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

Haines, Alaska ranks #1 with 0.0 (2010 American Community Survey).

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

Haines, Alaska, Divide County, North Dakota, Garfield County, Montana, Golden Valley County, Montana, Sioux County, Nebraska.

How many counties are in this ranking?

3,131 counties qualify after filtering for population minimums and data availability. The ranking covers 2010 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 (2010).

RANKING · 2010 CENSUS · 500 SHOWN OF 3,131

Lowest fertility rate, US counties · 2010

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

501Carroll County, TNTN29,20040.7–

502Rutland County, VTVT59,65340.7–

503Lewis County, WVWV16,39440.7–

504Gosper County, NENE1,80340.8–

505Kodiak Island, AKAK12,38740.8–

506Morgan County, ININ74,96740.8–

507Douglas County, NVNV50,11140.8–

508Midland County, MIMI83,75440.8–

509Lackawanna County, PAPA216,50240.9–

510Hyde County, NCNC4,55440.9–

511Phillips County, KSKS4,72840.9–

512Portage County, OHOH163,40441.0–

513Hardy County, WVWV14,33741.0–

514Upton County, TXTX3,13141.1–

515Livingston County, NYNY61,43841.1–

516Breathitt County, KYKY12,55841.1–

517Saluda County, SCSC19,68041.1–

518Jackson County, COCO1,21141.2–

519Carroll County, MDMD176,67741.2–

520Perquimans County, NCNC13,49041.3–

521Bledsoe County, TNTN15,92041.3–

522La Salle County, TXTX6,51741.3–

523Mineral County, WVWV26,79241.3–

524Greenwood County, KSKS5,82641.3–

525Somerset County, PAPA72,00441.3–

526Chittenden County, VTVT169,11541.3–

527Park County, MTMT18,21441.3–

528Greenup County, KYKY35,21341.3–

529Hutchinson County, TXTX19,63341.3–

530Penobscot County, MEME157,96741.3–

531Griggs County, NDND2,23941.3–

532Botetourt County, VAVA34,14441.4–

533Brewster County, TXTX9,45841.4–

534DeKalb County, ININ44,53541.4–

535McIntosh County, OKOK19,75841.4–

536Douglas County, KSKS120,92041.4–

537Turner County, GAGA8,98341.4–

538Hunterdon County, NJNJ131,78141.4–

539Stone County, MOMO32,50341.4–

540Lawrence County, SDSD29,45941.5–

541Jefferson County, PAPA43,25541.5–

542Noble County, OKOK10,89941.5–

543Lee County, ILIL32,91441.6–

544Willacy County, TXTX19,97141.6–

545King and Queen County, VAVA6,74341.6–

546Catoosa County, GAGA69,62841.6–

547Menominee County, MIMI22,94141.6–

548Laurens County, GAGA51,04141.6–

549Wayne County, PAPA51,70341.6–

550Rich County, UTUT2,68741.7–

551Jackson County, ILIL52,50141.7–

552McPherson County, KSKS30,06441.7–

553Ramsey County, NDND11,53041.7–

554St. Johns County, FLFL346,32841.7–

555Union County, OROR25,90041.7–

556Doddridge County, WVWV7,63441.7–

557Pinellas County, FLFL948,56341.8–

558Franklin County, MAMA70,69841.8–

559Monroe County, TNTN49,73041.8–

560Allendale County, SCSC7,35541.8–

561Marquette County, WIWI15,92741.9–

562Talbot County, GAGA5,70941.9–

563Marquette County, MIMI68,06441.9–

564Scott County, KYKY62,26241.9–

565Concordia Parish, LALA17,83641.9–

566Upshur County, WVWV23,75841.9–

567Gilmer County, WVWV7,08541.9–

568Logan County, ILIL27,18242.0–

569Patrick County, VAVA17,42442.0–

570Pocahontas County, WVWV7,60242.0–

571Hamilton County, ILIL7,85942.0–

572Glynn County, GAGA87,59942.1–

573Giles County, TNTN31,43342.1–

574Clay County, KYKY19,46542.1–

575Dawson County, GAGA35,36542.1–

576Clarke County, ALAL22,01442.2–

577Crawford County, PAPA81,79242.3–

578Hopkins County, KYKY45,12742.3–

579Alcona County, MIMI10,55642.3–

580Newport County, RIRI83,05142.3–

581Carter County, TNTN57,36142.4–

582Kiowa County, COCO1,41242.4–

583Chase County, KSKS2,57242.4–

584Hitchcock County, NENE2,46742.4–

585Wirt County, WVWV4,87942.4–

586Eau Claire County, WIWI109,03342.5–

587Washington County, OKOK54,03742.5–

588Essex County, MAMA826,65342.6–

589East Feliciana Parish, LALA18,91142.6–

590Clark County, ILIL15,11442.6–

591Las Animas County, COCO14,39142.6–

592Clatsop County, OROR40,92642.6–

593Riley County, KSKS72,59842.6–

594Fayette County, ALAL15,87242.6–

595Vilas County, WIWI23,76142.7–

596Whitley County, ININ35,04642.7–

597Fond du Lac County, WIWI104,66942.7–

598Lawrence County, OHOH55,71042.7–

599Wood County, TXTX49,68842.7–

600Columbia County, NYNY60,16842.7–

601Montgomery County, ILIL28,07642.7–

602Alger County, MIMI8,64142.7–

603Bryan County, OKOK51,36742.7–

604Bleckley County, GAGA12,86642.7–

605Waseca County, MNMN18,68842.8–

606Lewis County, MOMO9,87942.8–

607Albany County, WYWY38,55842.8–

608Coles County, ILIL46,60742.8–

609Morgan County, GAGA22,09542.8–

610Deer Lodge County, MTMT9,70942.8–

611Meade County, KYKY30,69942.8–

612Cambria County, PAPA128,96842.9–

613Union Parish, LALA20,56142.9–

614Rockingham County, NHNH324,07742.9–

615Kennebec County, MEME129,06742.9–

616Bedford County, VAVA83,05942.9–

617Marin County, CACA253,69442.9–

618Casey County, KYKY16,20542.9–

619Johnson County, ILIL13,36343.0–

620Essex County, VAVA10,65443.0–

621Harrison County, KYKY19,62743.0–

622Ogle County, ILIL51,39943.0–

623Northampton County, VAVA11,87943.0–

624Aroostook County, MEME66,60943.0–

625Mitchell County, GAGA20,46743.1–

626Northampton County, NCNC16,49143.1–

627Rockingham County, NCNC94,19543.1–

628Winkler County, TXTX7,54043.1–

629Erie County, OHOH73,29643.1–

630Loudon County, TNTN63,76443.2–

631Poquoson, VAVA13,29243.2–

632Amador County, CACA41,87643.2–

633Union County, PAPA42,31343.2–

634Fleming County, KYKY15,78743.2–

635Wise County, TXTX83,77843.2–

636Knox County, MEME41,11743.3–

637Essex County, NYNY36,43843.3–

638Otsego County, NYNY60,58943.3–

639Ashtabula County, OHOH96,71343.3–

640Lunenburg County, VAVA12,05843.3–

641Delta County, MIMI36,58243.3–

642Sullivan County, MOMO5,73843.3–

643Lake County, OHOH232,21743.4–

644Seneca County, OHOH54,52243.4–

645Ulster County, NYNY183,33043.4–

646Washington County, COCO4,73243.4–

647Winchester, VAVA28,27243.4–

648Nassau County, NYNY1,398,93943.5–

649Kalamazoo County, MIMI263,79543.5–

650Edwards County, ILIL5,89843.5–

651Salem, VAVA25,81643.5–

652Newton County, MOMO62,26343.5–

653Dewey County, OKOK4,20743.5–

654Johnston County, OKOK10,44843.5–

655Columbia County, WAWA4,14143.5–

656Pitt County, NCNC182,93643.6–

657Pulaski County, GAGA10,17243.6–

658Cass County, ILIL12,46343.6–

659Obion County, TNTN30,06743.7–

660White County, TNTN29,61243.7–

661Thayer County, NENE4,84243.8–

662Fauquier County, VAVA76,50343.8–

663Cameron Parish, LALA4,71843.8–

664Story County, IAIA101,29143.8–

665Huron County, MIMI30,53043.8–

666Bland County, VAVA6,15143.8–

667Bartow County, GAGA120,80043.9–

668Albemarle County, VAVA118,35643.9–

669Franklin County, NCNC82,03743.9–

670Cumberland County, MEME317,22243.9–

671Warren County, IAIA57,33143.9–

672Franklin County, MEME30,82443.9–

673Cross County, ARAR16,18643.9–

674Cook County, MNMN5,52244.0–

675Queen Anne's County, MDMD54,44844.0–

676Franklin County, MSMS7,49144.0–

677Nicholas County, WVWV23,84844.0–

678Oneida County, NYNY226,39244.0–

679Callahan County, TXTX14,49144.1–

680Crawford County, MIMI13,72244.1–

681Perry County, KYKY26,55544.1–

682Albany County, NYNY321,22544.1–

683Boone County, ARAR38,62844.1–

684Lee County, SCSC15,73044.1–

685Fayette County, WVWV38,16544.2–

686Hancock County, MSMS46,87344.2–

687Terrell County, TXTX70244.2–

688El Dorado County, CACA192,32344.2–

689Jefferson County, TNTN60,02444.2–

690Dickinson County, MIMI25,82744.2–

691Mercer County, MOMO3,40444.3–

692Kewaunee County, WIWI20,75844.3–

693Clark County, ARAR20,93844.3–

694Jackson County, WVWV27,45044.3–

695Surry County, VAVA6,60344.4–

696Iron County, MIMI11,75744.4–

697Lyon County, NVNV65,08844.4–

698Citrus County, FLFL171,66644.4–

699Republic County, KSKS4,64044.4–

700Dickinson County, KSKS18,63744.5–

701Prairie County, ARAR7,92344.5–

702Bucks County, PAPA647,82844.5–

703Audubon County, IAIA5,50944.5–

704Seminole County, FLFL491,88444.5–

705Fulton County, ININ20,09144.5–

706Freeborn County, MNMN30,44044.6–

707Franklin County, KYKY52,64944.6–

708Perkins County, NENE2,84944.6–

709Sagadahoc County, MEME37,97944.6–

710Leelanau County, MIMI22,98244.6–

711Campbell County, SDSD1,37744.6–

712Webster County, IAIA36,83844.6–

713Washtenaw County, MIMI370,21444.6–

714Santa Cruz County, AZAZ50,02044.7–

715Stafford County, KSKS4,00544.7–

716Tallahatchie County, MSMS10,87744.7–

717Latimer County, OKOK9,64544.7–

718Aitkin County, MNMN16,25244.7–

719Monroe County, MOMO8,95944.8–

720Guthrie County, IAIA10,78244.8–

721Overton County, TNTN23,78744.8–

722Greene County, ILIL11,31344.8–

723Cloud County, KSKS8,83344.8–

724Pacific County, WAWA24,35744.8–

725Ashe County, NCNC27,51444.9–

726Cabell County, WVWV91,18344.9–

727Columbia County, FLFL74,09444.9–

728Hancock County, ILIL16,80344.9–

729Quay County, NMNM8,45445.0–

730Davidson County, NCNC180,18245.0–

731Monroe County, GAGA32,02345.0–

732Jefferson County, FLFL16,00745.0–

733Mercer County, PAPA107,86045.0–

734Bowman County, NDND2,76245.0–

735Sanilac County, MIMI40,08345.0–

736Shenandoah County, VAVA45,83945.0–

737Gibson County, ININ33,09145.1–

738Franklin County, ININ23,28645.1–

739Roanoke County, VAVA97,15045.1–

740Franklin County, IAIA9,86845.1–

741Greenbrier County, WVWV31,57845.1–

742Bennett County, SDSD3,30745.2–

743Osceola County, MIMI23,51645.2–

