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 (2024 ACS). This list covers the 115 counties in Missouri that qualify, ranked against each other statewide. The median across all 115 is 57.3.

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SAME RANKING BYCities States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

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

01Oregon County, MOMO8,70926.6+15%

02Sullivan County, MOMO5,73827.1−38%

03Warren County, MOMO39,01630.1−50%

04Cape Girardeau County, MOMO83,99932.8−30%

05Reynolds County, MOMO5,99233.0−17%

06Mississippi County, MOMO12,00333.9−72%

07Lawrence County, MOMO39,40135.4−50%

08Lafayette County, MOMO33,53136.9−50%

09Barry County, MOMO36,20037.1+2%

10St. Louis, MOMO278,14439.3−37%

11Howard County, MOMO10,18039.4−54%

12Andrew County, MOMO18,24140.3−46%

13Pulaski County, MOMO54,44241.3−44%

14Johnson County, MOMO56,67041.4−17%

15Phelps County, MOMO45,24741.9+5%

16Atchison County, MOMO5,17542.4−26%

17Dent County, MOMO14,58443.6−4%

18Livingston County, MOMO14,70844.3+12%

19Carter County, MOMO5,41844.5+125%

20Ripley County, MOMO10,71744.7−11%

21Schuyler County, MOMO4,14044.8−66%

22Vernon County, MOMO19,94645.5−36%

23Stone County, MOMO32,50346.4+12%

24Randolph County, MOMO24,51346.5−48%

25New Madrid County, MOMO15,08646.6−39%

26St. Charles County, MOMO426,49946.6−14%

27McDonald County, MOMO23,99247.8−35%

28Lewis County, MOMO9,87948.6+14%

29Camden County, MOMO44,04748.8+37%

30Jefferson County, MOMO233,13249.0−23%

31Monroe County, MOMO8,95949.6+11%

32St. Louis County, MOMO990,91149.60%

33Boone County, MOMO191,74649.7+5%

34Jackson County, MOMO732,99449.8−11%

35Callaway County, MOMO45,76550.1+5%

36St. Clair County, MOMO9,97650.7+38%

37Nodaway County, MOMO20,17451.3+34%

38Marion County, MOMO28,52552.0−39%

39Cole County, MOMO77,90852.4+5%

40Chariton County, MOMO7,37752.4+34%

41Ray County, MOMO23,39852.4+48%

42Ste. Genevieve County, MOMO18,68952.5+39%

43Clay County, MOMO265,03253.1+5%

44Grundy County, MOMO9,74453.5+35%

45Cass County, MOMO115,85954.6−10%

46Jasper County, MOMO127,42854.7+4%

47St. Francois County, MOMO67,80955.0−4%

48Miller County, MOMO25,81755.2−1%

49Franklin County, MOMO108,09055.2+3%

50Montgomery County, MOMO11,59055.6+8%

51Pike County, MOMO17,95555.8−16%

52Texas County, MOMO25,99456.6−3%

53Bates County, MOMO16,51256.7−3%

54Taney County, MOMO57,00156.7+25%

55Greene County, MOMO309,28656.9+5%

56Gasconade County, MOMO14,78457.2+4%

57Saline County, MOMO23,26557.2+20%

58Polk County, MOMO33,60457.3−28%

59Ralls County, MOMO10,44457.3−15%

60Perry County, MOMO19,09357.5+4%

61Macon County, MOMO15,19058.3−25%

62Butler County, MOMO41,90459.7−2%

63Clark County, MOMO6,47560.0−22%

64Adair County, MOMO25,68460.1+32%

65Shelby County, MOMO5,87060.2+115%

66Moniteau County, MOMO15,42861.0+2%

67Cooper County, MOMO17,13661.5+10%

68Webster County, MOMO43,05461.7−15%

69Scott County, MOMO37,97562.3−17%

70Christian County, MOMO96,72563.3−8%

71Buchanan County, MOMO83,54063.5−12%

72Bollinger County, MOMO10,64664.6+5%

73Pemiscot County, MOMO14,46565.9+4%

74Henry County, MOMO22,67166.0+33%

75Wayne County, MOMO10,78266.4+8%

76Linn County, MOMO11,81566.4+25%

77Howell County, MOMO40,79866.6+35%

78Hickory County, MOMO9,04468.2+237%

79Osage County, MOMO13,61168.5+44%

80Dade County, MOMO7,80468.7+12%

81Pettis County, MOMO44,25469.1+27%

82Clinton County, MOMO21,66169.1+45%

83Crawford County, MOMO22,92972.1+9%

84Platte County, MOMO114,40072.8+31%

85Newton County, MOMO62,26373.6+69%

86Scotland County, MOMO4,79675.4−47%

87Knox County, MOMO3,72876.1+184%

88Ozark County, MOMO9,17276.8+197%

89Lincoln County, MOMO66,67678.2+40%

90Holt County, MOMO4,20078.2−7%

91Gentry County, MOMO6,38483.0+59%

92Maries County, MOMO8,39783.1+144%

93Laclede County, MOMO36,94383.4+55%

94Madison County, MOMO12,85884.8+185%

95Worth County, MOMO1,91485.2+453%

96Benton County, MOMO20,53685.3+165%

97Dunklin County, MOMO26,85585.9+47%

98Stoddard County, MOMO28,28486.1+145%

99Putnam County, MOMO4,54686.7+121%

100Wright County, MOMO19,67189.3+52%

101Caldwell County, MOMO9,01290.3+74%

102Morgan County, MOMO22,41891.0−1%

103Cedar County, MOMO14,88891.6+15%

104Harrison County, MOMO8,28195.8+32%

105DeKalb County, MOMO9,79597.1+101%

106Dallas County, MOMO18,02597.2+110%

107Audrain County, MOMO24,52897.6+105%

108Douglas County, MOMO12,34298.0+183%

109Daviess County, MOMO8,558100.5+33%

110Iron County, MOMO9,318102.8+105%

111Shannon County, MOMO7,285105.7+110%

112Barton County, MOMO11,795106.3+82%

113Washington County, MOMO23,810109.7+134%

114Carroll County, MOMO8,417114.7+121%

115Mercer County, MOMO3,404120.2+172%

SHOWING 1–115 OF 115

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES