Birth Injury Marketing
State intelligence

Alabama: births, delivery capacity and legal capacity

By Kevin Schwaner, Founder; Chief Marketing OfficerUpdated

Alabama recorded 57,541 births in 2024 across 67 counties, served by 39 hospitals confirmed to provide inpatient labour and delivery, with 11 more whose status CMS does not report. There are 2,205 Offices of Lawyers establishments statewide, across all practice areas.

Births, 2024
57,541+0.6% since 2021
Delivering hospitals
3911 more not reported
Offices of Lawyers
2,205CBP 2023, NAICS 541110, all practice areas
Births per lawyer office
26.1national median for 500+ birth counties: 34.3

Births by county

Births by county in Alabama, 2024A choropleth of Alabama counties shaded by births recorded in 2024.
Births, 2024 ≤ 157 > 5,088

Figure 1. Hover any county for births, lawyer offices and delivering hospitals. Projected at build time; no mapping library on this page.

Alabama births, 2021 to 2024. Four-year births series for Alabama alongside the national total. Alabama 57,541 +0.6% 2021→2024 United States 3,605,563 +0.6% 2021→2024 Delivering hospitals 39 +0.0% 2024 only Lawyer offices 2,205 +0.0% CBP 2023
Figure 2 — Alabama against the national series. Only the first two series are time series; the third and fourth are single-vintage values shown flat, and are labelled as such rather than being interpolated into a trend. National births detail. Sources: Census Bureau, Vintage 2024 county population estimates (components of change), released June 2025; Census Bureau, County Business Patterns 2023, NAICS 541110 Offices of Lawyers, released May 2025; CMS Care Compare, Maternal Health · Hospital, reporting period 1 Jan – 31 Dec 2024.

Every county

All 67 counties in Alabama. Sorted by births. Copy it into a spreadsheet — it is a real table.
CountyPopulation 2024Births 2024Lawyer officesBirths per officeDelivering hospitalsStatus unknown
Jefferson County664,7447,82856114.051
Mobile County412,3394,98121223.531
Madison County423,3554,54717026.720
Montgomery County225,8942,94016018.430
Tuscaloosa County241,2122,5529427.110
Baldwin County261,6082,50511521.830
Shelby County235,9692,4697831.700
Lee County187,8471,8334639.810
Marshall County102,1561,5533742.010
Morgan County126,0841,4823344.910
Calhoun County116,4271,3344728.410
Houston County109,3661,2637217.520
Limestone County118,9421,2042352.310
Etowah County103,2071,1853632.910
St. Clair County96,9271,0181953.600
Cullman County92,6049992638.410
Lauderdale County97,5029424720.010
Elmore County91,0429231657.700
Talladega County81,3758671945.610
Walker County65,2608312336.110
DeKalb County73,1228072040.410
Autauga County61,4647381167.100
Coffee County56,3586982034.910
Blount County60,1636921162.900
Dale County50,0676871352.800
Colbert County58,7856102326.510
Chilton County47,2625561055.600
Russell County58,8375351244.600
Jackson County53,7805271731.010
Franklin County31,8744314107.800
Escambia County36,6304161724.510
Dallas County35,5454102715.210
Chambers County33,813399666.501
Covington County37,7483931723.120
Pike County33,124374753.400
Lawrence County33,567363940.300
Tallapoosa County40,6993621721.310
Geneva County27,259302933.601
Clarke County22,1422981127.100
Marion County29,323294649.000
Winston County23,869272834.001
Barbour County24,358259737.000
Bibb County22,258250641.710
Randolph County23,067223637.200
Hale County15,1162210undefined00
Monroe County19,057219543.800
Marengo County18,512211635.200
Butler County18,256198633.000
Cherokee County26,138194727.700
Washington County15,0181890undefined01
Pickens County18,508185361.700
Cleburne County15,905174443.500
Henry County18,141170442.500
Crenshaw County13,114164627.301
Clay County14,2391630undefined00
Fayette County15,863163627.200
Macon County18,159141528.200
Lamar County13,543140346.700
Conecuh County11,109128621.300
Wilcox County9,865114338.001
Lowndes County9,485102334.000
Perry County7,719990undefined00
Bullock County9,90198332.702
Sumter County11,607880undefined00
Coosa County10,29182327.300
Greene County7,127750undefined00
Choctaw County12,05271417.801

33 counties record births with no confirmed delivering hospital, covering 12,613 births. As on the national page, this describes where facilities sit relative to where births are recorded by residence — not access to care.

Hospitals with obstetric services

50 Alabama hospitals reporting an obstetric service status. Facilities confirming they do not provide labour and delivery are excluded from this table and counted on the national page.
HospitalCityCountyOwnershipLabour & deliveryBirthing Friendly
Andalusia HealthAndalusiaCovingtonProprietaryYesDesignated
Athens Limestone HospitalAthensLimestoneGovernment - Hospital District or AuthorityYesDesignated
Baldwin HealthFoleyBaldwinProprietaryYesDesignated
Baptist Health Brookwood HospitalBirminghamJeffersonProprietaryYesDesignated
Baptist Medical Center EastMontgomeryMontgomeryGovernment - Hospital District or AuthorityYesDesignated
Baptist Medical Center SouthMontgomeryMontgomeryGovernment - Hospital District or AuthorityYesDesignated
Bibb Medical CenterCentrevilleBibbGovernment - Hospital District or AuthorityYesDesignated
Bullock County HospitalUnion SpringsBullockProprietaryNot reported—
Bullock County HospitalUnion SpringsBullockProprietaryNot reported—
Coosa Valley Medical CenterSylacaugaTalladegaGovernment - Hospital District or AuthorityYesDesignated
Crenshaw Community HospitalLuverneCrenshawGovernment - Hospital District or AuthorityNot reported—
Crestwood Medical CenterHuntsvilleMadisonProprietaryYesDesignated
Cullman Regional Medical CenterCullmanCullmanGovernment - Hospital District or AuthorityYesDesignated
D W Mcmillan Memorial HospitalBrewtonEscambiaGovernment - Hospital District or AuthorityYesDesignated
Dch Regional Medical CenterTuscaloosaTuscaloosaGovernment - Hospital District or AuthorityYesDesignated
Decatur Morgan Hospital - Decatur CampusDecaturMorganGovernment - Hospital District or AuthorityYesDesignated
Dekalb Regional Medical CenterFort PayneDe KalbProprietaryYesDesignated
Eamc - LanierValleyChambersGovernment - Hospital District or AuthorityNot reported—
Flowers HospitalDothanHoustonProprietaryYesDesignated
Gadsden Regional Medical CenterGadsdenEtowahProprietaryYesDesignated
Grandview Medical CenterBirminghamJeffersonProprietaryYesDesignated
Helen Keller HospitalSheffieldColbertGovernment - Hospital District or AuthorityYesDesignated
Highlands Medical CenterScottsboroJacksonGovernment - Hospital District or AuthorityYesDesignated
Huntsville HospitalHuntsvilleMadisonGovernment - Hospital District or AuthorityYesDesignated
J Paul Jones HospitalCamdenWilcoxGovernment - LocalNot reported—
Jackson Hospital & Clinic IncMontgomeryMontgomeryVoluntary non-profit - PrivateYesDesignated
Lakeland Community HospitalHaleyvilleWinstonProprietaryNot reported—
Marshall Medical CentersBoazMarshallGovernment - Hospital District or AuthorityYesDesignated
Medical Center EnterpriseEnterpriseCoffeeProprietaryYesDesignated
Medical West, An Affiliate Of Uab Health SystemBessemerJeffersonGovernment - Hospital District or AuthorityYesDesignated
Mizell Memorial HospitalOppCovingtonVoluntary non-profit - PrivateYesNo
Mobile Infirmary Medical CenterMobileMobileVoluntary non-profit - PrivateYesDesignated
North Alabama Medical CenterFlorenceLauderdaleProprietaryYesDesignated
North Baldwin InfirmaryBay MinetteBaldwinVoluntary non-profit - PrivateYesDesignated
Northeast Alabama Regional Medical CenterAnnistonCalhounGovernment - LocalYesDesignated
Ochsner Choctaw GeneralButlerChoctawVoluntary non-profit - PrivateNot reported—
Russell Medical CenterAlexander CityTallapoosaVoluntary non-profit - PrivateYesDesignated
Southeast Health Medical CenterDothanHoustonGovernment - Hospital District or AuthorityYesDesignated
Springhill Medical CenterMobileMobileProprietaryYesDesignated
St Vincent'S BirminghamBirminghamJeffersonVoluntary non-profit - PrivateYesDesignated
The Children'S Hospital Of AlabamaBirminghamJeffersonVoluntary non-profit - PrivateNot reported—
The East Alabama Healthcare AuthorityOpelikaLeeGovernment - Hospital District or AuthorityYesDesignated
Thomas HospitalFairhopeBaldwinVoluntary non-profit - PrivateYesDesignated
University Of Alabama HospitalBirminghamJeffersonGovernment - StateYesDesignated
Usa Health Children'S & Women'S HospitalMobileMobileGovernment - StateNot reported—
Usa Health Hca Providence Hospital, LlcMobileMobileVoluntary non-profit - ChurchYesDesignated
Vaughan Regional Medical Center Parkway CampusSelmaDallasProprietaryYesDesignated
Walker Baptist Medical CenterJasperWalkerProprietaryYesDesignated
Washington County HospitalChatomWashingtonGovernment - LocalNot reported—
Wiregrass Medical CenterGenevaGenevaGovernment - Hospital District or AuthorityNot reported—

Birthing Friendly is a CMS designation reflecting a hospital's attestation to participating in a perinatal quality improvement collaborative and implementing recommended safety practices. It records reported structure and participation. It is not an outcome measure, and CMS published no obstetric outcome scores at all for 2024 — see the blackout.

A limit we will not cross. Nothing on this page links a clinical outcome rate to a legal claim. Adverse-event rates measure medicine. Litigation measures a legal process. They are different quantities, they are collected by different agencies for different reasons, and correlating them would be the fastest way to publish something false. Where we present clinical data and legal data together, it is to describe a market — never to imply that one causes, predicts, or justifies the other.

Sources

  1. U.S. Census Bureau — County Population Totals and Components of Change, Vintage 2024 — births by county, 2021–2024
  2. U.S. Census Bureau — County Business Patterns, 2023 — NAICS 541110, Offices of Lawyers; establishment counts by county
  3. CMS Care Compare — Maternal Health · Hospital — PC-02, PC-07a, PC-07b, SM-7; 2024 reporting period
  4. CMS Care Compare — Hospital General Information — ownership, facility type, Birthing Friendly designation
  5. U.S. Census Bureau — Cartographic Boundary Files, 2023 (1:20,000,000) — county and state polygons; projected to Albers equal-area at build time

Cite this analysis

Free to reproduce with attribution, including commercially. Charts may be embedded as published.

Birth Injury Marketing. “Alabama: births, delivery capacity and legal capacity.” 24 August 2026. https://birthinjurymarketing.com/intelligence/alabama/

Journalists and researchers: we will cut this data to your specification — by state, by county, by hospital, by year — and send the underlying CSV, free and without conditions. Ask for a custom cut. We will also tell you what the data cannot support.

Related

No commercial page for Alabama. Our rule is that a state gets one only where this data lets us say something true of that state and not of everywhere else, and Alabama did not clear it. The rule, and every state it excludes, is published. We still work there.

All 51 states → · National legal capacity → · Why there is no outcome data → · Model this market → · Methodology →

Authorship & review

Author
Kevin Schwaner, Founder; Chief Marketing Officer. Credentials.
Last reviewed
Corrections
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