Highest fertility rate, US cities
US cities ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). Desert Palms, California leads at 565.2. 6,826 cities qualify in total. Cities with fewer than 5,000 residents are excluded. New York carries 4 of the top 25 entries.
Flip the list · Lowest fertility rate, US cities →UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES
Frequently asked
Which city has the highest births per 1,000 women (15-50)?
Desert Palms, California ranks #1 with 565.2 (2024 American Community Survey).
What are the top 5 cities by births per 1,000 women (15-50)?
Desert Palms, California, Ulysses, Kansas, Osceola, Iowa, Kaser, New York, Homestead Meadows South, Texas.
How many cities are in this ranking?
6,826 cities qualify after filtering for population minimums and data availability (minimum 5,000 residents). The ranking covers 2024 ACS 5-year data.
How is births per 1,000 women (15-50) measured?
Annual general fertility rate: women 15-50 who gave birth in the past 12 months, per 1,000 women. Source: ACS B13016. Source: US Census Bureau, American Community Survey 5-year estimates (2024).