RANKING · 2024 ACS · 53 SHOWN OF 53

Lowest fertility rate, North Dakota counties

North Dakota 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 53 counties in North Dakota 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

01Divide County, NDND2,1100.0–

02Adams County, NDND2,2752.7–

03Slope County, NDND6289.9–

04Golden Valley County, NDND1,80816.8–

05Oliver County, NDND1,89817.6–

06Stutsman County, NDND21,41421.1–

07Cavalier County, NDND3,49722.6–

08Sargent County, NDND3,71132.7–

09Renville County, NDND2,33133.6–

10Bowman County, NDND2,76236.4–

11Williams County, NDND41,76738.1–

12Ransom County, NDND5,61739.0–

13Eddy County, NDND2,32939.8–

14Barnes County, NDND10,57342.6–

15Dunn County, NDND4,05844.1–

16McIntosh County, NDND2,45145.8–

17Foster County, NDND3,21247.5–

18Wells County, NDND3,72948.1–

19Nelson County, NDND2,96349.6–

20Ward County, NDND68,23353.0–

21Sheridan County, NDND1,29653.4–

22Pembina County, NDND6,56855.7–

23Cass County, NDND201,79456.1–

24Burleigh County, NDND103,25161.2–

25Rolette County, NDND11,68861.6–

26Grand Forks County, NDND74,50163.9–

27McLean County, NDND9,74063.9–

28Morton County, NDND34,60165.7–

29Bottineau County, NDND6,28473.3–

30Richland County, NDND16,73173.6–

31Traill County, NDND7,92073.9–

32Mercer County, NDND8,44178.4–

33Burke County, NDND2,13280.3–

34Walsh County, NDND10,17981.5–

35Pierce County, NDND3,83882.1–

36Grant County, NDND2,20686.3–

37Towner County, NDND2,04087.2–

38Dickey County, NDND4,89592.0–

39Ramsey County, NDND11,53092.6–

40Stark County, NDND34,01393.2–

41Logan County, NDND1,85993.9–

42Steele County, NDND1,79794.5–

43Emmons County, NDND3,21596.5–

44LaMoure County, NDND4,13599.4–

45Mountrail County, NDND9,395102.2–

46Griggs County, NDND2,239119.4–

47Hettinger County, NDND2,492119.4–

48McKenzie County, NDND15,192123.7–

49Benson County, NDND5,759123.8–

50McHenry County, NDND5,130124.5–

51Sioux County, NDND3,667161.7–

52Kidder County, NDND2,393162.2–

53Billings County, NDND1,071190.5–

SHOWING 1–53 OF 53

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