11145.6
2367Whatcom County, WAWA236,39245.6
2368LaSalle County, ILIL107,77345.6
2369Taney County, MOMO57,00145.6
2370Hubbard County, MNMN22,36945.5
2371Fulton County, ILIL32,90145.5
2372Norton County, KSKS5,28845.5
2373Orange County, VTVT30,00245.5
2374Chambers County, ALAL34,25345.5
2375Dent County, MOMO14,58445.5
2376Henry County, GAGA264,92245.5
2377Westmoreland County, PAPA349,32445.5
2378Niagara County, NYNY208,91245.4
2379Jefferson County, WVWV63,10245.4
2380Florence County, SCSC138,50445.4
2381Indiana County, PAPA82,87845.4
2382Pine County, MNMN30,47245.4
2383Marshall County, KYKY31,65945.3
2384La Crosse County, WIWI121,33945.3
2385Lawrence County, KYKY15,76545.3
2386Champaign County, ILIL209,97245.2
2387Cibola County, NMNM26,80745.2
2388Crook County, OROR27,56445.2
2389Osceola County, MIMI23,51645.2
2390Bennett County, SDSD3,30745.2
2391Greenbrier County, WVWV31,57845.1
2392Franklin County, IAIA9,86845.1
2393Roanoke County, VAVA97,15045.1
2394Franklin County, ININ23,28645.1
2395Gibson County, ININ33,09145.1
2396Shenandoah County, VAVA45,83945.0
2397Sanilac County, MIMI40,08345.0
2398Bowman County, NDND2,76245.0
2399Mercer County, PAPA107,86045.0
2400Jefferson County, FLFL16,00745.0
2401Monroe County, GAGA32,02345.0
2402Davidson County, NCNC180,18245.0
2403Quay County, NMNM8,45445.0
2404Hancock County, ILIL16,80344.9
2405Columbia County, FLFL74,09444.9
2406Cabell County, WVWV91,18344.9
2407Ashe County, NCNC27,51444.9
2408Pacific County, WAWA24,35744.8
2409Cloud County, KSKS8,83344.8
2410Greene County, ILIL11,31344.8
2411Overton County, TNTN23,78744.8
2412Guthrie County, IAIA10,78244.8
2413Monroe County, MOMO8,95944.8
2414Aitkin County, MNMN16,25244.7
2415Latimer County, OKOK9,64544.7
2416Tallahatchie County, MSMS10,87744.7
2417Stafford County, KSKS4,00544.7
2418Santa Cruz County, AZAZ50,02044.7
2419Washtenaw County, MIMI370,21444.6
2420Webster County, IAIA36,83844.6
2421Campbell County, SDSD1,37744.6
2422Leelanau County, MIMI22,98244.6
2423Sagadahoc County, MEME37,97944.6
2424Perkins County, NENE2,84944.6
2425Franklin County, KYKY52,64944.6
2426Freeborn County, MNMN30,44044.6
2427Fulton County, ININ20,09144.5
2428Seminole County, FLFL491,88444.5
2429Audubon County, IAIA5,50944.5
2430Bucks County, PAPA647,82844.5
2431Prairie County, ARAR7,92344.5
2432Dickinson County, KSKS18,63744.5
2433Republic County, KSKS4,64044.4
2434Citrus County, FLFL171,66644.4
2435Lyon County, NVNV65,08844.4
2436Iron County, MIMI11,75744.4
2437Surry County, VAVA6,60344.4
2438Jackson County, WVWV27,45044.3
2439Clark County, ARAR20,93844.3
2440Kewaunee County, WIWI20,75844.3
2441Mercer County, MOMO3,40444.3
2442Dickinson County, MIMI25,82744.2
2443Jefferson County, TNTN60,02444.2
2444El Dorado County, CACA192,32344.2
2445Terrell County, TXTX70244.2
2446Hancock County, MSMS46,87344.2
2447Fayette County, WVWV38,16544.2
2448Lee County, SCSC15,73044.1
2449Boone County, ARAR38,62844.1
2450Albany County, NYNY321,22544.1
2451Perry County, KYKY26,55544.1
2452Crawford County, MIMI13,72244.1
2453Callahan County, TXTX14,49144.1
2454Oneida County, NYNY226,39244.0
2455Nicholas County, WVWV23,84844.0
2456Franklin County, MSMS7,49144.0
2457Queen Anne's County, MDMD54,44844.0
2458Cook County, MNMN5,52244.0
2459Cross County, ARAR16,18643.9
2460Franklin County, MEME30,82443.9
2461Warren County, IAIA57,33143.9
2462Cumberland County, MEME317,22243.9
2463Franklin County, NCNC82,03743.9
2464Albemarle County, VAVA118,35643.9
2465Bartow County, GAGA120,80043.9
2466Bland County, VAVA6,15143.8
2467Huron County, MIMI30,53043.8
2468Story County, IAIA101,29143.8
2469Cameron Parish, LALA4,71843.8
2470Fauquier County, VAVA76,50343.8
2471Thayer County, NENE4,84243.8
2472White County, TNTN29,61243.7
2473Obion County, TNTN30,06743.7
2474Cass County, ILIL12,46343.6
2475Pulaski County, GAGA10,17243.6
2476Pitt County, NCNC182,93643.6
2477Columbia County, WAWA4,14143.5
2478Johnston County, OKOK10,44843.5
2479Dewey County, OKOK4,20743.5
2480Newton County, MOMO62,26343.5
2481Salem, VAVA25,81643.5
2482Edwards County, ILIL5,89843.5
2483Kalamazoo County, MIMI263,79543.5
2484Nassau County, NYNY1,398,93943.5
2485Winchester, VAVA28,27243.4
2486Washington County, COCO4,73243.4
2487Ulster County, NYNY183,33043.4
2488Seneca County, OHOH54,52243.4
2489Lake County, OHOH232,21743.4
2490Sullivan County, MOMO5,73843.3
2491Delta County, MIMI36,58243.3
2492Lunenburg County, VAVA12,05843.3
2493Ashtabula County, OHOH96,71343.3
2494Otsego County, NYNY60,58943.3
2495Essex County, NYNY36,43843.3
2496Knox County, MEME41,11743.3
2497Wise County, TXTX83,77843.2
2498Fleming County, KYKY15,78743.2
2499Union County, PAPA42,31343.2
2500Amador County, CACA41,87643.2
SHOWING 2,001–2,500 OF 3,131
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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES