Fact brief: Does South Dakota have the highest fertility rate in the nation?
South Dakota ranked No. 1 in the nation for fertility rates in 2023, with 65.6 live births per 1,000 women aged 15-44. Nebraska is second (65.2) followed by Alaska (62.4). The United States recorded 54.5 births per 1,000 women aged 18-44 in 2023. Rates …