Skip to main content
Population Review

Census ACS 5-Year · 52 states

States With Most Total Births

Source·US Census ACS 5-Year 2023Updated·Reviewed by·PopulationReview Editorial Team
Raw data·Download states.csv· no email required ·all datasets

Total births by state largely track population size, with California, Texas, and Florida producing the most babies each year. However, the relationship between population and births isn't perfectly proportional, states with younger demographics like Texas and Utah produce more births per capita than older states like Florida. Total birth counts matter for resource planning: hospitals, school districts, and childcare providers use these numbers to forecast demand years in advance. States experiencing rapid birth count growth need to invest accordingly in maternity care, pediatric services, and early childhood education infrastructure.

Key Findings

  • 1California leads with a total live births of 419,104, followed by Texas (389,741) and Florida (224,433).
  • 2The national median across all states is 48,332 (Oklahoma at the midpoint).
  • 3The top 10 states are: California, Texas, Florida, New York, Pennsylvania, Illinois, Ohio, Georgia, North Carolina, New Jersey.

Full Ranking: States With Most Total Births

Source: Census ACS 5-Year Estimates

#StateTotal BirthsBirth RatePopulation
1Wyoming6,04910.4579,761
2Wisconsin60,04910.25,892,023
3West Virginia16,9299.51,784,462
4Washington83,33310.87,740,984
5Virginia95,630118,657,499
6Vermont5,3168.2645,254
7Utah45,76813.73,331,187
8Texas389,74113.129,640,343
9Tennessee82,26511.86,986,082
10South Dakota11,20112.5899,194
11South Carolina57,82011.15,212,774
12Rhode Island10,2699.41,095,371
13Puerto Rico--3,254,885
14Pennsylvania130,2521012,986,518
15Oregon39,4939.34,238,714
16Oklahoma48,33212.13,995,260
17Ohio128,23110.911,780,046
18North Dakota9,56712.3779,361
19North Carolina121,56211.510,584,340
20New York207,77410.519,872,319
21New Mexico21,61410.22,114,768
22New Jersey102,89311.19,267,014
23New Hampshire12,0778.71,387,834
24Nevada33,19310.63,141,000
25Nebraska24,34512.41,965,926
26Montana11,17510.11,105,072
27Missouri68,98511.26,168,181
28Mississippi34,67511.72,951,438
29Minnesota64,01511.25,713,716
30Michigan102,32110.210,051,595
31Massachusetts68,5849.86,992,395
32Maryland68,78211.16,170,738
33Maine12,0938.81,377,400
34Louisiana56,47912.24,621,025
35Kentucky52,31511.64,510,725
36Kansas34,40111.72,937,569
37Iowa36,50611.43,195,937
38Indiana79,64911.76,811,752
39Illinois128,35010.112,692,653
40Idaho22,39111.81,893,296
41Hawaii15,53510.71,445,635
42Georgia126,13011.710,822,590
43Florida224,43310.221,928,881
44District of Columbia8,07512672,079
45Delaware10,81610.81,005,872
46Connecticut35,3329.83,598,348
47Colorado62,38310.75,810,774
48California419,10410.739,242,785
49Arkansas35,47111.73,032,651
50Arizona78,54710.87,268,175
51Alaska9,35912.8733,971
52Alabama58,14911.55,054,253

Methodology

Rankings are based on American Community Survey (ACS) 5-Year estimates from the US Census Bureau. All 50 states and the District of Columbia are included. The ACS surveys approximately 3.5 million households annually and provides detailed demographic, social, economic, and housing data. 5-Year estimates offer the most reliable data for state-level comparisons by averaging responses over a 60-month period. Percentages may not sum to 100% due to rounding.

More Births Rankings

Explore Other Rankings

View all 175 rankings →

Frequently Asked Questions

California has the highest total live births at 419,104, according to latest Census ACS data. Texas and Florida round out the top three.

Puerto Rico has the lowest total live births at -. Vermont is second-lowest at 5,316.

The median across all 52 states is 48,332. Note that the national median and the state-level median are calculated differently, the state median represents the midpoint when all states are ranked.

This data comes from the American Community Survey (ACS) 5-Year estimates published by the US Census Bureau. The ACS surveys approximately 3.5 million households annually and provides the most comprehensive demographic data available between decennial censuses.

Rankings are based on the latest available Census ACS 5-Year estimates. The Census Bureau releases new ACS data annually. Our data was last updated on April 12, 2026.

Rankings are based on American Community Survey (ACS) 5-Year estimates from the US Census Bureau. All 50 states and the District of Columbia are included. The ACS surveys approximately 3.5 million households annually and provides detailed demographic, social, economic, and housing data. 5-Year estimates offer the most reliable data for state-level comparisons by averaging responses over a 60-month period. Percentages may not sum to 100% due to rounding.

Source: U.S. Census Bureau ACS, 2026.