RANKING · 2024 ACS · 87 SHOWN OF 87

Lowest fertility rate, Iowa cities

Iowa cities with the lowest 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

01Vinton, IAIA5,0040.0–

02Hiawatha, IAIA7,4326.0–

03Fairfield, IAIA9,2209.8–

04Decorah, IAIA7,41711.5–

05Ames, IAIA68,22013.9–

06Grinnell, IAIA9,43013.9–

07Clive, IAIA19,86114.5–

08Eldridge, IAIA6,95417.0–

09Iowa City, IAIA76,22921.1–

10Algona, IAIA5,30921.2–

11Iowa Falls, IAIA5,01323.3–

12Pella, IAIA10,99226.2–

13Clarinda, IAIA5,27327.8–

14Creston, IAIA7,33528.5–

15DeWitt, IAIA5,70430.6–

16Waverly, IAIA10,56132.2–

17Spencer, IAIA11,21832.8–

18Bettendorf, IAIA40,71033.4–

19Grimes, IAIA17,40536.1–

20Knoxville, IAIA7,46937.5–

21North Liberty, IAIA21,97638.2–

22Glenwood, IAIA5,28739.8–

23Newton, IAIA15,74140.8–

24Carroll, IAIA10,08540.8–

25Burlington, IAIA23,33641.6–

26Council Bluffs, IAIA62,68042.7–

27Independence, IAIA6,31245.3–

28Cedar Falls, IAIA41,24045.4–

29West Des Moines, IAIA74,22445.6–

30Nevada, IAIA6,97445.6–

31Urbandale, IAIA48,57045.8–

32Indianola, IAIA16,82945.9–

33Estherville, IAIA5,80746.1–

34Ankeny, IAIA77,83346.3–

35Johnston, IAIA25,06547.8–

36Atlantic, IAIA6,67647.9–

37Norwalk, IAIA15,00449.4–

38Charles City, IAIA7,01349.5–

39Fort Dodge, IAIA24,83751.2–

40Manchester, IAIA5,35752.2–

41Sheldon, IAIA5,57552.4–

42Polk City, IAIA6,63054.3–

43Davenport, IAIA100,35856.2–

44Asbury, IAIA6,03556.6–

45Marion, IAIA42,73257.6–

46Dubuque, IAIA59,14857.6–

47Des Moines, IAIA212,08658.2–

48Maquoketa, IAIA6,02758.8–

49Oskaloosa, IAIA11,49360.1–

50Boone, IAIA12,47160.4–

51Bondurant, IAIA9,64760.9–

52Cedar Rapids, IAIA137,93561.5–

53Sioux City, IAIA86,35661.6–

54Fort Madison, IAIA9,93562.1–

55Le Mars, IAIA10,76063.5–

56Altoona, IAIA22,79665.7–

57Waukee, IAIA34,89066.0–

58Cherokee, IAIA5,12266.4–

59Marshalltown, IAIA27,53666.5–

60Muscatine, IAIA23,16468.0–

61Mount Pleasant, IAIA8,50072.1–

62Clinton, IAIA24,04973.7–

63Waterloo, IAIA66,91977.7–

64Pleasant Hill, IAIA11,23978.9–

65Ottumwa, IAIA25,31979.1–

66Denison, IAIA8,21479.3–

67Spirit Lake, IAIA5,52580.3–

68Anamosa, IAIA5,90181.0–

69Washington, IAIA7,26181.1–

70Orange City, IAIA6,46881.3–

71Coralville, IAIA23,96082.8–

72Centerville, IAIA5,32783.1–

73Storm Lake, IAIA11,59085.3–

74Sergeant Bluff, IAIA5,32487.2–

75Adel, IAIA7,09897.5–

76Perry, IAIA8,208100.9–

77Clear Lake, IAIA7,601102.9–

78Red Oak, IAIA5,388103.9–

79Winterset, IAIA5,520108.5–

80Sioux Center, IAIA8,864110.7–

81Windsor Heights, IAIA5,059112.0–

82Mason City, IAIA26,853114.4–

83Tiffin, IAIA7,156115.5–

84Oelwein, IAIA5,757116.5–

85Keokuk, IAIA9,510132.3–

86Webster City, IAIA7,815148.1–

87Osceola, IAIA5,679314.8–

SHOWING 1–87 OF 87

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