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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
2501Caddo Parish, LALA224,22641.9
2502Jersey County, ILIL21,16041.9
2503Sussex County, DEDE277,14041.9
2504Long County, GAGA21,55741.9
2505Phelps County, MOMO45,24741.9
2506Harrison County, TXTX71,95641.9
2507Clay County, ILIL12,79341.9
2508Richmond, VAVA237,25741.9
2509Alcona County, MIMI10,55641.8
2510Sheridan County, KSKS2,42741.8
2511Brule County, SDSD5,27841.8
2512Galax, VAVA6,67041.8
2513Jefferson County, WAWA33,97041.8
2514Schleicher County, TXTX2,24541.7
2515Waupaca County, WIWI51,46141.7
2516Horry County, SCSC427,55141.6
2517Strafford County, NHNH135,04341.6
2518Shelby County, ALAL238,55241.6
2519Pike County, ININ12,00341.6
2520Saline County, ILIL22,77241.6
2521Isle of Wight County, VAVA41,32141.6
2522Caroline County, MDMD34,11641.6
2523Clark County, ILIL15,11441.6
2524Fremont County, WYWY39,46441.5
2525Fulton County, GAGA1,098,79141.5
2526Knox County, TNTN511,45341.5
2527Rusk County, TXTX54,85441.5
2528Delta County, MIMI36,58241.5
2529Columbia County, GAGA169,18941.5
2530Perkins County, SDSD2,85341.5
2531Johnson County, MOMO56,67041.4
2532Shasta County, CACA181,64841.4
2533Izard County, ARAR14,40541.4
2534Nicollet County, MNMN34,27341.4
2535Pulaski County, MOMO54,44241.3
2536Pitt County, NCNC182,93641.3
2537Covington County, MSMS17,89841.3
2538Raleigh County, WVWV71,77541.3
2539Riley County, KSKS72,59841.2
2540Sherman County, TXTX2,78141.2
2541Bristol County, RIRI50,00141.2
2542Emery County, UTUT10,17741.1
2543Henry County, VAVA49,24241.0
2544Sherman County, OROR2,05141.0
2545Gregory County, SDSD4,03741.0
2546McDonough County, ILIL25,91641.0
2547Pope County, ARAR64,97641.0
2548Kane County, ILIL525,75741.0
2549Morgan County, ALAL126,48341.0
2550White County, TNTN29,61240.9
2551Sullivan County, NHNH43,96140.9
2552Essex County, VTVT6,05140.9
2553Sevier County, TNTN101,34240.9
2554Allen Parish, LALA22,67240.9
2555Ottawa County, MIMI308,45940.9
2556Adams County, WIWI21,75240.8
2557Eau Claire County, WIWI109,03340.8
2558Barry County, MIMI63,99140.8
2559Franklin County, MEME30,82440.8
2560Sawyer County, WIWI18,84640.8
2561Grundy County, ILIL54,05240.8
2562Hardin County, ILIL3,58840.8
2563Frederick County, VAVA99,95540.7
2564Lenawee County, MIMI97,77940.7
2565Tioga County, NYNY47,45340.7
2566Stokes County, NCNC46,12640.6
2567Hardin County, OHOH30,07240.6
2568Houston County, ALAL110,31840.6
2569Lee County, NCNC70,25840.6
2570Lake County, MIMI13,18240.6
2571Talbot County, GAGA5,70940.6
2572Howard County, MDMD339,18340.6
2573Larue County, KYKY15,18440.5
2574Zavala County, TXTX9,03740.5
2575Tazewell County, ILIL130,04940.5
2576Alleghany County, VAVA14,54640.5
2577Russell County, KSKS6,58140.5
2578Colbert County, ALAL59,47440.4
2579Schuyler County, NYNY16,92440.4
2580Madison County, MSMS116,29840.4
2581Oxford County, MEME60,34640.4
