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).

RANKING · 2024 ACS · 500 SHOWN OF 6,826

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 (2023 ACS).

Flip the list · Lowest fertility rate, US cities →

All statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2010 2024

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

501Mascotte, FLFL10,15097.4–

502Lake Bluff, ILIL5,56397.4–

503Corry, PAPA5,99397.3–

504Rancho Calaveras, CACA7,13197.3–

505Mountain Brook, ALAL21,66197.3–

506Wright, FLFL27,92797.2–

507East Pasadena, CACA5,47997.1–

508Wildwood, NJNJ5,06897.0–

509Guntersville, ALAL9,39497.0–

510Hamilton, ALAL6,76996.9–

511Budd Lake, NJNJ10,65096.9–

512Overland, MOMO15,47496.9–

513Offutt AFB, NENE6,07496.9–

514Orland, CACA8,38196.9–

515Felida, WAWA10,84196.8–

516Odessa, TXTX122,70796.7–

517Solvang, CACA5,94496.7–

518Wells Branch, TXTX13,52396.7–

519American Fork, UTUT41,02096.7–

520Rogersville, MOMO5,75496.5–

521Somerset, KYKY12,69596.5–

522Cohoes, NYNY18,51896.5–

523Madeira, OHOH9,63796.4–

524Worthington, MNMN13,97996.4–

525Okeechobee, FLFL5,81196.4–

526Huron, CACA7,39496.3–

527Silver Springs, NVNV5,06096.3–

528Azle, TXTX15,36596.2–

529Easley, SCSC27,31996.2–

530Grants, NMNM8,93396.1–

531Frederick, COCO18,24196.0–

532Martinsville, NJNJ11,55996.0–

533Brentwood, PAPA9,59795.9–

534Pine Hills, FLFL80,10595.9–

535Lakeview, NYNY5,82595.8–

536Decatur, ILIL67,88495.8–

537Newport, OROR10,38395.7–

538Alcoa, TNTN13,68995.7–

539King, NCNC7,97795.6–

540Palos Heights, ILIL12,08495.5–

541Runnemede, NJNJ8,44395.4–

542Lower Burrell, PAPA11,47095.4–

543Webster, NYNY5,76195.3–

544Nibley, UTUT8,97595.3–

545Columbia, PAPA10,31495.2–

546Manor, TXTX23,07095.2–

547Ramsey, MNMN29,62495.2–

548Bear Valley Springs, CACA5,91295.0–

549Wrightwood, CACA5,06794.8–

550Shaw Heights, COCO5,56594.8–

551Zephyrhills West, FLFL5,98094.7–

552Moody, ALAL13,55994.6–

553Stickney, ILIL6,89794.6–

554Holly Ridge, NCNC5,90894.5–

555South Bradenton, FLFL25,99094.5–

556Mount Airy, MDMD9,85794.4–

557Florida Ridge, FLFL20,88994.4–

558Glasgow, DEDE15,54694.4–

559Columbia City, ININ10,25694.4–

560Spanish Fork, UTUT48,83794.4–

561Berlin, MDMD5,33594.4–

562Mead Valley, CACA19,28694.3–

563Raytown, MOMO29,15494.3–

564Portage, WIWI9,95694.2–

565Marshfield, MOMO8,07894.1–

566Ridgefield, CTCT6,97094.1–

567Watford City, NDND6,37894.1–

568Hutchins, TXTX8,20694.0–

569Hartsville, SCSC7,37494.0–

570Shanor-Northvue, PAPA5,12594.0–

571New Albany, MSMS7,75694.0–

572Jacksonville, TXTX14,65893.9–

573Covington, GAGA17,47793.9–

574Carteret, NJNJ25,78193.8–

575Geneva, NYNY12,55293.8–

576Rossmoor, CACA11,53293.7–

577Plainedge, NYNY8,62493.6–

578Oregon, OHOH19,67493.5–

579Conneaut, OHOH12,24793.5–

580Pine Ridge CDP (Citrus County), FLFL10,76293.5–

581London, OHOH10,81393.4–

582Commerce, GAGA9,30393.3–

583Maple Heights, OHOH22,90293.2–

584Vineyard, UTUT16,09293.2–

585Brandon, MSMS26,12293.2–

586Evansville, WIWI5,83793.0–

587Sumter, SCSC43,09493.0–

588Alexandria, KYKY10,99493.0–

589Sanger, CACA27,22892.9–

590Breckenridge, TXTX5,12392.9–

591Grand Island, NENE53,94392.9–

592Valley Park, MOMO6,76792.9–

593El Rio, CACA6,36892.9–

594Ivins, UTUT11,54692.7–

595Ocean Pointe, HIHI17,08592.7–

596Benson, AZAZ5,53292.7–

597DeForest, WIWI13,09492.7–

598Nixa, MOMO26,59792.6–

599Fort Morgan, COCO11,84192.5–

600Waipio, HIHI10,87092.4–

601West Pensacola, FLFL20,66592.4–

602Succasunna, NJNJ9,79992.3–

603Norristown, PAPA35,91192.3–

604North Fort Lewis, WAWA6,33792.3–

605West Miami, FLFL7,12592.2–

606North Bend, OROR9,96692.2–

607Winters, CACA8,21491.9–

608Ladue, MOMO8,93491.9–

609Bloomingdale, NJNJ7,85391.9–

610Guadalupe, CACA8,84691.9–

611Abingdon, MDMD5,01991.8–

612Tullahoma, TNTN21,27991.7–

613Lakeside CDP (San Diego County), CACA22,44791.7–

614Tuba City, AZAZ7,96091.7–

615Crossville, TNTN13,11391.7–

616Marion Oaks, FLFL23,97291.6–

617Glendale, MOMO6,06091.6–

618New Cassel, NYNY14,55191.6–

619Camp Pendleton Mainside, CACA9,50191.5–

620Junction City, KSKS22,58391.5–

621McCook, NENE7,15791.5–

622Midland, TXTX147,61591.5–

623Sidney, NENE6,43291.4–

624Three Oaks, FLFL6,14491.4–

625Sugarland Run, VAVA12,62991.4–

626Lake Station, ININ12,97791.4–

627Greenville, OHOH12,68091.4–

628Avenal, CACA13,47991.4–

629Bayville, NYNY6,78091.3–

630Rigby, IDID5,75791.3–

631Spring Grove, ILIL5,52691.3–

632Taneytown, MDMD8,25991.2–

633Lake Worth Beach, FLFL43,97091.2–

634La Vergne, TNTN42,14691.0–

635Springfield, TNTN20,09090.9–

636Cartersville, GAGA25,34990.7–

637Piedmont, CACA10,64290.7–

638Clinton, MOMO9,50490.7–

639Progreso, TXTX5,14890.7–

640Ashton-Sandy Spring, MDMD5,63090.7–

641Wickliffe, OHOH12,64990.7–

642Groveland, FLFL25,52690.6–

643Sangaree, SCSC8,68190.6–

644Jersey, TXTX7,72990.6–

645Pell City, ALAL14,32090.6–

646Chestertown, MDMD5,65890.6–

647Altus, OKOK18,70790.6–

648Durham, CACA5,34090.5–

649Zeeland, MIMI5,63790.5–

650Franklin Center, NJNJ6,64690.5–

651Smyrna, DEDE13,34090.5–

652Asheboro, NCNC27,99090.5–

653Northfield, ILIL5,63290.4–

654Fair Plain, MIMI7,33090.4–

655Sultan, WAWA7,23090.4–

656Marrero, LALA32,54090.4–

657Bellevue, OHOH8,15490.3–

658Ashwaubenon, WIWI17,39890.2–

659Wonder Lake, ILIL5,59390.2–

660Hitchcock, TXTX7,72290.2–

661Largo, MDMD12,22990.1–

662South Weber, UTUT8,21890.1–

663Seminole, OKOK7,39390.0–

664Hampden, MEME5,16190.0–

665Jordan, MNMN6,98890.0–

666Saranap, CACA5,66289.9–

667Allegan, MIMI5,12789.9–

668Glens Falls North, NYNY9,15489.8–

669Philadelphia, MSMS6,85889.8–

670Phoenixville, PAPA20,35689.8–

671Washingtonville, NYNY5,64089.8–

672Fulton, MDMD5,67789.8–

673Derby, COCO8,45389.7–

674Elk Plain, WAWA14,27689.7–

675Troy, ILIL11,89389.6–

676Country Club, CACA10,16189.6–

677Bennington, VTVT9,24589.4–

678Waynesville, MOMO5,55889.4–

679El Dorado, KSKS12,69689.4–

680Athens, TXTX13,87089.3–

681Pearsall, TXTX9,17089.3–

682River Rouge, MIMI6,81489.3–

683Bellbrook, OHOH7,56389.2–

684College, AKAK11,92489.2–

685Troy, MOMO15,20189.2–

686Vandalia, ILIL7,10889.2–

687Joppatowne, MDMD14,23789.2–

688Shelbyville, ININ21,20489.2–

689Bethel, AKAK6,62689.1–

690Massapequa Park, NYNY16,99789.1–

691Steele Creek, AKAK5,92889.1–

692White Meadow Lake, NJNJ8,84289.1–

693Maryville, ILIL8,41389.1–

694Mechanicstown, NYNY8,80889.1–

695Golden Triangle, NJNJ5,76589.0–

696Douglas, GAGA11,86489.0–

697Rusk, TXTX5,56889.0–

698Jamestown, NYNY27,66388.8–

699Mount Airy, NCNC10,68288.8–

700Belmont, CACA28,75288.7–

701Holdrege, NENE5,55588.7–

702Normandy Park, WAWA6,60988.7–

703West Livingston, TXTX8,19988.6–

704Pottsville, PAPA13,17088.5–

705Fayetteville, GAGA20,46588.5–

706Twin Lakes CDP (Adams County), COCO8,03088.5–

707Willmar, MNMN22,00188.5–

708Woodlawn CDP (Prince George's County), MDMD7,75088.4–

709Westmont, CACA34,12388.4–

710Columbus, NENE25,24888.3–

711St. Louis, MIMI7,40688.2–

712Kalifornsky, AKAK8,66388.2–

713Sheffield, ALAL9,41688.2–

714Burton, MIMI29,31388.1–

715Knik-Fairview, AKAK19,97288.1–

716Veneta, OROR5,13888.1–

717Lake Havasu City, AZAZ59,35888.0–

718Ashland, WIWI7,92788.0–

719Arbutus, MDMD22,50788.0–

720Stewartville, MNMN6,85087.8–

721Sterling, AKAK6,32387.8–

722Huntertown, ININ11,60087.8–

723Laurel Bay, SCSC5,88287.8–

724Abington, MAMA17,05387.7–

725Safford, AZAZ10,27987.6–

726Kingsland, GAGA21,29987.6–

727Lealman, FLFL20,56787.6–

728Carlinville, ILIL5,46587.5–

729Oak Harbor, WAWA24,08387.5–

730Seabrook, MDMD18,31787.5–

731Jarrell, TXTX5,87087.5–

732Kahului, HIHI28,28887.4–

733Powell, WYWY6,57487.4–

734La Cresta, CACA8,38987.4–

735Andrews, TXTX13,66587.4–

736Sierra View, PAPA6,36587.3–

737Bartow, FLFL23,61787.3–

738Yuma, AZAZ105,22787.2–

739Sergeant Bluff, IAIA5,32487.2–

740Thomson, GAGA6,76387.2–

741Sheridan, COCO5,97287.1–

742Lake Mathews, CACA6,52787.1–

743Macon, MOMO5,53286.9–

744Latimer, MSMS6,75686.8–

745La Feria, TXTX7,22286.8–

746Wasco, CACA26,52586.7–

747El Dorado, ARAR16,60986.7–

748Madera, CACA69,01786.7–

749Walton, KYKY5,86886.6–

750Fairview, TNTN10,87786.6–

751Edgemoor, DEDE6,34986.6–

752Las Vegas, NMNM12,57486.5–

753Lewistown, MTMT6,17986.5–

754Salmon Creek, WAWA20,01786.5–

755Springville, UTUT35,67086.4–

756Federal Heights, COCO14,07586.4–

757East End, ARAR6,91286.3–

758Mead, WAWA6,89386.3–

759Harrisville, UTUT7,15486.3–

760Linwood, NJNJ7,05186.3–

761Atlantic Beach, FLFL13,24586.3–

762Merrick, NYNY21,74486.2–

763Lynbrook, NYNY20,85586.2–

764Milliken, COCO9,18386.1–

765Freeport, ILIL23,20286.0–

766West Pleasant View, COCO5,05185.8–

767White Bear Lake, MNMN23,39285.8–

768Plumas Lake, CACA9,41885.7–

769Lake Morton-Berrydale, WAWA11,18385.7–

770Brooklyn Park, MNMN83,54385.7–

771Lebanon, KYKY6,69985.7–

772San Carlos, CACA29,26185.5–

773Upper Sandusky, OHOH6,66185.5–

774Los Osos, CACA14,16685.5–

775St. Marys, OHOH8,39885.4–

776West Glens Falls, NYNY10,05085.3–

777Searcy, ARAR24,35185.3–

778New Haven, ININ16,33785.3–

779Storm Lake, IAIA11,59085.3–

780Montgomery, OHOH10,92285.3–

781Springfield, MIMI5,24685.2–

782Coolidge, AZAZ19,95985.2–

783Clairton, PAPA5,87685.2–

784Avon, COCO6,18485.2–

785Garden City, KSKS27,40285.1–

786Lochmoor Waterway Estates, FLFL6,51185.1–

787Fridley, MNMN30,82985.1–

788Easton, MDMD17,29384.9–

789Rye Brook, NYNY9,95584.9–

790Carolina Forest, SCSC26,26384.8–

791Wetumpka, ALAL7,53584.8–

792Heber, UTUT19,65184.8–

793Washington, ININ12,99184.8–

794Bonney Lake, WAWA22,13984.8–

795Leawood, KSKS34,09384.7–

796Statesville, NCNC32,18184.7–

797Connellsville, PAPA6,57484.7–

798Livingston, CACA14,69084.7–

799Fort Pierce North, FLFL7,22484.7–

800Cedar Mill, OROR19,47184.7–

801West Samoset, FLFL7,42984.7–

802Centralia, WAWA19,37584.7–

803Parkersburg, WVWV28,59384.7–

804Town of Pecos, TXTX10,38684.6–

805Olean, NYNY13,50884.6–

806Willows, CACA6,11684.5–

807Horn Lake, MSMS26,74184.5–

808Lakeland South, WAWA13,10084.5–

809Pleasant Prairie, WIWI21,79884.5–

810Southwood Acres, CTCT8,11584.5–

811Kailua CDP (Hawaii County), HIHI21,81884.5–

812Fort Knox, KYKY8,83684.4–

813St. Johnsbury, VTVT5,85984.4–

814Hutchinson, KSKS39,59584.4–

815Seguin, TXTX41,04884.4–

816San Anselmo, CACA12,55584.4–

817Sterling, COCO13,05484.3–

818Silverton, OROR10,45084.2–

819Lincroft, NJNJ6,93984.2–

820Laurel, FLFL11,74184.2–

821Callaway, FLFL14,36984.2–

822LaSalle, ILIL9,38884.2–

823Sausalito, CACA7,01984.1–

824Old Forge, PAPA8,64084.1–

825Anadarko, OKOK5,44884.1–

826Fort Mohave, AZAZ15,71584.0–

827Texarkana, ARAR29,12384.0–

828Hartsville/Trousdale County, TNTN12,62384.0–

829Countryside, ILIL6,26083.9–

830Shiloh, OHOH10,52683.8–

831Pendleton, OROR16,98983.8–

832Arizona City, AZAZ9,54383.7–

833Islip, NYNY17,36283.7–

834Barstow, CACA24,80483.6–

835Fitzgerald, GAGA8,88283.6–

836Kankakee, ILIL23,40083.6–

837Opa-locka, FLFL16,17783.6–

838Ceres, CACA48,98283.6–

839Franklin, VAVA8,47883.6–

840Manitowoc, WIWI34,67183.6–

841Mira Monte, CACA6,88883.6–

842Blytheville, ARAR12,22783.5–

843Coto de Caza, CACA15,19083.5–

844Highland Springs, VAVA14,29683.5–

845Barling, ARAR5,45283.5–

846Flanders, NYNY6,60983.5–

847University Park, ILIL7,01983.4–

848Denison, TXTX26,82283.4–

849Pilot Point, TXTX8,05283.3–

850East Hampton North, NYNY6,00683.3–

851Cheat Lake, WVWV10,90283.3–

852Poplar Grove, ILIL5,20683.3–

853Kennesaw, GAGA37,97083.3–

854Foothill Farms, CACA36,43583.3–

855Chatham, ILIL14,57983.3–

856Florence, SCSC41,23183.2–

857Avon, ININ25,35083.2–

858Piney Green, NCNC14,07883.2–

859Pacific, WAWA7,05683.2–

860Alsip, ILIL18,48383.1–

861Lonsdale, MNMN5,11783.1–

862Centerville, IAIA5,32783.1–

863Kihei, HIHI21,56783.1–

864Mendota, CACA12,77883.0–

865Copiague, NYNY23,42483.0–

866Ridley Park, PAPA7,25583.0–

867Canton, GAGA40,77883.0–

868Point Pleasant, NJNJ19,71282.9–

869Highland, ININ23,40982.9–

870Grove, OKOK7,39982.9–

871Penitas, TXTX6,49582.9–

872White Oak, MDMD17,32982.9–

873Hamtramck, MIMI27,26182.8–

874Langley Park, MDMD21,50882.8–

875Davenport, FLFL18,11082.8–

876Coralville, IAIA23,96082.8–

877Monticello, ARAR8,26982.8–

878Sealy, TXTX7,93782.7–

879O'Fallon, ILIL32,65682.7–

880Moundsville, WVWV7,65982.7–

881St. Anthony city (Hennepin and Ramsey Counties), MNMN9,98982.7–

882McKee City, NJNJ10,73182.6–

883Van Buren, ARAR24,55682.5–

884North Wantagh, NYNY11,94082.5–

885Horizon City, TXTX25,11882.5–

886Johnstown, OHOH5,47682.4–

887Warwick, NYNY6,53482.4–

888Saratoga Springs, UTUT61,39782.4–

889Galion, OHOH10,37082.4–

890Newberry, SCSC10,89182.4–

891Mount Vernon, OHOH17,28782.3–

892Marysville, MIMI9,86882.3–

893Middlesex, NJNJ14,74082.3–

894Stayton, OROR8,48882.3–

895Cleburne, TXTX39,94282.3–

896Yelm, WAWA12,04382.2–

897Pecan Grove, TXTX24,27282.2–

898Whiteland, ININ5,88482.2–

899Lansdale, PAPA18,98682.1–

900Dacono, COCO6,84482.1–

901Waterville, MEME17,57982.1–

902Athens, TNTN15,26382.0–

903Stoneham, MAMA23,35582.0–

904Lake Los Angeles, CACA13,05182.0–

905Half Moon, NCNC7,37882.0–

906West Babylon, NYNY43,57082.0–

907Gulf Hills, MSMS8,45182.0–

908Fords, NJNJ12,77181.9–

909Hornsby Bend, TXTX12,36781.9–

910Derby, CTCT12,92581.9–

911North Augusta, SCSC26,98281.9–

912Lewistown, PAPA8,38581.9–

913Great Falls, MTMT60,20881.9–

914Great Neck, NYNY11,14181.9–

915Griffith, ININ16,13781.8–

916Del Aire, CACA11,11581.8–

917New Kensington, PAPA11,75981.8–

918Windsor Locks, CTCT12,57981.8–

919Lauderhill, FLFL75,66881.8–

920Red Oak, TXTX20,39481.8–

921Pigeon Forge, TNTN6,59881.8–

922Sunbury, OHOH8,85781.8–

923Montrose-Ghent, OHOH5,90381.7–

924Senatobia, MSMS8,47381.7–

925Indiantown, FLFL6,82681.7–

926McMinnville, OROR34,64781.7–

927Somerdale, NJNJ5,82381.7–

928Duncan, OKOK23,23881.7–

929Manvel, TXTX20,69981.7–

930South Kensington, MDMD8,14881.6–

931Hazelwood, MOMO24,84981.6–

932McKenzie, TNTN5,63281.6–

933Emmett, IDID8,90081.6–

934Rayne, LALA6,99581.5–

935Pennsville, NJNJ12,23381.5–

936Ridge Wood Heights, FLFL5,36681.5–

937Portland, ININ6,23781.4–

938Ottawa, ILIL18,68481.3–

939Shelbyville, TNTN26,14681.3–

940Orange City, IAIA6,46881.3–

941Litchfield, MNMN6,52881.3–

942Brookhaven, WVWV6,21281.2–

943Shiloh, PAPA11,24681.2–

944Reynoldsburg, OHOH43,35081.2–

945Lexington, NENE11,17681.2–

946Sonterra, TXTX10,56381.2–

947Takoma Park, MDMD17,26081.2–

948Monroe, WIWI10,58181.2–

949Slidell, LALA28,34181.2–

950Social Circle, GAGA5,53781.1–

951Chester, VAVA24,47481.1–

952Washington, IAIA7,26181.1–

953Covington, WAWA21,49681.1–

954Mount Pleasant, TXTX16,22581.0–

955Somers, WIWI8,17181.0–

956Bellair-Meadowbrook Terrace, FLFL14,75581.0–

957Robinwood, MDMD8,04281.0–

958Anamosa, IAIA5,90181.0–

959Payette, IDID8,81381.0–

960Port Clinton, OHOH5,87581.0–

961Black Diamond, WAWA6,97880.9–

962Gages Lake, ILIL10,81980.9–

963Havelock, NCNC17,43080.9–

964Ocean Shores, WAWA7,89280.8–

965Genoa, ILIL5,54780.7–

966Piedmont, SCSC5,46280.7–

967Pleasant Grove, UTUT37,77380.7–

968Coweta, OKOK11,47280.6–

969Reading, MAMA25,61280.5–

970Centerton, ARAR27,17680.5–

971Elizabethton, TNTN14,35080.5–

972Pea Ridge, WVWV6,98880.5–

973Albemarle, NCNC17,76980.5–

974Sunland Park, NMNM18,26880.5–

975Waxahachie, TXTX50,09080.4–

976Myrtletown, CACA5,32280.4–

977Woodside, CACA5,18180.4–

978Shelley, IDID5,30380.3–

979Arlington, WAWA22,03180.3–

980Spirit Lake, IAIA5,52580.3–

981Pembroke Park, FLFL6,42580.2–

982Hanford, CACA62,22980.2–

983Four Square Mile, COCO23,02480.1–

984Mount Vernon, VAVA13,12280.1–

985Island Park, NYNY5,06980.1–

986Picayune, MSMS12,01980.1–

987Elyria, OHOH53,63480.1–

988Valdosta, GAGA56,18680.1–

989Dunellen, NJNJ8,33780.1–

990Porterville, CACA63,08880.0–

991Villa Park, CACA5,64580.0–

992Vernal, UTUT10,67180.0–

993Fort Lee, VAVA8,99379.9–

994Kill Devil Hills, NCNC7,73179.8–

995Bellwood, VAVA7,90779.7–

996Montvale, NJNJ10,11379.7–

997Drexel Hill, PAPA30,45179.7–

998Waipahu, HIHI40,48279.7–

999Centerville, OHOH25,19479.7–

1000Cleveland, MSMS10,13879.7–

SHOWING 501–1,000 OF 6,826

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