RANKING · 2010 CENSUS · 51 SHOWN OF 51

Highest fertility rate, US states · 2010

US states ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2023 ACS). Utah leads at 80.5. 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 2000

01Utah, UTUT3,392,33180.5–

02Alaska, AKAK735,70674.1–

03Idaho, IDID1,934,26272.4–

04Nebraska, NENE1,978,70766.5–

05Texas, TXTX30,188,42465.4–

06South Dakota, SDSD907,42864.1–

07Kansas, KSKS2,947,19763.6–

08Mississippi, MSMS2,946,77962.1–

09Arizona, AZAZ7,378,83862.1–

10Tennessee, TNTN7,066,38361.6–

11New Mexico, NMNM2,120,24660.7–

12Nevada, NVNV3,184,61260.4–

13Iowa, IAIA3,210,50760.3–

14Minnesota, MNMN5,739,44560.0–

15Wyoming, WYWY582,39759.9–

16Louisiana, LALA4,611,96159.3–

17Montana, MTMT1,116,87559.2–

18Hawaii, HIHI1,445,23559.0–

19Oklahoma, OKOK4,028,63458.9–

20North Dakota, NDND784,84158.8–

21Arkansas, ARAR3,049,39158.4–

22Washington, WAWA7,816,11658.2–

23Georgia, GAGA10,940,40757.7–

24Colorado, COCO5,862,18957.5–

25Indiana, ININ6,851,07357.0–

26Kentucky, KYKY4,534,82456.8–

27North Carolina, NCNC10,730,40456.7–

28Alabama, ALAL5,086,76856.6–

29California, CACA39,287,37756.5–

30South Carolina, SCSC5,296,22556.2–

31Illinois, ILIL12,694,79856.2–

32Maryland, MDMD6,206,01156.1–

33Oregon, OROR4,254,29355.2–

34Wisconsin, WIWI5,914,87255.2–

35Missouri, MOMO6,191,81454.9–

36New Jersey, NJNJ9,343,80954.7–

37Ohio, OHOH11,810,29354.6–

38Michigan, MIMI10,077,76153.4–

39Virginia, VAVA8,705,17052.3–

40Florida, FLFL22,416,07751.5–

41Delaware, DEDE1,021,19150.6–

42Pennsylvania, PAPA13,018,63950.5–

43New York, NYNY19,852,36650.4–

44Connecticut, CTCT3,624,50850.0–

45Rhode Island, RIRI1,101,80148.1–

46Massachusetts, MAMA7,044,05647.6–

47West Virginia, WVWV1,778,37347.5–

48Maine, MEME1,387,81747.5–

49District of Columbia, DCDC681,29445.8–

50New Hampshire, NHNH1,394,86845.4–

51Vermont, VTVT647,10643.6–

SHOWING 1–51 OF 51

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

Frequently asked

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

Utah ranks #1 with 80.5 (2010 American Community Survey).

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

Utah, Alaska, Idaho, Nebraska, Texas.

How many states are in this ranking?

51 states 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).