RANKING · 2024 ACS · 500 SHOWN OF 925

Highest fertility rate, US metro areas

US metro areas ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). Plainview, TX leads at 127.6. 925 metro areas qualify in total. Texas carries 5 of the top 25 entries.

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SAME RANKING BYCities Counties States ZIP codes

YEAR2010 2024

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

USUnited States334,922,49951.3–

01Plainview, TXTX36,700127.6+109%

02Winnemucca, NVNV17,267118.6+50%

03Port Lavaca, TXTX19,599118.1+68%

04Elk City, OKOK22,159113.0+34%

05Decatur, ININ36,650110.6+22%

06McComb, MSMS52,640110.3+96%

07Cody, WYWY31,171109.7+69%

08Vernal, UTUT38,278105.4+22%

09Guymon, OKOK20,322105.0+83%

10Clovis, NMNM65,270104.7+33%

11Del Rio, TXTX47,835100.9+18%

12Forrest City, ARAR21,800100.3+164%

13Cordele, GAGA19,23798.7+85%

14Fort Madison, IAIA32,30697.7+75%

15Mexico, MOMO24,52897.6+105%

16Los Alamos, NMNM19,40796.9+258%

17Camden, ARAR26,36395.5+16%

18Mason City, IAIA49,71095.4+51%

19Big Spring, TXTX30,50494.6−17%

20Douglas, GAGA52,86194.5+76%

21Decatur, ILIL99,30094.1+40%

22Jacksonville, NCNC217,17592.6−3%

23Kinston, NCNC55,83792.5+66%

24Odessa, TXTX173,80192.4+13%

25Mayfield, KYKY37,05091.4+68%

26Huron, SDSD19,62491.3+32%

27Austin, MNMN40,97191.1+26%

28Jacksonville, TXTX53,33791.0+42%

29Dickinson, NDND39,14290.6+121%

30Hinesville, GAGA91,87090.5+39%

31Worthington, MNMN22,33890.1+44%

32Altus, OKOK24,76489.4+41%

33Grand Island, NENE78,07689.1+23%

34Ocean Pines, MDMD54,45988.8+36%

35Hutchinson, KSKS61,53988.2+25%

36Alexander City, ALAL40,95388.1+40%

37Washington, ININ34,20988.1+31%

38Great Falls, MTMT85,02986.8+27%

39Greenville, OHOH51,52086.0+48%

40Kennett, MOMO26,85585.9+47%

41Newport, OROR50,63685.8+76%

42Moultrie, GAGA47,43885.6+39%

43Corinth, MSMS34,56985.2+138%

44Lebanon, MOMO36,94383.4+55%

45Granbury, TXTX70,50182.9+70%

46Midland, TXTX193,13982.6+29%

47Summerville, GAGA25,30082.3+10%

48Zapata, TXTX13,75382.3−44%

49Enterprise, ALAL56,95382.2+46%

50Eagle Pass, TXTX58,82381.8−8%

51Storm Lake, IAIA20,44981.7+22%

52Vineyard Haven, MAMA21,21981.3+182%

53Miami, OKOK30,43881.3+40%

54Garden City, KSKS37,50581.1−2%

55Dumas, TXTX21,89181.0+5%

56Brookings, OROR22,62180.5+37%

57Natchez, MSMS54,72280.5+76%

58Gallipolis, OHOH29,07280.4+24%

59Newberry, SCSC39,56180.3+58%

60Columbus, NENE46,58380.2+34%

61El Campo, TXTX42,06080.2+52%

62Yankton, SDSD23,63580.0+28%

63Hobbs, NMNM74,74979.7+13%

64DeRidder, LALA36,67379.4+33%

65Burley, IDID49,30879.3−10%

66Alexandria, MNMN40,12079.3+24%

67Wahpeton, NDND23,01979.0+1%

68Town of Pecos, TXTX12,13878.7−44%

69Gloversville, NYNY52,21678.5+70%

70Ontario, OROR60,08577.6+12%

71Jasper, ININ44,01677.5+38%

72Clearlake, CACA67,77277.2+55%

73St. Simons, GAGA118,52477.0+76%

74Sumter, SCSC105,06776.2+43%

75Mount Pleasant, TXTX57,07676.0−6%

76Duncan, OKOK44,31076.0+52%

77Houma, LALA199,66875.6+24%

