RANKING · 2010 CENSUS · 87 SHOWN OF 87

Highest fertility rate, Iowa cities · 2010

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

01Oelwein, IAIA5,757139.5–

02Waukee, IAIA34,890122.9–

03Boone, IAIA12,471117.7–

04Iowa Falls, IAIA5,013117.2–

05Denison, IAIA8,214114.4–

06Vinton, IAIA5,004108.2–

07Coralville, IAIA23,96096.7–

08Centerville, IAIA5,32795.0–

09Perry, IAIA8,20893.9–

10Mount Pleasant, IAIA8,50092.0–

11Charles City, IAIA7,01388.1–

12Adel, IAIA7,09887.7–

13Carroll, IAIA10,08586.0–

14Oskaloosa, IAIA11,49385.5–

15North Liberty, IAIA21,97685.3–

16Burlington, IAIA23,33680.9–

17Marion, IAIA42,73280.7–

18Keokuk, IAIA9,51080.3–

19Storm Lake, IAIA11,59079.9–

20Marshalltown, IAIA27,53679.2–

21Grimes, IAIA17,40578.9–

22Waterloo, IAIA66,91978.9–

23Polk City, IAIA6,63078.2–

24Cherokee, IAIA5,12277.9–

25Washington, IAIA7,26177.4–

26Sheldon, IAIA5,57577.4–

27Tiffin, IAIA7,15675.4–

28Ankeny, IAIA77,83373.6–

29Glenwood, IAIA5,28772.1–

30Knoxville, IAIA7,46971.7–

31Manchester, IAIA5,35771.4–

32Atlantic, IAIA6,67671.3–

33Maquoketa, IAIA6,02771.1–

34Algona, IAIA5,30969.7–

35Bondurant, IAIA9,64769.5–

36Sioux City, IAIA86,35669.5–

37Council Bluffs, IAIA62,68069.0–

38Hiawatha, IAIA7,43268.9–

39Dubuque, IAIA59,14868.9–

40Independence, IAIA6,31268.4–

41Red Oak, IAIA5,38867.7–

42Nevada, IAIA6,97467.4–

43Clarinda, IAIA5,27367.2–

44Ottumwa, IAIA25,31965.5–

45Bettendorf, IAIA40,71065.4–

46Urbandale, IAIA48,57065.1–

47Spirit Lake, IAIA5,52564.8–

48Le Mars, IAIA10,76064.8–

49Spencer, IAIA11,21863.0–

50Mason City, IAIA26,85362.4–

51West Des Moines, IAIA74,22461.7–

52Davenport, IAIA100,35860.7–

53Orange City, IAIA6,46859.9–

54Cedar Rapids, IAIA137,93558.0–

55Altoona, IAIA22,79656.2–

56Des Moines, IAIA212,08655.6–

57Webster City, IAIA7,81554.1–

58Clive, IAIA19,86153.3–

59Estherville, IAIA5,80753.1–

60Clear Lake, IAIA7,60152.4–

61Clinton, IAIA24,04952.3–

62Eldridge, IAIA6,95451.9–

63Creston, IAIA7,33551.7–

64Muscatine, IAIA23,16449.1–

65Pella, IAIA10,99247.4–

66Asbury, IAIA6,03547.1–

67DeWitt, IAIA5,70446.5–

68Fort Dodge, IAIA24,83746.2–

69Norwalk, IAIA15,00444.6–

70Newton, IAIA15,74143.8–

71Sioux Center, IAIA8,86443.6–

72Pleasant Hill, IAIA11,23942.0–

73Fairfield, IAIA9,22040.7–

74Ames, IAIA68,22038.3–

75Fort Madison, IAIA9,93536.4–

76Winterset, IAIA5,52035.1–

77Cedar Falls, IAIA41,24034.3–

78Anamosa, IAIA5,90134.0–

79Waverly, IAIA10,56131.6–

80Decorah, IAIA7,41731.3–

81Sergeant Bluff, IAIA5,32430.8–

82Iowa City, IAIA76,22928.6–

83Johnston, IAIA25,06526.8–

84Windsor Heights, IAIA5,05925.8–

85Indianola, IAIA16,82922.9–

86Grinnell, IAIA9,43022.1–

87Osceola, IAIA5,67913.7–

SHOWING 1–87 OF 87

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