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

Zapata, TX ranks #1 with 145.8 (2010 American Community Survey).

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

Zapata, TX, Town of Pecos, TX, Hereford, TX, Othello, WA, Vernon, TX.

How many metro areas are in this ranking?

918 metro areas qualify after filtering for population minimums and data availability. The ranking covers 2010 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 (2010).

RANKING · 2010 CENSUS · 418 SHOWN OF 918

Highest fertility rate, US metro areas · 2010

US metro areas 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 metro areas →

All statesAll rankings

SAME RANKING BYCities Counties States ZIP codes

YEAR2010 2024

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

501Santa Fe, NMNM156,90754.9–

502Paris, TNTN32,89654.8–

503Fergus Falls, MNMN61,04154.8–

504Atlantic City, NJNJ372,04754.8–

505Chico, CACA209,21154.8–

506Zanesville, OHOH87,01454.8–

507Morristown, TNTN128,86754.8–

508The Villages, FLFL157,77254.7–

509Port Angeles, WAWA78,20254.7–

510Vicksburg, MSMS41,75954.7–

511Burlington, NCNC186,17754.6–

512Grants Pass, OROR87,86754.6–

513Toledo, OHOH599,37654.6–

514Greencastle, ININ37,87654.5–

515Port Townsend, WAWA33,97054.5–

516Sacramento, CACA2,477,27454.5–

517Marion, OHOH65,11554.4–

518Lake Charles, LALA244,65554.4–

519Morgan City, LALA46,55254.4–

520Tucson, AZAZ1,074,68554.3–

521Williamsport, PAPA112,58754.3–

522Mayfield, KYKY37,05054.3–

523Sedalia, MOMO44,25454.2–

524Allentown, PAPA887,61554.2–

525Marshall, MNMN25,68454.2–

526Sevierville, TNTN101,34254.2–

527Fallon, NVNV25,85154.1–

528Peoria, ILIL363,50554.1–

529Myrtle Beach, SCSC427,55154.1–

530Pinehurst, NCNC110,61954.1–

531Monroe, MIMI156,00454.1–

532Whitewater, WIWI106,12754.0–

533Sayre, PAPA59,60054.0–

534Helena, MTMT97,15353.9–

535Palatka, FLFL77,73453.9–

536Marinette, WIWI65,51553.9–

537Tulsa, OKOK1,069,27353.9–

538Defiance, OHOH38,29253.8–

539Ruidoso, NMNM19,84453.8–

540Little Rock, ARAR777,60753.7–

541Rockingham, NCNC42,04153.7–

542Greenville, SCSC1,014,10153.6–

543Lebanon, MOMO36,94353.6–

544Owensboro, KYKY113,96253.6–

545Waycross, GAGA57,67053.6–

546Cambridge, MDMD33,62853.6–

547Corbin, KYKY150,04053.6–

548Douglas, GAGA52,86153.5–

549Peru, ININ34,48753.5–

550Detroit, MIMI4,390,91353.4–

551Springfield, OHOH135,34053.4–

552Canton, OHOH400,24653.4–

553Ames, IAIA128,09053.4–

554Sumter, SCSC105,06753.3–

555Macon-Bibb County, GAGA238,55353.3–

556Springfield, MAMA464,33853.3–

557Los Angeles, CACA12,844,44153.3–

558Houghton, MIMI40,02853.2–

559Cordele, GAGA19,23753.2–

560Greensburg, ININ26,57653.2–

561Forest City, NCNC65,74553.1–

562Sidney, OHOH48,06553.1–

563Orlando, FLFL2,957,67253.1–

564Red Wing, MNMN48,19553.1–

565Statesboro, GAGA97,97753.0–

566Flagstaff, AZAZ144,36853.0–

567Easton, MDMD38,23852.9–

568Cadillac, MIMI49,71952.9–

569Pottsville, PAPA145,08552.9–

570Paris, TXTX63,31952.8–

571Woodward, OKOK19,82752.8–

572Harrisonburg, VAVA140,15552.8–

573Gadsden, ALAL103,88652.8–

574El Campo, TXTX42,06052.8–

575Mount Sterling, KYKY48,42852.8–

576Findlay, OHOH75,03452.8–

577Appleton, WIWI249,87652.7–

578East Stroudsburg, PAPA167,17952.7–

579Birmingham, ALAL1,197,76652.7–

580Elmira, NYNY80,41552.7–

581Hilo, HIHI210,04352.6–

582Lebanon, NHNH224,50052.6–

583New Castle, ININ49,13752.6–

584Corning, NYNY91,85552.6–

585Price, UTUT20,68052.6–

586Bonham, TXTX39,26552.6–

587Waynesville, NCNC63,36952.6–

588Danville, ILIL71,25952.5–

589Binghamton, NYNY243,18952.5–

590Brevard, NCNC34,21152.5–

591Santa Maria, CACA442,06552.5–

592Logansport, ININ37,83652.5–

593Youngstown, OHOH423,67852.5–

594New York, NYNY20,112,44852.5–

595Dayton, OHOH826,55452.4–

596Russellville, ARAR84,93252.4–

597Rifle, COCO80,09952.3–

598Mount Airy, NCNC72,28752.3–

599Wilmington, NCNC492,77252.3–

600Port St. Lucie, FLFL568,72152.3–

601Thomasville, GAGA72,95852.2–

602Erie, PAPA265,83252.2–

603Spokane, WAWA608,01252.1–

604Coshocton, OHOH37,18852.0–

605Greensboro, NCNC805,94552.0–

606Santa Cruz, CACA258,85252.0–

607Roseburg, OROR111,95152.0–

608Evansville, ININ273,78652.0–

609Mobile, ALAL411,65852.0–

610Somerset, KYKY67,38451.9–

611Toccoa, GAGA27,85451.9–

612Joplin, MOMO208,79651.9–

613Clarksdale, MSMS19,84951.9–

614Marion, ILIL67,22551.9–

615Eugene, OROR381,58451.9–

616North Port, FLFL948,15851.8–

617Sebastian, FLFL172,79951.8–

618Lewistown, PAPA46,12751.8–

619Parkersburg, WVWV87,26451.8–

620Durango, COCO56,89851.8–

621Fargo, NDND269,52851.8–

622Iowa City, IAIA182,71151.7–

623Sherman, TXTX153,61351.7–

624Lawrenceburg, TNTN46,91451.7–

625Michigan City, ININ111,29451.7–

626Philadelphia, PAPA6,329,11851.6–

627Aberdeen, WAWA78,14451.6–

628Danville, VAVA101,13751.5–

629Huntsville, TXTX83,84251.5–

630Milledgeville, GAGA44,02951.5–

631Barnstable, MAMA233,53951.4–

632Harrisburg, PAPA617,42751.3–

633Naples, FLFL417,13151.3–

634Crossville, TNTN66,30051.3–

635Brookings, SDSD37,63551.2–

636Pella, IAIA34,19251.2–

637North Wilkesboro, NCNC66,23351.1–

638Clinton, IAIA46,00251.1–

639Portsmouth, OHOH71,36551.1–

640Bennington, VTVT36,63051.1–

641Bozeman, MTMT128,74051.1–

642Huntsville, ALAL556,44451.0–

643Richmond, KYKY131,80650.8–

644Miami, FLFL6,391,07250.8–

645Auburn, ALAL208,01350.8–

646Kerrville, TXTX54,03750.8–

647Newberry, SCSC39,56150.7–

648La Crosse, WIWI171,18250.7–

649Sheboygan, WIWI118,04750.7–

650Bluefield, WVWV96,13850.6–

651Cookeville, TNTN152,47750.6–

652Rockford, ILIL337,24250.6–

653Mount Vernon, OHOH64,00250.6–

654Sulphur Springs, TXTX39,06350.6–

655Oil City, PAPA49,34650.6–

656Bay City, MIMI102,12350.6–

657Gaffney, SCSC58,27550.6–

658Kokomo, ININ83,90450.5–

659Muscatine, IAIA41,85350.5–

660Lafayette, ININ228,46850.5–

661Tahlequah, OKOK49,19650.5–

662Wooster, OHOH116,75850.4–

663Winston-Salem, NCNC712,20650.4–

664Hickory, NCNC376,89050.4–

665Hays, KSKS29,07550.3–

666Bloomington, ILIL171,41950.3–

667Stephenville, TXTX43,91150.2–

668Worcester, MAMA888,50250.2–

669Cleveland, OHOH2,165,77550.1–

670Punta Gorda, FLFL217,21250.1–

671Big Rapids, MIMI42,32050.1–

672Springfield, ILIL206,03350.1–

673Las Vegas, NMNM30,31150.1–

674Duncan, OKOK44,31050.1–

675Columbia, MOMO219,06250.0–

676Gallup, NMNM68,11950.0–

677Jefferson City, MOMO152,71250.0–

678Ukiah, CACA88,12250.0–

679Truckee, CACA101,91150.0–

680Duluth, MNMN281,21950.0–

681Lexington, KYKY535,17450.0–

682Reading, PAPA440,07250.0–

683Clearlake, CACA67,77249.9–

684Columbus, ININ85,72949.9–

685Pahrump, NVNV57,33649.8–

686Moscow, IDID41,84249.8–

687Warrensburg, MOMO56,67049.8–

688South Bend, ININ324,53849.7–

689Newport, TNTN37,88949.7–

690Madison, WIWI709,68549.6–

691Shelby, NCNC103,32549.6–

692Traverse City, MIMI156,97249.6–

693Fort Collins, COCO377,29249.6–

694Lake of the Woods, VAVA40,08349.6–

695Troy, ALAL33,68849.5–

696Morehead City, NCNC70,46949.4–

697Jacksonville, FLFL1,785,50049.4–

698Natchitoches, LALA36,08949.4–

699Palm Bay, FLFL663,98249.4–

700Tupelo, MSMS133,16749.3–

701West Plains, MOMO40,79849.3–

702Grand Rapids, MNMN45,40449.3–

703Greeneville, TNTN73,83149.3–

704Huntingdon, PAPA43,00149.2–

705Coos Bay, OROR63,99249.2–

706Eau Claire, WIWI176,64749.1–

707Buffalo, NYNY1,155,65349.1–

708Syracuse, NYNY652,27348.9–

709Bucyrus, OHOH41,89648.9–

710El Dorado, ARAR36,92648.9–

711Granbury, TXTX70,50148.9–

712Stevens Point, WIWI71,94348.8–

713Lansing, MIMI479,72248.8–

714Wheeling, WVWV134,08948.8–

715Newport, OROR50,63648.6–

716Jamestown, NDND21,41448.6–

717Richmond, VAVA1,389,33848.6–

718Akron, OHOH701,78048.6–

719Albany, NYNY915,83548.5–

720St. Marys, PAPA29,92648.5–

721Deltona, FLFL746,93348.5–

722Johnson City, TNTN216,41648.5–

723Knoxville, TNTN968,13748.5–

724Adrian, MIMI97,77948.5–

725Marietta, OHOH58,38948.5–

726Cape Girardeau, MOMO99,21548.4–

727Amsterdam, NYNY50,04648.4–

728Portland, MEME577,63548.3–

729Cheyenne, WYWY102,93848.3–

730Tuscaloosa, ALAL281,85048.3–

731Batesville, ARAR38,78548.2–

732Providence, RIRI1,708,16148.2–

733Stillwater, OKOK83,88948.2–

734Manchester, NHNH433,41548.1–

735San Francisco, CACA4,630,04148.1–

736Florence, SCSC201,39248.1–

737Cullman, ALAL94,00948.1–

738Vincennes, ININ35,65248.0–

739Trenton, NJNJ399,28948.0–

740Walla Walla, WAWA62,36147.9–

741Van Wert, OHOH29,01347.9–

742Massena, NYNY105,48847.8–

743Jamestown, NYNY124,12647.8–

744Weirton, WVWV112,46847.7–

745Murrells Inlet, SCSC65,91247.7–

746San Luis Obispo, CACA282,36747.6–

747Tallahassee, FLFL397,44247.6–

748Marshall, MOMO23,26547.6–

749York, PAPA473,19747.6–

750Mexico, MOMO24,52847.5–

751Seneca, SCSC83,77547.5–

752Seaford, DEDE277,14047.5–

753Ketchikan, AKAK13,54947.5–

754Harrison, ARAR45,65447.4–

755Medford, OROR221,79547.4–

756Tampa, FLFL3,418,89547.3–

757Altoona, PAPA119,54147.3–

758Lynchburg, VAVA269,16947.3–

759Crawfordsville, ININ38,95447.2–

760Pittsburgh, PAPA2,421,99247.2–

761Champaign, ILIL239,97947.1–

762Pittsburg, KSKS39,00847.0–

763Bend, OROR266,37646.9–

764Fairmont, WVWV55,58446.8–

765Beckley, WVWV109,94046.8–

766Santa Rosa, CACA486,44446.8–

767Roanoke, VAVA316,54746.8–

768Ottawa, ILIL145,90246.7–

769Huntington, WVWV365,96546.7–

770Boston, MAMA5,034,22146.7–

771Pikeville, KYKY89,12246.7–

772Rochester, NYNY1,056,14946.6–

773Clewiston, FLFL61,54646.5–

774Oshkosh, WIWI174,21846.5–

775Utica, NYNY285,61146.5–

776Boulder, COCO328,56046.5–

777Keene, NHNH78,26946.5–

778Hillsdale, MIMI45,73846.4–

779Brownwood, TXTX38,71146.4–

780Martinsville, VAVA63,09146.4–

781Sandusky, OHOH112,77746.3–

782Anderson Creek, NCNC150,13746.3–

783Columbus, MSMS67,14446.2–

784Butte-Silver Bow, MTMT36,11846.2–

785Gloversville, NYNY52,21646.2–

786Angola, ININ34,79946.1–

787Alma, MIMI41,19046.0–

788Auburn, NYNY74,36545.9–

789Iron Mountain, MIMI30,57545.9–

790Franklin, KYKY20,78845.8–

791Malvern, ARAR33,45145.8–

792Owosso, MIMI67,68145.8–

793Rice Lake, WIWI46,48445.8–

794Natchez, MSMS54,72245.7–

795Frankfort, KYKY77,87445.7–

796Sault Ste. Marie, MIMI36,08145.7–

797Shawnee, OKOK75,10245.6–

798Bellingham, WAWA236,39245.6–

799Branson, MOMO57,00145.6–

800Canton, ILIL32,90145.5–

801Indiana, PAPA82,87845.4–

802Dublin, GAGA60,35145.1–

803Salisbury, MDMD131,87245.1–

804Hermitage, PAPA107,86045.0–

805Lake City, FLFL74,09444.9–

806Nogales, AZAZ50,02044.7–

807Ann Arbor, MIMI370,21444.6–

808Fort Dodge, IAIA36,83844.6–

809Albert Lea, MNMN30,44044.6–

810Homosassa Springs, FLFL171,66644.4–

811Charleston, WVWV200,17044.4–

812Scranton, PAPA574,41844.3–

813Arkadelphia, ARAR20,93844.3–

814Glens Falls, NYNY124,37344.2–

815Burlington, VTVT227,80344.0–

816St. Simons, GAGA118,52443.8–

817Union City, TNTN30,06743.7–

818Greenville, NCNC182,93643.6–

819Kalamazoo, MIMI263,79543.5–

820Kingston, NYNY183,33043.4–

821Tiffin, OHOH54,52243.4–

822Escanaba, MIMI36,58243.3–

823Oneonta, NYNY60,58943.3–

824Lewisburg, PAPA42,31343.2–

825Rochelle, ILIL51,39943.0–

826Augusta, MEME129,06742.9–

827Johnstown, PAPA128,96842.9–

828Charleston, ILIL46,60742.8–

829Laramie, WYWY38,55842.8–

830Durant, OKOK51,36742.7–

831Hudson, NYNY60,16842.7–

832Fond du Lac, WIWI104,66942.7–

833Astoria, OROR40,92642.6–

834Bartlesville, OKOK54,03742.5–

835Madisonville, KYKY45,12742.3–

836Meadville, PAPA81,79242.3–

837Lincoln, ILIL27,18242.0–

838Marquette, MIMI68,06441.9–

839Athens, GAGA224,14841.8–

840Greenfield, MAMA70,69841.8–

841La Grande, OROR25,90041.7–

842McPherson, KSKS30,06441.7–

843Carbondale, ILIL52,50141.7–

844Raymondville, TXTX19,97141.6–

845Dixon, ILIL32,91441.6–

846Spearfish, SDSD29,45941.5–

847Kingsport, TNTN314,83441.4–

848Lawrence, KSKS120,92041.4–

849Auburn, ININ44,53541.4–

850Bangor, MEME157,96741.3–

851Borger, TXTX19,63341.3–

852Somerset, PAPA72,00441.3–

853Dickinson, NDND39,14240.9–

854Midland, MIMI83,75440.8–

855Rutland, VTVT59,65340.7–

856Gardnerville Ranchos, NVNV51,15440.6–

857Concord, NHNH158,07840.6–

858Morgantown, WVWV141,99540.5–

859Laconia, NHNH65,14740.5–

860Blacksburg, VAVA181,61640.3–

861Pittsfield, MAMA128,22440.1–

862Henderson, NCNC42,63839.9–

863Rolla, MOMO45,24739.8–

864Taos, NMNM34,56439.7–

865Murray, KYKY39,42139.5–

866Corvallis, OROR97,72839.4–

867Bloomsburg, PAPA66,19339.3–

868Jackson, WYWY36,58739.0–

869Andrews, TXTX18,91438.9–

870Barre, VTVT59,65238.8–

871Rome, GAGA101,37838.8–

872Russellville, ALAL32,44938.6–

873Mount Pleasant, MIMI64,69138.6–

874Fairmont, MNMN19,44038.3–

875Maryville, MOMO20,17438.3–

876Forrest City, ARAR21,80038.0–

877Charlottesville, VAVA228,59737.9–

878Cortland, NYNY45,85037.9–

879Menomonie, WIWI46,22337.6–

880Plattsburgh, NYNY78,13837.3–

881Thomaston, GAGA28,50037.3–

882Staunton, VAVA129,69237.1–

883Gainesville, FLFL359,03636.9–

884Bloomington, ININ165,23136.7–

885Carson, NVNV58,57136.7–

886Missoula, MTMT128,69836.4–

887Galesburg, ILIL47,76736.3–

888Madison, ININ33,27936.1–

889Corinth, MSMS34,56935.8–

890Mountain Home, ARAR42,98235.8–

891Athens, OHOH63,19735.7–

892Breckenridge, COCO39,06935.4–

893Cumberland, MDMD93,64035.3–

894Muncie, ININ113,10635.3–

895Hemlock Farms, PAPA62,80835.3–

896Oxford, MSMS71,97235.1–

897Ellensburg, WAWA48,80334.4–

898Martin, TNTN33,26134.3–

899Ruston, LALA48,36034.3–

900State College, PAPA157,39334.1–

901Pullman, WAWA48,51234.0–

902Cornelia, GAGA50,41633.8–

903Macomb, ILIL25,91633.1–

904Boone, NCNC54,78632.8–

905Lock Haven, PAPA37,87032.2–

906Jacksonville, ILIL37,38132.0–

907Brattleboro, VTVT45,20432.0–

908Bainbridge, GAGA29,43231.9–

909Amherst, MAMA164,06531.1–

910Petoskey, MIMI33,77531.1–

911Elkins, WVWV26,88230.3–

912Ithaca, NYNY104,04729.1–

913Deming, NMNM25,40729.0–

914Vineyard Haven, MAMA21,21928.8–

915Kill Devil Hills, NCNC38,24528.6–

916Los Alamos, NMNM19,40727.0–

917Hood River, OROR23,72024.0–

918Vermillion, SDSD15,03120.6–

SHOWING 501–918 OF 918

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