Ranking of Massachusetts Counties By Number of Births in 2023

Updated on June 21, 2025.

Based on the US Census Vintage data estimates, in 2023, the Number of Births for Massachusetts was 68.14K. Among all Massachusetts counties, Middlesex County had the highest number of births (16.18K), followed by Essex County (8.52K), and Worcester County (8.43K).

The chart below shows the top 10 counties, and the table below shows the ranking of all Massachusetts counties.

You can see similar ranking information for related topics, and for other states. You can also see the ranking of all counties in the United States.

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Ranking of Massachusetts Counties By Number of Births in 2023
Middlesex
Essex
Worcester
Suffolk
Norfolk
Bristol
Plymouth
Hampden
Barnstable
Hampshire
Ranking of Massachusetts Counties By Number of Births in 2023
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Rank County Number of Births
1 Middlesex County 16179
2 Essex County 8521
3 Worcester County 8429
4 Suffolk County 8231
5 Norfolk County 7118
6 Bristol County 5485
7 Plymouth County 5333
8 Hampden County 4741
9 Barnstable County 1527
10 Hampshire County 910
11 Berkshire County 845
12 Franklin County 492
13 Nantucket County 168
14 Dukes County 165