78Celina, OHOH42,73775.6−11%

79Valdosta, GAGA153,27675.5+5%

80Grenada, MSMS30,22275.4−23%

81Great Bend, KSKS24,79075.3−9%

82Centralia, WAWA88,06275.2+19%

83Tahlequah, OKOK49,19674.9+48%

84Albert Lea, MNMN30,44074.7+68%

85Snyder, TXTX16,16274.7−33%

86Hanford, CACA154,32774.7+14%

87Owensboro, KYKY113,96274.6+39%

88Liberal, KSKS21,07374.5−23%

89Crossville, TNTN66,30074.3+45%

90Sterling, COCO20,65474.0−26%

91Alexandria, LALA147,95273.7+11%

92Provo, UTUT773,42673.7−19%

93Atchison, KSKS16,17273.6+8%

94Detroit Lakes, MNMN35,49773.5−2%

95Cleveland, MSMS28,26273.3+18%

96Pontiac, ILIL35,05773.3+7%

97Defiance, OHOH38,29273.0+36%

98Wooster, OHOH116,75872.4+43%

99Fort Morgan, COCO30,30672.4+13%

100Gaffney, SCSC58,27572.2+43%

101Mount Vernon, OHOH64,00272.1+42%

102Kingsland, GAGA60,14372.0+3%

103Red Bluff, CACA64,66571.7−9%

104Sioux Falls, SDSD314,63871.6+21%

105Toccoa, GAGA27,85471.5+38%

106Ottumwa, IAIA35,21071.5+8%

107Alma, MIMI41,19071.3+55%

108Russellville, ALAL32,44971.0+84%

109Manhattan, KSKS136,12270.8+8%

110Enid, OKOK61,77970.8+19%

111Carson, NVNV58,57170.5+92%

112Ottawa, ILIL145,90270.4+51%

113Athens, TXTX88,59570.2+11%

114Brigham City, UTUT70,40570.1−16%

115Yuba City, CACA187,47870.1−2%

116Clinton, IAIA46,00270.1+37%

117Pittsburg, KSKS39,00870.0+49%

118Crawfordsville, ININ38,95469.9+48%

119Fairbanks, AKAK93,97269.8+6%

120Lewiston, IDID65,45069.8+0%

121Vincennes, ININ35,65269.6+45%

122Athens, TNTN71,59069.6+16%

123Fayetteville, TNTN36,85369.5−3%

124Palatka, FLFL77,73469.5+29%

125Idaho Falls, IDID173,85169.5−14%

126Yakima, WAWA259,18569.2−13%

127Willmar, MNMN44,72069.1+21%

128Sedalia, MOMO44,25469.1+27%

129Carlsbad, NMNM62,50968.9+8%

130Gillette, WYWY48,14568.9+5%

131Andrews, TXTX18,91468.8+77%

132Cambridge, OHOH38,37968.7+8%

133Watertown, NYNY111,54068.7−5%

134Selma, ALAL35,14068.7+20%

135Billings, MTMT193,60368.7+1%

136Centralia, ILIL36,38268.5−7%

137Aberdeen, SDSD41,58368.4+19%

138Fort Smith, ARAR234,14068.3+23%

139Shelbyville, TNTN55,27368.3+8%

140Ozark, ALAL49,91268.1+5%

141Moses Lake, WAWA105,72768.0−14%

142Parkersburg, WVWV87,26468.0+31%

143El Dorado, ARAR36,92668.0+39%

144Picayune, MSMS59,36367.9−2%

145Rice Lake, WIWI46,48467.7+48%

146New Iberia, LALA66,84667.7−21%

147Crestview, FLFL315,09867.6+5%

148Aberdeen, WAWA78,14467.6+31%

149Lock Haven, PAPA37,87067.3+109%

150Lawrenceburg, TNTN46,91467.1+30%

151Fergus Falls, MNMN61,04167.1+22%

152Laconia, NHNH65,14767.1+66%

153Monticello, NYNY80,58667.1−11%

154Clarksburg, WVWV88,14266.8+7%

155Middlesborough, KYKY22,82966.8−5%

156Killeen, TXTX511,49766.8−8%

157Kahului, HIHI160,67466.7+6%

158North Platte, NENE33,97266.7−27%

159Norfolk, NENE49,22866.7+1%

160Kokomo, ININ83,90466.6+32%

161Searcy, ARAR80,08566.6+19%

162Salem, OHOH99,37766.6+11%

163West Plains, MOMO40,79866.6+35%

164Laredo, TXTX281,22466.5−7%

165Stephenville, TXTX43,91166.5+32%

166Kapaa, HIHI73,40066.5+3%