2582Andrew County, MOMO18,24140.3
2583Laurens County, GAGA51,04140.3
2584Houston County, GAGA178,21440.3
2585Fleming County, KYKY15,78740.3
2586Lewis County, WVWV16,39440.2
2587Archer County, TXTX9,12940.2
2588Henrico County, VAVA342,77540.2
2589Vanderburgh County, ININ181,99540.2
2590Wilson County, TXTX56,13940.1
2591Seminole County, FLFL491,88440.1
2592Pope County, ILIL3,67240.1
2593Washington County, KYKY12,36840.0
2594Jackson County, ALAL54,28139.9
2595Albemarle County, VAVA118,35639.9
2596Hendry County, FLFL48,27639.9
2597Leon County, FLFL299,04839.8
2598Jefferson County, OROR25,74039.8
2599Madison Parish, LALA8,84439.8
2600Benton County, MNMN41,74439.8
2601Dallas County, ARAR6,01139.8
2602Eddy County, NDND2,32939.8
2603Wyoming County, NYNY39,74139.8
2604Greenup County, KYKY35,21339.7
2605Blackford County, ININ11,73039.7
2606Mecklenburg County, VAVA30,74739.6
2607Wilkinson County, GAGA8,65039.5
2608Benzie County, MIMI18,56839.5
2609Prince Edward County, VAVA22,39139.4
2610Howard County, MOMO10,18039.4
2611Churchill County, NVNV25,85139.3
2612Marion County, SCSC28,24239.3
2613Pueblo County, COCO169,27739.3
2614DeSoto County, FLFL37,07839.3
2615St. Louis, MOMO278,14439.3
2616Edmonson County, KYKY12,74939.3
2617Elko County, NVNV54,81539.2
2618Rutland County, VTVT59,65339.2
2619McDuffie County, GAGA21,64039.2
2620Cook County, GAGA18,23239.2
2621Franklin County, NENE2,79539.2
2622Norfolk County, MAMA739,74939.2
2623Butte County, CACA209,21139.1
2624McKinley County, NMNM68,11939.1
2625Lyon County, KYKY9,12339.1
2626Garrard County, KYKY18,20739.1
2627Latimer County, OKOK9,64539.0
2628Childress County, TXTX6,64339.0
2629Ransom County, NDND5,61739.0
2630Somervell County, TXTX10,26138.9
2631Orleans County, NYNY39,82538.9
2632Page County, IAIA14,85638.9
2633Davison County, SDSD20,06938.9
2634District of Columbia, DCDC693,64538.9
2635Marion County, TXTX9,89638.9
2636New Hanover County, NCNC245,95938.9
2637Washtenaw County, MIMI370,21438.9
2638Wolfe County, KYKY6,29838.9
2639De Soto Parish, LALA27,38138.8
2640Mono County, CACA12,50538.8
2641Thomas County, NENE63938.8
2642Teton County, WYWY23,33338.8
2643Greene County, GAGA21,36738.8
2644Saline County, NENE14,99638.8
2645Obion County, TNTN30,06738.8
2646Monroe County, TNTN49,73038.8
2647Iosco County, MIMI25,26638.7
2648Moore County, TNTN6,92038.7
2649Torrance County, NMNM16,10038.7
2650Wilson County, NCNC81,15038.7
2651Hancock County, GAGA8,68238.7
2652Rockdale County, GAGA98,41638.6
2653Doniphan County, KSKS7,59438.6
2654Crockett County, TNTN14,00638.6
2655Harrison County, KYKY19,62738.5
2656Northwest Arctic, AKAK7,09538.5
2657Lane County, OROR381,58438.5
2658Sarasota County, FLFL479,95838.5
2659Escambia County, ALAL36,66538.4
2660Grand County, COCO16,49638.4
2661Houghton County, MIMI37,84238.4
2662Livingston Parish, LALA155,03638.3
2663Walker County, ALAL65,14038.3
2664Bertie County, NCNC17,08638.3
2665Newport County, RIRI83,05138.3
2667Glades County, FLFL13,27038.2
2668Mesa County, COCO162,84538.2
2669Perry County, ILIL20,16038.2
2670Anderson County, TXTX59,80538.2
2671Lonoke County, ARAR76,66438.2
2672Durham County, NCNC347,24038.2
2673Cotton County, OKOK5,43238.2
2674Charlevoix County, MIMI26,03638.1
2675Codington County, SDSD29,56238.1
2676Powhatan County, VAVA32,59138.1
2677Williams County, NDND41,76738.1
2678Perkins County, NENE2,84938.0
2679Gibson County, TNTN51,77938.0
2680Dyer County, TNTN36,32038.0
2681Pike County, KYKY54,72138.0
2682Giles County, VAVA16,56437.9
2683Kossuth County, IAIA14,32237.9
2684Dillon County, SCSC27,45837.9
2685San Francisco County, CACA826,07937.9
2686Pike County, GAGA20,93237.8
2687Davie County, NCNC45,85537.8
2688Rains County, TXTX13,54237.8
2689Edgar County, ILIL16,32337.8
2690Monongalia County, WVWV107,99137.7
2691Lee County, MSMS83,73137.7
2692Miami County, KSKS36,24037.7
2693Baraga County, MIMI8,16937.7
2694Calhoun County, FLFL13,28937.6
2695Walworth County, WIWI106,12737.6
2696Plumas County, CACA18,58337.6
2697Bourbon County, KYKY20,24337.6
2698Pendleton County, WVWV5,82637.5
2699Yolo County, CACA224,41037.5
2700St. Charles Parish, LALA50,58637.4
2701La Crosse County, WIWI121,33937.4
2702Nevada County, ARAR7,94237.4
2703Donley County, TXTX3,21337.4
2704Greenwood County, SCSC70,37937.3
2705Meigs County, OHOH21,58737.3
2706Johnson County, IAIA160,04437.2
2707Grant County, OKOK4,06737.2
2708Mills County, IAIA14,79337.2
2709Poweshiek County, IAIA18,36837.2
2710Belmont County, OHOH64,43437.2
2711Johnson County, WYWY8,90837.2
2712Oscoda County, MIMI8,72337.2
2713Amherst County, VAVA31,96237.1
2714Portage County, OHOH163,40437.1
2715Bradley County, ARAR9,82837.1
2717Barry County, MOMO36,20037.1
2718Pickens County, ALAL18,22137.0
2719Dane County, WIWI590,37537.0
2720Nance County, NENE3,29037.0
2721Jefferson County, MTMT13,32936.9
2722Neosho County, KSKS15,63736.9
2723Sagadahoc County, MEME37,97936.9
2724Lafayette County, MOMO33,53136.9
2725Murray County, MNMN7,94236.9
2726Winona County, MNMN50,52336.8
2727Latah County, IDID41,84236.8
2728Otero County, NMNM70,36836.8
2729Marshall County, OKOK16,25536.8
2730Screven County, GAGA14,40836.7
2731Baker County, FLFL29,73736.7
2732Suffolk County, MAMA791,89136.7
2733Fisher County, TXTX3,69236.6
2734Haralson County, GAGA33,06636.6
2735Perquimans County, NCNC13,49036.6
2736Madison County, TXTX14,22636.6
2737Brown County, ININ15,77736.5
2738Floyd County, VAVA15,78936.5
2739York County, MEME222,43436.5
2740Red River Parish, LALA7,16536.5
2741Hardin County, IAIA16,45536.4
2742Bowman County, NDND2,76236.4
2743Wayne County, MSMS19,80736.4
2744Upshur County, WVWV23,75836.4
2745Pierce County, GAGA20,76436.4
2746Vance County, NCNC42,63836.3
2747Waseca County, MNMN18,68836.3
2748Dare County, NCNC38,24536.3
2749Jessamine County, KYKY57,14736.2
2750Oktibbeha County, MSMS51,89636.2
2751Itasca County, MNMN45,40436.2
2752Platte County, WYWY8,63436.1
2753Jones County, NCNC9,57536.1
2754Troup County, GAGA72,84436.1
2755Hickman County, KYKY4,37236.1
2756Cumberland County, VAVA10,35236.0
2757Lavaca County, TXTX20,65136.0
2758Flagler County, FLFL140,36036.0
2759Ouray County, COCO5,26536.0
2760Las Animas County, COCO14,39136.0
2761Mitchell County, KSKS5,59035.9
2762Harlan County, KYKY24,72535.9
2763Candler County, GAGA11,27535.7
2764Mason County, MIMI29,04035.7
2765Llano County, TXTX23,35335.7
2766Lincoln County, MTMT22,32835.5
2767Burnett County, WIWI17,22335.5
2768San Juan County, WAWA18,57735.4
2769Oconee County, GAGA44,89335.4
2770Lawrence County, MOMO39,40135.4
2771Lincoln Parish, LALA48,36035.3
2772Blaine County, IDID25,51735.2
2774McCreary County, KYKY17,12435.2
2775Tippah County, MSMS21,38935.1
2776Champaign County, ILIL209,97235.0
2777Washita County, OKOK10,88435.0
2778Knott County, KYKY13,32135.0
2779Chilton County, ALAL47,70834.9
2780Pike County, ALAL33,68834.8
2781Cochise County, AZAZ126,33234.8
2782Wheeler County, NENE78934.8
2783Nash County, NCNC99,36534.8
2784Albany County, WYWY38,55834.7
2785Lawrence County, MSMS11,81934.7
2786Webster Parish, LALA34,94834.7
2787Scott County, ILIL4,86634.7
2788Johnston County, OKOK10,44834.7
2789Choctaw County, OKOK14,05934.6
2790Pitkin County, COCO16,62534.6
2791Gulf County, FLFL15,94334.6
2792Harlan County, NENE3,00034.6
2793Berkshire County, MAMA128,22434.5
2794Leslie County, KYKY9,62734.5
2795Coconino County, AZAZ144,36834.5
2796Franklin County, FLFL13,02934.5
2797Buncombe County, NCNC277,41734.5
2798Winn Parish, LALA14,96134.5
2799Lawrence County, SDSD29,45934.4
2800Runnels County, TXTX9,69334.4
2801Fairfield County, SCSC20,34034.4
2802Sanders County, MTMT14,06234.3
2803Custer County, SDSD9,43134.3
2804Jefferson County, ARAR62,98734.2
2805Mercer County, WVWV57,50334.2
2806Loudon County, TNTN63,76434.2
2807Republic County, KSKS4,64034.2
2808Wilcox County, GAGA8,79734.2
2809Wabash County, ININ30,71334.2
2810Clay County, TNTN7,82134.1
2811Clay County, IAIA16,20234.1
2812Morgan County, ILIL32,51534.0
2813Ingham County, MIMI289,70934.0
2814Grand Isle County, VTVT7,51133.9
2815Mississippi County, MOMO12,00333.9
2816Monroe County, ILIL34,84033.8
2817Johnson County, ILIL13,36333.8
2818Kittitas County, WAWA48,80333.8
2819Portage County, WIWI71,94333.8
2820Sutton County, TXTX3,20333.8
2821Missoula County, MTMT123,51333.8
2822Pershing County, NVNV6,42133.8
2823Thomas County, GAGA46,36833.7
2824Grant County, NMNM27,25233.7
2825Deuel County, SDSD4,40833.7
2826East Feliciana Parish, LALA18,91133.6
2827Renville County, NDND2,33133.6
2828Multnomah County, OROR795,39133.6
2829Geneva County, ALAL27,55433.5
2830Fayette County, OHOH28,55233.4
2831Wayne County, TNTN16,41633.4
2832Shelby County, ILIL20,57633.3
2833Crenshaw County, ALAL13,17533.3
2834Beaufort County, NCNC44,67033.3
2835Grafton County, NHNH93,22533.2
2836Smyth County, VAVA28,88233.2
2837Daniels County, MTMT1,61233.2
2838Crawford County, GAGA12,20633.1
2839Falls Church, VAVA15,15933.1
2840Buffalo County, WIWI13,31833.1
2841Bond County, ILIL16,95933.1
2842Garland County, ARAR99,69533.1
2843Chittenden County, VTVT169,11533.0
2844Nottoway County, VAVA15,79633.0
2845San Juan County, UTUT14,54233.0
2846Ketchikan Gateway, AKAK13,54933.0
2847Reynolds County, MOMO5,99233.0
2848Chicot County, ARAR9,10732.9
2849Roscommon County, MIMI23,91432.9
2850Carlisle County, KYKY4,74732.9
2851Cape Girardeau County, MOMO83,99932.8
2852Lee County, ALAL189,88132.8
2853Burnet County, TXTX57,01532.8
2854McKean County, PAPA38,98432.8
2855Coffey County, KSKS8,46732.8
2856Broadwater County, MTMT8,49332.8
2857Ohio County, WVWV40,49632.8
2858Sargent County, NDND3,71132.7
2860Heard County, GAGA12,14932.6
2861Elbert County, GAGA20,07232.6
2862Hale County, ALAL15,19432.6
2863Decatur County, GAGA29,43232.6
2864Montgomery County, KSKS30,17732.6
2865Gloucester County, VAVA40,09732.5
2866Montgomery County, NCNC26,40332.5
2867Bullock County, ALAL9,78032.5
2868Arlington County, VAVA243,93132.4
2869Bradford County, FLFL28,30732.4
2870Braxton County, WVWV11,88532.4
2871Bayfield County, WIWI16,78732.3
2872Monroe County, KYKY11,19132.3
2873Douglas County, KSKS120,92032.3
2874Henry County, TNTN32,89632.3
2875Payne County, OKOK83,88932.2
2876Graham County, KSKS2,37132.2
2877Harney County, OROR7,38032.1
2878New York County, NYNY1,664,86232.1
2879Queen Anne's County, MDMD54,44832.1
2880Lincoln County, COCO5,64532.1
2881Whatcom County, WAWA236,39232.0
2882Grundy County, TNTN14,11632.0
2884Woods County, OKOK8,44332.0
2885Carson County, TXTX5,80531.9
2886Josephine County, OROR87,86731.9
2887Pecos County, TXTX14,56031.8
2888Monroe County, GAGA32,02331.8
2889Garfield County, UTUT5,25631.8
2890Cabell County, WVWV91,18331.8
2891Lampasas County, TXTX23,65731.7
2892Early County, GAGA10,45531.7
2893Adair County, KYKY19,42331.7
2894White Pine County, NVNV8,66131.7
2895Kinney County, TXTX3,12831.6
2896Spencer County, ININ20,06131.6
2897Radford, VAVA17,24331.6
2898Crawford County, ILIL18,64831.6
2899Lamoille County, VTVT26,29431.6
2900Charlotte County, VAVA11,40131.5
2901Halifax County, VAVA33,44731.5
2902Woodford County, KYKY27,88331.5
2903Montgomery County, MSMS9,35431.5
2904Lincoln County, KSKS2,86131.3
2905Barbour County, WVWV15,41431.2
2906Marquette County, MIMI68,06431.0
2907Douglas County, OROR111,95130.9
2908Gillespie County, TXTX28,52730.9
2909Madison County, IDID55,17230.8
2910Polk County, TNTN18,59230.8
2911Washington County, TNTN141,19930.7
2912Pickett County, TNTN5,21930.6
2913Centre County, PAPA157,39330.5
2914Lafayette County, MSMS59,59730.4
2915Jack County, TXTX9,56330.4
2916Vermillion County, ININ15,48830.4
2917Whitman County, WAWA48,51230.3
2918Lake and Peninsula, AKAK1,35730.3
2919Webster County, KYKY12,92930.3
2920Polk County, NCNC20,53330.2
2921Pierce County, WIWI43,51930.2
2922Warren County, MOMO39,01630.1
2923Clay County, WVWV7,53830.1
2924Baldwin County, GAGA44,02930.1
2925Juneau, AKAK31,60930.1
2926Jackson County, KYKY13,32530.0
2927Shenandoah County, VAVA45,83929.9
2928Iowa County, IAIA16,50429.9
2929Boulder County, COCO328,56029.7
2930Nicholas County, KYKY7,94929.6
2931Hall County, TXTX2,73729.6
2932Washington County, VTVT59,65229.6
2933Humboldt County, CACA131,64729.6
2934Scott County, KSKS4,81529.5
2935Robertson County, KYKY2,32529.5
2936Alachua County, FLFL290,02829.5
2937Noble County, OHOH14,27629.3
2938Fayette County, WVWV38,16529.3
2939Washington County, RIRI129,79529.2
2940Forest County, WIWI9,57429.1
2941Summers County, WVWV11,53229.1
2942Putnam County, ININ37,87629.0
2943Assumption Parish, LALA19,72029.0
2944Nuckolls County, NENE4,10028.9
2945Towns County, GAGA13,28528.9
2946Sac County, IAIA9,52528.9
2947Alexander County, ILIL4,57028.9
2948Martin County, NCNC21,60128.8
2949Union County, NMNM3,84428.8
2950Adams County, NENE31,07128.8
2951Jackson County, WVWV27,45028.8
2952Sierra County, NMNM11,39528.7
2953Somerset County, MDMD24,97328.7
2954Habersham County, GAGA50,41628.6
2955Greene County, NYNY47,23828.4
2956Knox County, MEME41,11728.4
2957Athens County, OHOH63,19728.2
2958Roosevelt County, MTMT10,24228.2
2959Rich County, UTUT2,68728.1
2960Blaine County, MTMT6,86028.1
2961Custer County, COCO5,59028.0
2962Summit County, UTUT43,14127.6
2963Monroe County, ALAL18,96527.6
2964Sumter County, ALAL11,58827.5
2965Lake County, MNMN10,74627.4
2966Schley County, GAGA4,59327.3
2967Butte County, IDID2,78327.2
2968Clark County, KYKY37,88827.1
2969Sullivan County, MOMO5,73827.1
2970McCracken County, KYKY67,55327.0
2971Richardson County, NENE7,53026.8
2972Orange County, NCNC152,49826.8
2973Story County, IAIA101,29126.6
2974Newton County, ARAR7,02626.6
2975Oregon County, MOMO8,70926.6
2976Taliaferro County, GAGA1,66226.6
2977Real County, TXTX2,74526.5
2978Greeley County, KSKS1,18226.3
2979Simpson County, KYKY20,78826.3
2980Tompkins County, NYNY104,04726.2
2981Denali, AKAK1,61626.2
2982Orleans County, VTVT27,60025.9
2983Bamberg County, SCSC12,79625.9
2984Jackson County, NCNC45,03925.9
2985Stanley County, SDSD3,01825.8
2986Sterling County, TXTX1,34925.8
2987Wilcox County, ALAL9,66625.8
2989Estill County, KYKY13,96225.4
2990Archuleta County, COCO14,30625.3
2991Rooks County, KSKS4,64625.3
2992Macon County, NCNC39,23225.2
2993Norton, VAVA3,47725.1
2994Clarke County, GAGA129,92125.1
2995Fredericksburg, VAVA30,39325.0
2996Wheatland County, MTMT2,10025.0
2997Graham County, NCNC8,19025.0
2998Conejos County, COCO7,52925.0
2999Cheyenne County, COCO1,71324.8
3000Meagher County, MTMT2,13724.8
SHOWING 2,501–3,000 OF 3,143
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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES