CHILDBIRTH & BIRTH RATES

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Which U.S. States Have the Most Births? A State-by-State Look at Birth Trends, 2015–2026
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Which U.S. States Have the Most Births? A State-by-State Look at Birth Trends, 2015–2026

California and Texas lead the U.S. in total births, while South Dakota has the highest fertility rate among the 50 states. U.S. births have generally declined since 2015, with a small rebound in 2024 followed by a provisional decline in 2025. Population growth, fertility and migration are reshaping America’s demographic future, with Texas and several Southern states emerging as key growth areas.

Oct 4, 2026

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