RANKING · 2024 ACS · 51 SHOWN OF 51

Highest fertility rate, US states

US states ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). South Dakota leads at 65.0. 51 states qualify in total.

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SAME RANKING BYCities Counties Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2010

USUnited States334,922,49951.3–

01South Dakota, SDSD907,42865.0+1%

02North Dakota, NDND784,84162.5+6%

03Wyoming, WYWY582,39762.3+4%

04Kansas, KSKS2,947,19759.9−6%

05Mississippi, MSMS2,946,77958.7−6%

06Nebraska, NENE1,978,70758.4−12%

07Hawaii, HIHI1,445,23558.2−1%

08Alaska, AKAK735,70658.0−22%

09Utah, UTUT3,392,33157.4−29%

10Iowa, IAIA3,210,50757.2−5%

11Louisiana, LALA4,611,96156.9−4%

12Oklahoma, OKOK4,028,63456.5−4%

13Texas, TXTX30,188,42456.1−14%

14Arkansas, ARAR3,049,39155.9−4%

15Minnesota, MNMN5,739,44555.6−7%

16Montana, MTMT1,116,87555.0−7%

17South Carolina, SCSC5,296,22554.5−3%

18Indiana, ININ6,851,07354.3−5%

19Kentucky, KYKY4,534,82454.2−5%

20Ohio, OHOH11,810,29354.2−1%

21Missouri, MOMO6,191,81453.6−2%

22New Mexico, NMNM2,120,24652.5−14%

23Tennessee, TNTN7,066,38352.1−15%

24New Jersey, NJNJ9,343,80951.8−5%

25Georgia, GAGA10,940,40751.6−11%

26North Carolina, NCNC10,730,40451.6−9%

27Arizona, AZAZ7,378,83851.2−18%

28Maryland, MDMD6,206,01151.1−9%

29Idaho, IDID1,934,26251.0−30%

30Michigan, MIMI10,077,76150.9−5%

31Washington, WAWA7,816,11650.6−13%

32Nevada, NVNV3,184,61250.2−17%

33Alabama, ALAL5,086,76850.2−11%

34Virginia, VAVA8,705,17049.7−5%

35Illinois, ILIL12,694,79849.4−12%

36Pennsylvania, PAPA13,018,63949.3−2%

37Delaware, DEDE1,021,19149.1−3%

38West Virginia, WVWV1,778,37349.0+3%

39Wisconsin, WIWI5,914,87249.0−11%

40New York, NYNY19,852,36649.0−3%

41Colorado, COCO5,862,18948.9−15%

42Florida, FLFL22,416,07748.2−6%

43California, CACA39,287,37748.1−15%

44Connecticut, CTCT3,624,50846.8−6%

45New Hampshire, NHNH1,394,86846.0+1%

46Maine, MEME1,387,81745.9−3%

47Oregon, OROR4,254,29345.1−18%

48Rhode Island, RIRI1,101,80144.9−7%

49Massachusetts, MAMA7,044,05644.4−7%

50District of Columbia, DCDC681,29438.9−15%

51Vermont, VTVT647,10638.8−11%

SHOWING 1–51 OF 51

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES

Frequently asked

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

South Dakota ranks #1 with 65.0 (2024 American Community Survey).

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

South Dakota, North Dakota, Wyoming, Kansas, Mississippi.

How many states are in this ranking?

51 states 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).