Which county has the lowest births per 1,000 women (15-50)?

Greene County, Alabama ranks #1 with 0.0 (2024 American Community Survey).

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

Greene County, Alabama, Yakutat, Alaska, Divide County, North Dakota, Banner County, Nebraska, Lincoln County, Nevada.

How many counties are in this ranking?

3,143 counties qualify after filtering for population minimums and data availability. The ranking covers 2024 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 (2024).

RANKING · 2024 ACS · 500 SHOWN OF 3,143

Lowest fertility rate, US counties

US counties with the lowest general fertility rate, births per 1,000 women ages 15-50 in the past 12 months (2023 ACS).

Flip the list · Highest fertility rate, US counties →

All statesAll rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

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

501Greene County, GAGA21,36738.8–

502Teton County, WYWY23,33338.8–

503Thomas County, NENE63938.8–

504Mono County, CACA12,50538.8–

505De Soto Parish, LALA27,38138.8–

506Wolfe County, KYKY6,29838.9–

507Washtenaw County, MIMI370,21438.9–

508New Hanover County, NCNC245,95938.9–

509Marion County, TXTX9,89638.9–

510District of Columbia, DCDC693,64538.9–

511Davison County, SDSD20,06938.9–

512Orleans County, NYNY39,82538.9–

513Page County, IAIA14,85638.9–

514Somervell County, TXTX10,26138.9–

515Ransom County, NDND5,61739.0–

516Childress County, TXTX6,64339.0–

517Latimer County, OKOK9,64539.0–

518Garrard County, KYKY18,20739.1–

519Lyon County, KYKY9,12339.1–

520McKinley County, NMNM68,11939.1–

521Butte County, CACA209,21139.1–

522Norfolk County, MAMA739,74939.2–

523Franklin County, NENE2,79539.2–

524Cook County, GAGA18,23239.2–

525McDuffie County, GAGA21,64039.2–

526Rutland County, VTVT59,65339.2–

527Elko County, NVNV54,81539.2–

528Edmonson County, KYKY12,74939.3–

529St. Louis, MOMO278,14439.3–

530DeSoto County, FLFL37,07839.3–

531Pueblo County, COCO169,27739.3–

532Marion County, SCSC28,24239.3–

533Churchill County, NVNV25,85139.3–

534Howard County, MOMO10,18039.4–

535Prince Edward County, VAVA22,39139.4–

536Benzie County, MIMI18,56839.5–

537Wilkinson County, GAGA8,65039.5–

538Mecklenburg County, VAVA30,74739.6–

539Blackford County, ININ11,73039.7–

540Greenup County, KYKY35,21339.7–

541Wyoming County, NYNY39,74139.8–

542Dallas County, ARAR6,01139.8–

543Eddy County, NDND2,32939.8–

544Benton County, MNMN41,74439.8–

545Madison Parish, LALA8,84439.8–

546Jefferson County, OROR25,74039.8–

547Leon County, FLFL299,04839.8–

548Hendry County, FLFL48,27639.9–

549Albemarle County, VAVA118,35639.9–

550Jackson County, ALAL54,28139.9–

551Washington County, KYKY12,36840.0–

552Pope County, ILIL3,67240.1–

553Seminole County, FLFL491,88440.1–

554Wilson County, TXTX56,13940.1–

555Vanderburgh County, ININ181,99540.2–

556Henrico County, VAVA342,77540.2–

557Archer County, TXTX9,12940.2–

558Lewis County, WVWV16,39440.2–

559Fleming County, KYKY15,78740.3–

560Houston County, GAGA178,21440.3–

561Laurens County, GAGA51,04140.3–

562Andrew County, MOMO18,24140.3–

563Oxford County, MEME60,34640.4–

564Madison County, MSMS116,29840.4–

565Schuyler County, NYNY16,92440.4–

566Colbert County, ALAL59,47440.4–

567Russell County, KSKS6,58140.5–

568Alleghany County, VAVA14,54640.5–

569Tazewell County, ILIL130,04940.5–

570Zavala County, TXTX9,03740.5–

571Larue County, KYKY15,18440.5–

572Howard County, MDMD339,18340.6–

573Talbot County, GAGA5,70940.6–

574Lake County, MIMI13,18240.6–

575Lee County, NCNC70,25840.6–

576Houston County, ALAL110,31840.6–

577Hardin County, OHOH30,07240.6–

578Stokes County, NCNC46,12640.6–

579Tioga County, NYNY47,45340.7–

580Lenawee County, MIMI97,77940.7–

581Frederick County, VAVA99,95540.7–

582Hardin County, ILIL3,58840.8–

583Grundy County, ILIL54,05240.8–

584Sawyer County, WIWI18,84640.8–

585Franklin County, MEME30,82440.8–

586Barry County, MIMI63,99140.8–

587Eau Claire County, WIWI109,03340.8–

588Adams County, WIWI21,75240.8–

589Ottawa County, MIMI308,45940.9–

590Allen Parish, LALA22,67240.9–

591Sevier County, TNTN101,34240.9–

592Essex County, VTVT6,05140.9–

593Sullivan County, NHNH43,96140.9–

594White County, TNTN29,61240.9–

595Morgan County, ALAL126,48341.0–

596Kane County, ILIL525,75741.0–

597Pope County, ARAR64,97641.0–

598Gregory County, SDSD4,03741.0–

599McDonough County, ILIL25,91641.0–

600Sherman County, OROR2,05141.0–

601Henry County, VAVA49,24241.0–

602Emery County, UTUT10,17741.1–

603Bristol County, RIRI50,00141.2–

604Sherman County, TXTX2,78141.2–

605Riley County, KSKS72,59841.2–

606Raleigh County, WVWV71,77541.3–

607Covington County, MSMS17,89841.3–

608Pitt County, NCNC182,93641.3–

609Pulaski County, MOMO54,44241.3–

610Nicollet County, MNMN34,27341.4–

611Izard County, ARAR14,40541.4–

612Shasta County, CACA181,64841.4–

613Johnson County, MOMO56,67041.4–

614Perkins County, SDSD2,85341.5–

615Columbia County, GAGA169,18941.5–

616Delta County, MIMI36,58241.5–

617Rusk County, TXTX54,85441.5–

618Knox County, TNTN511,45341.5–

619Fulton County, GAGA1,098,79141.5–

620Fremont County, WYWY39,46441.5–

621Clark County, ILIL15,11441.6–

622Caroline County, MDMD34,11641.6–

623Isle of Wight County, VAVA41,32141.6–

624Saline County, ILIL22,77241.6–

625Pike County, ININ12,00341.6–

626Shelby County, ALAL238,55241.6–

627Strafford County, NHNH135,04341.6–

628Horry County, SCSC427,55141.6–

629Waupaca County, WIWI51,46141.7–

630Schleicher County, TXTX2,24541.7–

631Jefferson County, WAWA33,97041.8–

632Galax, VAVA6,67041.8–

633Brule County, SDSD5,27841.8–

634Sheridan County, KSKS2,42741.8–

635Alcona County, MIMI10,55641.8–

636Richmond, VAVA237,25741.9–

637Clay County, ILIL12,79341.9–

638Harrison County, TXTX71,95641.9–

639Phelps County, MOMO45,24741.9–

640Long County, GAGA21,55741.9–

641Sussex County, DEDE277,14041.9–

642Jersey County, ILIL21,16041.9–

643Caddo Parish, LALA224,22641.9–

644Benton County, ININ8,88342.0–

645Kodiak Island, AKAK12,38742.1–

646Jefferson County, WIWI86,50542.1–

647Dickens County, TXTX1,69242.1–

648Unicoi County, TNTN17,85642.1–

649Kershaw County, SCSC73,16642.1–

650Beaver County, OKOK4,88242.1–

651Orange County, VTVT30,00242.1–

652El Dorado County, CACA192,32342.2–

653Los Angeles County, CACA9,694,93442.3–

654Morrow County, OROR12,60242.3–

655Canadian County, OKOK187,18942.3–

656Hughes County, SDSD17,57042.3–

657Baldwin County, ALAL267,76142.4–

658York County, SCSC306,88742.4–

659Williamsburg County, SCSC29,66242.4–

660Avery County, NCNC18,11042.4–

661Muskegon County, MIMI177,90142.4–

662Denver County, COCO740,61342.4–

663Jefferson Davis County, MSMS10,94142.4–

664Atchison County, MOMO5,17542.4–

665Brazos County, TXTX249,08842.4–

666Pasco County, FLFL674,51642.4–

667Chippewa County, MIMI36,08142.4–

668Delaware County, ININ113,10642.4–

669Queens County, NYNY2,358,18242.4–

670St. Joseph County, MIMI60,96842.4–

671La Paz County, AZAZ16,71142.5–

672Ferry County, WAWA7,51742.5–

673Cleveland County, OKOK303,97342.5–

674Tippecanoe County, ININ190,45642.5–

675Thurston County, WAWA304,26142.6–

676Beaver County, PAPA166,03242.6–

677Barnes County, NDND10,57342.6–

678Seneca County, OHOH54,52242.6–

679Aroostook County, MEME66,60942.6–

680Henry County, GAGA264,92242.6–

681Uinta County, WYWY20,72842.6–

682Piatt County, ILIL16,79142.7–

683Jackson County, OHOH32,81742.7–

684Jeff Davis County, GAGA15,21942.7–

685Santa Clara County, CACA1,914,39142.7–

686Giles County, TNTN31,43342.7–

687Crowley County, COCO5,67742.7–

688Ross County, OHOH76,42942.8–

689Nevada County, CACA101,91142.9–

690Franklin County, PAPA160,65242.9–

691Barnstable County, MAMA233,53942.9–

692Coos County, NHNH31,34342.9–

693Canyon County, IDID275,12342.9–

694Bremer County, IAIA25,29642.9–

695Guilford County, NCNC562,23442.9–

696Carbon County, UTUT20,68043.0–

697Wichita County, TXTX129,55543.0–

698Lake County, MTMT33,39243.0–

699Love County, OKOK10,78043.0–

700Randolph County, GAGA6,15643.0–

701Trinity County, CACA15,72043.0–

702Hart County, KYKY20,11743.1–

703Harrison County, IAIA14,62343.1–

704Warren County, NJNJ112,95343.1–

705Hidalgo County, NMNM3,92943.1–

706Floyd County, IAIA14,90143.2–

707Osceola County, FLFL481,71843.2–

708Routt County, COCO25,32943.2–

709Anderson County, TNTN82,06643.2–

710Greene County, VAVA21,95843.2–

711Pacific County, WAWA24,35743.2–

712Preble County, OHOH40,66443.2–

713Franklin County, IDID15,88943.2–

714Fauquier County, VAVA76,50343.2–

715Breathitt County, KYKY12,55843.3–

716Columbia County, NYNY60,16843.3–

717Ulster County, NYNY183,33043.3–

718Polk County, FLFL874,79043.4–

719York County, NENE14,56443.4–

720Brookings County, SDSD37,63543.4–

721Jefferson County, GAGA15,01143.4–

722Napa County, CACA132,94943.4–

723Polk County, WIWI45,80343.5–

724Logan County, NENE66943.5–

725King County, WAWA2,344,93943.5–

726McDowell County, WVWV16,87843.5–

727Cass County, IAIA12,96043.5–

728Caswell County, NCNC22,56343.5–

729Marshall County, ININ46,59943.5–

730Marion County, IAIA34,19243.5–

731Waukesha County, WIWI417,21043.5–

732Dent County, MOMO14,58443.6–

733Ada County, IDID546,14143.6–

734Chaffee County, COCO20,83143.6–

735Pinellas County, FLFL948,56343.6–

736Northampton County, VAVA11,87943.6–

737Union County, OROR25,90043.6–

738Dewey County, OKOK4,20743.6–

739Cabarrus County, NCNC249,72543.7–

740DeKalb County, ILIL101,83543.7–

741Indian River County, FLFL172,79943.7–

742Whitfield County, GAGA106,21243.7–

