5 States with the Highest Fertility Rates in the US

1. South Dakota 

Fertility Rate per 1000 Women: 69.6 

South Dakota tops the list for being one of the states with the highest fertility rates in the US with a fertility rate of 69.6 per 1000 women in 2021. The state saw a total of 11,369 births in the same year. Around 137 abortion procedures were performed in the state in 2022. Chemical abortions made up 36% of all the abortions in the state which decreased 30%. 90% of these abortions were performed on state residents, 6% were performed on women from Minnesota and 2% were performed on women from North Dakota. The teenage birth rate stood at 17 per 1000 women aged 15-19 in 2021.

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