2017-2021 NC RESIDENT FERTILITY RATES PER 1,000 POPULATION:
FEMALES 15-44 BY RACE/ETHNICITY, PERINATAL CARE REGIONS, AND COUNTY OF RESIDENCE

  North Carolina
Resident Births		 Fertility Rate White Non-Hispanic,
single race Births		 White Non-Hispanic,
single race Fertility
Rate		 Black Non-Hispanic,
single race Births		 Black Non-Hispanic,
single race Fertility
Rate		 American Indian/Alaska
Native Non-Hispanic,
single race Births		 American Indian/Alaska
Native Non-Hispanic,
single race Fertility
Rate		 Asian/Pacific Islander
Non-Hispanic, single
race Births		 Asian/Pacific Islander
Non-Hispanic, single
race Fertility Rate		 Multiracial Non-Hispanic
Non-Hispanic, single
race Births		 Multiracial Non-Hispanic
Non-Hispanic, single
race Fertility Rate		 Hispanic Births Hispanic Fertility
Rate
County of Residence: 595,037 58.1 313,310 53.3 136,752 56.2 7,356 60.5 24,972 59.6 15,255 66.5 95,983 83.7
NORTH CAROLINA
PCR I WESTERN 36,132 52.4 28,328 50.0 1,531 49.1 653 58.4 498 48.7 767 53.2 4,294 76.8
PCR II NORTHWESTERN 125,383 55.7 72,988 51.5 25,146 54.5 396 47.2 4,946 61.6 2,577 57.2 19,085 80.1
PCR III SOUTHWESTERN 125,851 58.3 59,583 52.9 31,978 53.9 246 36.5 7,792 64.6 3,121 69.0 22,843 85.5
PCR IV NORTHEASTERN 132,725 53.9 65,566 48.7 30,262 51.3 384 39.7 8,687 54.7 2,891 52.2 24,478 81.1
PCR V SOUTHEASTERN 89,076 64.9 42,698 58.4 22,144 64.0 5,316 67.9 1,594 61.1 3,657 91.6 13,499 88.7
PCR VI EASTERN 85,870 66.1 44,147 63.5 25,691 62.2 361 49.6 1,455 63.3 2,242 76.8 11,784 89.5
ALAMANCE 9,521 56.1 4,858 48.8 2,151 59.2 24 34.3 202 54.9 225 63.9 2,042 78.6
ALEXANDER 1,795 60.6 1,527 59.6 66 60.7 0 0.0 38 81.0 33 67.8 129 68.9
ALLEGHANY 478 63.0 378 58.9 7 0.0 1 0.0 0 0.0 8 0.0 83 96.6
ANSON 1,314 66.8 522 65.6 689 67.6 8 0.0 14 0.0 27 112.5 53 60.2
ASHE 1,063 53.7 923 50.8 12 0.0 4 0.0 3 0.0 6 0.0 115 117.9
AVERY 681 50.4 606 51.1 5 0.0 1 0.0 6 0.0 2 0.0 60 70.7
BEAUFORT 2,203 58.9 1,186 53.4 675 66.0 3 0.0 12 0.0 41 84.9 282 67.8
BERTIE 847 62.8 272 64.7 549 64.5 2 0.0 2 0.0 2 0.0 19 0.0
BLADEN 1,736 65.3 797 59.7 575 61.5 58 73.2 4 0.0 49 109.6 250 98.3
BRUNSWICK 5,134 55.7 3,706 53.5 586 49.0 45 62.8 51 50.7 144 64.8 599 85.8
BUNCOMBE 12,112 47.4 9,104 44.0 826 51.2 29 31.7 226 47.2 278 48.6 1,618 77.1
BURKE 4,362 59.7 3,139 54.9 170 42.6 9 0.0 300 72.7 103 71.2 629 103.1
CABARRUS 12,864 58.6 6,690 52.8 2,546 54.2 27 39.7 989 74.5 331 68.6 2,261 83.0
CALDWELL 3,895 57.3 3,168 55.0 206 58.7 6 0.0 45 61.1 122 94.6 347 73.3
CAMDEN 470 49.3 413 53.7 36 41.0 0 0.0 3 0.0 2 0.0 15 0.0
CARTERET 2,558 49.8 2,120 49.4 117 40.6 8 0.0 26 22.0 81 66.5 203 70.6
CASWELL 990 59.5 605 59.0 264 52.8 3 0.0 9 0.0 18 0.0 90 104.0
CATAWBA 8,299 57.9 5,282 52.9 778 59.2 12 0.0 644 67.1 239 80.1 1,333 77.1
CHATHAM 3,219 56.5 1,996 54.0 319 44.9 10 0.0 79 45.5 76 67.3 731 74.2
CHEROKEE 1,211 61.8 1,059 60.5 15 0.0 18 0.0 11 0.0 42 95.7 62 69.0
CHOWAN 686 63.0 361 61.7 273 65.3 2 0.0 0 0.0 4 0.0 45 86.2
CLAY 430 59.4 385 59.5 2 0.0 0 0.0 4 0.0 8 0.0 30 81.3
CLEVELAND 5,612 62.7 3,755 60.5 1,315 63.2 8 0.0 41 35.0 157 96.6 332 90.2
COLUMBUS 2,886 63.7 1,582 61.5 851 63.0 88 48.6 6 0.0 108 137.8 245 79.3
CRAVEN 6,589 73.3 4,024 73.6 1,278 63.8 21 52.4 288 81.9 241 88.7 715 83.6
CUMBERLAND 26,729 74.3 10,220 74.5 9,549 67.8 382 63.4 828 73.0 1,615 105.8 4,088 83.4
CURRITUCK 1,410 58.2 1,218 59.0 72 58.2 4 0.0 23 83.9 10 0.0 81 55.6
DARE 1,606 55.7 1,260 53.0 28 36.9 1 0.0 27 53.4 14 0.0 274 85.6
DAVIDSON 8,779 59.5 6,262 56.3 1,000 62.1 43 62.8 177 51.8 204 83.4 1,080 78.3
DAVIE 1,969 56.5 1,530 54.6 132 58.1 6 0.0 22 55.8 35 46.1 242 73.9
DUPLIN 3,502 74.1 1,381 64.4 768 67.8 10 0.0 12 0.0 44 77.9 1,280 95.6
DURHAM 20,748 55.4 7,929 51.8 6,265 45.9 43 38.6 1,254 48.6 482 56.8 4,693 94.6
EDGECOMBE 2,999 64.5 850 59.2 1,814 63.1 5 0.0 5 0.0 71 156.0 250 95.7
FORSYTH 21,839 56.5 9,813 50.7 6,197 55.3 71 52.1 657 48.7 356 43.9 4,707 81.0
FRANKLIN 3,750 62.6 2,164 60.6 890 55.3 21 77.5 40 81.1 96 83.0 534 86.4
GASTON 12,944 60.1 7,899 55.5 2,808 64.0 22 33.1 226 48.8 389 86.3 1,589 82.2
GATES 484 55.1 335 59.5 129 50.0 0 0.0 2 0.0 1 0.0 15 0.0
GRAHAM 421 63.7 347 63.3 2 0.0 41 63.0 0 0.0 16 0.0 15 0.0
GRANVILLE 2,985 58.5 1,573 56.2 895 56.4 2 0.0 24 49.0 74 82.3 413 73.8
GREENE 1,038 65.5 421 60.5 332 60.8 1 0.0 3 0.0 11 0.0 269 87.3
GUILFORD 30,099 52.5 10,551 43.9 12,063 52.4 143 52.7 2,271 66.6 777 54.5 4,198 81.0
HALIFAX 2,734 66.0 918 65.9 1,542 65.0 80 53.1 20 56.7 50 98.2 120 84.0
HARNETT 9,330 66.7 5,291 65.7 1,806 60.4 71 47.7 136 56.7 372 86.4 1,629 77.1
HAYWOOD 2,724 55.0 2,465 55.3 28 47.7 14 0.0 23 40.9 26 38.2 167 60.0
HENDERSON 5,157 56.2 3,751 52.8 154 44.2 8 0.0 122 68.2 94 48.1 1,025 78.0
HERTFORD 1,036 52.7 296 53.2 670 53.1 3 0.0 7 0.0 1 0.0 57 69.5
HOKE 4,396 75.3 1,919 85.0 1,046 57.1 287 56.6 97 88.0 239 99.7 804 89.9
HYDE 180 56.7 111 54.7 37 63.1 0 0.0 0 0.0 1 0.0 31 68.9
IREDELL 9,463 56.5 6,383 53.6 1,358 61.8 17 0.0 356 56.9 194 59.2 1,126 69.2
JACKSON 1,743 37.6 1,198 32.3 23 15.6 261 75.8 22 36.2 55 54.2 183 65.9
JOHNSTON 12,396 60.8 7,235 56.2 2,069 58.8 51 60.3 152 62.5 245 64.5 2,624 79.7
JONES 455 61.9 298 65.5 107 51.0 0 0.0 3 0.0 14 0.0 31 67.4
LEE 3,891 67.8 1,777 60.0 735 61.4 13 0.0 41 45.1 116 92.1 1,193 89.5
LENOIR 3,183 66.6 1,239 58.7 1,477 70.3 11 0.0 15 0.0 47 59.6 390 92.8
LINCOLN 4,302 59.1 3,457 58.3 254 61.4 13 0.0 58 73.5 80 66.2 438 62.3
MCDOWELL 2,094 56.5 1,772 56.0 40 34.5 7 0.0 20 38.5 27 51.8 227 74.9
MACON 1,611 60.9 1,225 55.0 9 0.0 5 0.0 15 0.0 26 71.8 325 114.4
MADISON 954 50.6 904 52.3 3 0.0 2 0.0 6 0.0 12 0.0 26 42.2
MARTIN 1,164 64.7 559 61.9 505 64.3 3 0.0 5 0.0 12 0.0 80 105.1
MECKLENBURG 73,511 58.3 27,221 51.0 22,473 52.0 134 33.9 5,991 67.3 1,787 64.3 15,692 89.5
MITCHELL 684 60.3 607 59.7 2 0.0 1 0.0 3 0.0 5 0.0 65 80.5
MONTGOMERY 1,339 58.6 707 56.0 251 52.5 1 0.0 28 67.6 20 94.8 327 69.7
MOORE 5,839 69.9 4,148 69.0 695 63.3 60 72.3 107 62.9 184 94.7 627 79.0
NASH 5,340 62.1 2,062 57.4 2,379 60.4 46 64.4 78 87.2 117 70.5 643 86.9
NEW HANOVER 10,831 44.2 7,046 37.7 1,772 56.7 23 22.3 192 39.3 311 58.0 1,468 94.5
NORTHAMPTON 869 65.9 289 62.4 530 67.7 1 0.0 3 0.0 7 0.0 38 85.2
ONSLOW 19,393 94.5 12,690 97.4 2,110 70.3 85 67.4 428 83.0 875 108.9 3,173 104.0
ORANGE 5,775 32.6 3,325 27.9 733 34.7 11 0.0 591 36.0 130 27.9 971 65.2
PAMLICO 411 52.0 290 50.5 72 52.4 3 0.0 6 0.0 7 0.0 31 57.7
PASQUOTANK 2,345 61.1 1,249 65.5 794 53.2 6 0.0 32 62.7 56 62.8 204 71.5
PENDER 3,168 60.4 2,208 57.1 395 55.6 5 0.0 23 44.5 100 85.8 433 89.9
PERQUIMANS 587 59.5 414 61.4 142 57.4 2 0.0 4 0.0 8 0.0 13 0.0
PERSON 2,160 65.8 1,283 60.5 614 68.0 11 0.0 14 0.0 70 112.5 164 98.9
PITT 10,310 47.5 4,293 37.2 4,454 57.5 28 37.6 238 46.1 273 60.5 1,001 73.4
POLK 745 56.8 627 57.6 29 56.8 0 0.0 12 0.0 7 0.0 69 58.8
RANDOLPH 7,700 60.7 5,312 56.3 501 58.1 33 51.2 174 69.0 115 59.4 1,558 82.9
RICHMOND 2,826 71.1 1,332 64.9 1,021 74.0 93 76.4 21 46.4 106 122.7 248 86.0
ROBESON 8,789 71.2 1,509 58.3 1,832 63.2 3,795 70.8 67 63.1 211 67.0 1,360 126.4
ROCKINGHAM 4,450 58.4 3,047 58.3 853 57.1 12 0.0 25 34.8 102 56.5 406 65.4
ROWAN 7,929 60.8 4,899 56.4 1,418 56.6 20 51.8 130 74.3 144 65.4 1,308 91.4
RUTHERFORD 3,284 60.3 2,592 58.9 351 65.2 2 0.0 19 0.0 85 65.8 231 68.1
SAMPSON 3,967 73.5 1,657 65.3 811 60.6 55 57.6 16 0.0 72 67.7 1,347 104.7
SCOTLAND 2,106 70.0 576 49.3 954 79.7 353 79.8 18 0.0 126 165.4 74 79.3
STANLY 3,414 62.9 2,586 61.1 410 62.8 12 0.0 84 60.0 66 85.2 253 83.9
STOKES 1,975 54.2 1,796 55.4 55 48.1 9 0.0 5 0.0 20 47.3 89 41.5
SURRY 3,735 62.2 2,778 58.0 128 59.2 5 0.0 17 0.0 37 56.6 766 87.9
SWAIN 799 61.4 430 62.3 3 0.0 257 57.5 6 0.0 42 73.8 59 73.8
TRANSYLVANIA 1,280 52.1 1,084 50.3 44 47.2 7 0.0 6 0.0 36 57.1 99 93.5
TYRRELL 174 71.9 99 76.3 45 78.7 0 0.0 1 0.0 0 0.0 29 80.8
UNION 11,890 52.4 7,453 48.7 1,483 52.3 22 31.8 389 38.7 284 66.8 2,225 72.6
VANCE 2,798 69.3 758 60.8 1,567 68.6 4 0.0 30 54.2 61 125.0 372 94.0
WAKE 63,672 52.7 31,792 47.6 13,342 50.2 136 34.3 6,250 59.0 1,275 44.4 10,599 77.8
WARREN 820 58.3 271 61.5 418 55.1 55 52.8 1 0.0 23 66.5 52 84.6
WASHINGTON 624 71.7 192 60.5 380 79.9 1 0.0 2 0.0 4 0.0 45 80.8
WATAUGA 1,678 24.5 1,471 23.8 18 0.0 0 0.0 43 37.6 14 0.0 129 49.8
WAYNE 8,012 70.5 3,584 65.1 2,426 65.7 15 0.0 118 69.0 168 59.8 1,664 98.5
WILKES 3,358 61.2 2,734 58.7 135 63.0 3 0.0 24 54.4 49 68.0 407 82.8
WILSON 4,661 61.9 1,723 55.4 1,950 59.9 20 85.8 92 75.2 80 70.2 786 86.8
YADKIN 1,836 60.3 1,389 57.1 44 50.7 1 0.0 9 0.0 17 0.0 373 78.4
YANCEY 883 63.6 778 62.1 0 0.0 1 0.0 3 0.0 8 0.0 93 93.3

PREPARED BY NC-DHHS STATE CENTER FOR HEALTH STATISTICS
NOTE: RATES BASED ON SMALL NUMBERS (FEWER THAN 20 CASES) ARE UNSTABLE AND ARE NOT REPORTED