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). Conecuh County, Alabama leads at 211.8. 3,131 counties qualify in total. Georgia carries 4 of the top 25 entries.

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

01Conecuh County, ALAL10,899211.8–

02Harding County, NMNM617202.1–

03Butler County, ALAL18,100197.3–

04McPherson County, NENE369195.1–

05Kenedy County, TXTX319178.6–

06Daggett County, UTUT934176.9–

07Dimmit County, TXTX8,024176.8–

08Robertson County, KYKY2,325174.7–

09Sheridan County, KSKS2,427165.2–

10Quitman County, GAGA2,254159.2–

11Mellette County, SDSD2,137157.9–

12Clark County, IDID783153.8–

13Escambia County, ALAL36,665152.5–

14Renville County, NDND2,331151.4–

15Hancock County, GAGA8,682150.6–

16Haakon County, SDSD1,802147.1–

17Zapata County, TXTX13,753145.8–

18Franklin County, FLFL13,029145.3–

19Dewey County, SDSD5,419144.8–

20Eureka County, NVNV1,867144.5–

21North Slope, AKAK10,582143.1–

22Irwin County, GAGA9,020142.0–

23Lanier County, GAGA10,623141.6–

24Scotland County, MOMO4,796141.6–

25Kane County, UTUT8,597141.6–

26Northwest Arctic, AKAK7,095140.2–

27Reeves County, TXTX12,138139.6–

28Buffalo County, SDSD1,802138.1–

29LaGrange County, ININ41,305138.1–

30Jenkins County, GAGA8,843137.1–

31Hidalgo County, NMNM3,929135.6–

32Nome Census Area, AKAK9,830135.4–

33Nance County, NENE3,290135.1–

34Bethel Census Area, AKAK18,391133.5–

35Deaf Smith County, TXTX18,626133.4–

36Hodgeman County, KSKS1,619132.2–

37Schuyler County, MOMO4,140130.6–

38Calhoun County, ARAR4,632130.6–

39Johnson County, NENE5,218130.2–

40Goochland County, VAVA29,187127.1–

41Banner County, NENE686127.0–

42Greene County, NCNC20,700126.9–

43Chickasaw County, MSMS16,730126.5–

44Franklin County, NENE2,795126.0–

45Hemphill County, TXTX3,083125.8–

46Hinsdale County, COCO753125.0–

47Stanton County, KSKS1,986124.4–

48Richland County, MTMT11,377123.6–

49Adams County, WAWA21,488122.7–

50Hayes County, NENE821122.4–

51Yuma County, COCO9,896122.2–

52Lincoln County, NVNV4,320121.8–

53Dawson County, MTMT8,692121.0–

54Caribou County, IDID7,252120.9–

55Lipscomb County, TXTX2,955120.5–

56Choctaw County, MSMS8,048120.4–

57Oliver County, NDND1,898120.1–

58Mississippi County, MOMO12,003119.5–

59Sterling County, TXTX1,349119.3–

60Baylor County, TXTX3,472119.3–

61Harper County, KSKS5,370118.1–

62Powder River County, MTMT1,781118.0–

63Antelope County, NENE6,352117.2–

64Roberts County, SDSD10,255116.8–

65Castro County, TXTX7,295116.6–

66Wilbarger County, TXTX12,481115.4–

67Harmon County, OKOK2,327114.9–

68Jeff Davis County, GAGA15,219114.9–

69Camp County, TXTX13,380114.8–

70Meigs County, TNTN14,186114.6–

71Brule County, SDSD5,278114.5–

72Brown County, ILIL6,401114.1–

73Echols County, GAGA3,685114.0–

74Howard County, TXTX30,504113.6–

75Montgomery County, MSMS9,354113.4–

76Scurry County, TXTX16,162112.0–

77Wright County, IAIA12,801111.9–

78Benton County, MSMS7,502111.8–

79Beaver County, UTUT7,301111.6–

80Wasatch County, UTUT38,514111.2–

81Chicot County, ARAR9,107110.9–

82Kemper County, MSMS8,600110.2–

83Roberts County, TXTX867110.1–

84Hardeman County, TXTX3,292109.7–

85Sevier County, ARAR15,758109.3–

86Coke County, TXTX3,412109.2–

87Oneida County, IDID5,085109.1–

88Fremont County, IDID14,208109.1–

89Pawnee County, NENE2,510109.1–

90Nicholas County, KYKY7,949108.8–

91Cotton County, OKOK5,432108.7–

92Kent County, TXTX674108.3–

93Wayne County, UTUT2,587108.2–

94Taylor County, FLFL21,210107.9–

95Rooks County, KSKS4,646107.7–

96Harper County, OKOK3,172107.5–

97Geary County, KSKS36,338107.3–

98Petersburg, AKAK3,394106.6–

99Telfair County, GAGA11,195106.3–

100Sequatchie County, TNTN17,861106.0–

101Ziebach County, SDSD2,389105.9–

102Haskell County, KSKS3,599105.7–

103Collingsworth County, TXTX2,487105.6–

104Musselshell County, MTMT5,582105.4–

105Dillingham Census Area, AKAK4,483105.1–

106Wheeler County, TXTX4,773104.9–

107Franklin Parish, LALA19,002104.8–

108Pierce County, NDND3,838104.7–

109Todd County, SDSD8,863104.3–

110Warren County, NCNC18,898104.1–

111Owen County, KYKY11,601103.6–

112Bear Lake County, IDID6,727103.5–

113Candler County, GAGA11,275102.9–

114Sherman County, TXTX2,781102.9–

115Menard County, TXTX1,956102.3–

116Greene County, IAIA8,658102.2–

117Gaines County, TXTX23,956102.2–

118Montezuma County, COCO26,678102.0–

119Kearney County, NENE6,790101.9–

120Schuyler County, ILIL6,657101.9–

121Rawlins County, KSKS2,431101.4–

122Adams County, IAIA3,617101.3–

123Worth County, IAIA7,338101.3–

124Millard County, UTUT14,057101.1–

125Jackson County, KSKS13,438100.8–

126Stanley County, SDSD3,018100.6–

127Monroe County, IAIA7,406100.5–

128Menominee County, WIWI4,199100.4–

129Quitman County, MSMS5,364100.3–

130Loup County, NENE570100.0–

131Marshall County, MSMS34,65499.8–

132Logan County, COCO20,65499.8–

133Lake County, MNMN10,74699.6–

134Christian County, KYKY70,11599.6–

135Cassia County, IDID26,39799.4–

136Phillips County, COCO4,42099.4–

137Aransas County, TXTX26,14699.0–

138Mason County, TXTX3,99098.9–

139Bradley County, ARAR9,82898.4–

140Baker County, GAGA2,72598.2–

141Dyer County, TNTN36,32098.0–

142Nantucket County, MAMA14,75897.7–

143Van Buren County, IAIA7,13197.6–

144Clay County, KSKS7,99097.4–

145Vernon Parish, LALA45,09197.4–

146Carbon County, WYWY14,01397.4–

147Seward County, KSKS21,07397.2–

148Blackford County, ININ11,73097.0–

149Jeff Davis County, TXTX1,71197.0–

150St. Helena Parish, LALA10,75896.8–

151Custer County, MTMT12,03496.7–

152Boone County, NENE5,35596.7–

153Nowata County, OKOK9,52296.5–

154Madison County, TXTX14,22696.4–

155Jackson County, MNMN9,85796.3–

156Washington County, UTUT213,67096.2–

157Shelby County, TNTN910,22696.2–

158Perry County, MSMS11,57796.2–

159Holmes County, OHOH44,97095.9–

160Catahoula Parish, LALA8,22395.9–

161Lawrence County, MSMS11,81995.8–

162Davis County, IAIA9,23095.7–

163Jerome County, IDID26,36295.6–

164Seminole County, GAGA9,16295.3–

165Kingsbury County, SDSD5,28495.1–

166Onslow County, NCNC217,17595.0–

167Gonzales County, TXTX20,15994.7–

168Lyon County, IAIA12,35494.7–

169Grant County, NDND2,20694.3–

170Mitchell County, IAIA10,65094.3–

171Canyon County, IDID275,12394.2–

172Childress County, TXTX6,64394.1–

173Custer County, COCO5,59094.1–

174Inyo County, CACA18,15894.0–

175Ochiltree County, TXTX9,28494.0–

176Power County, IDID8,24693.4–

177Duchesne County, UTUT20,85693.2–

178Lincoln County, IDID5,60393.2–

179Lincoln County, NENE33,30392.8–

180Butler County, KYKY12,52092.7–

181Tyrrell County, NCNC3,53792.6–

182Gray County, TXTX20,91992.6–

183Nemaha County, KSKS10,05492.6–

184Burke County, NDND2,13292.4–

185Pike County, ARAR9,96492.4–

186Morgan County, MOMO22,41892.2–

187Polk County, NENE5,27092.0–

188Bradford County, FLFL28,30792.0–

189Asotin County, WAWA22,54591.8–

190Coffey County, KSKS8,46791.6–

191McKenzie County, NDND15,19291.6–

192Franklin County, WAWA102,61291.3–

193Merrick County, NENE7,90591.3–

194Comanche County, TXTX14,43291.2–

195Benton County, ININ8,88391.1–

196Grant County, KYKY26,18191.1–

197Grenada County, MSMS20,86891.0–

198Union County, FLFL16,25091.0–

199Trinity County, TXTX14,38491.0–

200Hansford County, TXTX4,94490.8–

201Franklin, VAVA8,47890.7–

202Adams County, ININ36,65090.6–

203Utah County, UTUT759,85990.5–

204Hoonah-Angoon Census Area, AKAK2,27190.3–

205Juab County, UTUT13,56790.2–

206Morton County, KSKS2,47089.7–

207Mahnomen County, MNMN5,15389.7–

208Emporia, VAVA5,44789.6–

209Mahaska County, IAIA21,88089.5–

210Foster County, NDND3,21289.3–

211Butte County, SDSD10,85689.2–

212Davis County, UTUT381,22789.2–

213Todd County, MNMN26,06089.2–

214Yazoo County, MSMS22,94789.1–

215Humphreys County, MSMS7,00189.1–

216Randolph County, MOMO24,51389.0–

217Ward County, TXTX11,12588.9–

218Maverick County, TXTX58,82388.9–

219Calhoun County, MSMS12,64388.8–

220Todd County, KYKY12,97288.7–

221Ford County, KSKS33,99388.6–

222McIntosh County, NDND2,45188.6–

223Webster County, MSMS10,16788.6–

224Jackson County, TNTN12,46688.4–

225Cook County, GAGA18,23288.4–

226Wayne County, MSMS19,80788.3–

227Grimes County, TXTX34,25288.0–

228Big Horn County, MTMT12,75287.7–

229Sanpete County, UTUT31,45387.7–

230Stevens County, KSKS4,98487.5–

231Randolph County, ARAR18,87687.5–

232Watonwan County, MNMN11,45987.1–

233Blaine County, OKOK8,51587.0–

234Dillon County, SCSC27,45887.0–

235Redwood County, MNMN15,26587.0–

236Lemhi County, IDID8,47486.9–

237Crosby County, TXTX4,85286.7–

238Jefferson County, IDID35,29786.6–

239Cherokee County, NCNC30,83086.6–

240Claiborne Parish, LALA13,35486.5–

241Calhoun County, GAGA5,41386.5–

242Uintah County, UTUT38,27886.5–

243Fremont County, WYWY39,46486.4–

244Jackson County, OHOH32,81786.3–

245Mercer County, NDND8,44186.2–

246Evangeline Parish, LALA31,98086.2–

247Boone County, IAIA26,79986.1–

248Tooele County, UTUT87,46186.0–

249Iberia Parish, LALA66,84686.0–

250Lake County, MTMT33,39286.0–

251Emmons County, NDND3,21585.9–

