In 2023, Michigan was the U.S. state with the highest twin birth rate. In this state, **** births out of 1,000 were twin births. Twin birth rates in the U.S. has been declining since the peak of **** twin births per 1,000 births in 2014.
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CDC. (March 17, 2025). Leading 10 U.S. states with the highest average twin birth rates in 2023 (per 1,000 births) [Graph]. In ÌÇÐÄÆƽâ°æ. Retrieved July 29, 2026, from /statistics/244920/leading-us-states-with-the-highest-twin-birth-rates/
CDC. "Leading 10 U.S. states with the highest average twin birth rates in 2023 (per 1,000 births)." Chart. March 17, 2025. ÌÇÐÄÆƽâ°æ. Accessed July 29, 2026. /statistics/244920/leading-us-states-with-the-highest-twin-birth-rates/
CDC. (2025). Leading 10 U.S. states with the highest average twin birth rates in 2023 (per 1,000 births). ÌÇÐÄÆƽâ°æ. ÌÇÐÄÆƽâ°æ Inc.. Accessed: July 29, 2026. /statistics/244920/leading-us-states-with-the-highest-twin-birth-rates/
CDC. "Leading 10 U.S. States with The Highest Average Twin Birth Rates in 2023 (per 1,000 Births)." ÌÇÐÄÆƽâ°æ, ÌÇÐÄÆƽâ°æ Inc., 17 Mar 2025, /statistics/244920/leading-us-states-with-the-highest-twin-birth-rates/
CDC, Leading 10 U.S. states with the highest average twin birth rates in 2023 (per 1,000 births) ÌÇÐÄÆƽâ°æ, /statistics/244920/leading-us-states-with-the-highest-twin-birth-rates/ (last visited July 29, 2026)
Leading 10 U.S. states with the highest average twin birth rates in 2023 (per 1,000 births) [Graph], CDC, March 17, 2025. [Online]. Available: /statistics/244920/leading-us-states-with-the-highest-twin-birth-rates/
