RANKING · 2024 ACS · 148 SHOWN OF 148

Highest fertility rate, Missouri cities

Missouri 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 148 cities in Missouri 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

01Peculiar, MOMO6,365178.2–

02Bonne Terre, MOMO6,636131.8–

03Republic, MOMO22,404131.6–

04Caruthersville, MOMO5,211126.6–

05Union, MOMO13,445123.3–

06Eureka, MOMO13,422122.2–

07Mexico, MOMO11,558111.6–

08Dexter, MOMO7,851105.0–

09Festus, MOMO14,06697.8–

10Overland, MOMO15,47496.9–

11Rogersville, MOMO5,75496.5–

12Raytown, MOMO29,15494.3–

13Marshfield, MOMO8,07894.1–

14Valley Park, MOMO6,76792.9–

15Nixa, MOMO26,59792.6–

16Ladue, MOMO8,93491.9–

17Glendale, MOMO6,06091.6–

18Clinton, MOMO9,50490.7–

19Waynesville, MOMO5,55889.4–

20Troy, MOMO15,20189.2–

21Macon, MOMO5,53286.9–

22Hazelwood, MOMO24,84981.6–

23Carl Junction, MOMO8,48478.6–

24Richmond, MOMO5,96877.0–

25Bellefontaine Neighbors, MOMO10,36876.8–

26Sikeston, MOMO15,98376.2–

27Branson, MOMO12,92174.2–

28Florissant, MOMO51,12472.4–

29Lemay, MOMO16,22870.9–

30Manchester, MOMO18,06970.1–

31Parkville, MOMO9,09368.4–

32Joplin, MOMO53,93068.1–

33Richmond Heights, MOMO9,09367.1–

34Pevely, MOMO6,23966.8–

35Kearney, MOMO11,29666.3–

36St. Joseph, MOMO71,00163.3–

37West Plains, MOMO12,78061.4–

38Sedalia, MOMO22,62160.8–

39Belton, MOMO26,19360.8–

40Lee's Summit, MOMO107,51460.3–

41Oakville, MOMO35,33360.1–

42Battlefield, MOMO6,36159.8–

43Grain Valley, MOMO16,90859.8–

44Cameron, MOMO7,34159.3–

45Gladstone, MOMO27,49759.3–

46Carthage, MOMO15,89558.8–

47Kirksville, MOMO17,86358.8–

48Kirkwood, MOMO29,33158.6–

49Lebanon, MOMO15,66358.2–

50Bolivar, MOMO11,99458.1–

51Poplar Bluff, MOMO16,29558.0–

52Pleasant Hill, MOMO8,95657.8–

53Sappington, MOMO7,36757.6–

54Shrewsbury, MOMO6,23157.2–

55St. John, MOMO6,44156.9–

56Marshall, MOMO13,76656.4–

57Jackson, MOMO16,03355.8–

58Blue Springs, MOMO61,63254.9–

59Ashland, MOMO5,22154.8–

60Kansas City, MOMO521,22054.6–

61Perryville, MOMO8,59354.5–

62O'Fallon, MOMO96,10154.5–

63Chesterfield, MOMO49,30954.1–

64Ozark, MOMO23,54454.1–

65Ste. Genevieve, MOMO5,06553.1–

66Spanish Lake, MOMO17,87353.0–

67Springfield, MOMO169,84752.8–

68St. Peters, MOMO61,47952.1–

69Webb City, MOMO13,45951.6–

70Berkeley, MOMO8,02651.5–

71Smithville, MOMO11,16051.2–

72Neosho, MOMO14,07851.0–

73Jennings, MOMO13,09350.8–

74Des Peres, MOMO9,10250.6–

75Jefferson City, MOMO42,48950.3–

76Kennett, MOMO10,11849.9–

77Boonville, MOMO7,86749.5–

78Wentzville, MOMO49,49548.9–

79University City, MOMO34,65748.7–

80Bridgeton, MOMO11,27747.9–

81Columbia, MOMO130,85147.7–

82Murphy, MOMO8,28547.5–

83Sullivan, MOMO6,94246.7–

84Nevada, MOMO8,40446.4–

85Ferguson, MOMO17,95346.4–

86Rolla, MOMO20,58846.3–

87Maryville, MOMO10,09246.1–

88Greenwood, MOMO6,31545.7–

89Park Hills, MOMO8,75345.4–

90St. Charles, MOMO72,56144.9–

91Liberty, MOMO31,31944.4–

92Crestwood, MOMO12,20743.5–

93Raymore, MOMO26,63343.0–

94Hannibal, MOMO16,80442.1–

95Harrisonville, MOMO10,04041.6–

96Brentwood, MOMO8,07941.5–

97Ballwin, MOMO30,90141.3–

98Mehlville, MOMO29,80540.8–

99Arnold, MOMO20,99440.3–

100St. Robert, MOMO5,60240.0–

101Maryland Heights, MOMO27,55939.8–

102St. Louis, MOMO278,14439.3–

103Fort Leonard Wood, MOMO15,43238.4–

104Oak Grove, MOMO9,37038.2–

105Willard, MOMO6,90438.1–

106Wildwood, MOMO34,95538.1–

107Fulton, MOMO12,85337.0–

108De Soto, MOMO6,52736.3–

109Affton, MOMO19,05236.3–

110Grandview, MOMO26,65334.8–

111Webster Groves, MOMO23,45034.3–

112Pacific, MOMO7,82434.2–

113Dardenne Prairie, MOMO15,03233.7–

114Osage Beach, MOMO5,07933.7–

115Creve Coeur, MOMO18,48033.6–

116Independence, MOMO121,67532.7–

117Concord, MOMO18,36832.6–

118Sunset Hills, MOMO9,07532.4–

119Chillicothe, MOMO9,11432.4–

120Imperial, MOMO5,48831.4–

121Cottleville, MOMO6,71729.1–

122Savannah, MOMO5,10727.9–

123Washington, MOMO15,90627.0–

124Farmington, MOMO19,22626.9–

125Monett, MOMO10,24826.7–

126Excelsior Springs, MOMO10,81926.5–

127Olivette, MOMO8,93725.8–

128Lake St. Louis, MOMO19,12925.0–

129Ellisville, MOMO10,31524.2–

130Old Jamestown, MOMO20,65124.1–

131Cape Girardeau, MOMO40,97723.7–

132Town and Country, MOMO11,61923.5–

133Moberly, MOMO13,71923.4–

134Warrensburg, MOMO20,28322.7–

135St. Ann, MOMO12,61721.5–

136Wright City, MOMO5,85420.7–

137Warrenton, MOMO9,66718.0–

138Clayton, MOMO17,80717.4–

139Trenton, MOMO5,55717.4–

140Aurora, MOMO7,68614.5–

141Odessa, MOMO5,72111.1–

142Maplewood, MOMO8,03310.7–

143North Kansas City, MOMO5,6139.9–

144Barnhart, MOMO5,7854.2–

145Black Jack, MOMO6,5470.0–

146Glasgow, MOMO5,5040.0–

147Weldon Spring, MOMO5,3010.0–

148Herculaneum, MOMO5,4020.0–

SHOWING 1–148 OF 148

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