| State | Teen Birth Rate Rate | Rank |
|---|---|---|
| Massachusetts | 7.2 births | 1st |
| New Hampshire | 8.0 births | 2nd |
| Connecticut | 8.3 births | 3rd |
| Vermont | 8.8 births | 4th |
| Minnesota | 10.2 births | 5th |
| New Jersey | 10.3 births | 6th |
| Maine | 11.1 births | 7th |
| Rhode Island | 11.5 births | 8th |
| New York | 11.7 births | 9th |
| Washington | 12.7 births | 10th |
| Wisconsin | 13.0 births | 11th |
| Utah | 13.1 births | 12th |
| Oregon | 13.3 births | 13th |
| California | 13.6 births | 14th |
| Maryland | 14.1 births | 15th |
| Pennsylvania | 14.1 births | 15th |
| Virginia | 14.3 births | 17th |
| Colorado | 14.3 births | 17th |
| Iowa | 15.3 births | 19th |
| Michigan | 15.8 births | 20th |
| Illinois | 15.8 births | 20th |
| Idaho | 16.0 births | 22nd |
| North Dakota | 16.4 births | 23rd |
| Florida | 16.7 births | 24th |
| Nebraska | 16.7 births | 24th |
| Delaware | 16.7 births | 24th |
| Hawaii | 17.2 births | 27th |
| Montana | 17.2 births | 27th |
| North Carolina | 18.7 births | 29th |
| Ohio | 18.9 births | 30th |
| District of Columbia | 19.3 births | 31st |
| Alaska | 19.3 births | 31st |
| Kansas | 20.0 births | 33rd |
| Arizona | 20.1 births | 34th |
| South Dakota | 20.4 births | 35th |
| Nevada | 20.5 births | 36th |
| Georgia | 20.6 births | 37th |
| Wyoming | 20.8 births | 38th |
| Missouri | 21.6 births | 39th |
| Indiana | 21.8 births | 40th |
| South Carolina | 22.0 births | 41st |
| Alabama | 25.2 births | 42nd |
| New Mexico | 25.3 births | 43rd |
| Tennessee | 25.3 births | 43rd |
| Texas | 25.3 births | 43rd |
| West Virginia | 25.4 births | 46th |
| Oklahoma | 27.2 births | 47th |
| Kentucky | 27.3 births | 48th |
| Louisiana | 27.5 births | 49th |
| Mississippi | 27.8 births | 50th |
| Arkansas | 30.4 births | 51st |
Map Key
- Less than 20
- 20.1 - 27
- 27.1 - 34
- 34.1 - 42
- More than 42
Number of births per 1,000 women ages 15 to 19 in 2018