5 States with the Highest Fertility Rates in the US

2. North Dakota 

Fertility Rate per 1000 Women: 66.7 

North Dakota had a fertility rate of 66.7 per 1000 women in 2021 with a total of 10,112 births. Around 1,153 abortion cases were reported in the state in the same year. The number of chemical abortions decreased to 677 in 2021 from 743 in 2020. The abortion rate stood at 7.6 per 1000 women aged 15-44. The teenage birth rate stood at 12.9 per 1000 females aged 15-19 in 2021 and the infant mortality rate stood at 2.8 per 1000 live births.