RANKING · 2024 ACS · 87 SHOWN OF 87

Highest fertility rate, Iowa cities

Iowa cities ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2023 ACS). This list covers the 87 cities in Iowa that qualify, ranked against each other statewide.

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SAME RANKING BYCounties States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2000

01Osceola, IAIA5,679314.8–

02Webster City, IAIA7,815148.1–

03Keokuk, IAIA9,510132.3–

04Oelwein, IAIA5,757116.5–

05Tiffin, IAIA7,156115.5–

06Mason City, IAIA26,853114.4–

07Windsor Heights, IAIA5,059112.0–

08Sioux Center, IAIA8,864110.7–

09Winterset, IAIA5,520108.5–

10Red Oak, IAIA5,388103.9–

11Clear Lake, IAIA7,601102.9–

12Perry, IAIA8,208100.9–

13Adel, IAIA7,09897.5–

14Sergeant Bluff, IAIA5,32487.2–

15Storm Lake, IAIA11,59085.3–

16Centerville, IAIA5,32783.1–

17Coralville, IAIA23,96082.8–

18Orange City, IAIA6,46881.3–

19Washington, IAIA7,26181.1–

20Anamosa, IAIA5,90181.0–

21Spirit Lake, IAIA5,52580.3–

22Denison, IAIA8,21479.3–

23Ottumwa, IAIA25,31979.1–

24Pleasant Hill, IAIA11,23978.9–

25Waterloo, IAIA66,91977.7–

26Clinton, IAIA24,04973.7–

27Mount Pleasant, IAIA8,50072.1–

28Muscatine, IAIA23,16468.0–

29Marshalltown, IAIA27,53666.5–

30Cherokee, IAIA5,12266.4–

31Waukee, IAIA34,89066.0–

32Altoona, IAIA22,79665.7–

33Le Mars, IAIA10,76063.5–

34Fort Madison, IAIA9,93562.1–

35Sioux City, IAIA86,35661.6–

36Cedar Rapids, IAIA137,93561.5–

37Bondurant, IAIA9,64760.9–

38Boone, IAIA12,47160.4–

39Oskaloosa, IAIA11,49360.1–

40Maquoketa, IAIA6,02758.8–

41Des Moines, IAIA212,08658.2–

42Dubuque, IAIA59,14857.6–

43Marion, IAIA42,73257.6–

44Asbury, IAIA6,03556.6–

45Davenport, IAIA100,35856.2–

46Polk City, IAIA6,63054.3–

47Sheldon, IAIA5,57552.4–

48Manchester, IAIA5,35752.2–

49Fort Dodge, IAIA24,83751.2–

50Charles City, IAIA7,01349.5–

51Norwalk, IAIA15,00449.4–

52Atlantic, IAIA6,67647.9–

53Johnston, IAIA25,06547.8–

54Ankeny, IAIA77,83346.3–

55Estherville, IAIA5,80746.1–

56Indianola, IAIA16,82945.9–

57Urbandale, IAIA48,57045.8–

58Nevada, IAIA6,97445.6–

59West Des Moines, IAIA74,22445.6–

60Cedar Falls, IAIA41,24045.4–

61Independence, IAIA6,31245.3–

62Council Bluffs, IAIA62,68042.7–

63Burlington, IAIA23,33641.6–

64Carroll, IAIA10,08540.8–

65Newton, IAIA15,74140.8–

66Glenwood, IAIA5,28739.8–

67North Liberty, IAIA21,97638.2–

68Knoxville, IAIA7,46937.5–

69Grimes, IAIA17,40536.1–

70Bettendorf, IAIA40,71033.4–

71Spencer, IAIA11,21832.8–

72Waverly, IAIA10,56132.2–

73DeWitt, IAIA5,70430.6–

74Creston, IAIA7,33528.5–

75Clarinda, IAIA5,27327.8–

76Pella, IAIA10,99226.2–

77Iowa Falls, IAIA5,01323.3–

78Algona, IAIA5,30921.2–

79Iowa City, IAIA76,22921.1–

80Eldridge, IAIA6,95417.0–

81Clive, IAIA19,86114.5–

82Grinnell, IAIA9,43013.9–

83Ames, IAIA68,22013.9–

84Decorah, IAIA7,41711.5–

85Fairfield, IAIA9,2209.8–

86Hiawatha, IAIA7,4326.0–

87Vinton, IAIA5,0040.0–

SHOWING 1–87 OF 87

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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES