List of U.S. states and territories by birth and death rates

This article includes a list of U.S. states sorted by birth and death rate, expressed per 1,000 inhabitants, for 2017, using the most recent data available from the U.S. National Center for Health Statistics.

2017 list

Birth rates per 1,000 people in 2015

  16+

  15–15.9

  14–14.9

  13–13.9

  12–12.9

  11–11.9

  10–10.9

  9–9.9

Death rates per 1,000 people in 2015

  11+

  10–10.9

  9–9.9

  8–8.9

  7–7.9

  6–6.9

  5–5.9

List of U.S. states and territories by birth and death rates in 2017

2017 Rank	State	Birth rate (per 1,000 people)	Death rate (per 1,000 people)	Rate of natural increase (per 1,000 people)
1	Guam	19.7	5.9	13.8
2	American Samoa	19.0	5.9	13.1
3	Utah	15.7	5.8	9.9
4	Alaska	14.1	5.9	8.2
5	North Dakota	14.2	8.5	5.7
6	Texas	13.5	7.0	6.5
7	South Dakota	14.0	9.2	4.8
8	District of Columbia	13.8	7.2	6.6
9	Nebraska	13.4	8.8	4.6
10	Louisiana	13.0	9.8	3.2
11	Idaho	12.9	8.2	4.7
12	Oklahoma	12.8	10.3	2.5
13	Kansas	12.5	9.3	3.2
14	Wyoming	11.9	8.2	3.7
15	Arkansas	12.5	10.8	1.7
16	Hawaii	12.3	8.0	4.3
17	Georgia	12.4	8.0	4.4
18	Mississippi	12.5	10.8	1.7
19	Minnesota	12.3	8.0	4.3
20	Indiana	12.3	9.8	2.5
21	California	11.9	6.8	5.1
22	Iowa	12.2	9.7	2.5
23	Kentucky	12.3	10.8	1.5
24	Nevada	11.9	8.2	3.7
25	Arizona	11.7	8.2	3.5
26	New Mexico	11.4	8.9	2.5
27	Washington	11.8	7.7	4.1
28	Tennessee	12.1	10.4	1.7
29	Missouri	11.9	10.1	1.8
30	Virginia	11.9	8.1	3.8
31	Illinois	11.7	8.6	3.1
32	Maryland	11.8	8.2	3.6
33	Alabama	12.1	10.9	1.2
34	Colorado	11.5	6.8	4.7
35	Montana	11.2	9.7	1.5
36	New York	11.4	7.8	3.6
37	North Carolina	11.7	9.1	2.6
38	Ohio	11.7	10.6	1.1
39	South Carolina	11.4	9.8	1.6
40	Delaware	11.3	9.5	1.8
41	Wisconsin	11.2	9.1	2.1
42	New Jersey	11.2	8.3	2.9
43	Michigan	11.2	9.8	1.4
44	Oregon	10.5	8.8	1.7
45	Florida	10.7	9.7	1.0
46	Pennsylvania	10.8	10.6	0.2
47	West Virginia	10.3	12.8	−2.5
48	Massachusetts	10.3	8.6	1.7
49	Rhode Island	10.0	9.6	0.4
50	Connecticut	9.8	8.7	1.1
51	Maine	9.2	11.0	−1.8
52	Vermont	9.1	9.6	−0.5
53	New Hampshire	9.0	9.3	-0.3
54	Puerto Rico	7.3	9.2	−1.9
55	Northern Marianas	6.9	4.4	2.5
—	United States	11.8	8.6	3.2