In 2023, South Dakota proudly led the nation in fertility rates, with 65.6 live births per 1,000 women aged 15-44, positioning it ahead of Nebraska and Alaska. This remarkable achievement reflects the state’s deep-rooted values, thriving agricultural sector, and robust economy. However, underlying insights reveal a nuanced picture of South Dakota’s demographic landscape, shaping not just statistics but the very fabric of its communities.

Kristi Noem
Former Governor Kristi Noem, a pivotal figure in promoting South Dakota’s achievements, stated in 2024, “The birth rate shows that residents want to raise a family.” Noem’s assertion underscores the prevailing sentiment that the state’s residents deeply value family life, further emphasized by the prosperity of its agriculture-driven economy—a cornerstone of South Dakota life.
The state’s significant ranking is not merely a statistic but a testament to its cultural and economic resilience. It speaks to the core of what makes South Dakota both unique and successful. Experts believe that this combination of family and religious values, coupled with an economy rooted in agriculture, creates an ideal environment for larger families and, subsequently, higher fertility rates.
While there’s much to celebrate, South Dakota’s fertility narrative also highlights challenges. The state’s infant mortality rate, ranking 15th nationally with 6.34 deaths per 1,000 live births in 2023, is a concern that mirrors broader healthcare challenges faced by rural America.
Declared as the bedrock of its community, South Dakota’s agriculture industry not only fuels its economy but also reinforces community-driven lifestyles that prioritize family. The state’s vast lands are dominated by agriculture, nurturing a culture where family-run farms often span generations, further reinforcing familial commitment.

South Dakota agriculture
South Dakota’s rural communities offer a unique blend of modernity and tradition—where technological advancements in farming meet age-old practices. This symbiosis not only bolsters the state’s economy but attracts families who value rural life. Such environments naturally promote community-centric living, which is reflected in the state’s demographic trends.
Despite a high fertility rate, evolving social dynamics are contributing to rising numbers of people choosing to remain childless. According to KELO-TV, there’s a noticeable trend of conscious decision-making in opt-out from parenthood, indicating a shift in lifestyle preferences while balancing traditional values.
The data, pulled from reputable sources such as the CDC and regional publications, provides a comprehensive overview of South Dakota’s demographic status. These insights are crucial for policymakers and social scientists alike, as they navigate the complexities of demographic shifts, healthcare, and economic sustainability.
For residents of South Dakota, these statistics are more than numbers—they reflect longstanding cultural traditions, economic resilience, and a collective vision for the future. With a focus on preserving their way of life while adapting to modern challenges, South Dakotans remain steadfast in building a state where families thrive.
As South Dakota continues to lead the nation in fertility rates, the balance between embracing tradition and accommodating change remains essential. The state’s ability to navigate these dynamics will shape its future demographic and socio-economic landscape, ensuring that it remains a vibrant part of the American tapestry.
Contact Michael Klinski at South Dakota News Watch for further inquiries and feedback.