RANKING · 2024 ACS · 87 SHOWN OF 87

Highest fertility rate, Iowa cities

Iowa cities ranked by general fertility rate, meaning births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). This list covers the 87 cities in Iowa that qualify, ranked against each other statewide. The median across all 87 is 56.6.

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SAME RANKING BYCounties States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2010

01Osceola, IAIA5,679314.8+2198%

02Webster City, IAIA7,815148.1+174%

03Keokuk, IAIA9,510132.3+65%

04Oelwein, IAIA5,757116.5−16%

05Tiffin, IAIA7,156115.5+53%

06Mason City, IAIA26,853114.4+83%

07Windsor Heights, IAIA5,059112.0+335%

08Sioux Center, IAIA8,864110.7+154%

09Winterset, IAIA5,520108.5+209%

10Red Oak, IAIA5,388103.9+54%

11Clear Lake, IAIA7,601102.9+96%

12Perry, IAIA8,208100.9+7%

13Adel, IAIA7,09897.5+11%

14Sergeant Bluff, IAIA5,32487.2+183%

15Storm Lake, IAIA11,59085.3+7%

16Centerville, IAIA5,32783.1−12%

17Coralville, IAIA23,96082.8−14%

18Orange City, IAIA6,46881.3+36%

19Washington, IAIA7,26181.1+5%

20Anamosa, IAIA5,90181.0+138%

21Spirit Lake, IAIA5,52580.3+24%

22Denison, IAIA8,21479.3−31%

23Ottumwa, IAIA25,31979.1+21%

24Pleasant Hill, IAIA11,23978.9+88%

25Waterloo, IAIA66,91977.7−1%

26Clinton, IAIA24,04973.7+41%

27Mount Pleasant, IAIA8,50072.1−22%

28Muscatine, IAIA23,16468.0+39%

29Marshalltown, IAIA27,53666.5−16%

30Cherokee, IAIA5,12266.4−15%

31Waukee, IAIA34,89066.0−46%

32Altoona, IAIA22,79665.7+17%

33Le Mars, IAIA10,76063.5−2%

34Fort Madison, IAIA9,93562.1+71%

35Sioux City, IAIA86,35661.6−11%

36Cedar Rapids, IAIA137,93561.5+6%

37Bondurant, IAIA9,64760.9−12%

38Boone, IAIA12,47160.4−49%

39Oskaloosa, IAIA11,49360.1−30%

40Maquoketa, IAIA6,02758.8−17%

41Des Moines, IAIA212,08658.2+5%

42Dubuque, IAIA59,14857.6−16%

43Marion, IAIA42,73257.6−29%

44Asbury, IAIA6,03556.6+20%

45Davenport, IAIA100,35856.2−7%

46Polk City, IAIA6,63054.3−31%

47Sheldon, IAIA5,57552.4−32%

48Manchester, IAIA5,35752.2−27%

49Fort Dodge, IAIA24,83751.2+11%

50Charles City, IAIA7,01349.5−44%

51Norwalk, IAIA15,00449.4+11%

52Atlantic, IAIA6,67647.9−33%

53Johnston, IAIA25,06547.8+78%

54Ankeny, IAIA77,83346.3−37%

55Estherville, IAIA5,80746.1−13%

56Indianola, IAIA16,82945.9+100%

57Urbandale, IAIA48,57045.8−30%

58Nevada, IAIA6,97445.6−32%

59West Des Moines, IAIA74,22445.6−26%

60Cedar Falls, IAIA41,24045.4+32%

61Independence, IAIA6,31245.3−34%

62Council Bluffs, IAIA62,68042.7−38%

63Burlington, IAIA23,33641.6−49%

64Carroll, IAIA10,08540.8−53%

65Newton, IAIA15,74140.8−7%

66Glenwood, IAIA5,28739.8−45%

67North Liberty, IAIA21,97638.2−55%

68Knoxville, IAIA7,46937.5−48%

69Grimes, IAIA17,40536.1−54%

70Bettendorf, IAIA40,71033.4−49%

71Spencer, IAIA11,21832.8−48%

72Waverly, IAIA10,56132.2+2%

73DeWitt, IAIA5,70430.6−34%

74Creston, IAIA7,33528.5−45%

75Clarinda, IAIA5,27327.8−59%

76Pella, IAIA10,99226.2−45%

77Iowa Falls, IAIA5,01323.3−80%

78Algona, IAIA5,30921.2−70%

79Iowa City, IAIA76,22921.1−26%

80Eldridge, IAIA6,95417.0−67%

81Clive, IAIA19,86114.5−73%

82Grinnell, IAIA9,43013.9−37%

83Ames, IAIA68,22013.9−64%

84Decorah, IAIA7,41711.5−63%

85Fairfield, IAIA9,2209.8−76%

86Hiawatha, IAIA7,4326.0−91%

87Vinton, IAIA5,0040.0−100%

SHOWING 1–87 OF 87

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES