RANKING · 2010 CENSUS · 51 SHOWN OF 51

Lowest fertility rate, US states · 2010

US states with the lowest general fertility rate, births per 1,000 women ages 15-50 in the past 12 months (2023 ACS). Vermont leads at 43.6. 51 states qualify in total.

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SAME RANKING BYCities Counties Metros ZIP codes

YEAR2010 2024

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

01Vermont, VTVT647,10643.6–

02New Hampshire, NHNH1,394,86845.4–

03District of Columbia, DCDC681,29445.8–

04Maine, MEME1,387,81747.5–

05West Virginia, WVWV1,778,37347.5–

06Massachusetts, MAMA7,044,05647.6–

07Rhode Island, RIRI1,101,80148.1–

08Connecticut, CTCT3,624,50850.0–

09New York, NYNY19,852,36650.4–

10Pennsylvania, PAPA13,018,63950.5–

11Delaware, DEDE1,021,19150.6–

12Florida, FLFL22,416,07751.5–

13Virginia, VAVA8,705,17052.3–

14Michigan, MIMI10,077,76153.4–

15Ohio, OHOH11,810,29354.6–

16New Jersey, NJNJ9,343,80954.7–

17Missouri, MOMO6,191,81454.9–

18Wisconsin, WIWI5,914,87255.2–

19Oregon, OROR4,254,29355.2–

20Maryland, MDMD6,206,01156.1–

21Illinois, ILIL12,694,79856.2–

22South Carolina, SCSC5,296,22556.2–

23California, CACA39,287,37756.5–

24Alabama, ALAL5,086,76856.6–

25North Carolina, NCNC10,730,40456.7–

26Kentucky, KYKY4,534,82456.8–

27Indiana, ININ6,851,07357.0–

28Colorado, COCO5,862,18957.5–

29Georgia, GAGA10,940,40757.7–

30Washington, WAWA7,816,11658.2–

31Arkansas, ARAR3,049,39158.4–

32North Dakota, NDND784,84158.8–

33Oklahoma, OKOK4,028,63458.9–

34Hawaii, HIHI1,445,23559.0–

35Montana, MTMT1,116,87559.2–

36Louisiana, LALA4,611,96159.3–

37Wyoming, WYWY582,39759.9–

38Minnesota, MNMN5,739,44560.0–

39Iowa, IAIA3,210,50760.3–

40Nevada, NVNV3,184,61260.4–

41New Mexico, NMNM2,120,24660.7–

42Tennessee, TNTN7,066,38361.6–

43Arizona, AZAZ7,378,83862.1–

44Mississippi, MSMS2,946,77962.1–

45Kansas, KSKS2,947,19763.6–

46South Dakota, SDSD907,42864.1–

47Texas, TXTX30,188,42465.4–

48Nebraska, NENE1,978,70766.5–

49Idaho, IDID1,934,26272.4–

50Alaska, AKAK735,70674.1–

51Utah, UTUT3,392,33180.5–

SHOWING 1–51 OF 51

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

Frequently asked

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

Vermont ranks #1 with 43.6 (2010 American Community Survey).

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

Vermont, New Hampshire, District of Columbia, Maine, West Virginia.

How many states are in this ranking?

51 states 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).