Data / Rankings / Live births, July to June / Counties in Massachusetts

Counties in Massachusetts by births (July to June)

Middlesex County had the highest births (July to June) of 14 counties in 2023, at 15,945. Dukes County had the lowest, at 169. The median was 4,975 and the figure for Massachusetts was 68,137. Source: the U.S. Census Bureau.

Highest15,945Middlesex County
Lowest169Dukes County
Median4,97514 counties
Massachusetts68,137History

All counties, 2023

CSVChart (SVG)

Middlesex CountyMiddlesex County: 15,945 count15,945Worcester CountyWorcester County: 8,616 count8,616Essex CountyEssex County: 8,479 count8,479Suffolk CountySuffolk County: 8,335 count8,335Norfolk CountyNorfolk County: 7,002 count7,002Bristol CountyBristol County: 5,695 count5,695Plymouth CountyPlymouth County: 5,276 count5,276Hampden CountyHampden County: 4,673 count4,673Barnstable CountyBarnstable County: 1,481 count1,481Hampshire CountyHampshire County: 896 count896Berkshire CountyBerkshire County: 892 count892Franklin CountyFranklin County: 505 count505Nantucket CountyNantucket County: 173 count173Dukes CountyDukes County: 169 count169
count. Source: U.S. Census Bureau. Retrieved 2026-10-08.

Full ranking

RankCounties2023
count		Change on 2022
1Middlesex County Estimated15,945-1.6%
2Worcester County Estimated8,616-0.1%
3Essex County Estimated8,479-0.3%
4Suffolk County Estimated8,335+1%
5Norfolk County Estimated7,002-3%
6Bristol County Estimated5,695+0.1%
7Plymouth County Estimated5,276-2.3%
8Hampden County Estimated4,673-4.7%
9Barnstable County Estimated1,481-2.1%
10Hampshire County Estimated896-5.1%
11Berkshire County Estimated892+1%
12Franklin County Estimated505+4.6%
13Nantucket County Estimated173+15.3%
14Dukes County Estimated169-3.4%

Other periods

About this ranking

Estimated live births to resident mothers from July 1 of the previous year through June 30 of the reported year.

Census population estimates component. The year identifies the end of the July-to-June period. These estimates can be revised and differ from calendar-year birth totals.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. Population Estimates Program: births, July 1 of the previous year to June 30 of the reported year, nation, states and counties. https://www2.census.gov/programs-surveys/popest/datasets/2020-2025/. Retrieved 2026-10-08.

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Questions

Which county has the highest births (July to June)?

Middlesex County, with 15,945 in 2023, according to the U.S. Census Bureau.

Which county has the lowest births (July to June)?

Dukes County, with 169 in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, Population Estimates Program: births, July 1 of the previous year to June 30 of the reported year, nation, states and counties. Retrieved 2026-10-08.

Live births, July to June: other rankings

Counties in Massachusetts: more rankings