167Ruidoso, NMNM19,84466.3+23%

168Corbin, KYKY150,04066.3+24%

169Bucyrus, OHOH41,89666.2+35%

170Meridian, MSMS85,41966.2−12%

171Seneca, SCSC83,77566.1+39%

172Laurel, MSMS82,28166.0+16%

173Bogalusa, LALA44,93766.0+5%

174Rockingham, NCNC42,04165.8+23%

175Lake Havasu City, AZAZ228,10265.8+14%

176Raymondville, TXTX19,97165.8+58%

177Batesville, ARAR38,78565.7+36%

178Scottsbluff, NENE36,27265.7−10%

179Muskogee, OKOK66,70865.4+4%

180Okeechobee, FLFL42,60865.2+13%

181North Wilkesboro, NCNC66,23365.2+27%

182Mineral Wells, TXTX30,79165.1−19%

183Freeport, ILIL43,22065.1+18%

184Ottawa, KSKS26,29965.1+14%

185Rochester, MNMN231,18464.8+5%

186Lexington, NENE26,25564.8−5%

187Columbus, MSMS67,14464.8+40%

188Blackfoot, IDID51,15364.8−18%

189Jefferson, GAGA99,26564.6−3%

190Sherman, TXTX153,61364.6+25%

191Roanoke Rapids, NCNC63,02564.4−8%

192Malvern, ARAR33,45164.3+40%

193Panama City, FLFL231,17464.3+1%

194Clarksdale, MSMS19,84964.3+24%

195Meadville, PAPA81,79264.2+52%

196New Philadelphia, OHOH92,37364.2+14%

197Rock Springs, WYWY41,26764.1−14%

198Dubuque, IAIA99,38164.1−16%

199Kenosha, WIWI168,44864.1+16%

200Midland, MIMI83,75464.0+57%

201Cheyenne, WYWY102,93864.0+33%

202Lafayette, LALA423,75864.0+5%

203Auburn, NYNY74,36564.0+39%

204Lancaster, PAPA563,15963.9−0%

205Glens Falls, NYNY124,37363.9+45%

206Baraboo, WIWI66,65263.8+1%

207Lake City, FLFL74,09463.8+42%

208Cullman, ALAL94,00963.7+32%

209Effingham, ILIL44,72763.6−11%

210Shawano, WIWI45,75963.6−8%

211Shelby, NCNC103,32563.5+28%

212Dodge City, KSKS33,99363.4−28%

213Rio Grande City, TXTX66,31963.2−25%

214Sioux City, IAIA145,73863.2−4%

215Carbondale, ILIL52,50163.1+51%

216Yuma, AZAZ224,44963.0−19%

217Wapakoneta, OHOH45,90963.0−15%

218Fayetteville, NCNC395,41262.8−12%

219Sheridan, WYWY33,24162.8−9%

220Joplin, MOMO208,79662.8+21%

221Coshocton, OHOH37,18862.8+21%

222El Paso, TXTX881,29162.8−3%

223Easton, MDMD38,23862.7+18%

224Goldsboro, NCNC122,27862.7−11%

225Utica, NYNY285,61162.6+35%

226Kiryas Joel, NYNY718,37762.5+13%

227Hammond, LALA141,34662.5+1%

228Huntington, ININ37,22462.5+11%

229Pahrump, NVNV57,33662.5+25%

230Somerset, KYKY67,38462.4+20%

231Kerrville, TXTX54,03762.3+23%

232Spirit Lake, IAIA18,07762.2−14%

233Opelousas, LALA80,76562.2−9%

234Murrells Inlet, SCSC65,91262.2+31%

235Twin Falls, IDID123,90162.1−13%

236Monticello, ININ25,16462.1−21%

237Vallejo, CACA455,37662.1−6%

238Bakersfield, CACA927,06862.0−16%

239Hilo, HIHI210,04362.0+18%

240Bonham, TXTX39,26561.9+18%

241Arkansas City, KSKS34,38261.9+12%

242Fort Dodge, IAIA36,83861.9+39%

243Laurinburg, NCNC33,32261.9−0%

244Ashland, OHOH52,52361.8+9%

245Bismarck, NDND139,75061.7−8%

246Marshalltown, IAIA39,89061.7−10%

247McAlester, OKOK43,32061.7−11%

248Warren, PAPA37,03861.7+9%

249Owosso, MIMI67,68161.7+35%

250Manitowoc, WIWI81,71061.6+8%

251St. Joseph, MOMO119,17061.5−11%

252Cadillac, MIMI49,71961.5+16%

253Lewistown, PAPA46,12761.5+19%

254Clarksville, TNTN349,00161.5−21%

255Coldwater, MIMI45,99361.4−17%

256McAllen, TXTX921,54961.3−28%

257Wenatchee, WAWA128,41461.3+1%

258Fort Wayne, ININ466,25861.3−1%

259Mobile, ALAL411,65861.3+18%

260Waterloo, IAIA169,18961.2+3%

261Greeley, COCO378,42661.2+1%

262Van Wert, OHOH29,01361.2+28%

263Greenwood, MSMS34,91261.1−21%

264Lake of the Woods, VAVA40,08361.1+23%

265Rockford, ILIL337,24261.0+21%

266Jamestown, NYNY124,12661.0+28%

267Mount Sterling, KYKY48,42861.0+16%

268Winchester, TNTN45,57960.9−6%

269Las Cruces, NMNM229,09160.9−1%

270Newport, TNTN37,88960.9+23%

271Olean, NYNY75,39060.8−2%

272Kendallville, ININ47,93760.8−20%

273Visalia, CACA485,14660.8−26%

274Baker City, OROR16,65860.7−2%

275Greenville, MSMS40,44660.7−9%

276Casper, WYWY80,52660.6+8%

277Platteville, WIWI52,44660.6+1%

278New Bern, NCNC127,35860.6−2%

279Wichita, KSKS663,80960.6−11%

280Erie, PAPA265,83260.5+16%

281Victoria, TXTX99,86460.5−24%

282Beaumont, TXTX399,31060.5−4%

283Texarkana, TXTX146,81660.4−10%

284Grand Forks, NDND105,04660.3+6%

285Eufaula, ALAL26,86160.3−24%

286Safford, AZAZ40,15760.3−20%

287Bartlesville, OKOK54,03760.2+41%

288Bay City, TXTX36,46360.2−29%

289Mount Airy, NCNC72,28760.1+15%

290Colorado Springs, COCO781,79660.1−1%

291Emporia, KSKS34,83860.0−6%

292Springfield, MOMO500,69460.0+1%

293Lake Charles, LALA244,65560.0+10%

294Oskaloosa, IAIA21,88059.8−33%

295Montrose, COCO44,59159.8−19%

296Charleston, SCSC889,26359.7+6%

297Cedar Rapids, IAIA279,28559.7−2%

298Carroll, IAIA20,30359.7−25%

299Poplar Bluff, MOMO41,90459.7−2%

300Ardmore, OKOK48,91059.6−5%

301Talladega, ALAL91,76459.6+1%

302Ocala, FLFL442,66059.5−1%

303Oneonta, NYNY60,58959.5+37%

304Appleton, WIWI249,87659.5+13%

305Florence, SCSC201,39259.4+24%

306Sandusky, OHOH112,77759.4+28%

307Mount Vernon, ILIL36,14759.4−7%

308Seymour, ININ47,37059.4+5%

309Anchorage, AKAK405,82159.3−19%

310Ukiah, CACA88,12259.2+19%

311Beaver Dam, WIWI89,09759.2+6%

312Gainesville, GAGA226,56859.2−23%

313Zanesville, OHOH87,01459.1+8%

314Springfield, OHOH135,34059.1+11%

315Waterbury, CTCT463,34959.0–

316Astoria, OROR40,92659.0+38%

317Frankfort, ININ33,32258.9−16%

318Campbellsville, KYKY38,40758.9+2%

319Paris, TXTX63,31958.8+11%

320Saginaw, MIMI187,68858.7−3%

321Pinehurst, NCNC110,61958.7+9%

322Dayton, OHOH826,55458.7+12%

323Tulsa, OKOK1,069,27358.7+9%

324Ponca City, OKOK43,49058.6−17%

325Dover, DEDE194,78658.6+4%

326Janesville, WIWI166,47258.6−6%

327Sheboygan, WIWI118,04758.6+16%

328Dixon, ILIL32,91458.5+41%

329New Ulm, MNMN25,51758.5+6%

330Logan, UTUT160,88958.4−29%

331Muscatine, IAIA41,85358.4+16%

332Nacogdoches, TXTX66,03558.4−10%

333Pensacola, FLFL544,94958.4+6%

334Sparta, WIWI46,57258.3−4%

335Marion, ILIL67,22558.3+12%

336Key West, FLFL80,40658.2+2%

337Uvalde, TXTX24,96358.1−9%

338Merced, CACA297,26058.1−29%

339Bangor, MEME157,96758.0+40%

340Kirksville, MOMO29,82458.0−0%

341Warsaw, ININ80,89257.9−13%

342The Villages, FLFL157,77257.9+6%

