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

Vermillion, SD ranks #1 with 20.6 (2010 American Community Survey).

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

Vermillion, SD, Hood River, OR, Los Alamos, NM, Kill Devil Hills, NC, Vineyard Haven, MA.

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

Lowest fertility rate, US metro areas · 2010

US metro areas with the lowest general fertility rate, births per 1,000 women ages 15-50 in the past 12 months (2023 ACS).

Flip the list · Highest 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

501Silver City, NMNM27,25257.5–

502Cincinnati, OHOH2,312,85857.6–

503Montgomery, ALAL388,74757.6–

504Denver, COCO3,092,03757.6–

505Lake Havasu City, AZAZ228,10257.6–

506Slidell, LALA279,10857.7–

507Louisville, KYKY1,402,50957.7–

508Campbellsville, KYKY38,40757.8–

509Grand Rapids, MIMI1,183,64557.8–

510Fitzgerald, GAGA17,09957.8–

511Okeechobee, FLFL42,60857.9–

512Shelton, WAWA71,16558.0–

513Pueblo, COCO169,27758.1–

514Des Moines, IAIA758,53958.1–

515Miami, OKOK30,43858.1–

516Mankato, MNMN104,90758.1–

517Kansas City, MOMO2,270,68258.1–

518Paragould, ARAR47,41158.2–

519Kirksville, MOMO29,82458.2–

520Gulfport, MSMS431,32958.2–

521Redding, CACA181,64858.3–

522Greenville, OHOH51,52058.3–

523Kennett, MOMO26,85558.4–

524Alpena, MIMI28,85358.5–

525Indianapolis, ININ2,205,69558.6–

526Baton Rouge, LALA888,69958.6–

527Wabash, ININ30,71358.7–

528Brookings, OROR22,62158.7–

529Americus, GAGA33,39458.7–

530Waco, TXTX308,80758.7–

531Albuquerque, NMNM925,27958.7–

532Talladega, ALAL91,76458.8–

533Napa, CACA132,94958.8–

534Corpus Christi, TXTX451,19158.8–

535Batavia, NYNY58,41658.9–

536Columbus, GAGA324,83059.1–

537Sweetwater, TXTX14,11759.1–

538Shreveport, LALA383,47459.1–

539Greenwood, SCSC95,21559.2–

540Honolulu, HIHI988,70359.2–

541Ada, OKOK38,52859.2–

542Urbana, OHOH38,82059.2–

543Waterloo, IAIA169,18959.3–

544Sioux Falls, SDSD314,63859.3–

545Albertville, ALAL103,53759.3–

546Eureka, CACA131,64759.3–

547Faribault, MNMN69,93959.3–

548Enid, OKOK61,77959.4–

549Rocky Mount, NCNC148,48659.5–

550Racine, WIWI198,91959.5–

551Columbus, OHOH2,242,02859.6–

552DeRidder, LALA36,67359.6–

553Green Bay, WIWI336,75659.6–

554Springfield, MOMO500,69459.6–

555McMinnville, TNTN43,71759.7–

556St. Cloud, MNMN205,85459.7–

557Columbus, NENE46,58359.7–

558Platteville, WIWI52,44659.7–

559Savannah, GAGA438,31459.9–

560Athens, TNTN71,59059.9–

561Elizabethtown, KYKY128,66660.0–

562Austin, TXTX2,620,94560.0–

563Vidalia, GAGA36,18060.0–

564Prescott Valley, AZAZ252,55260.0–

565Fayetteville, ARAR622,17760.0–

566Ocala, FLFL442,66060.1–

567Salem, OHOH99,37760.1–

568Florence, ALAL156,60960.2–

569Bellefontaine, OHOH46,30260.2–

570Bremerton, WAWA283,37460.3–

571The Dalles, OROR26,31060.4–

572Jackson, TNTN184,56960.4–

573Colorado Springs, COCO781,79660.4–

574Dothan, ALAL156,26660.4–

575Saginaw, MIMI187,68860.5–

576Greeley, COCO378,42660.5–

577Lima, OHOH100,88160.6–

578Wenatchee, WAWA128,41460.6–

579Lubbock, TXTX368,43160.7–

580Decatur, ALAL160,32660.7–

581Le Mars, IAIA25,69760.7–

582Minneapolis, MNMN3,790,29560.8–

583Chillicothe, OHOH76,42960.8–

584Lafayette, LALA423,75860.9–

585Houma, LALA199,66860.9–

586San Jose, CACA1,984,47361.0–

587Asheville, NCNC422,34561.0–

588Plainview, TXTX36,70061.0–

589Sparta, WIWI46,57261.0–

590Poplar Bluff, MOMO41,90461.2–

591Cedar Rapids, IAIA279,28561.2–

592Kalispell, MTMT115,42961.3–

593Richmond, ININ66,16961.3–

594Norwalk, OHOH58,25061.4–

595Riverside, CACA4,769,00761.4–

596Moultrie, GAGA47,43861.4–

597Las Cruces, NMNM229,09161.5–

598Abilene, TXTX185,42961.7–

599Longview, TXTX297,31561.7–

600Hammond, LALA141,34661.7–

601Las Vegas, NVNV2,407,22661.8–

602Baker City, OROR16,65861.8–

603Crescent City, CACA26,41061.8–

604Rochester, MNMN231,18461.8–

605Fort Wayne, ININ466,25861.8–

606Grand Junction, COCO162,84561.8–

607Spencer, IAIA16,20261.9–

608Elizabeth City, NCNC42,20161.9–

609Fremont, NENE38,05761.9–

610Laurinburg, NCNC33,32262.0–

611New Bern, NCNC127,35862.0–

612Fort Payne, ALAL74,08562.0–

613Beatrice, NENE21,71162.2–

614Janesville, WIWI166,47262.2–

615Olean, NYNY75,39062.2–

616Cleveland, MSMS28,26262.3–

617Yankton, SDSD23,63562.3–

618Clarksburg, WVWV88,14262.5–

619Niles, MIMI152,44462.5–

620Bogalusa, LALA44,93762.6–

621Worthington, MNMN22,33862.6–

622Muskogee, OKOK66,70862.6–

623Warner Robins, GAGA208,09162.7–

624Tyler, TXTX252,54962.7–

625Ardmore, OKOK48,91062.8–

626Hutchinson, MNMN36,63162.8–

627Vineland, NJNJ157,14862.8–

628Hastings, NENE40,57762.8–

629Spartanburg, SCSC407,65662.9–

630Alexander City, ALAL40,95362.9–

631Lewiston, MEME116,48762.9–

632Centralia, WAWA88,06263.1–

633Henderson, KYKY57,18463.1–

634Baraboo, WIWI66,65263.1–

635Washington, NCNC44,67063.1–

636Kahului, HIHI160,67463.1–

637Jackson, MIMI159,55263.1–

638Beaumont, TXTX399,31063.2–

639Dallas, TXTX8,477,15763.2–

640Oklahoma City, OKOK1,512,81363.3–

641Mason City, IAIA49,71063.3–

642Athens, TXTX88,59563.3–

643Kankakee, ILIL105,52563.4–

644Terre Haute, ININ169,24163.5–

645Shelbyville, TNTN55,27363.5–

646Albany, GAGA145,51063.5–

647Altus, OKOK24,76463.6–

648Cambridge, OHOH38,37963.6–

649San Antonio, TXTX2,813,14063.6–

650Panama City, FLFL231,17463.6–

651Bedford, ININ45,56863.6–

652Mansfield, OHOH124,89363.6–

653Carlsbad, NMNM62,50963.6–

654Salinas, CACA433,72963.8–

655Midland, TXTX193,13963.8–

656Phoenix, AZAZ5,228,93863.9–

657Burlington, IAIA44,06164.0–

658Lancaster, PAPA563,15964.0–

659Alexandria, MNMN40,12064.1–

660Jackson, MSMS609,84764.1–

661Jacksonville, TXTX53,33764.1–

662Mount Vernon, ILIL36,14764.2–

663Brainerd, MNMN100,56264.2–

664Emporia, KSKS34,83864.2–

665Uvalde, TXTX24,96364.2–

666Orangeburg, SCSC83,17764.3–

667Fort Morgan, COCO30,30664.3–

668El Paso, TXTX881,29164.5–

669Crestview, FLFL315,09864.6–

670Nacogdoches, TXTX66,03564.7–

671Gallipolis, OHOH29,07264.7–

672Hailey, IDID32,43664.7–

673Watertown, SDSD29,56264.7–

674Kapaa, HIHI73,40064.8–

675Winchester, TNTN45,57964.8–

676Chambersburg, PAPA160,65264.9–

677Ozark, ALAL49,91264.9–

678Modesto, CACA557,71964.9–

679Cody, WYWY31,17165.0–

680Hinesville, GAGA91,87065.0–

681Salina, KSKS59,12165.0–

682Hermiston, OROR93,72165.1–

683Bowling Green, KYKY197,18065.1–

684Tullahoma, TNTN69,33965.1–

685Seneca Falls, NYNY32,88365.2–

686Taylorville, ILIL33,44365.2–

687Palestine, TXTX59,80565.3–

688Holland, MIMI123,18865.4–

689Lakeland, FLFL874,79065.5–

690Ocean Pines, MDMD54,45965.5–

691Hanford, CACA154,32765.5–

692Alamosa, COCO27,89665.5–

693Daphne, ALAL267,76165.5–

694Manhattan, KSKS136,12265.6–

695Sanford, NCNC70,25865.6–

696Gillette, WYWY48,14565.6–

697Washington Court House, OHOH28,55265.7–

698Norfolk, NENE49,22865.9–

699Paducah, KYKY102,25965.9–

700Española, NMNM39,83265.9–

701Rapid City, SDSD156,93466.0–

702Fairbanks, AKAK93,97266.0–

703Vallejo, CACA455,37666.0–

704Omaha, NENE1,009,83666.1–

705Brookhaven, MSMS35,01266.1–

706Sioux City, IAIA145,73866.1–

707Houston, TXTX7,904,62766.1–

708Ottumwa, IAIA35,21066.2–

709Alexandria, LALA147,95266.2–

710Greenville, MSMS40,44666.4–

711Warsaw, ININ80,89266.5–

712San Angelo, TXTX122,06566.5–

713Show Low, AZAZ109,94666.6–

714Jefferson, GAGA99,26566.7–

715Topeka, KSKS233,05266.7–

716Lacey, WAWA304,26166.7–

717Salem, OROR445,81466.9–

718Storm Lake, IAIA20,44967.0–

719Sterling, ILIL54,12167.2–

720Decatur, ILIL99,30067.2–

721Washington, ININ34,20967.3–

722Longview, WAWA114,88567.3–

723Texarkana, TXTX146,81667.4–

724Muskegon, MIMI177,90167.4–

725Bismarck, NDND139,75067.5–

726Pierre, SDSD20,58867.5–

727Lufkin, TXTX88,15467.7–

728Scottsboro, ALAL54,28167.8–

729LaGrange, GAGA107,09767.8–

730Atchison, KSKS16,17267.9–

731Wichita, KSKS663,80967.9–

732Lincoln, NENE352,08168.0–

733Elkhart, ININ208,77468.0–

734Oak Harbor, WAWA85,65768.1–

735Great Falls, MTMT85,02968.1–

736Lexington, NENE26,25568.2–

737Mitchell, SDSD25,91368.2–

738Albany, OROR132,84368.2–

739Billings, MTMT193,60368.3–

740Opelousas, LALA80,76568.3–

741Stockton, CACA823,81568.3–

742Minot, NDND75,69468.3–

743Wichita Falls, TXTX149,44868.4–

744Amarillo, TXTX276,23568.6–

745Marshalltown, IAIA39,89068.6–

746Pontiac, ILIL35,05768.7–

747Wisconsin Rapids, WIWI74,06068.7–

748Oxford, ALAL115,83468.8–

749St. Joseph, MOMO119,17068.8–

750Kingsville, TXTX30,31568.9–

751Fredericksburg, TXTX28,52768.9–

752Sheridan, WYWY33,24169.0–

753Williston, NDND41,76769.0–

754Ontario, OROR60,08569.1–

755Kearney, NENE57,96269.2–

756Gainesville, TXTX44,46169.2–

757Jesup, GAGA32,48169.2–

758El Centro, CACA181,41169.3–

759Shawano, WIWI45,75969.3–

760McAlester, OKOK43,32069.3–

761Huron, SDSD19,62469.4–

762Fresno, CACA1,203,38369.4–

763Lewiston, IDID65,45069.4–

764Pine Bluff, ARAR70,21169.5–

765Coeur d'Alene, IDID191,86469.5–

766Picayune, MSMS59,36369.6–

767Kingsland, GAGA60,14369.6–

768Magnolia, ARAR21,89469.7–

769Frankfort, ININ33,32269.8–

770Evanston, WYWY23,41569.9–

771Arcadia, FLFL37,07869.9–

772Hilton Head Island, SCSC242,96669.9–

773Middlesborough, KYKY22,82970.1–

774Selinsgrove, PAPA39,65570.1–

775Port Lavaca, TXTX19,59970.1–

776Hutchinson, KSKS61,53970.3–

777Hobbs, NMNM74,74970.3–

778Goldsboro, NCNC122,27870.4–

779Roanoke Rapids, NCNC63,02570.4–

780Lewisburg, TNTN38,07170.5–

781Ponca City, OKOK43,49070.6–

782Salt Lake City, UTUT1,308,37770.7–

783Sandpoint, IDID54,42070.7–

784Sierra Vista, AZAZ126,33270.7–

785Alamogordo, NMNM70,36871.0–

786Twin Falls, IDID123,90171.4–

787Cleveland, TNTN134,05771.4–

788Laredo, TXTX281,22471.4–

789Effingham, ILIL44,72771.6–

790Fayetteville, NCNC395,41271.6–

791Cedartown, GAGA45,51471.7–

792Glasgow, KYKY56,22471.8–

793Connersville, ININ23,53371.8–

794Payson, AZAZ53,80171.8–

795Yuba City, CACA187,47871.9–

796Fayetteville, TNTN36,85372.0–

797Valdosta, GAGA153,27672.1–

798Austin, MNMN40,97172.1–

799Watertown, NYNY111,54072.2–

800Killeen, TXTX511,49772.4–

801Grand Island, NENE78,07672.5–

802Corsicana, TXTX57,18172.6–

803Spirit Lake, IAIA18,07772.7–

804Jonesboro, ARAR139,44072.7–

805Boise City, IDID864,24372.9–

806Edwards, COCO54,29172.9–

807Scottsbluff, NENE36,27273.0–

808Anchorage, AKAK405,82173.2–

809Fort Leonard Wood, MOMO54,44273.2–

810Tifton, GAGA51,23773.3–

811Montrose, COCO44,59173.5–

812Centralia, ILIL36,38273.5–

813Wilmington, OHOH42,30173.5–

814Mount Vernon, WAWA132,97573.6–

815Wapakoneta, OHOH45,90973.9–

816Bakersfield, CACA927,06874.2–

817Coldwater, MIMI45,99374.2–

818Dalton, GAGA147,81974.3–

819Beeville, TXTX32,51574.4–

820Summerville, GAGA25,30074.5–

821Rock Springs, WYWY41,26774.8–

822Sebring, FLFL111,12274.9–

823Meridian, MSMS85,41974.9–

824Detroit Lakes, MNMN35,49775.1–

825Klamath Falls, OROR70,27475.2–

826Lawton, OKOK127,59075.2–

827Farmington, NMNM120,34075.3–

828Brownsville, TXTX433,94675.4–

829Safford, AZAZ40,15775.6–

830Monticello, NYNY80,58675.7–

831Alice, TXTX45,38375.9–

832Cedar City, UTUT67,14176.1–

833Marion, NCNC45,19876.1–

834Minden, LALA34,94876.2–

835Weatherford, OKOK39,05976.2–

836Kendallville, ININ47,93776.3–

837Kennewick, WAWA324,33476.4–

838Dubuque, IAIA99,38176.5–

839Lumberton, NCNC119,94176.5–

840Gainesville, GAGA226,56876.9–

841Juneau city and, AKAK31,60976.9–

842Bemidji, MNMN47,05577.0–

843Ludington, MIMI29,04077.0–

844Greenwood, MSMS34,91277.1–

845Susanville, CACA28,11777.2–

846Dumas, TXTX21,89177.2–

847Clarksville, TNTN349,00177.6–

848Rexburg, IDID69,38077.7–

849Yuma, AZAZ224,44978.0–

850Heber, UTUT81,65578.4–

851Roswell, NMNM63,36478.5–

852Wahpeton, NDND23,01978.5–

853Elko, NVNV56,68278.7–

854Monticello, ININ25,16478.7–

855Blackfoot, IDID51,15378.8–

856Clovis, NMNM65,27078.9–

857Moses Lake, WAWA105,72779.1–

858Red Bluff, CACA64,66579.1–

859Winnemucca, NVNV17,26779.2–

860Eufaula, ALAL26,86179.3–

861Mountain Home, IDID29,46579.4–

862Victoria, TXTX99,86479.4–

863Carroll, IAIA20,30379.5–

864Blytheville, ARAR37,82879.5–

865Yakima, WAWA259,18579.6–

866Pocatello, IDID91,59179.7–

867Idaho Falls, IDID173,85180.3–

868Hannibal, MOMO38,96980.4–

869Mineral Wells, TXTX30,79180.5–

870Mount Pleasant, TXTX57,07680.5–

871Cañon City, COCO50,03980.5–

872Bradford, PAPA38,98481.1–

873Merced, CACA297,26081.6–

874Odessa, TXTX173,80181.9–

875Camden, ARAR26,36382.2–

876Great Bend, KSKS24,79082.6–

877Visalia, CACA485,14682.6–

878Logan, UTUT160,88982.6–

879Garden City, KSKS37,50583.1–

880Brigham City, UTUT70,40583.8–

881Brenham, TXTX38,28883.9–

882Elk City, OKOK22,15984.1–

883Bay City, TXTX36,46384.3–

884Plymouth, ININ46,59984.3–

885Rio Grande City, TXTX66,31984.3–

886McAllen, TXTX921,54984.7–

887Celina, OHOH42,73785.1–

888Del Rio, TXTX47,83585.4–

889New Iberia, LALA66,84686.0–

890Riverton, WYWY39,46486.4–

891Vernal, UTUT38,27886.5–

892Ogden, UTUT672,78486.7–

893Sikeston, MOMO49,97887.0–

894Burley, IDID49,30888.6–

895Dodge City, KSKS33,99388.6–

896Memphis, TNTN1,341,41288.7–

897Eagle Pass, TXTX58,82388.9–

898Moberly, MOMO24,51389.0–

899Oskaloosa, IAIA21,88089.5–

900Provo, UTUT773,42690.5–

901Decatur, ININ36,65090.6–

902North Platte, NENE33,97291.2–

903Pampa, TXTX21,78693.3–

904Bishop, CACA18,15894.0–

905Jacksonville, NCNC217,17595.0–

906St. George, UTUT213,67096.2–

907Liberal, KSKS21,07397.2–

908Nantucket, MAMA14,75897.7–

909Dyersburg, TNTN36,32098.0–

910Grenada, MSMS30,22298.5–

911Sterling, COCO20,65499.8–

912Snyder, TXTX16,162112.0–

913Big Spring, TXTX30,504113.6–

914Vernon, TXTX12,481115.4–

915Othello, WAWA21,488122.7–

916Hereford, TXTX18,626133.4–

917Town of Pecos, TXTX12,138139.6–

918Zapata, TXTX13,753145.8–

SHOWING 501–918 OF 918

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