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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.

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SAME RANKING BYCitiesStatesMetrosZIP codes
RELATEDLargest foreign-born populationMost residents with a disabilityLargest veteran populationMost uninsured peopleLargest senior populationMost unmarried people
YEAR20102024
Lowest fertility rate by state
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, MOMO990,91149.6+0%
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 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES