2018-2022 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
Births		 Multiracial Non-Hispanic
Fertility Rate		 Hispanic Births Hispanic Fertility
Rate
County of Residence: 596,495 57.8 311,846 52.8 135,255 55.3 7,280 62.1 24,841 57.4 15,835 65.5 100,093 84.4
NORTH CAROLINA
PCR I WESTERN 35,851 51.7 27,842 49.1 1,506 48.6 640 58.8 518 48.8 800 52.5 4,484 77.6
PCR II NORTHWESTERN 125,587 55.2 72,552 51.1 24,800 53.0 390 47.1 4,874 59.3 2,797 58.3 19,926 80.4
PCR III SOUTHWESTERN 126,861 57.8 59,472 52.4 31,951 53.1 253 38.0 7,600 60.6 3,232 67.4 24,082 86.7
PCR IV NORTHEASTERN 133,848 53.5 65,642 48.2 30,127 50.7 375 38.9 8,804 53.1 3,006 51.0 25,455 81.5
PCR V SOUTHEASTERN 89,107 65.0 42,495 58.3 21,832 63.6 5,261 70.4 1,607 61.5 3,744 90.5 14,012 89.3
PCR VI EASTERN 85,241 66.0 43,843 63.6 25,039 61.6 361 50.7 1,438 62.6 2,256 74.0 12,134 90.6
ALAMANCE 9,542 55.3 4,815 48.5 2,141 56.7 24 34.3 191 49.5 252 66.8 2,101 77.3
ALEXANDER 1,753 59.3 1,487 58.4 63 57.6 0 0.0 37 76.3 32 62.9 132 69.1
ALLEGHANY 481 62.1 387 59.4 8 0.0 1 0.0 0 0.0 8 0.0 76 84.2
ANSON 1,327 69.2 528 68.2 688 70.1 7 0.0 19 0.0 26 99.2 58 62.1
ASHE 1,047 52.7 907 50.1 14 0.0 3 0.0 3 0.0 6 0.0 114 109.9
AVERY 711 53.0 630 53.6 4 0.0 1 0.0 7 0.0 2 0.0 66 75.9
BEAUFORT 2,161 58.8 1,179 54.0 634 64.2 1 0.0 12 0.0 53 104.5 277 66.0
BERTIE 825 63.2 277 67.7 521 63.6 2 0.0 2 0.0 4 0.0 18 0.0
BLADEN 1,764 68.3 807 61.9 579 64.6 51 69.7 3 0.0 53 117.0 267 105.6
BRUNSWICK 5,276 55.8 3,780 53.2 603 50.8 40 60.0 56 51.4 159 67.1 634 85.6
BUNCOMBE 12,119 46.9 8,982 43.1 846 52.2 24 26.6 244 48.7 284 47.1 1,710 78.3
BURKE 4,284 59.0 3,038 53.6 178 45.4 9 0.0 280 68.3 107 70.5 661 106.0
CABARRUS 13,018 57.5 6,543 51.6 2,633 52.8 29 44.8 1,049 70.4 339 64.8 2,411 83.3
CALDWELL 3,901 57.5 3,158 55.3 197 55.5 4 0.0 44 56.8 129 95.8 368 75.9
CAMDEN 468 48.2 409 52.1 34 39.6 0 0.0 4 0.0 1 0.0 19 0.0
CARTERET 2,481 48.4 2,074 48.4 100 35.9 10 0.0 23 20.8 72 58.0 199 67.2
CASWELL 988 59.9 611 59.9 259 53.5 4 0.0 8 0.0 21 61.8 85 91.8
CATAWBA 8,298 57.5 5,262 52.6 733 56.2 12 0.0 634 64.3 250 79.2 1,394 78.0
CHATHAM 3,269 55.8 2,025 53.3 318 44.7 10 0.0 83 44.8 73 59.1 751 74.2
CHEROKEE 1,230 62.5 1,084 61.8 14 0.0 17 0.0 11 0.0 38 82.1 63 68.3
CHOWAN 679 62.5 360 61.1 263 64.2 1 0.0 2 0.0 3 0.0 49 90.6
CLAY 417 57.4 371 57.7 3 0.0 0 0.0 3 0.0 8 0.0 31 76.2
CLEVELAND 5,647 62.3 3,791 60.7 1,279 61.3 10 0.0 39 31.6 163 92.0 359 89.1
COLUMBUS 2,904 65.7 1,612 64.1 841 64.3 99 58.6 5 0.0 101 126.9 240 76.7
CRAVEN 6,496 72.0 3,909 71.4 1,227 61.8 26 68.8 276 76.9 259 92.4 781 88.4
CUMBERLAND 26,505 73.6 9,923 73.1 9,516 67.4 382 64.8 840 74.2 1,604 102.0 4,196 83.3
CURRITUCK 1,491 59.4 1,280 60.2 75 58.4 4 0.0 23 75.2 14 0.0 94 59.0
DARE 1,546 53.0 1,203 50.2 26 32.6 2 0.0 27 52.1 13 0.0 274 83.8
DAVIDSON 8,769 58.7 6,217 55.7 1,011 61.0 41 61.8 175 48.8 202 76.7 1,103 76.1
DAVIE 2,020 57.5 1,564 55.7 144 61.9 8 0.0 23 57.5 38 47.1 241 71.0
DUPLIN 3,564 78.5 1,395 68.0 755 69.7 10 0.0 10 0.0 48 82.1 1,340 103.4
DURHAM 20,648 54.1 7,915 50.3 6,068 44.5 47 42.2 1,242 46.2 492 54.4 4,806 94.2
EDGECOMBE 2,939 64.5 851 60.9 1,745 62.0 7 0.0 5 0.0 68 141.4 258 95.1
FORSYTH 22,021 56.2 9,786 50.2 6,089 54.0 64 47.8 657 47.5 427 49.8 4,955 81.9
FRANKLIN 3,912 63.4 2,252 61.8 915 55.5 18 0.0 44 81.0 96 75.7 582 87.3
GASTON 13,134 60.1 7,799 54.9 2,877 63.2 23 35.3 241 49.4 416 86.7 1,766 85.4
GATES 478 55.9 331 60.0 126 51.2 0 0.0 2 0.0 3 0.0 14 0.0
GRAHAM 436 65.5 350 62.9 3 0.0 47 78.1 1 0.0 19 0.0 15 0.0
GRANVILLE 3,012 58.6 1,599 57.4 859 54.6 2 0.0 24 46.8 77 74.8 445 73.7
GREENE 1,035 67.7 426 63.5 329 63.2 0 0.0 3 0.0 11 0.0 266 88.1
GUILFORD 29,764 51.1 10,314 42.7 11,879 50.7 140 53.1 2,226 64.0 809 53.3 4,312 79.7
HALIFAX 2,650 65.0 870 63.7 1,518 65.2 72 50.0 15 0.0 53 101.5 118 80.7
HARNETT 9,273 66.0 5,176 64.5 1,785 59.3 69 48.0 135 57.1 385 85.6 1,698 77.2
HAYWOOD 2,629 52.7 2,375 53.2 29 49.7 11 0.0 25 39.9 25 34.1 162 55.4
HENDERSON 5,167 56.0 3,735 52.4 152 44.0 9 0.0 132 73.5 95 46.0 1,041 78.0
HERTFORD 1,004 52.6 294 54.4 643 52.7 2 0.0 8 0.0 4 0.0 51 62.0
HOKE 4,415 75.8 1,875 84.2 1,082 58.8 284 58.7 87 77.4 240 98.0 841 91.4
HYDE 178 59.0 108 55.7 35 65.9 1 0.0 0 0.0 1 0.0 33 74.2
IREDELL 9,703 56.7 6,492 53.6 1,396 61.7 17 0.0 356 56.2 216 60.7 1,199 70.2
JACKSON 1,738 38.2 1,187 32.7 25 17.9 243 73.4 21 34.2 60 55.6 200 71.6
JOHNSTON 12,938 61.0 7,369 56.0 2,228 59.3 52 59.4 171 64.6 257 61.2 2,836 80.8
JONES 454 62.1 292 64.5 110 53.8 0 0.0 1 0.0 18 0.0 31 64.3
LEE 3,926 67.2 1,805 60.0 693 57.7 17 0.0 32 33.8 106 78.1 1,255 91.3
LENOIR 3,220 67.7 1,278 60.9 1,459 70.5 12 0.0 16 0.0 49 55.1 403 93.3
LINCOLN 4,450 59.8 3,527 58.4 280 64.8 11 0.0 60 66.1 88 68.5 480 65.6
MCDOWELL 2,019 54.6 1,709 54.4 36 31.2 4 0.0 18 0.0 21 37.6 229 74.2
MACON 1,612 59.2 1,179 51.8 9 0.0 9 0.0 14 0.0 34 83.5 362 117.0
MADISON 960 50.9 909 52.5 2 0.0 1 0.0 4 0.0 14 0.0 29 46.7
MARTIN 1,138 64.1 549 61.3 487 63.5 3 0.0 4 0.0 11 0.0 84 110.2
MECKLENBURG 73,803 57.7 27,230 50.5 22,257 51.1 141 36.2 5,683 62.7 1,837 62.9 16,454 91.0
MITCHELL 652 57.4 578 57.1 1 0.0 2 0.0 1 0.0 8 0.0 60 72.5
MONTGOMERY 1,333 59.6 688 55.6 241 53.4 1 0.0 31 78.1 22 101.9 345 72.6
MOORE 5,909 69.4 4,256 69.3 644 60.0 53 63.5 108 60.1 189 92.1 646 77.9
NASH 5,333 62.2 2,072 57.9 2,367 60.5 41 59.1 80 86.7 123 74.5 639 84.0
NEW HANOVER 10,822 44.1 7,064 37.9 1,649 53.4 27 26.1 193 39.9 314 56.6 1,558 95.8
NORTHAMPTON 834 65.6 288 64.4 500 66.8 1 0.0 1 0.0 7 0.0 36 77.4
ONSLOW 19,260 92.7 12,601 95.7 1,989 66.2 89 70.4 443 84.7 848 100.8 3,257 104.3
ORANGE 5,777 32.8 3,322 28.1 746 35.4 7 0.0 551 33.8 130 26.8 1,009 66.9
PAMLICO 425 54.3 302 53.2 74 56.1 3 0.0 5 0.0 9 0.0 31 54.6
PASQUOTANK 2,312 59.9 1,245 64.9 786 53.0 4 0.0 29 57.1 44 46.8 202 68.3
PENDER 3,191 59.6 2,256 57.1 349 50.6 6 0.0 27 46.8 100 78.7 450 88.3
PERQUIMANS 573 57.6 406 59.8 136 55.4 2 0.0 5 0.0 6 0.0 15 0.0
PERSON 2,102 64.2 1,214 57.6 610 68.4 11 0.0 14 0.0 73 113.7 176 101.2
PITT 10,298 48.0 4,296 38.0 4,439 57.6 28 39.1 236 46.8 273 58.4 1,007 72.5
POLK 705 54.3 593 55.0 24 49.4 0 0.0 9 0.0 9 0.0 69 59.3
RANDOLPH 7,713 60.4 5,251 55.8 506 57.4 30 46.2 180 70.1 128 61.9 1,610 83.1
RICHMOND 2,792 71.0 1,314 64.9 994 73.0 84 70.8 23 51.8 116 130.5 255 87.1
ROBESON 8,909 74.3 1,516 60.2 1,861 65.4 3,766 73.9 62 59.3 258 80.0 1,436 129.9
ROCKINGHAM 4,566 59.6 3,105 59.4 844 56.3 16 0.0 24 33.4 111 57.9 461 71.9
ROWAN 7,967 60.0 4,880 55.6 1,367 54.0 29 75.7 130 71.8 159 67.3 1,389 92.0
RUTHERFORD 3,227 59.3 2,545 58.0 326 62.0 1 0.0 19 0.0 92 67.3 240 67.8
SAMPSON 3,961 74.3 1,668 66.9 777 59.3 53 57.8 18 0.0 71 63.8 1,367 106.2
SCOTLAND 2,053 69.9 560 49.4 911 77.6 346 82.5 19 0.0 132 172.1 79 80.0
STANLY 3,392 61.5 2,538 59.2 411 62.1 12 0.0 91 64.3 69 82.1 269 83.7
STOKES 1,998 55.1 1,797 56.0 53 45.4 7 0.0 4 0.0 31 67.5 106 45.9
SURRY 3,760 62.9 2,754 58.2 124 57.5 5 0.0 18 0.0 49 72.8 808 90.3
SWAIN 797 61.4 412 59.8 3 0.0 262 60.3 5 0.0 45 75.6 68 79.8
TRANSYLVANIA 1,257 51.5 1,061 49.5 33 37.1 8 0.0 7 0.0 40 60.4 105 98.7
TYRRELL 180 73.5 103 77.8 47 83.6 0 0.0 0 0.0 0 0.0 30 76.9
UNION 12,090 52.5 7,516 49.0 1,526 53.3 20 29.0 418 37.8 294 65.0 2,285 71.9
VANCE 2,723 68.0 733 59.9 1,516 67.1 4 0.0 28 51.9 62 121.6 375 92.4
WAKE 64,179 52.3 31,705 47.0 13,349 50.0 130 33.4 6,415 57.6 1,342 44.2 10,980 78.5
WARREN 832 59.9 277 63.4 425 57.2 49 49.1 1 0.0 25 69.6 54 81.1
WASHINGTON 596 70.1 191 61.7 358 77.6 1 0.0 1 0.0 5 0.0 40 70.3
WATAUGA 1,573 22.3 1,366 21.5 13 0.0 0 0.0 40 34.0 17 0.0 135 50.2
WAYNE 8,002 71.5 3,535 65.8 2,365 65.4 20 52.8 112 66.7 169 57.4 1,766 103.2
WILKES 3,402 62.5 2,772 60.4 131 61.6 1 0.0 27 56.6 57 73.0 405 79.9
WILSON 4,621 62.3 1,719 56.8 1,891 59.2 19 0.0 93 75.4 87 72.3 802 86.3
YADKIN 1,856 61.2 1,385 57.6 46 51.8 2 0.0 9 0.0 19 0.0 391 80.9
YANCEY 886 63.0 772 61.0 0 0.0 2 0.0 4 0.0 8 0.0 100 96.2

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