US Counties With the Highest Births per 1,000 Women Aged 15 to 50
2,195 US counties ranked by births per 1,000 women aged 15 to 50, from highest to lowest. First are Grant County, KS (333), Madison County, FL (194) and Hamilton County, FL (176). The middle one of the 2,195 has 56.1.
What this measures
Births in the past year for every 1,000 women aged 15 to 50. It is a survey estimate, not a count of birth certificates. In small counties it rests on very few answers and can be far off, so the highest and lowest values are mostly random noise from the survey. Source: Census ACS 5-year.
For most measures, a national ranking mostly sorts places by income and by how urban they are. Each county’s own page compares it with the 50 counties most like it instead, which is often the fairer view.
The 100 highest counties
Every state, highest first
Each state’s own published figure, not an average of its counties.
| Rank | State | per 1,000 |
|---|---|---|
| 1 | South Dakota | 65.2 |
| 2 | North Dakota | 63.5 |
| 3 | Wyoming | 62.8 |
| 4 | Kansas | 60 |
| 5 | Hawaii | 58.9 |
| 6 | Nebraska | 58.2 |
| 7 | Utah | 57.3 |
| 8 | Mississippi | 57.1 |
| 9 | Oklahoma | 57 |
| 10 | Texas | 56.6 |
| 11 | Alaska | 56.5 |
| 12 | Iowa | 56.3 |
| 13 | Minnesota | 56.2 |
| 14 | Louisiana | 55.5 |
| 15 | New Mexico | 55 |
| 16 | Ohio | 54.9 |
| 17 | Indiana | 54.9 |
| 18 | Montana | 54.7 |
| 19 | Idaho | 54.4 |
| 20 | Missouri | 54.1 |
| 21 | Arkansas | 53.8 |
| 22 | South Carolina | 53.5 |
| 23 | Arizona | 52.9 |
| 24 | Kentucky | 52.7 |
| 25 | Washington | 52.5 |
| 26 | Maryland | 52.1 |
| 27 | Georgia | 52.1 |
| 28 | Tennessee | 52.1 |
| 29 | Michigan | 51.3 |
| 30 | Nevada | 51 |
| 31 | North Carolina | 51 |
| 32 | New Jersey | 50.8 |
| 33 | Pennsylvania | 50.8 |
| 34 | Illinois | 50.4 |
| 35 | Virginia | 50 |
| 36 | West Virginia | 49.6 |
| 37 | Wisconsin | 49.6 |
| 38 | Alabama | 49.4 |
| 39 | Delaware | 49.3 |
| 40 | New York | 49.2 |
| 41 | California | 48.4 |
| 42 | Florida | 48.4 |
| 43 | Maine | 48.3 |
| 44 | Colorado | 48.2 |
| 45 | Rhode Island | 45.6 |
| 46 | Connecticut | 44.8 |
| 47 | Oregon | 44.8 |
| 48 | Massachusetts | 44.4 |
| 49 | New Hampshire | 43.9 |
| 50 | District of Columbia | 42.1 |
| 51 | Vermont | 39.8 |
| 52 | Puerto Rico | 28.2 |
More on births per 1,000 women aged 15 to 50
- US Counties With the Lowest Births per 1,000 Women Aged 15 to 50
- Births per 1,000 women aged 15 to 50 by US county: map by year and what it goes with
A ranking describes places, not the people in them, and a high or low place does not by itself say why. All US rankings.