744Crook County, OROR27,56445.2–

745Cibola County, NMNM26,80745.2–

746Champaign County, ILIL209,97245.2–

747Lawrence County, KYKY15,76545.3–

748La Crosse County, WIWI121,33945.3–

749Marshall County, KYKY31,65945.3–

750Pine County, MNMN30,47245.4–

751Indiana County, PAPA82,87845.4–

752Florence County, SCSC138,50445.4–

753Jefferson County, WVWV63,10245.4–

754Niagara County, NYNY208,91245.4–

755Westmoreland County, PAPA349,32445.5–

756Henry County, GAGA264,92245.5–

757Dent County, MOMO14,58445.5–

758Chambers County, ALAL34,25345.5–

759Orange County, VTVT30,00245.5–

760Norton County, KSKS5,28845.5–

761Fulton County, ILIL32,90145.5–

762Hubbard County, MNMN22,36945.5–

763Taney County, MOMO57,00145.6–

764LaSalle County, ILIL107,77345.6–

765Whatcom County, WAWA236,39245.6–

766Roanoke, VAVA99,11145.6–

767Pottawatomie County, OKOK75,10245.6–

768Keokuk County, IAIA9,79745.6–

769Chippewa County, MIMI36,08145.7–

770Letcher County, KYKY19,95245.7–

771Adair County, MOMO25,68445.7–

772Ness County, KSKS2,61745.7–

773Appling County, GAGA19,10045.7–

774Kalkaska County, MIMI18,69345.7–

775Franklin County, ILIL36,91645.8–

776Benzie County, MIMI18,56845.8–

777Kanawha County, WVWV172,38145.8–

778Barron County, WIWI46,48445.8–

779Shiawassee County, MIMI67,68145.8–

780Hot Spring County, ARAR33,45145.8–

781District of Columbia, DCDC693,64545.8–

782Shelby County, ALAL238,55245.8–

783Simpson County, KYKY20,78845.8–

784Mathews County, VAVA8,52945.9–

785Jackson County, IAIA19,28845.9–

786Pittsylvania County, VAVA59,49045.9–

787Holmes County, FLFL20,11945.9–

788Cayuga County, NYNY74,36545.9–

789Clackamas County, OROR426,28045.9–

790Fayette County, PAPA123,02145.9–

791Marshall County, WVWV29,15945.9–

792Beaver County, PAPA166,03245.9–

793Lyon County, KYKY9,12345.9–

794Okfuskee County, OKOK11,45145.9–

795Luzerne County, PAPA332,12646.0–

796Monroe County, NYNY750,50646.0–

797Gratiot County, MIMI41,19046.0–

798Monroe County, WVWV12,49146.0–

799St. Bernard Parish, LALA45,64246.0–

800Duval County, TXTX9,40246.1–

801Lake County, COCO7,55246.1–

802Laurens County, SCSC71,84846.1–

803Orleans County, NYNY39,82546.1–

804Steuben County, ININ34,79946.1–

805Washington County, PAPA210,80246.2–

806Fulton County, NYNY52,21646.2–

807Silver Bow County, MTMT36,11846.2–

808Murray County, MNMN7,94246.2–

809Suffolk County, MAMA791,89146.3–

810Dallas County, MOMO18,02546.3–

811Winston County, ALAL23,82946.3–

812Cass County, NENE27,65746.3–

813Harnett County, NCNC150,13746.3–

814Wheatland County, MTMT2,10046.3–

815Dutchess County, NYNY300,70846.3–

816Preble County, OHOH40,66446.3–

817Isle of Wight County, VAVA41,32146.3–

818Otsego County, MIMI26,08046.4–

819Hancock County, MEME57,17146.4–

820Brown County, TXTX38,71146.4–

821Hillsdale County, MIMI45,73846.4–

822Cheshire County, NHNH78,26946.5–

823Boulder County, COCO328,56046.5–

824San Saba County, TXTX5,78746.5–

825Kingman County, KSKS7,02946.5–

826Bristol, VAVA16,41846.5–

827Sully County, SDSD1,47946.5–

828Winnebago County, WIWI174,21846.5–

829Sharp County, ARAR18,12246.5–

830Wise County, VAVA34,82446.6–

831Pike County, MSMS38,71246.6–

832Arlington County, VAVA243,93146.6–

833Allen County, KSKS12,30246.6–

834Lake County, SDSD10,99346.7–

835Carroll County, ILIL15,41946.7–

836Hardee County, FLFL25,93246.7–

837Clinton County, MIMI80,43246.7–

838Alleghany County, VAVA14,54646.8–

839Barry County, MIMI63,99146.8–

840Deschutes County, OROR213,07246.8–

841Sonoma County, CACA486,44446.8–

842Stark County, NDND34,01346.8–

843Pike County, OHOH27,06146.8–

844Pushmataha County, OKOK10,80746.8–

845Faribault County, MNMN13,88846.8–

846Sublette County, WYWY8,92946.8–

847Marion County, WVWV55,58446.8–

848Plumas County, CACA18,58346.8–

849Washington County, MOMO23,81046.9–

850Harrison County, IAIA14,62346.9–

851Sampson County, NCNC61,50446.9–

852Oldham County, KYKY70,98647.0–

853Boone County, ILIL53,56847.0–

854Garvin County, OKOK26,37747.0–

855Crawford County, KSKS39,00847.0–

856Rockdale County, GAGA98,41647.0–

857Hardin County, TNTN27,98347.0–

858Polk County, TNTN18,59247.0–

859Putnam County, NYNY99,02847.0–

860White County, GAGA29,80247.1–

861Granville County, NCNC61,42147.1–

862Union County, OHOH73,44647.1–

863Ontario County, NYNY113,13047.1–

864Cumberland County, VAVA10,35247.1–

865Jones County, NCNC9,57547.1–

866Le Sueur County, MNMN29,45347.1–

867Hancock County, ININ90,96947.1–

868Marlboro County, SCSC25,48847.2–

869Boone County, MOMO191,74647.2–

870Green County, KYKY11,64447.2–

871Palo Alto County, IAIA8,89947.2–

872Cape Girardeau County, MOMO83,99947.2–

873Perkins County, SDSD2,85347.2–

874Osceola County, FLFL481,71847.2–

875Bacon County, GAGA11,07047.2–

876Morris County, NJNJ524,25147.2–

877Montgomery County, ININ38,95447.2–

878Rains County, TXTX13,54247.3–

879Pasco County, FLFL674,51647.3–

880Allegheny County, PAPA1,225,03547.3–

881Ozaukee County, WIWI94,34647.3–

882Potter County, SDSD2,37747.3–

883DeWitt County, TXTX20,30947.3–

884Avoyelles Parish, LALA37,94147.3–

885Jasper County, SCSC38,53347.3–

886Blair County, PAPA119,54147.3–

887Unicoi County, TNTN17,85647.3–

888Tuscaloosa County, ALAL241,36847.3–

889Bent County, COCO5,71647.4–

890Leon County, FLFL299,04847.4–

891Jackson County, OROR221,79547.4–

892Osage County, MOMO13,61147.4–

893Grand Forks County, NDND74,50147.4–

894Ingham County, MIMI289,70947.4–

895Ketchikan Gateway, AKAK13,54947.5–

896Sussex County, DEDE277,14047.5–

897Oconee County, SCSC83,77547.5–

898Stone County, MSMS19,65447.5–

899McNairy County, TNTN26,23647.5–

900Henry County, ILIL48,09547.5–

901Lapeer County, MIMI89,51647.5–

902Audrain County, MOMO24,52847.5–

903Haskell County, OKOK11,78747.5–

904Saratoga County, NYNY241,34347.5–

905York County, PAPA473,19747.6–

906Dooly County, GAGA11,15647.6–

907Madison County, OHOH46,98547.6–

908Sullivan County, ININ20,83147.6–

909Catawba County, NCNC170,17247.6–

910Saline County, MOMO23,26547.6–

911Chesterfield County, VAVA397,14847.6–

912Greene County, OHOH174,32247.6–

913San Luis Obispo County, CACA282,36747.6–

914McMinn County, TNTN57,40447.7–

915Georgetown County, SCSC65,91247.7–

916Estill County, KYKY13,96247.7–

917Putnam County, GAGA23,72247.7–

918Somerset County, MEME51,62047.7–

919Clinton County, MOMO21,66147.7–

920Kent County, RIRI173,49547.7–

921Haywood County, TNTN17,04247.7–

922Forrest County, MSMS79,03447.7–

923Brown County, ININ15,77747.8–

924Warren County, NJNJ112,95347.8–

925Chautauqua County, NYNY124,12647.8–

926Outagamie County, WIWI195,89447.8–

927Carson County, TXTX5,80547.8–

928St. Lawrence County, NYNY105,48847.8–

929Volusia County, FLFL606,57347.9–

930Mineral County, NVNV4,40747.9–

931Tazewell County, VAVA38,63547.9–

932Pipestone County, MNMN9,26047.9–

933Van Wert County, OHOH29,01347.9–

934Crawford County, GAGA12,20647.9–

935Walla Walla County, WAWA62,36147.9–

936Callaway County, MOMO45,76547.9–

937Mercer County, NJNJ399,28948.0–

938Harding County, SDSD1,33148.0–

939Knox County, TNTN511,45348.0–

940Ellsworth County, KSKS6,25748.0–

941Warren County, NYNY65,02048.0–

942Burke County, NCNC88,65548.0–

943Itawamba County, MSMS24,15248.0–

944Knox County, ININ35,65248.0–

945Floyd County, ININ82,15348.0–

946Cullman County, ALAL94,00948.1–

947Hudspeth County, TXTX3,43348.1–

948Plaquemines Parish, LALA22,25648.1–

949Hillsborough County, NHNH433,41548.1–

950Fayette County, KYKY329,75148.1–

951Yolo County, CACA224,41048.1–

952West Baton Rouge Parish, LALA28,75648.1–

953Payne County, OKOK83,88948.2–

954Culberson County, TXTX2,26748.2–

955Plymouth County, MAMA546,82948.2–

956Washington County, MEME31,33448.2–

957Adair County, IAIA7,40348.2–

958Woodford County, KYKY27,88348.2–

959Montgomery County, KYKY28,82248.2–

960Rush County, KSKS2,84548.2–

961Independence County, ARAR38,78548.2–

962Pope County, MNMN11,42048.2–

963DeKalb County, MOMO9,79548.3–

964Anderson County, KYKY25,22548.3–

965Laramie County, WYWY102,93848.3–

966Trumbull County, OHOH198,97248.3–

967Montgomery County, NYNY50,04648.4–

968Raleigh County, WVWV71,77548.4–

969Clay County, MNMN67,73448.4–

970Somerset County, NJNJ356,48648.4–

971Sarasota County, FLFL479,95848.4–

972Wilson County, TXTX56,13948.4–

973Hettinger County, NDND2,49248.4–

974Gloucester County, NJNJ312,63848.4–

975Caldwell Parish, LALA9,34448.4–

976Rutherford County, TNTN386,35248.5–

977Washington County, OHOH58,38948.5–

978Lenawee County, MIMI97,77948.5–

979Marshall County, SDSD4,42648.5–

980Williams County, OHOH36,54948.5–

981Dane County, WIWI590,37548.5–

982Broomfield County, COCO79,17448.5–

983Breckinridge County, KYKY21,50348.5–

984Norfolk County, MAMA739,74948.5–

985St. Louis County, MNMN200,51848.5–

986Henry County, VAVA49,24248.5–

987Elk County, PAPA29,92648.5–

988Wabasha County, MNMN21,53748.6–

989DeKalb County, ILIL101,83548.6–

990Lincoln County, WYWY21,18048.6–

991Belmont County, OHOH64,43448.6–

992Coffee County, GAGA44,40748.6–

993Alameda County, CACA1,636,63048.6–

994Page County, VAVA23,76248.6–

995Stutsman County, NDND21,41448.6–

996Lincoln County, OROR50,63648.6–

997Tuscola County, MIMI52,68048.7–

998Bristol County, MAMA593,64048.7–

999Aiken County, SCSC181,51548.7–

1000St. Joseph County, ININ272,86148.7–

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