343Marinette, WIWI65,51557.9+7%

344Pampa, TXTX21,78657.8−38%

345Fresno, CACA1,203,38357.8−17%

346Durango, COCO56,89857.7+11%

347Ada, OKOK38,52857.7−3%

348El Centro, CACA181,41157.6−17%

349Monroe, MIMI156,00457.6+7%

350Lima, OHOH100,88157.6−5%

351Lexington Park, MDMD211,17657.4+1%

352Sulphur Springs, TXTX39,06357.4+13%

353Elkins, WVWV26,88257.4+89%

354Fremont, NENE38,05757.3−7%

355Richmond, ININ66,16957.3−6%

356Corpus Christi, TXTX451,19157.3−3%

357New Orleans, LALA970,84957.3+4%

358Kennewick, WAWA324,33457.3−25%

359Abilene, TXTX185,42957.3−7%

360Ogden, UTUT672,78457.3−34%

361Chattanooga, TNTN594,53057.2+1%

362Minot, NDND75,69457.2−16%

363Vidalia, GAGA36,18057.2−5%

364Marshall, MOMO23,26557.2+20%

365Fargo, NDND269,52857.2+11%

366Faribault, MNMN69,93957.2−4%

367Springfield, ILIL206,03357.2+14%

368Galesburg, ILIL47,76757.2+57%

369Hillsdale, MIMI45,73857.2+23%

370Rapid City, SDSD156,93457.1−13%

371Logansport, ININ37,83657.1+9%

372Houston, TXTX7,904,62757.1−14%

373Battle Creek, MIMI133,40857.1+1%

374Mansfield, OHOH124,89357.0−10%

375Bremerton, WAWA283,37457.0−6%

376Portsmouth, OHOH71,36556.9+11%

377Hays, KSKS29,07556.8+13%

378Danville, KYKY56,98556.8+2%

379Columbus, ININ85,72956.8+14%

380Branson, MOMO57,00156.7+25%

381Gulfport, MSMS431,32956.7−3%

382Jacksonville, FLFL1,785,50056.7+15%

383Anderson Creek, NCNC150,13756.6+22%

384Port St. Lucie, FLFL568,72156.6+8%

385Brevard, NCNC34,21156.5+8%

386Bend, OROR266,37656.4+20%

387Toledo, OHOH599,37656.3+3%

388Cookeville, TNTN152,47756.3+11%

389Monroe, LALA222,39056.3−2%

390Vineland, NJNJ157,14856.2−10%

391Albertville, ALAL103,53756.2−5%

392Peru, ININ34,48756.2+5%

393Jackson, MSMS609,84756.1−12%

394St. Marys, PAPA29,92656.1+16%

395Batavia, NYNY58,41656.0−5%

396St. George, UTUT213,67055.8−42%

397Sidney, OHOH48,06555.7+5%

398Frankfort, KYKY77,87455.7+22%

399Amsterdam, NYNY50,04655.7+15%

400Vicksburg, MSMS41,75955.6+2%

401Salina, KSKS59,12155.6−14%

402Show Low, AZAZ109,94655.6−17%

403Honolulu, HIHI988,70355.5−6%

404Gardnerville Ranchos, NVNV51,15455.5+37%

405Sikeston, MOMO49,97855.5−36%

406Greensburg, ININ26,57655.5+4%

407Gadsden, ALAL103,88655.5+5%

408Wausau, WIWI139,43255.5−1%

409Kearney, NENE57,96255.5−20%

410Hereford, TXTX18,62655.5−58%

411Macon-Bibb County, GAGA238,55355.5+4%

412Shelton, WAWA71,16555.4−4%

413Morristown, TNTN128,86755.4+1%

414Magnolia, ARAR21,89455.4−21%

415Salem, OROR445,81455.3−17%

416Jesup, GAGA32,48155.3−20%

417Cincinnati, OHOH2,312,85855.2−4%

418Alamosa, COCO27,89655.2−16%

419Omaha, NENE1,009,83655.1−17%

420Roswell, NMNM63,36455.1−30%

421Spartanburg, SCSC407,65655.0−12%

422Cañon City, COCO50,03955.0−32%

423Farmington, MOMO67,80955.0−4%

424Blytheville, ARAR37,82854.9−31%

425Kansas City, MOMO2,270,68254.9−6%

426Columbus, GAGA324,83054.8−7%

427Sonora, CACA53,16054.8−0%

428Des Moines, IAIA758,53954.7−6%

429Torrington, CTCT114,69054.7–

430San Angelo, TXTX122,06554.7−18%

431Nashville, TNTN2,197,41654.7−1%

432San Antonio, TXTX2,813,14054.7−14%

433Sayre, PAPA59,60054.6+1%

434Lebanon, PAPA146,38054.6−4%

435Wilmington, OHOH42,30154.6−26%

436Montgomery, ALAL388,74754.6−5%

437Huntingdon, PAPA43,00154.5+11%

438Red Wing, MNMN48,19554.5+3%

439Homosassa Springs, FLFL171,66654.4+22%

440Albemarle, NCNC68,83054.3−4%

441Mountain Home, IDID29,46554.3−32%

442Bellefontaine, OHOH46,30254.3−10%

443Oil City, PAPA49,34654.3+7%

444Statesboro, GAGA97,97754.3+2%

445Beeville, TXTX32,51554.2−27%

446Atlantic City, NJNJ372,04754.1−1%

447Dallas, TXTX8,477,15754.1−15%

448Indiana, PAPA82,87854.0+19%

449Jefferson City, MOMO152,71254.0+8%

450Greenville, SCSC1,014,10154.0+1%

451Topeka, KSKS233,05254.0−19%

452Tifton, GAGA51,23754.0−26%

453Sunbury, PAPA107,78854.0−4%

454Shawnee, OKOK75,10254.0+18%

455Indianapolis, ININ2,205,69553.9−8%

456Forest City, NCNC65,74553.8+1%

457Marion, NCNC45,19853.8−29%

458Big Rapids, MIMI42,32053.8+7%

459Columbus, OHOH2,242,02853.7−10%

460Klamath Falls, OROR70,27453.7−29%

461Danville, VAVA101,13753.7+4%

462Elmira, NYNY80,41553.6+2%

463Paragould, ARAR47,41153.6−8%

464Fairmont, MNMN19,44053.5+40%

465Minneapolis, MNMN3,790,29553.5−12%

466Marietta, OHOH58,38953.5+10%

467Detroit, MIMI4,390,91353.5+0%

468Pottsville, PAPA145,08553.5+1%

469Hannibal, MOMO38,96953.4−34%

470St. Cloud, MNMN205,85453.4−11%

471Hilton Head Island, SCSC242,96653.3−24%

472Marion, OHOH65,11553.3−2%

473Reno, NVNV578,73453.2−7%

474Mankato, MNMN104,90753.2−8%

475Raleigh, NCNC1,595,72053.2−6%

476Menomonie, WIWI46,22353.2+41%

477Roanoke, VAVA316,54753.2+14%

478Rochelle, ILIL51,39953.2+24%

479Hermitage, PAPA107,86053.0+18%

480Holland, MIMI123,18853.0−19%

481Fitzgerald, GAGA17,09952.9−8%

482Hickory, NCNC376,89052.9+5%

483Albany, GAGA145,51052.9−17%

484Charlotte, NCNC2,938,83052.8−5%

485Oak Harbor, WAWA85,65752.8−22%

486Elkhart, ININ208,77452.8−22%

487Cambridge, MDMD33,62852.8−2%

488Steamboat Springs, COCO38,45152.7−4%

489Longview, WAWA114,88552.7−22%

490Cleveland, OHOH2,165,77552.6+5%

491Fremont, OHOH58,65552.5−8%

492Oklahoma City, OKOK1,512,81352.5−17%

493Reading, PAPA440,07252.5+5%

494Petoskey, MIMI33,77552.5+69%

495Louisville, KYKY1,402,50952.4−9%

496Greeneville, TNTN73,83152.4+6%

497Little Rock, ARAR777,60752.4−3%

498Sebring, FLFL111,12252.4−30%

499Stockton, CACA823,81552.4−23%

500Port Angeles, WAWA78,20252.4−4%

SHOWING 1–500 OF 925

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES

Frequently asked

Which metro area has the highest births per 1,000 women (15-50)?

Plainview, TX ranks #1 with 127.6 (2024 American Community Survey).

What are the top 5 metro areas by births per 1,000 women (15-50)?

Plainview, TX, Winnemucca, NV, Port Lavaca, TX, Elk City, OK, Decatur, IN.

How many metro areas are in this ranking?

925 metro areas qualify after filtering for population minimums and data availability. 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).