RANKING · 2024 ACS · 115 SHOWN OF 115

Lowest fertility rate, Missouri counties

Missouri counties with the lowest general fertility rate, births per 1,000 women ages 15-50 in the past 12 months (2023 ACS). This list covers the 115 counties in Missouri that qualify, ranked against each other statewide.

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SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

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

01Oregon County, MOMO8,70926.6–

02Sullivan County, MOMO5,73827.1–

03Warren County, MOMO39,01630.1–

04Cape Girardeau County, MOMO83,99932.8–

05Reynolds County, MOMO5,99233.0–

06Mississippi County, MOMO12,00333.9–

07Lawrence County, MOMO39,40135.4–

08Lafayette County, MOMO33,53136.9–

09Barry County, MOMO36,20037.1–

10St. Louis, MOMO278,14439.3–

11Howard County, MOMO10,18039.4–

12Andrew County, MOMO18,24140.3–

13Pulaski County, MOMO54,44241.3–

14Johnson County, MOMO56,67041.4–

15Phelps County, MOMO45,24741.9–

16Atchison County, MOMO5,17542.4–

17Dent County, MOMO14,58443.6–

18Livingston County, MOMO14,70844.3–

19Carter County, MOMO5,41844.5–

20Ripley County, MOMO10,71744.7–

21Schuyler County, MOMO4,14044.8–

22Vernon County, MOMO19,94645.5–

23Stone County, MOMO32,50346.4–

24Randolph County, MOMO24,51346.5–

25New Madrid County, MOMO15,08646.6–

26St. Charles County, MOMO426,49946.6–

27McDonald County, MOMO23,99247.8–

28Lewis County, MOMO9,87948.6–

29Camden County, MOMO44,04748.8–

30Jefferson County, MOMO233,13249.0–

31Monroe County, MOMO8,95949.6–

32St. Louis County, MOMO990,91149.6–

33Boone County, MOMO191,74649.7–

34Jackson County, MOMO732,99449.8–

35Callaway County, MOMO45,76550.1–

36St. Clair County, MOMO9,97650.7–

37Nodaway County, MOMO20,17451.3–

38Marion County, MOMO28,52552.0–

39Cole County, MOMO77,90852.4–

40Chariton County, MOMO7,37752.4–

41Ray County, MOMO23,39852.4–

42Ste. Genevieve County, MOMO18,68952.5–

43Clay County, MOMO265,03253.1–

44Grundy County, MOMO9,74453.5–

45Cass County, MOMO115,85954.6–

46Jasper County, MOMO127,42854.7–

47St. Francois County, MOMO67,80955.0–

48Miller County, MOMO25,81755.2–

49Franklin County, MOMO108,09055.2–

50Montgomery County, MOMO11,59055.6–

51Pike County, MOMO17,95555.8–

52Texas County, MOMO25,99456.6–

53Bates County, MOMO16,51256.7–

54Taney County, MOMO57,00156.7–

55Greene County, MOMO309,28656.9–

56Gasconade County, MOMO14,78457.2–

57Saline County, MOMO23,26557.2–

58Polk County, MOMO33,60457.3–

59Ralls County, MOMO10,44457.3–

60Perry County, MOMO19,09357.5–

61Macon County, MOMO15,19058.3–

62Butler County, MOMO41,90459.7–

63Clark County, MOMO6,47560.0–

64Adair County, MOMO25,68460.1–

65Shelby County, MOMO5,87060.2–

66Moniteau County, MOMO15,42861.0–

67Cooper County, MOMO17,13661.5–

68Webster County, MOMO43,05461.7–

69Scott County, MOMO37,97562.3–

70Christian County, MOMO96,72563.3–

71Buchanan County, MOMO83,54063.5–

72Bollinger County, MOMO10,64664.6–

73Pemiscot County, MOMO14,46565.9–

74Henry County, MOMO22,67166.0–

75Wayne County, MOMO10,78266.4–

76Linn County, MOMO11,81566.4–

77Howell County, MOMO40,79866.6–

78Hickory County, MOMO9,04468.2–

79Osage County, MOMO13,61168.5–

80Dade County, MOMO7,80468.7–

81Pettis County, MOMO44,25469.1–

82Clinton County, MOMO21,66169.1–

83Crawford County, MOMO22,92972.1–

84Platte County, MOMO114,40072.8–

85Newton County, MOMO62,26373.6–

86Scotland County, MOMO4,79675.4–

87Knox County, MOMO3,72876.1–

88Ozark County, MOMO9,17276.8–

89Lincoln County, MOMO66,67678.2–

90Holt County, MOMO4,20078.2–

91Gentry County, MOMO6,38483.0–

92Maries County, MOMO8,39783.1–

93Laclede County, MOMO36,94383.4–

94Madison County, MOMO12,85884.8–

95Worth County, MOMO1,91485.2–

96Benton County, MOMO20,53685.3–

97Dunklin County, MOMO26,85585.9–

98Stoddard County, MOMO28,28486.1–

99Putnam County, MOMO4,54686.7–

100Wright County, MOMO19,67189.3–

101Caldwell County, MOMO9,01290.3–

102Morgan County, MOMO22,41891.0–

103Cedar County, MOMO14,88891.6–

104Harrison County, MOMO8,28195.8–

105DeKalb County, MOMO9,79597.1–

106Dallas County, MOMO18,02597.2–

107Audrain County, MOMO24,52897.6–

108Douglas County, MOMO12,34298.0–

109Daviess County, MOMO8,558100.5–

110Iron County, MOMO9,318102.8–

111Shannon County, MOMO7,285105.7–

112Barton County, MOMO11,795106.3–

113Washington County, MOMO23,810109.7–

114Carroll County, MOMO8,417114.7–

115Mercer County, MOMO3,404120.2–

SHOWING 1–115 OF 115

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