252Haskell County, TXTX5,49985.9–

253Weber County, UTUT278,17485.8–

254Madison County, MTMT10,02685.8–

255Owyhee County, IDID12,66185.7–

256Howard County, MOMO10,18085.6–

257Pickett County, TNTN5,21985.6–

258Milam County, TXTX26,25885.5–

259Val Verde County, TXTX47,83585.4–

260Fillmore County, MNMN21,54085.4–

261Leflore County, MSMS25,68685.3–

262Custer County, OKOK28,17585.3–

263Powell County, MTMT7,15785.2–

264McIntosh County, GAGA11,98985.2–

265O'Brien County, IAIA14,22085.2–

266Comanche County, KSKS1,67385.2–

267Mercer County, OHOH42,73785.1–

268Marion County, MOMO28,52584.9–

269Ringgold County, IAIA4,64284.7–

270Hidalgo County, TXTX921,54984.7–

271Shelby County, TXTX24,28684.7–

272Allen County, KYKY22,53684.6–

273Pershing County, NVNV6,42184.5–

274Starr County, TXTX66,31984.3–

275Wyandot County, OHOH21,56784.3–

276Marshall County, ININ46,59984.3–

277Matagorda County, TXTX36,46384.3–

278Appanoose County, IAIA12,07784.2–

279Charles Mix County, SDSD9,30384.1–

280Beckham County, OKOK22,15984.1–

281Grant County, SDSD7,53484.1–

282Union County, SDSD17,40284.1–

283Pulaski County, ILIL4,82084.0–

284Washington County, TXTX38,28883.9–

285Calhoun County, WVWV5,97883.9–

286Hamilton County, KSKS2,50083.8–

287Aurora County, SDSD2,80183.8–

288Roane County, WVWV13,31783.8–

289Gogebic County, MIMI14,28583.8–

290Holt County, MOMO4,20083.7–

291Washington County, KSKS5,53383.7–

292Jasper County, GAGA17,63283.7–

293Lowndes County, ALAL9,35983.7–

294Washington County, KYKY12,36883.6–

295Schleicher County, TXTX2,24583.6–

296Lyman County, SDSD3,69483.5–

297Cache County, UTUT145,00083.5–

298Richland County, NDND16,73183.2–

299San Juan County, UTUT14,54283.2–

300Cuming County, NENE8,82383.2–

301Finney County, KSKS37,50583.1–

302Jasper County, TXTX33,07583.1–

303Dawson County, TXTX11,77682.7–

304Colfax County, NENE10,93482.7–

305Yuba County, CACA88,69182.6–

306Tulare County, CACA485,14682.6–

307Barton County, KSKS24,79082.6–

308Rice County, KSKS9,26682.5–

309Monroe County, MSMS33,31882.5–

310Avery County, NCNC18,11082.5–

311Anderson County, KSKS8,01882.3–

312Amite County, MSMS12,48782.2–

313Fisher County, TXTX3,69282.0–

314Adair County, OKOK19,82882.0–

315Garfield County, UTUT5,25681.9–

316Pinal County, AZAZ539,38081.9–

317Victoria County, TXTX92,65681.9–

318Ector County, TXTX173,80181.9–

319Box Elder County, UTUT65,32081.6–

320Clark County, WIWI35,05281.6–

321Merced County, CACA297,26081.6–

322Powell County, KYKY12,81281.6–

323Curry County, NMNM46,65581.5–

324Walthall County, MSMS13,92881.5–

325Sevier County, UTUT22,82781.5–

326Choctaw County, ALAL11,90481.5–

327Halifax County, NCNC46,53481.4–

328Walsh County, NDND10,17981.3–

329McKean County, PAPA38,98481.1–

330Prowers County, COCO11,88481.1–

331De Witt County, ILIL15,11881.1–

332Jones County, SDSD91381.1–

333Holmes County, MSMS15,46581.1–

334Sioux County, NDND3,66781.1–

335McLean County, KYKY9,06480.9–

336Lake County, TNTN6,24980.6–

337Blaine County, MTMT6,86080.5–

338Fremont County, COCO50,03980.5–

339Palo Pinto County, TXTX30,79180.5–

340Tift County, GAGA42,25480.5–

341Chickasaw County, IAIA11,66380.4–

342Roosevelt County, MTMT10,24280.4–

343Traverse County, MNMN3,13080.3–

344Grant County, NENE56180.3–

345Gooding County, IDID16,44680.3–

346Crawford County, IAIA16,23780.2–

347Meeker County, MNMN23,60380.1–

348Morrow County, OROR12,60280.1–

349Polk County, MOMO33,60480.1–

350Bonneville County, IDID135,77180.0–

351Hand County, SDSD3,12180.0–

352Cedar County, MOMO14,88880.0–

353Dallas County, IAIA118,45779.9–

354Whitfield County, GAGA106,21279.8–

355Emery County, UTUT10,17779.8–

356Bannock County, IDID91,59179.7–

357Yakima County, WAWA259,18579.6–

358Titus County, TXTX31,56379.6–

359Mississippi County, ARAR37,82879.5–

360Floyd County, IAIA14,90179.5–

361Carroll County, IAIA20,30379.5–

362Hughes County, OKOK13,45579.5–

363Refugio County, TXTX6,65779.5–

364Socorro County, NMNM15,83879.4–

365Moody County, SDSD6,63279.4–

366Elmore County, IDID29,46579.4–

367Perry County, ILIL20,16079.2–

368Humboldt County, NVNV17,26779.2–

369Okanogan County, WAWA45,23079.2–

370Troup County, GAGA72,84479.2–

371Tehama County, CACA64,66579.1–

372Grant County, WAWA105,72779.1–

373Cheboygan County, MIMI25,79379.1–

374Marshall County, KSKS9,85279.0–

375Bingham County, IDID51,15378.8–

376White County, ININ25,16478.7–

377Franklin County, ARAR17,72578.7–

378Kit Carson County, COCO7,06978.7–

379Sac County, IAIA9,52578.7–

380Smith County, MSMS13,99178.6–

381Wallace County, KSKS1,44178.5–

382Chaves County, NMNM63,36478.5–

383Atkinson County, GAGA8,45478.5–

384Luce County, MIMI6,33978.3–

385Lauderdale County, MSMS70,31778.2–

386Grant County, KSKS7,02878.2–

387Pendleton County, KYKY14,80078.2–

388Jefferson County, OKOK5,43178.1–

389Potter County, TXTX114,45378.1–

390Yuma County, AZAZ224,44978.0–

391Esmeralda County, NVNV72978.0–

392Maury County, TNTN118,13178.0–

393Jim Wells County, TXTX38,80478.0–

394Keweenaw County, MIMI2,18677.9–

395Marengo County, ALAL18,31177.9–

396Ransom County, NDND5,61777.8–

397Craighead County, ARAR116,95777.8–

398Hamilton County, NENE9,67877.7–

399Prince of Wales-Hyder Census Area, AKAK5,77777.7–

400Scott County, ARAR9,96577.6–

401Cumberland County, ILIL10,20877.6–

402Parmer County, TXTX9,67877.5–

403Macon County, MOMO15,19077.5–

404Lake of the Woods County, MNMN3,77077.3–

405Washburn County, WIWI17,08777.3–

406Polk County, MNMN30,54577.3–

407Henry County, IAIA19,34977.2–

408Moore County, TXTX21,89177.2–

409Lassen County, CACA28,11777.2–

410Clark County, MOMO6,47577.2–

411Conejos County, COCO7,52977.2–

412Crowley County, COCO5,67777.1–

413Sanborn County, SDSD2,38877.1–

414Crawford County, ILIL18,64877.0–

415Mason County, MIMI29,04077.0–

416St. Martin Parish, LALA51,10677.0–

417Beltrami County, MNMN47,05577.0–

418Washington County, MNMN286,89576.9–

419Gray County, KSKS5,65276.9–

420Juneau, AKAK31,60976.9–

421Hall County, GAGA226,56876.9–

422Lincoln County, WIWI28,40376.7–

423Wichita County, KSKS2,03176.6–

424Sheridan County, NENE4,80976.6–

425Glacier County, MTMT13,46376.5–

426Robeson County, NCNC119,94176.5–

427LaSalle Parish, LALA15,15476.5–

428Dubuque County, IAIA99,38176.5–

429Wayne County, NENE10,02076.5–

430Lawrence County, ILIL13,79076.5–

431Clay County, ILIL12,79376.4–

432Noble County, ININ47,93776.3–

433Clark County, SDSD4,03176.2–

434Minidoka County, IDID22,91176.2–

435Cimarron County, OKOK2,05976.2–

436Hart County, KYKY20,11776.2–

437Shelby County, IAIA11,68976.2–

438Webster Parish, LALA34,94876.2–

439Colfax County, NMNM12,18476.2–

440McDowell County, NCNC45,19876.1–

441Newton County, TXTX11,95476.1–

442Iron County, UTUT67,14176.1–

443Fentress County, TNTN20,32276.1–

444Elko County, NVNV54,81576.0–

445Dickson County, TNTN58,66276.0–

446Marion County, KSKS11,63475.9–

447Swain County, NCNC14,02475.9–

448Cleburne County, ALAL15,97075.9–

449New Madrid County, MOMO15,08675.8–

450Zavala County, TXTX9,03775.8–

451Sullivan County, NYNY80,58675.7–

452Daviess County, MOMO8,55875.7–

453Charlotte County, VAVA11,40175.6–

454Graham County, AZAZ40,15775.6–

455Glenn County, CACA28,14175.6–

456Kendall County, ILIL145,47075.6–

457Bradley County, TNTN115,46575.6–

458Bath County, KYKY13,17675.6–

459Vermilion Parish, LALA57,67175.6–

460Washakie County, WYWY7,59775.5–

461Morrow County, OHOH36,30575.5–

462Sherman County, NENE2,92475.4–

463Cameron County, TXTX433,94675.4–

464Marion County, KYKY20,11575.4–

465Barrow County, GAGA99,77375.3–

466Emanuel County, GAGA23,14775.3–

467San Juan County, NMNM120,34075.3–

468Klamath County, OROR70,27475.2–

469Fayette County, IAIA19,04775.2–

470Bell County, TXTX402,24875.2–

471Montgomery County, TNTN249,93575.2–

472Gregg County, TXTX126,09575.2–

473Sherburne County, MNMN104,19475.1–

474Anchorage, AKAK287,15575.1–

475Scott County, MOMO37,97575.1–

476Becker County, MNMN35,49775.1–

477Taylor County, WVWV16,28775.1–

478Elbert County, GAGA20,07275.1–

479Door County, WIWI30,61675.1–

480Highlands County, FLFL111,12274.9–

481Sweetwater County, WYWY41,26774.8–

482Benson County, NDND5,75974.8–

483Jersey County, ILIL21,16074.8–

484Franklin County, IDID15,88974.8–

485Llano County, TXTX23,35374.8–

486Andrew County, MOMO18,24174.7–

487Hart County, GAGA28,63974.7–

488Day County, SDSD5,48474.7–

489Pottawatomie County, KSKS27,18674.7–

490Crane County, TXTX4,55474.7–

491Glascock County, GAGA3,14174.7–

492Hamlin County, SDSD6,90074.6–

493Throckmorton County, TXTX1,55474.6–

494Fremont County, IAIA6,52274.6–

495Polk County, ARAR19,48674.5–

496Chattooga County, GAGA25,30074.5–

497Crittenden County, ARAR46,21074.5–

498Bee County, TXTX32,51574.4–

499Kanabec County, MNMN16,62874.4–

500Payette County, IDID27,82474.3–

SHOWING 1–500 OF 3,131

1 2 3 4 5 6 7

Download CSV (full list, 3,131 rows)

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

Frequently asked

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).