743Merrimack County, NHNH158,07843.7–

744Seneca County, NYNY32,88343.8–

745Steuben County, ININ34,79943.8–

746Wayne County, PAPA51,70343.8–

747Hardin County, TNTN27,98343.8–

748Albany County, NYNY321,22543.8–

749Pike County, PAPA62,80843.8–

750Travis County, TXTX1,389,67043.8–

751East Baton Rouge Parish, LALA456,18043.9–

752Bastrop County, TXTX118,90843.9–

753Larimer County, COCO377,29243.9–

754Ida County, IAIA6,77744.0–

755Pike County, ARAR9,96444.0–

756Washington County, OROR611,70844.0–

757Bedford County, PAPA47,48044.0–

758Huron County, MIMI30,53044.0–

759Cumberland County, MEME317,22244.0–

760Lee County, GAGA34,17944.0–

761Calhoun County, ALAL115,83444.0–

762Orange County, CACA3,149,50744.0–

763Butler County, PAPA200,16944.0–

764Passaic County, NJNJ531,62444.1–

765Richland County, WIWI17,03644.1–

766St. Helena Parish, LALA10,75844.1–

767Dunn County, NDND4,05844.1–

768Del Norte County, CACA26,41044.1–

769Adams County, OHOH27,86544.1–

770Weakley County, TNTN33,26144.1–

771Tishomingo County, MSMS18,63944.1–

772Chatham County, GAGA311,85544.2–

773Nantucket County, MAMA14,75844.2–

774Humphreys County, TNTN19,64644.3–

775Madison County, ALAL433,51644.3–

776Yavapai County, AZAZ252,55244.3–

777Washington County, FLFL26,69544.3–

778Wheeler County, GAGA7,57044.3–

779Livingston County, MOMO14,70844.3–

780Mercer County, NJNJ399,28944.4–

781Monroe County, NYNY750,50644.4–

782Manatee County, FLFL468,20044.4–

783Jasper County, IAIA38,15344.4–

784Forsyth County, GAGA282,80544.4–

785Union County, TNTN21,45044.4–

786Gregg County, TXTX126,09544.4–

787Hempstead County, ARAR19,08044.5–

788Clark County, ARAR20,93844.5–

789Berrien County, GAGA18,93244.5–

790North Slope, AKAK10,58244.5–

791Oakland County, MIMI1,288,33744.5–

792Carter County, MOMO5,41844.5–

793Jefferson County, ININ33,27944.5–

794Hill County, TXTX39,50344.6–

795Vilas County, WIWI23,76144.6–

796San Luis Obispo County, CACA282,36744.6–

797Blair County, PAPA119,54144.6–

798DeKalb County, ALAL74,08544.6–

799Alexander County, NCNC36,95844.6–

800Randall County, TXTX152,35144.6–

801Jim Wells County, TXTX38,80444.6–

802Bay County, MIMI102,12344.6–

803Lubbock County, TXTX328,90644.6–

804Dinwiddie County, VAVA28,89644.7–

805Buffalo County, SDSD1,80244.7–

806Copiah County, MSMS27,49744.7–

807Ripley County, MOMO10,71744.7–

808Hancock County, KYKY9,05044.7–

809Grant County, ININ66,52444.7–

810Rockingham County, VAVA89,31644.7–

811Leflore County, MSMS25,68644.8–

812Schuyler County, MOMO4,14044.8–

813Boone County, ARAR38,62844.8–

814Miami-Dade County, FLFL2,802,02944.8–

815Pontotoc County, MSMS32,09644.8–

816Poinsett County, ARAR22,48344.8–

817Rockingham County, NHNH324,07744.8–

818Fulton County, KYKY6,21844.8–

819Norton County, KSKS5,28844.8–

820St. Louis County, MNMN200,51844.8–

821Logan County, OKOK55,47344.9–

822Broomfield County, COCO79,17444.9–

823Power County, IDID8,24644.9–

824Dewey County, SDSD5,41944.9–

825Walla Walla County, WAWA62,36145.0–

826Coos County, OROR63,99245.0–

827Walton County, GAGA112,69645.0–

828Snyder County, PAPA39,65545.0–

829Caroline County, VAVA34,41345.0–

830Gallatin County, MTMT128,74045.0–

831Cook County, ILIL5,194,62545.0–

832Adams County, PAPA107,59445.1–

833Hunterdon County, NJNJ131,78145.1–

834Orangeburg County, SCSC83,17745.1–

835Jefferson County, OHOH63,59745.1–

836Windsor County, VTVT57,31245.1–

837Rensselaer County, NYNY160,51045.1–

838Bernalillo County, NMNM667,60145.1–

839Christian County, ILIL33,44345.2–

840Allegany County, MDMD66,84845.2–

841Payette County, IDID27,82445.2–

842Warren County, KYKY149,37545.2–

843Jackson Parish, LALA15,83445.2–

844McLean County, ILIL171,41945.3–

845Alameda County, CACA1,636,63045.3–

846Eaton County, MIMI109,58145.3–

847Brown County, TXTX38,71145.3–

848Washington County, PAPA210,80245.3–

849Ozaukee County, WIWI94,34645.3–

850Cass County, TXTX28,65145.3–

851Washington County, NENE21,30245.3–

852Kalamazoo County, MIMI263,79545.3–

853Morgan County, ININ74,96745.4–

854Henry County, ILIL48,09545.4–

855Capitol Planning Region, CTCT994,11545.4–

856Kalkaska County, MIMI18,69345.5–

857Orange County, FLFL1,528,00245.5–

858Wood County, OHOH134,17645.5–

859Red River County, TXTX11,81645.5–

860Vernon County, MOMO19,94645.5–

861Ouachita Parish, LALA158,54245.5–

862Cambria County, PAPA128,96845.6–

863Santa Fe County, NMNM156,90745.6–

864Lehigh County, PAPA384,38345.6–

865Dickinson County, MIMI25,82745.6–

866Marshall County, MNMN8,79845.6–

867Massac County, ILIL13,50245.6–

868Perry County, PAPA46,80645.6–

869Fulton County, ILIL32,90145.6–

870DeKalb County, GAGA774,39445.7–

871Cecil County, MDMD107,13145.7–

872Jackson County, KSKS13,43845.7–

873Limestone County, ALAL122,92845.7–

874Blanco County, TXTX13,58145.7–

875St. Croix County, WIWI98,27645.7–

876Sussex County, NJNJ148,06345.7–

877Hutchinson County, TXTX19,63345.7–

878Jefferson County, COCO580,45145.7–

879Bossier Parish, LALA131,86745.7–

880Lancaster County, NENE334,04945.7–

881Carver County, MNMN114,37945.7–

882Morgan County, WVWV18,02745.7–

883Baxter County, ARAR42,98245.7–

884Racine County, WIWI198,91945.8–

885McIntosh County, NDND2,45145.8–

886Cortland County, NYNY45,85045.8–

887Salt Lake County, UTUT1,220,91645.8–

888Middlesex County, MAMA1,669,97945.8–

889Lake County, FLFL456,06845.8–

890Des Moines County, IAIA38,07745.9–

891Crow Wing County, MNMN69,13245.9–

892Pottawattamie County, IAIA92,99645.9–

893Washburn County, WIWI17,08745.9–

894Westchester County, NYNY1,015,74345.9–

895Teton County, IDID13,25446.0–

896Philadelphia County, PAPA1,574,28146.0–

897Niagara County, NYNY208,91246.0–

898Lycoming County, PAPA112,58746.0–

899Bennett County, SDSD3,30746.0–

900Dooly County, GAGA11,15646.0–

901Wyoming County, WVWV19,80146.1–

902Milwaukee County, WIWI924,21646.1–

903Lassen County, CACA28,11746.1–

904Washington County, MNMN286,89546.1–

905Rio Arriba County, NMNM39,83246.1–

906Santa Cruz County, CACA258,85246.1–

907Pickens County, SCSC139,19846.1–

908Middlesex County, NJNJ883,33546.2–

909Tipton County, TNTN62,28746.2–

910Kenai Peninsula, AKAK61,95146.2–

911Kanawha County, WVWV172,38146.2–

912Parmer County, TXTX9,67846.2–

913Union County, OHOH73,44646.2–

914Brevard County, FLFL663,98246.2–

915Santa Barbara County, CACA442,06546.2–

916Custer County, OKOK28,17546.2–

917Carroll County, NHNH52,78446.2–

918Juniata County, PAPA23,40346.2–

919DeWitt County, TXTX20,30946.3–

920Nassau County, FLFL106,87946.3–

921Chester County, PAPA557,11646.3–

922Madison County, KYKY101,69646.3–

923Blount County, ALAL60,15646.3–

924Isabella County, MIMI64,69146.4–

925Stone County, MOMO32,50346.4–

926Bennington County, VTVT36,63046.4–

927Winnebago County, WIWI174,21846.4–

928Barnwell County, SCSC20,65346.4–

929Lincoln County, MSMS35,01246.4–

930Erie County, NYNY946,74146.4–

931Wasco County, OROR26,31046.4–

932Tyler County, TXTX20,44346.4–

933Broward County, FLFL2,013,31746.4–

934Wise County, VAVA34,82446.4–

935Crosby County, TXTX4,85246.4–

936Volusia County, FLFL606,57346.5–

937Lincoln County, WVWV19,17746.5–

938Randolph County, MOMO24,51346.5–

939Amelia County, VAVA13,63246.5–

940New Madrid County, MOMO15,08646.6–

941Sherman County, KSKS5,76346.6–

942Lynchburg, VAVA81,34746.6–

943Rabun County, GAGA17,76446.6–

944Garrett County, MDMD28,37046.6–

945St. Charles County, MOMO426,49946.6–

946McIntosh County, OKOK19,75846.6–

947Pine County, MNMN30,47246.7–

948Morris County, KSKS5,34846.7–

949Addison County, VTVT38,04846.7–

950Denton County, TXTX1,069,34646.7–

951Brown County, WIWI275,80346.7–

952Plymouth County, MAMA546,82946.7–

953Bryan County, OKOK51,36746.7–

954Williamson County, TNTN272,06146.7–

955Waynesboro, VAVA23,95146.7–

956Cumberland County, PAPA277,27046.8–

957Robeson County, NCNC119,94146.8–

958Bucks County, PAPA647,82846.8–

959Sarpy County, NENE208,30346.8–

960Throckmorton County, TXTX1,55446.9–

961Cheshire County, NHNH78,26946.9–

962Grainger County, TNTN25,73946.9–

963Sandoval County, NMNM159,56546.9–

964Richland County, SCSC434,95646.9–

965Saratoga County, NYNY241,34346.9–

966Jefferson County, IDID35,29747.0–

967Allegheny County, PAPA1,225,03547.0–

968Hampden County, MAMA464,33847.0–

969Merrick County, NENE7,90547.0–

970Lancaster County, VAVA10,99547.0–

971Perry County, OHOH35,91847.1–

972Lamar County, MSMS67,40347.1–

973Mingo County, WVWV21,45547.1–

974Providence County, RIRI678,17947.1–

975Cobb County, GAGA793,34547.1–

976Carbon County, PAPA65,86847.1–

977Duval County, TXTX9,40247.1–

978San Patricio County, TXTX72,05347.1–

979Stewart County, TNTN14,43947.1–

980De Witt County, ILIL15,11847.2–

981Chester County, TNTN17,99447.2–

982McClain County, OKOK49,64747.2–

983Medina County, OHOH185,02547.2–

984Steuben County, NYNY91,85547.2–

985Webster County, GAGA2,36947.2–

986Buckingham County, VAVA17,13747.2–

987Buena Vista, VAVA6,67247.2–

988Siskiyou County, CACA42,01347.2–

989Sullivan County, TNTN163,75947.3–

990St. Bernard Parish, LALA45,64247.3–

991Butts County, GAGA27,21847.3–

992Tuscola County, MIMI52,68047.3–

993Grant County, SDSD7,53447.3–

994Augusta County, VAVA78,94047.4–

995Jackson County, OROR221,79547.4–

996Northeastern Connecticut Planning Region, CTCT98,09647.4–

997Lake County, OHOH232,21747.4–

998Foster County, NDND3,21247.5–

999Washington County, WIWI139,23847.5–

1000Roanoke County, VAVA97,15047.5–

SHOWING 501–1,000 OF 3,143

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