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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
2501Poquoson, VAVA13,29243.2
2502Loudon County, TNTN63,76443.2
2503Erie County, OHOH73,29643.1
2504Winkler County, TXTX7,54043.1
2505Rockingham County, NCNC94,19543.1
2506Northampton County, NCNC16,49143.1
2507Mitchell County, GAGA20,46743.1
2508Aroostook County, MEME66,60943.0
2509Northampton County, VAVA11,87943.0
2510Ogle County, ILIL51,39943.0
2511Harrison County, KYKY19,62743.0
2512Essex County, VAVA10,65443.0
2513Johnson County, ILIL13,36343.0
2514Casey County, KYKY16,20542.9
2515Marin County, CACA253,69442.9
2516Bedford County, VAVA83,05942.9
2517Kennebec County, MEME129,06742.9
2518Rockingham County, NHNH324,07742.9
2519Union Parish, LALA20,56142.9
2520Cambria County, PAPA128,96842.9
2521Meade County, KYKY30,69942.8
2522Deer Lodge County, MTMT9,70942.8
2523Morgan County, GAGA22,09542.8
2524Coles County, ILIL46,60742.8
2525Albany County, WYWY38,55842.8
2526Lewis County, MOMO9,87942.8
2527Waseca County, MNMN18,68842.8
2528Bleckley County, GAGA12,86642.7
2529Bryan County, OKOK51,36742.7
2530Alger County, MIMI8,64142.7
2531Montgomery County, ILIL28,07642.7
2532Columbia County, NYNY60,16842.7
2533Wood County, TXTX49,68842.7
2534Lawrence County, OHOH55,71042.7
2535Fond du Lac County, WIWI104,66942.7
2536Whitley County, ININ35,04642.7
2537Vilas County, WIWI23,76142.7
2538Fayette County, ALAL15,87242.6
2539Riley County, KSKS72,59842.6
2540Clatsop County, OROR40,92642.6
2541Las Animas County, COCO14,39142.6
2542Clark County, ILIL15,11442.6
2543East Feliciana Parish, LALA18,91142.6
2544Essex County, MAMA826,65342.6
2545Washington County, OKOK54,03742.5
2546Eau Claire County, WIWI109,03342.5
2547Wirt County, WVWV4,87942.4
2548Hitchcock County, NENE2,46742.4
2549Chase County, KSKS2,57242.4
2550Kiowa County, COCO1,41242.4
2551Carter County, TNTN57,36142.4
2552Newport County, RIRI83,05142.3
2553Alcona County, MIMI10,55642.3
2554Hopkins County, KYKY45,12742.3
2555Crawford County, PAPA81,79242.3
2556Clarke County, ALAL22,01442.2
2557Dawson County, GAGA35,36542.1
2558Clay County, KYKY19,46542.1
2559Giles County, TNTN31,43342.1
2560Glynn County, GAGA87,59942.1
2561Hamilton County, ILIL7,85942.0
2562Pocahontas County, WVWV7,60242.0
2563Patrick County, VAVA17,42442.0
2564Logan County, ILIL27,18242.0
2565Gilmer County, WVWV7,08541.9
2566Upshur County, WVWV23,75841.9
2567Concordia Parish, LALA17,83641.9
2568Scott County, KYKY62,26241.9
2569Marquette County, MIMI68,06441.9
2570Talbot County, GAGA5,70941.9
2571Marquette County, WIWI15,92741.9
2572Allendale County, SCSC7,35541.8
2573Monroe County, TNTN49,73041.8
2574Franklin County, MAMA70,69841.8
2575Pinellas County, FLFL948,56341.8
2576Doddridge County, WVWV7,63441.7
2577Union County, OROR25,90041.7
2578St. Johns County, FLFL346,32841.7
2579Ramsey County, NDND11,53041.7
2580McPherson County, KSKS30,06441.7
2581Jackson County, ILIL52,50141.7
2582Rich County, UTUT2,68741.7
2583Wayne County, PAPA51,70341.6
2584Laurens County, GAGA51,04141.6
2585Menominee County, MIMI22,94141.6
2586Catoosa County, GAGA69,62841.6
2587King and Queen County, VAVA6,74341.6
2588Willacy County, TXTX19,97141.6
2589Lee County, ILIL32,91441.6
2590Noble County, OKOK10,89941.5
2591Jefferson County, PAPA43,25541.5
2592Lawrence County, SDSD29,45941.5
2593Stone County, MOMO32,50341.4
2594Hunterdon County, NJNJ131,78141.4
2595Turner County, GAGA8,98341.4
2596Douglas County, KSKS120,92041.4
2597McIntosh County, OKOK19,75841.4
2598DeKalb County, ININ44,53541.4
2599Brewster County, TXTX9,45841.4
2600Botetourt County, VAVA34,14441.4
2601Griggs County, NDND2,23941.3
2602Penobscot County, MEME157,96741.3
2603Hutchinson County, TXTX19,63341.3
2604Greenup County, KYKY35,21341.3
2605Park County, MTMT18,21441.3
2606Chittenden County, VTVT169,11541.3
2607Somerset County, PAPA72,00441.3
2608Greenwood County, KSKS5,82641.3
2609Mineral County, WVWV26,79241.3
2610La Salle County, TXTX6,51741.3
2611Bledsoe County, TNTN15,92041.3
2612Perquimans County, NCNC13,49041.3
2613Carroll County, MDMD176,67741.2
2614Jackson County, COCO1,21141.2
2615Saluda County, SCSC19,68041.1
2616Breathitt County, KYKY12,55841.1
2617Livingston County, NYNY61,43841.1
2618Upton County, TXTX3,13141.1
2619Hardy County, WVWV14,33741.0
2620Portage County, OHOH163,40441.0
2621Phillips County, KSKS4,72840.9
2622Hyde County, NCNC4,55440.9
2623Lackawanna County, PAPA216,50240.9
2624Midland County, MIMI83,75440.8
2625Douglas County, NVNV50,11140.8
2626Morgan County, ININ74,96740.8
2627Kodiak Island, AKAK12,38740.8
2628Gosper County, NENE1,80340.8
2629Lewis County, WVWV16,39440.7
2630Rutland County, VTVT59,65340.7
2631Carroll County, TNTN29,20040.7
2632Clarke County, GAGA129,92140.6
2633Merrimack County, NHNH158,07840.6
2634Davie County, NCNC45,85540.6
2635Burleson County, TXTX20,54940.6
2636Belknap County, NHNH65,14740.5
2637Henry County, ALAL18,39440.5
2638Owsley County, KYKY3,93240.5
2639Murray County, OKOK13,80540.5
2640Madison County, GAGA32,91940.5
2641Green County, WIWI37,22740.4
2642Putnam County, ILIL5,61940.4
2643Ritchie County, WVWV8,03440.4
2644Wibaux County, MTMT88540.4
2645Valley County, IDID12,83140.4
2646Floyd County, KYKY34,40140.4
2647Washington County, NYNY59,35340.3
2648Montgomery County, ARAR8,57940.3
2649James City County, VAVA83,32640.3
2650Elk County, KSKS2,45840.3
2651Lincoln County, OKOK35,27840.3
2652Russell County, KSKS6,58140.3
2653Crawford County, ININ10,50940.3
2654Falls County, TXTX17,86940.2
2655Wilcox County, GAGA8,79740.2
2656Caldwell County, TXTX55,15040.2
2657Berkshire County, MAMA128,22440.1
2658Hampshire County, WVWV24,10540.1
2659Yell County, ARAR19,95640.1
2660Gladwin County, MIMI26,07740.1
2661Valley County, NENE4,09440.1
2662McCormick County, SCSC10,21540.0
2663Denali, AKAK1,61640.0
2664Clay County, WVWV7,53840.0
2665Vance County, NCNC42,63839.9
2666New York County, NYNY1,664,86239.9
2667Reynolds County, MOMO5,99239.9
2668Gilliam County, OROR1,97139.9
2669Phelps County, MOMO45,24739.8
2670Martin County, ININ9,85639.8
2671Red River County, TXTX11,81639.8
2672Grady County, GAGA26,59039.8
2673Pleasants County, WVWV7,33839.8
2675Clay County, TNTN7,82139.8
2676Clearwater County, MNMN8,64739.8
2677Covington County, ALAL37,94739.7
2678Taos County, NMNM34,56439.7
2679Livingston County, MOMO14,70839.7
2680Windsor County, VTVT57,31239.7
2681Izard County, ARAR14,40539.7
2682Grundy County, MOMO9,74439.6
2683Taylor County, WIWI20,11839.6
2684Cumberland County, PAPA277,27039.6
2685Calloway County, KYKY39,42139.5
2686Twiggs County, GAGA7,59739.5
2687Kittson County, MNMN4,03139.5
2688Lawrence County, ARAR16,27339.5
2689Amherst County, VAVA31,96239.4
2690Benton County, OROR97,72839.4
2691Harrison County, TXTX71,95639.3
2692Columbia County, PAPA66,19339.3
2693Lincoln County, COCO5,64539.3
2694Alexander County, ILIL4,57039.3
2695Harris County, GAGA37,28039.3
2696Gulf County, FLFL15,94339.2
2697Union County, IAIA11,82939.2
2698Chariton County, MOMO7,37739.2
2699Rabun County, GAGA17,76439.2
2700Putnam County, MOMO4,54639.2
2701Hanover County, VAVA116,42339.1
2702Meriwether County, GAGA21,51639.1
2703Noble County, OHOH14,27639.1
2704Bryan County, GAGA52,06239.0
2705Oswego County, NYNY118,56939.0
2706Stevens County, WAWA49,66839.0
2707Union County, TNTN21,45039.0
2708Rogers County, OKOK102,19739.0
2709Rio Grande County, COCO11,08739.0
2710Andrews County, TXTX18,91438.9
2711San Francisco County, CACA826,07938.9
2712Jefferson County, OHOH63,59738.9
2713Tunica County, MSMS8,81938.9
2714Washington County, VTVT59,65238.8
2715Coosa County, ALAL10,16138.8
2716Hancock County, IAIA10,52838.8
2717Floyd County, GAGA101,37838.8
2718Pepin County, WIWI7,51338.7
2719Mills County, TXTX4,58038.6
2720Shelby County, ILIL20,57638.6
2721Pendleton County, WVWV5,82638.6
2722Hickman County, KYKY4,37238.6
2723Franklin County, ALAL32,44938.6
2724Jefferson County, MTMT13,32938.6
2725Isabella County, MIMI64,69138.6
2726San Jacinto County, TXTX29,48838.6
2727Poweshiek County, IAIA18,36838.5
2728Strafford County, NHNH135,04338.5
2729Linn County, KSKS9,95038.5
2730Decatur County, TNTN11,82038.5
2731Garrard County, KYKY18,20738.5
2732Martin County, MNMN19,44038.3
2733Nodaway County, MOMO20,17438.3
2734Peach County, GAGA29,87738.3
2735Gem County, IDID21,77338.3
2736Clearwater County, IDID9,11838.2
2737Madison County, NYNY67,12038.2
2738McLean County, NDND9,74038.1
2739Augusta County, VAVA78,94038.1
2740Cleburne County, ARAR25,67238.1
2741Pocahontas County, IAIA6,81938.1
2742Bristol County, RIRI50,00138.0
2743Walker County, ALAL65,14038.0
2744Screven County, GAGA14,40838.0
2745St. Francis County, ARAR21,80038.0
2746Pickens County, SCSC139,19837.9
2747Deuel County, NENE1,86237.9
2748Macon County, TNTN27,66337.9
2749Martinsville, VAVA13,84937.9
2750Cortland County, NYNY45,85037.9
2751Ste. Genevieve County, MOMO18,68937.8
2752Calaveras County, CACA46,60537.8
2753Gallatin County, ILIL4,61637.8
2754Rockbridge County, VAVA22,66337.8
2755Washington County, VAVA53,89837.8
2756Winneshiek County, IAIA19,73337.8
2757Fredericksburg, VAVA30,39337.7
2758Scott County, VAVA21,20037.6
2759Dunn County, WIWI46,22337.6
2760Fairfield County, SCSC20,34037.6
2761Howard County, ARAR12,30637.5
2762Attala County, MSMS17,10037.5
2763Woods County, OKOK8,44337.4
2764Clinton County, NYNY78,13837.3
2765Upson County, GAGA28,50037.3
2766Neosho County, KSKS15,63737.3
2767Grant County, ARAR18,75637.2
2768Sanders County, MTMT14,06237.2
2769Meigs County, OHOH21,58737.2
2770Manistee County, MIMI25,65637.1
2771Faulkner County, ARAR133,97937.1
2772Trigg County, KYKY14,51237.0
2773Macon County, GAGA11,75637.0
2774Washington County, ALAL14,82237.0
2775Charles City County, VAVA6,62337.0
2776Harney County, OROR7,38036.9
2777Smith County, TNTN20,98136.9
2778Powhatan County, VAVA32,59136.9
2779Schley County, GAGA4,59336.9
2780Sullivan County, TNTN163,75936.9
2781Lincoln County, NCNC98,65436.8
2782St. Clair County, MOMO9,97636.8
2783Bath County, VAVA4,07636.8
2784Blount County, TNTN143,82036.8
2785Searcy County, ARAR7,84836.8
2786Martin County, TXTX5,28436.8
2787Carson City, NVNV58,57136.7
2788Gadsden County, FLFL44,29836.7
2789Pope County, ILIL3,67236.7
2790Crenshaw County, ALAL13,17536.6
2791Barry County, MOMO36,20036.5
2792Lee County, ARAR8,02936.5
2793Missoula County, MTMT123,51336.4
2794Haralson County, GAGA33,06636.4
2795Wood County, OHOH134,17636.4
2796Knox County, ILIL47,76736.3
2797Saunders County, NENE23,70236.3
2798McDowell County, WVWV16,87836.2
2799Montgomery County, VAVA98,43436.2
2800Jefferson County, ININ33,27936.1
2801Brown County, NENE2,82636.0
2802Floyd County, VAVA15,78936.0
2803Grant County, OROR7,07536.0
2804Presque Isle County, MIMI13,12835.9
2805Alcorn County, MSMS34,56935.8
2806Monongalia County, WVWV107,99135.8
2807Archuleta County, COCO14,30635.8
2808Wabaunsee County, KSKS7,01835.8
2809Baxter County, ARAR42,98235.8
2810Athens County, OHOH63,19735.7
2811Alleghany County, NCNC11,47935.7
2812Towns County, GAGA13,28535.7
2813Jefferson County, IAIA15,29135.6
2814Camden County, MOMO44,04735.5
2815Decatur County, IAIA7,65535.5
2816Webster County, WVWV7,76035.5
2817Wilkinson County, MSMS7,58235.5
2818Edgefield County, SCSC29,80835.4
2819Madison County, VAVA14,23735.4
2820Ray County, MOMO23,39835.3
2821Houston County, TNTN8,47935.3
2822Boone County, WVWV20,25135.3
2823Delaware County, ININ113,10635.3
2824Pike County, PAPA62,80835.3
2825Pierce County, GAGA20,76435.1
2826Stoddard County, MOMO28,28435.1
2827Madison Parish, LALA8,84435.0
2828Lane County, KSKS1,50835.0
2829Mineral County, MTMT5,18534.9
2830Oglethorpe County, GAGA16,41534.7
2831Greene County, NYNY47,23834.7
2832Fayette County, GAGA125,15634.7
2833Butte County, IDID2,78334.7
2834Douglas County, MOMO12,34234.6
2835Guadalupe County, NMNM4,34334.6
2836Pondera County, MTMT6,07234.6
2837Susquehanna County, PAPA38,23734.5
2838Humboldt County, IAIA9,40934.4
2839New Kent County, VAVA28,02234.4
2840Mingo County, WVWV21,45534.4
2841Kittitas County, WAWA48,80334.4
2842Covington, VAVA5,68034.4
2843Carbon County, MTMT11,46634.4
2844Oxford County, MEME60,34634.3
2845Essex County, VTVT6,05134.3
2846Weakley County, TNTN33,26134.3
2847Lincoln Parish, LALA48,36034.3
2848Barbour County, WVWV15,41434.2
2849Buchanan County, VAVA18,49234.2
2850Marshall County, ILIL11,47334.2
2851Braxton County, WVWV11,88534.1
2852Centre County, PAPA157,39334.1
2853Kent County, MDMD19,56534.0
2854Maries County, MOMO8,39734.0
2855Chase County, NENE3,71834.0
2856Whitman County, WAWA48,51234.0
2857Washington County, RIRI129,79533.9
2858Gloucester County, VAVA40,09733.8
2859Habersham County, GAGA50,41633.8
2860Arenac County, MIMI15,06833.7
2861Sargent County, NDND3,71133.7
2862Treutlen County, GAGA6,46633.7
2863Sharkey County, MSMS3,09733.7
2864Randolph County, ININ24,43833.6
2865Warren County, GAGA5,26933.5
2866Cottle County, TXTX1,22433.4
2867Hopewell, VAVA23,26133.4
2868Chowan County, NCNC14,08233.4
2869Ogemaw County, MIMI21,12133.3
2870Oscoda County, MIMI8,72333.2
2871Kimble County, TXTX4,43833.2
2872Craig County, OKOK14,51833.2
2873Monroe County, ININ143,34533.2
2874McDonough County, ILIL25,91633.1
2875Kiowa County, OKOK8,18133.1
2876Lynn County, TXTX6,01733.1
2877Allegany County, MDMD66,84833.1
2878Highland County, VAVA2,31833.0
2879Lewis County, TNTN13,48733.0
2880Morgan County, ILIL32,51532.9
2881Madison County, NCNC22,55332.9
2882Watauga County, NCNC54,78632.8
2883Pike County, GAGA20,93232.8
2884Wells County, ININ28,88332.7
2885Randolph County, GAGA6,15632.6
2886Summit County, COCO31,51732.6
2887Logan County, WVWV30,37532.6
2888Sherman County, OROR2,05132.6
2889Gates County, NCNC10,23432.6
2890Alpine County, CACA1,04332.5
2891Buena Vista, VAVA6,67232.5
2892Fountain County, ININ17,01332.4
2893Harlan County, NENE3,00032.4
2894Warren County, ININ8,47432.4
2895Carroll County, NHNH52,78432.3
2896Wythe County, VAVA27,98332.3
2897Adams County, IDID5,01332.3
2898Benton County, MOMO20,53632.2
2899Clinton County, PAPA37,87032.2
2900Martin County, KYKY10,69732.2
2901Galax, VAVA6,67032.1
2902Monroe County, OHOH12,99432.0
2903Abbeville County, SCSC24,83632.0
2904Windham County, VTVT45,20432.0
2905Elbert County, COCO30,53432.0
2906Ottawa County, KSKS5,74431.9
2907Decatur County, GAGA29,43231.9
2908Jefferson County, MSMS6,82531.9
2909Addison County, VTVT38,04831.9
2910Teller County, COCO24,75631.9
2911Cameron County, PAPA4,21131.8
2912Lee County, GAGA34,17931.7
2913Alachua County, FLFL290,02831.7
2914Tripp County, SDSD5,70831.7
2915Slope County, NDND62831.6
2916Moffat County, COCO13,12231.6
2917Park County, COCO18,31431.6
2918Donley County, TXTX3,21331.5
2919Meade County, KSKS3,85231.3
2920Grand County, UTUT9,79031.3
2921Stewart County, TNTN14,43931.3
2922Early County, GAGA10,45531.2
2923Russell County, VAVA25,33231.2
2924Hampshire County, MAMA164,06531.1
2925Emmet County, MIMI33,77531.1
2926Sullivan County, PAPA5,85631.1
2927Delta County, COCO32,17831.1
2928Petersburg, VAVA33,73431.0
2929Stillwater County, MTMT9,44531.0
2930LaMoure County, NDND4,13531.0
2931Lafayette County, ARAR5,88830.9
2932Jack County, TXTX9,56330.8
2933Klickitat County, WAWA24,33130.5
2934Grant County, OKOK4,06730.5
2935Dodge County, GAGA19,66330.5
2936Madison County, IAIA17,27030.4
2937Winnebago County, IAIA10,25130.4
2938Noxubee County, MSMS9,79830.3
2939Randolph County, WVWV26,88230.3
2940Leslie County, KYKY9,62730.3
2941Platte County, WYWY8,63430.3
2942Montgomery County, GAGA8,63530.3
2943Nassau County, FLFL106,87930.2
2944Menifee County, KYKY6,43030.1
2945Simpson County, MSMS25,49830.0
2946Adams County, NDND2,27530.0
2947Clarke County, VAVA15,60929.9
2948Madison County, MOMO12,85829.8
2949Moore County, TNTN6,92029.7
2950Chattahoochee County, GAGA8,46529.7
2951Orange County, NCNC152,49829.6
2952Delaware County, OKOK41,91029.5
2953Teton County, WYWY23,33329.4
2954Butler County, NENE8,50729.4
2955Marion County, GAGA7,67629.3
2956Custer County, SDSD9,43129.2
2957Tompkins County, NYNY104,04729.1
2958Luna County, NMNM25,40729.0
2959Hale County, ALAL15,19428.9
2960Mitchell County, NCNC15,06228.9
2961Dukes County, MAMA21,21928.8
2962Lafayette County, FLFL8,79228.8
2963Clarke County, IAIA9,57428.7
2964Harrisonburg, VAVA50,83928.6
2965Craig County, VAVA4,80028.6
2966Clinch County, GAGA6,84728.6
2967Dare County, NCNC38,24528.6
2968Lancaster County, VAVA10,99528.5
2969Warren County, ILIL16,22228.4
2970Trego County, KSKS2,74028.4
2971Skagway, AKAK1,10428.4
2972Stewart County, GAGA4,63128.4
2973Lafayette County, MSMS59,59728.3
2974Liberty County, MTMT1,95728.3
2975Benton County, TNTN16,18328.2
2976Shelby County, MOMO5,87028.0
2977Smyth County, VAVA28,88227.9
2978Idaho County, IDID17,87427.9
2979Lamar County, GAGA20,94127.8
2980Drew County, ARAR17,05427.8
2981Broadwater County, MTMT8,49327.6
2982Greene County, VAVA21,95827.5
2983Lee County, VAVA21,64227.1
2984Henderson County, ILIL5,98427.1
2985Los Alamos County, NMNM19,40727.0
2986Floyd County, TXTX4,88127.0
2987Knox County, MOMO3,72826.8
2988Winn Parish, LALA14,96126.8
2989Union County, GAGA27,85926.8
2990Grayson County, VAVA15,23026.4
2991Kiowa County, KSKS2,43226.4
2992Camden County, NCNC11,31526.2
2993Scott County, ILIL4,86626.0
2994Hamilton County, TXTX8,68026.0
2995Prentiss County, MSMS25,28425.9
2996Ozark County, MOMO9,17225.9
2997Garden County, NENE1,80425.8
2998Tipton County, ININ15,31925.5
2999Charlottesville, VAVA44,38825.4
3000Logan County, KSKS2,66125.4
SHOWING 2,501–3,000 OF 3,131
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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES