Which county has the highest births per 1,000 women (15-50)?

De Baca County, New Mexico ranks #1 with 614.9 (2024 American Community Survey).

What are the top 5 counties by births per 1,000 women (15-50)?

De Baca County, New Mexico, Grant County, Kansas, Hamilton County, Florida, Madison County, Florida, McPherson County, South Dakota.

How many counties are in this ranking?

3,143 counties qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is births per 1,000 women (15-50) measured?

Annual general fertility rate: women 15-50 who gave birth in the past 12 months, per 1,000 women. Source: ACS B13016. Source: US Census Bureau, American Community Survey 5-year estimates (2024).

RANKING · 2024 ACS · 143 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).

Flip the list · Lowest fertility rate, US counties →

All statesAll rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2000

3001Kiowa County, OKOK8,18124.6–

3002Clearwater County, IDID9,11824.6–

3003Skamania County, WAWA12,66924.4–

3004Clay County, SDSD15,03124.3–

3005Tallahatchie County, MSMS10,87724.3–

3006Faulk County, SDSD2,17824.2–

3007San Miguel County, COCO7,75324.2–

3008Cleveland County, ARAR7,22424.0–

3009Covington, VAVA5,68023.9–

3010Haywood County, NCNC63,36923.9–

3011Wheeler County, TXTX4,77323.9–

3012Benton County, OROR97,72823.9–

3013Claiborne County, MSMS8,05823.8–

3014Cheyenne County, KSKS2,60423.7–

3015Montgomery County, VAVA98,43423.4–

3016Perry County, ARAR10,30923.2–

3017Greenlee County, AZAZ9,31223.1–

3018Monroe County, ININ143,34523.0–

3019Brooks County, GAGA16,10123.0–

3020Elk County, KSKS2,45822.9–

3021Cavalier County, NDND3,49722.6–

3022Concho County, TXTX3,60722.6–

3023Columbia County, PAPA66,19322.2–

3024Chase County, KSKS2,57222.1–

3025Tucker County, WVWV6,54022.0–

3026Perry County, ALAL7,42522.0–

3027Leelanau County, MIMI22,98221.9–

3028Humphreys County, MSMS7,00121.7–

3029Dodge County, GAGA19,66321.5–

3030Peach County, GAGA29,87721.3–

3031Stutsman County, NDND21,41421.1–

3032Yalobusha County, MSMS12,37521.1–

3033Millard County, UTUT14,05721.1–

3034Chouteau County, MTMT5,86520.7–

3035Van Buren County, TNTN6,87420.6–

3036Twiggs County, GAGA7,59720.2–

3037Jefferson County, IAIA15,29120.0–

3038Summit County, COCO31,51719.8–

3039Hansford County, TXTX4,94419.7–

3040Colfax County, NMNM12,18419.7–

3041Silver Bow County, MTMT36,11819.5–

3042Liberty County, FLFL8,03519.5–

3043Washington County, IDID11,58319.4–

3044Shelby County, IAIA11,68919.3–

3045Calhoun County, ILIL4,30019.2–

3046Perry County, MSMS11,57719.0–

3047Hampshire County, MAMA164,06518.8–

3048Nicholas County, WVWV23,84818.7–

3049Logan County, ARAR21,63318.5–

3050Haines, AKAK2,06818.4–

3051McCulloch County, TXTX7,47218.2–

3052Pulaski County, ILIL4,82018.1–

3053Kimble County, TXTX4,43817.8–

3054Oliver County, NDND1,89817.6–

3055Fayette County, ALAL15,87217.6–

3056Harrisonburg, VAVA50,83917.4–

3057Lincoln County, ARAR12,76417.3–

3058Stone County, ARAR12,70317.0–

3059Golden Valley County, NDND1,80816.8–

3060Mariposa County, CACA16,91816.6–

3061McIntosh County, GAGA11,98916.3–

3062Osborne County, KSKS3,28515.9–

3063Martin County, TXTX5,28415.9–

3064Boone County, WVWV20,25115.9–

3065Baker County, GAGA2,72515.9–

3066Hamilton County, TXTX8,68015.8–

3067Manassas Park, VAVA16,56015.6–

3068Inyo County, CACA18,15815.4–

3069Watauga County, NCNC54,78615.4–

3070Oglethorpe County, GAGA16,41515.3–

3071Telfair County, GAGA11,19515.3–

3072Butler County, ALAL18,10015.2–

3073Keweenaw County, MIMI2,18615.1–

3074Rappahannock County, VAVA7,43915.1–

3075Delta County, TXTX5,54914.7–

3076Warren County, GAGA5,26914.6–

3077Richmond County, VAVA9,29414.5–

3078Ontonagon County, MIMI5,82314.4–

3079Taos County, NMNM34,56414.1–

3080Saguache County, COCO6,73214.1–

3081Ballard County, KYKY7,59414.0–

3082Northumberland County, VAVA12,55713.8–

3083Calhoun County, WVWV5,97813.7–

3084Union County, ININ6,86313.3–

3085Bienville Parish, LALA12,26913.0–

3086Dawes County, NENE7,85812.7–

3087Sharkey County, MSMS3,09711.9–

3088Bristol Bay, AKAK84711.8–

3089Hodgeman County, KSKS1,61911.8–

3090McPherson County, NENE36911.8–

3091Garza County, TXTX4,51011.3–

3092Powell County, MTMT7,15711.2–

3093Gunnison County, COCO17,43911.1–

3094Middlesex County, VAVA10,84110.6–

3095Jefferson County, MSMS6,82510.0–

3096Forest County, PAPA6,6149.9–

3097Slope County, NDND6289.9–

3098San Augustine County, TXTX7,7229.8–

3099Garfield County, NENE1,7108.8–

3100Comanche County, KSKS1,6738.8–

3101Custer County, IDID4,6368.6–

3102Jones County, SDSD9138.2–

3103Sully County, SDSD1,4797.6–

3104Cameron County, PAPA4,2117.4–

3105Granite County, MTMT3,6586.6–

3106Quay County, NMNM8,4546.6–

3107Clark County, KSKS1,9005.2–

3108Cimarron County, OKOK2,0594.8–

3109Trimble County, KYKY8,7014.6–

3110Lincoln County, GAGA8,1124.4–

3111Glascock County, GAGA3,1413.0–

3112Brooks County, TXTX6,5792.9–

3113Mathews County, VAVA8,5292.8–

3114Adams County, NDND2,2752.7–

3115Sierra County, CACA3,0981.9–

3116Greene County, ALAL7,0670.0–

3117Yakutat, AKAK6720.0–

3118Divide County, NDND2,1100.0–

3119Banner County, NENE6860.0–

3120Lincoln County, NVNV4,3200.0–

3121Catron County, NMNM3,8270.0–

3122Mora County, NMNM4,0510.0–

3123Hyde County, NCNC4,5540.0–

3124Gilliam County, OROR1,9710.0–

3125Culberson County, TXTX2,2670.0–

3126Hemphill County, TXTX3,0830.0–

3127Hudspeth County, TXTX3,4330.0–

3128Kenedy County, TXTX3190.0–

3129King County, TXTX1920.0–

3130La Salle County, TXTX6,5170.0–

3131Mason County, TXTX3,9900.0–

3132Menard County, TXTX1,9560.0–

3133Blaine County, NENE4580.0–

3134Hinsdale County, COCO7530.0–

3135Huerfano County, COCO7,0110.0–

3136Jackson County, COCO1,2110.0–

3137Camas County, IDID1,3160.0–

3138Kalawao County, HIHI820.0–

3139Stanton County, KSKS1,9860.0–

3140Miller County, GAGA5,8120.0–

3141Esmeralda County, NVNV7290.0–

3142Eureka County, NVNV1,8670.0–

3143Roberts County, TXTX8670.0–

SHOWING 3,001–3,143 OF 3,143

1 2 3 4 5 6 7

Download CSV (full list, 3,143 rows)

UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES