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

Conecuh County, Alabama ranks #1 with 211.8 (2010 American Community Survey).

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

Conecuh County, Alabama, Harding County, New Mexico, Butler County, Alabama, McPherson County, Nebraska, Kenedy County, Texas.

How many counties are in this ranking?

3,131 counties qualify after filtering for population minimums and data availability. The ranking covers 2010 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 (2010).

RANKING · 2010 CENSUS · 131 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).

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

3001Kimball County, NENE3,39125.3–

3002Lake County, MIMI13,18225.0–

3003Phillips County, MTMT4,20325.0–

3004Cannon County, TNTN15,29624.7–

3005Garfield County, WAWA2,41624.7–

3006Dallas County, ARAR6,01124.6–

3007Dinwiddie County, VAVA28,89624.6–

3008Perry County, ALAL7,42524.5–

3009Morgan County, UTUT13,38324.3–

3010White Pine County, NVNV8,66124.2–

3011Judith Basin County, MTMT2,16224.1–

3012Arthur County, NENE39624.1–

3013Morgan County, KYKY14,41524.0–

3014Hood River County, OROR23,72024.0–

3015Glasscock County, TXTX1,12824.0–

3016Norman County, MNMN6,33623.8–

3017Prince Edward County, VAVA22,39123.8–

3018Bristol Bay, AKAK84723.7–

3019Briscoe County, TXTX1,47423.5–

3020Dixie County, FLFL18,03823.3–

3021Wyoming County, WVWV19,80123.2–

3022Mitchell County, KSKS5,59023.2–

3023Oregon County, MOMO8,70923.1–

3024Jackson County, SDSD2,66623.1–

3025Billings County, NDND1,07123.0–

3026Saline County, NENE14,99622.9–

3027Greer County, OKOK5,37322.8–

3028Greeley County, KSKS1,18222.8–

3029Garza County, TXTX4,51022.5–

3030Sheridan County, NDND1,29622.4–

3031Mackinac County, MIMI11,23622.4–

3032Meagher County, MTMT2,13722.0–

3033Union County, NMNM3,84421.9–

3034Wilcox County, ALAL9,66621.7–

3035Coleman County, TXTX7,91521.7–

3036Nelson County, VAVA14,92021.5–

3037Van Buren County, TNTN6,87421.3–

3038Staunton, VAVA26,80121.0–

3039Prince George County, VAVA43,93620.7–

3040Chautauqua County, KSKS3,32120.6–

3041Clay County, SDSD15,03120.6–

3042Pawnee County, KSKS5,99120.6–

3043Mono County, CACA12,50520.5–

3044Huerfano County, COCO7,01120.4–

3045San Miguel County, COCO7,75320.3–

3046Hickory County, MOMO9,04420.2–

3047Hooker County, NENE68620.2–

3048Carter County, MOMO5,41819.8–

3049Wilkes County, GAGA9,54019.7–

3050Glades County, FLFL13,27019.5–

3051Brantley County, GAGA18,93619.1–

3052Rock County, NENE1,25919.0–

3053Dawes County, NENE7,85818.9–

3054Nelson County, NDND2,96318.9–

3055Wolfe County, KYKY6,29818.7–

3056Hutchinson County, SDSD7,41318.7–

3057Webster County, GAGA2,36918.5–

3058Lincoln County, GAGA8,11218.3–

3059Bibb County, ALAL22,26218.3–

3060Colonial Heights, VAVA18,73818.2–

3061Liberty County, FLFL8,03518.2–

3062Polk County, NCNC20,53318.1–

3063Ferry County, WAWA7,51718.1–

3064Sierra County, NMNM11,39517.6–

3065Carter County, MTMT1,38317.5–

3066Granite County, MTMT3,65817.4–

3067Logan County, NDND1,85917.4–

3068Iron County, WIWI6,12716.8–

3069Steele County, NDND1,79716.3–

3070Crittenden County, KYKY8,80716.0–

3071Radford, VAVA17,24315.5–

3072Worth County, MOMO1,91415.4–

3073Logan County, NENE66915.4–

3074Clark County, KSKS1,90015.4–

3075Fallon County, MTMT2,95915.4–

3076Toole County, MTMT5,21114.5–

3077Clear Creek County, COCO8,99413.9–

3078Claiborne County, MSMS8,05813.8–

3079Wells County, NDND3,72913.2–

3080Wrangell, AKAK2,00713.1–

3081Ouray County, COCO5,26512.4–

3082Cheyenne County, KSKS2,60412.3–

3083Gove County, KSKS2,63112.3–

3084Hamilton County, NYNY5,00612.3–

3085Decatur County, KSKS2,71612.1–

3086Lamar County, ALAL13,58710.9–

3087Camas County, IDID1,31610.8–

3088Dolores County, COCO2,4669.7–

3089Daniels County, MTMT1,6129.5–

3090Skamania County, WAWA12,6699.5–

3091Jefferson Davis County, MSMS10,9419.5–

3092Somerset County, MDMD24,9739.3–

3093Yakutat, AKAK6728.8–

3094Greene County, GAGA21,3678.7–

3095Tensas Parish, LALA3,7008.7–

3096Williamsburg, VAVA15,8618.4–

3097Webster County, NENE3,3368.3–

3098Garfield County, NENE1,7107.9–

3099Middlesex County, VAVA10,8417.8–

3100Niobrara County, WYWY2,3417.3–

3101Norton, VAVA3,4776.5–

3102Sierra County, CACA3,0985.2–

3103Fall River County, SDSD7,4675.1–

3104Dundy County, NENE1,5685.0–

3105Taliaferro County, GAGA1,6624.8–

3106Dunn County, NDND4,0584.7–

3107Sweet Grass County, MTMT3,7624.3–

3108Lexington, VAVA7,7693.0–

3109Haines, AKAK2,0680.0–

3110Divide County, NDND2,1100.0–

3111Garfield County, MTMT1,1480.0–

3112Golden Valley County, MTMT8440.0–

3113Sioux County, NENE1,1880.0–

3114Wheeler County, NENE7890.0–

3115Catron County, NMNM3,8270.0–

3116Mora County, NMNM4,0510.0–

3117Borden County, TXTX5670.0–

3118Edwards County, TXTX1,3700.0–

3119Irion County, TXTX1,4630.0–

3120King County, TXTX1920.0–

3121Loving County, TXTX520.0–

3122McMullen County, TXTX5440.0–

3123Stonewall County, TXTX1,1860.0–

3124Motley County, TXTX1,0430.0–

3125Golden Valley County, NDND1,8080.0–

3126Cumberland County, KYKY5,9920.0–

3127Mineral County, COCO9100.0–

3128San Juan County, COCO8130.0–

3129Kalawao County, HIHI820.0–

3130Treasure County, MTMT7280.0–

3131Foard County, TXTX1,0440.0–

SHOWING 3,001–3,131 OF 3,131

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Download CSV (full list, 3,131 rows)

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