RANKING · 2010 CENSUS · 500 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). Vermillion, SD leads at 20.6. 918 metro areas qualify in total.

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All statesAll rankings

SAME RANKING BYCities Counties States ZIP codes

YEAR2010 2024

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

01Vermillion, SDSD15,03120.6–

02Hood River, OROR23,72024.0–

03Los Alamos, NMNM19,40727.0–

04Kill Devil Hills, NCNC38,24528.6–

05Vineyard Haven, MAMA21,21928.8–

06Deming, NMNM25,40729.0–

07Ithaca, NYNY104,04729.1–

08Elkins, WVWV26,88230.3–

09Petoskey, MIMI33,77531.1–

10Amherst, MAMA164,06531.1–

11Bainbridge, GAGA29,43231.9–

12Brattleboro, VTVT45,20432.0–

13Jacksonville, ILIL37,38132.0–

14Lock Haven, PAPA37,87032.2–

15Boone, NCNC54,78632.8–

16Macomb, ILIL25,91633.1–

17Cornelia, GAGA50,41633.8–

18Pullman, WAWA48,51234.0–

19State College, PAPA157,39334.1–

20Ruston, LALA48,36034.3–

21Martin, TNTN33,26134.3–

22Ellensburg, WAWA48,80334.4–

23Oxford, MSMS71,97235.1–

24Hemlock Farms, PAPA62,80835.3–

25Muncie, ININ113,10635.3–

26Cumberland, MDMD93,64035.3–

27Breckenridge, COCO39,06935.4–

28Athens, OHOH63,19735.7–

29Mountain Home, ARAR42,98235.8–

30Corinth, MSMS34,56935.8–

31Madison, ININ33,27936.1–

32Galesburg, ILIL47,76736.3–

33Missoula, MTMT128,69836.4–

34Carson, NVNV58,57136.7–

35Bloomington, ININ165,23136.7–

36Gainesville, FLFL359,03636.9–

37Staunton, VAVA129,69237.1–

38Thomaston, GAGA28,50037.3–

39Plattsburgh, NYNY78,13837.3–

40Menomonie, WIWI46,22337.6–

41Cortland, NYNY45,85037.9–

42Charlottesville, VAVA228,59737.9–

43Forrest City, ARAR21,80038.0–

44Maryville, MOMO20,17438.3–

45Fairmont, MNMN19,44038.3–

46Mount Pleasant, MIMI64,69138.6–

47Russellville, ALAL32,44938.6–

48Rome, GAGA101,37838.8–

49Barre, VTVT59,65238.8–

50Andrews, TXTX18,91438.9–

51Jackson, WYWY36,58739.0–

52Bloomsburg, PAPA66,19339.3–

53Corvallis, OROR97,72839.4–

54Murray, KYKY39,42139.5–

55Taos, NMNM34,56439.7–

56Rolla, MOMO45,24739.8–

57Henderson, NCNC42,63839.9–

58Pittsfield, MAMA128,22440.1–

59Blacksburg, VAVA181,61640.3–

60Laconia, NHNH65,14740.5–

61Morgantown, WVWV141,99540.5–

62Concord, NHNH158,07840.6–

63Gardnerville Ranchos, NVNV51,15440.6–

64Rutland, VTVT59,65340.7–

65Midland, MIMI83,75440.8–

66Dickinson, NDND39,14240.9–

67Somerset, PAPA72,00441.3–

68Borger, TXTX19,63341.3–

69Bangor, MEME157,96741.3–

70Auburn, ININ44,53541.4–

71Lawrence, KSKS120,92041.4–

72Kingsport, TNTN314,83441.4–

73Spearfish, SDSD29,45941.5–

74Dixon, ILIL32,91441.6–

75Raymondville, TXTX19,97141.6–

76Carbondale, ILIL52,50141.7–

77McPherson, KSKS30,06441.7–

78La Grande, OROR25,90041.7–

79Greenfield, MAMA70,69841.8–

80Athens, GAGA224,14841.8–

81Marquette, MIMI68,06441.9–

82Lincoln, ILIL27,18242.0–

83Meadville, PAPA81,79242.3–

84Madisonville, KYKY45,12742.3–

85Bartlesville, OKOK54,03742.5–

86Astoria, OROR40,92642.6–

87Fond du Lac, WIWI104,66942.7–

88Hudson, NYNY60,16842.7–

89Durant, OKOK51,36742.7–

90Laramie, WYWY38,55842.8–

91Charleston, ILIL46,60742.8–

92Johnstown, PAPA128,96842.9–

93Augusta, MEME129,06742.9–

94Rochelle, ILIL51,39943.0–

95Lewisburg, PAPA42,31343.2–

96Oneonta, NYNY60,58943.3–

97Escanaba, MIMI36,58243.3–

98Tiffin, OHOH54,52243.4–

99Kingston, NYNY183,33043.4–

100Kalamazoo, MIMI263,79543.5–

101Greenville, NCNC182,93643.6–

102Union City, TNTN30,06743.7–

103St. Simons, GAGA118,52443.8–

104Burlington, VTVT227,80344.0–

105Glens Falls, NYNY124,37344.2–

106Arkadelphia, ARAR20,93844.3–

107Scranton, PAPA574,41844.3–

108Charleston, WVWV200,17044.4–

109Homosassa Springs, FLFL171,66644.4–

110Albert Lea, MNMN30,44044.6–

111Fort Dodge, IAIA36,83844.6–

112Ann Arbor, MIMI370,21444.6–

113Nogales, AZAZ50,02044.7–

114Lake City, FLFL74,09444.9–

115Hermitage, PAPA107,86045.0–

116Salisbury, MDMD131,87245.1–

117Dublin, GAGA60,35145.1–

118Indiana, PAPA82,87845.4–

119Canton, ILIL32,90145.5–

120Branson, MOMO57,00145.6–

121Bellingham, WAWA236,39245.6–

122Shawnee, OKOK75,10245.6–

123Sault Ste. Marie, MIMI36,08145.7–

124Frankfort, KYKY77,87445.7–

125Natchez, MSMS54,72245.7–

126Rice Lake, WIWI46,48445.8–

127Owosso, MIMI67,68145.8–

128Malvern, ARAR33,45145.8–

129Franklin, KYKY20,78845.8–

130Iron Mountain, MIMI30,57545.9–

131Auburn, NYNY74,36545.9–

132Alma, MIMI41,19046.0–

133Angola, ININ34,79946.1–

134Gloversville, NYNY52,21646.2–

135Butte-Silver Bow, MTMT36,11846.2–

136Columbus, MSMS67,14446.2–

137Anderson Creek, NCNC150,13746.3–

138Sandusky, OHOH112,77746.3–

139Martinsville, VAVA63,09146.4–

140Brownwood, TXTX38,71146.4–

141Hillsdale, MIMI45,73846.4–

142Keene, NHNH78,26946.5–

143Boulder, COCO328,56046.5–

144Utica, NYNY285,61146.5–

145Oshkosh, WIWI174,21846.5–

146Clewiston, FLFL61,54646.5–

147Rochester, NYNY1,056,14946.6–

148Pikeville, KYKY89,12246.7–

149Boston, MAMA5,034,22146.7–

150Huntington, WVWV365,96546.7–

151Ottawa, ILIL145,90246.7–

152Roanoke, VAVA316,54746.8–

153Santa Rosa, CACA486,44446.8–

154Beckley, WVWV109,94046.8–

155Fairmont, WVWV55,58446.8–

156Bend, OROR266,37646.9–

157Pittsburg, KSKS39,00847.0–

158Champaign, ILIL239,97947.1–

159Pittsburgh, PAPA2,421,99247.2–

160Crawfordsville, ININ38,95447.2–

161Lynchburg, VAVA269,16947.3–

162Altoona, PAPA119,54147.3–

163Tampa, FLFL3,418,89547.3–

164Medford, OROR221,79547.4–

165Harrison, ARAR45,65447.4–

166Ketchikan, AKAK13,54947.5–

167Seaford, DEDE277,14047.5–

168Seneca, SCSC83,77547.5–

169Mexico, MOMO24,52847.5–

170York, PAPA473,19747.6–

171Marshall, MOMO23,26547.6–

172Tallahassee, FLFL397,44247.6–

173San Luis Obispo, CACA282,36747.6–

174Murrells Inlet, SCSC65,91247.7–

175Weirton, WVWV112,46847.7–

176Jamestown, NYNY124,12647.8–

177Massena, NYNY105,48847.8–

178Van Wert, OHOH29,01347.9–

179Walla Walla, WAWA62,36147.9–

180Trenton, NJNJ399,28948.0–

181Vincennes, ININ35,65248.0–

182Cullman, ALAL94,00948.1–

183Florence, SCSC201,39248.1–

184San Francisco, CACA4,630,04148.1–

185Manchester, NHNH433,41548.1–

186Stillwater, OKOK83,88948.2–

187Providence, RIRI1,708,16148.2–

188Batesville, ARAR38,78548.2–

189Tuscaloosa, ALAL281,85048.3–

190Cheyenne, WYWY102,93848.3–

191Portland, MEME577,63548.3–

192Amsterdam, NYNY50,04648.4–

193Cape Girardeau, MOMO99,21548.4–

194Marietta, OHOH58,38948.5–

195Adrian, MIMI97,77948.5–

196Knoxville, TNTN968,13748.5–

197Johnson City, TNTN216,41648.5–

198Deltona, FLFL746,93348.5–

199St. Marys, PAPA29,92648.5–

200Albany, NYNY915,83548.5–

201Akron, OHOH701,78048.6–

202Richmond, VAVA1,389,33848.6–

203Jamestown, NDND21,41448.6–

204Newport, OROR50,63648.6–

205Wheeling, WVWV134,08948.8–

206Lansing, MIMI479,72248.8–

207Stevens Point, WIWI71,94348.8–

208Granbury, TXTX70,50148.9–

209El Dorado, ARAR36,92648.9–

210Bucyrus, OHOH41,89648.9–

211Syracuse, NYNY652,27348.9–

212Buffalo, NYNY1,155,65349.1–

213Eau Claire, WIWI176,64749.1–

214Coos Bay, OROR63,99249.2–

215Huntingdon, PAPA43,00149.2–

216Greeneville, TNTN73,83149.3–

217Grand Rapids, MNMN45,40449.3–

218West Plains, MOMO40,79849.3–

219Tupelo, MSMS133,16749.3–

220Palm Bay, FLFL663,98249.4–

221Natchitoches, LALA36,08949.4–

222Jacksonville, FLFL1,785,50049.4–

223Morehead City, NCNC70,46949.4–

224Troy, ALAL33,68849.5–

225Lake of the Woods, VAVA40,08349.6–

226Fort Collins, COCO377,29249.6–

227Traverse City, MIMI156,97249.6–

228Shelby, NCNC103,32549.6–

229Madison, WIWI709,68549.6–

230Newport, TNTN37,88949.7–

231South Bend, ININ324,53849.7–

232Warrensburg, MOMO56,67049.8–

233Moscow, IDID41,84249.8–

234Pahrump, NVNV57,33649.8–

235Columbus, ININ85,72949.9–

236Clearlake, CACA67,77249.9–

237Reading, PAPA440,07250.0–

238Lexington, KYKY535,17450.0–

239Duluth, MNMN281,21950.0–

240Truckee, CACA101,91150.0–

241Ukiah, CACA88,12250.0–

242Jefferson City, MOMO152,71250.0–

243Gallup, NMNM68,11950.0–

244Columbia, MOMO219,06250.0–

245Duncan, OKOK44,31050.1–

246Las Vegas, NMNM30,31150.1–

247Springfield, ILIL206,03350.1–

248Big Rapids, MIMI42,32050.1–

249Punta Gorda, FLFL217,21250.1–

250Cleveland, OHOH2,165,77550.1–

251Worcester, MAMA888,50250.2–

252Stephenville, TXTX43,91150.2–

253Bloomington, ILIL171,41950.3–

254Hays, KSKS29,07550.3–

255Hickory, NCNC376,89050.4–

256Winston-Salem, NCNC712,20650.4–

257Wooster, OHOH116,75850.4–

258Tahlequah, OKOK49,19650.5–

259Lafayette, ININ228,46850.5–

260Muscatine, IAIA41,85350.5–

261Kokomo, ININ83,90450.5–

262Gaffney, SCSC58,27550.6–

263Bay City, MIMI102,12350.6–

264Oil City, PAPA49,34650.6–

265Sulphur Springs, TXTX39,06350.6–

266Mount Vernon, OHOH64,00250.6–

267Rockford, ILIL337,24250.6–

268Cookeville, TNTN152,47750.6–

269Bluefield, WVWV96,13850.6–

270Sheboygan, WIWI118,04750.7–

271La Crosse, WIWI171,18250.7–

272Newberry, SCSC39,56150.7–

273Kerrville, TXTX54,03750.8–

274Auburn, ALAL208,01350.8–

275Miami, FLFL6,391,07250.8–

276Richmond, KYKY131,80650.8–

277Huntsville, ALAL556,44451.0–

278Bozeman, MTMT128,74051.1–

279Bennington, VTVT36,63051.1–

280Portsmouth, OHOH71,36551.1–

281Clinton, IAIA46,00251.1–

282North Wilkesboro, NCNC66,23351.1–

283Pella, IAIA34,19251.2–

284Brookings, SDSD37,63551.2–

285Crossville, TNTN66,30051.3–

286Naples, FLFL417,13151.3–

287Harrisburg, PAPA617,42751.3–

288Barnstable, MAMA233,53951.4–

289Milledgeville, GAGA44,02951.5–

290Huntsville, TXTX83,84251.5–

291Danville, VAVA101,13751.5–

292Aberdeen, WAWA78,14451.6–

293Philadelphia, PAPA6,329,11851.6–

294Michigan City, ININ111,29451.7–

295Lawrenceburg, TNTN46,91451.7–

296Sherman, TXTX153,61351.7–

297Iowa City, IAIA182,71151.7–

298Fargo, NDND269,52851.8–

299Durango, COCO56,89851.8–

300Parkersburg, WVWV87,26451.8–

301Lewistown, PAPA46,12751.8–

302Sebastian, FLFL172,79951.8–

303North Port, FLFL948,15851.8–

304Eugene, OROR381,58451.9–

305Marion, ILIL67,22551.9–

306Clarksdale, MSMS19,84951.9–

307Joplin, MOMO208,79651.9–

308Toccoa, GAGA27,85451.9–

309Somerset, KYKY67,38451.9–

310Mobile, ALAL411,65852.0–

311Evansville, ININ273,78652.0–

312Roseburg, OROR111,95152.0–

313Santa Cruz, CACA258,85252.0–

314Greensboro, NCNC805,94552.0–

315Coshocton, OHOH37,18852.0–

316Spokane, WAWA608,01252.1–

317Erie, PAPA265,83252.2–

318Thomasville, GAGA72,95852.2–

319Port St. Lucie, FLFL568,72152.3–

320Wilmington, NCNC492,77252.3–

321Mount Airy, NCNC72,28752.3–

322Rifle, COCO80,09952.3–

323Russellville, ARAR84,93252.4–

324Dayton, OHOH826,55452.4–

325New York, NYNY20,112,44852.5–

326Youngstown, OHOH423,67852.5–

327Logansport, ININ37,83652.5–

328Santa Maria, CACA442,06552.5–

329Brevard, NCNC34,21152.5–

330Binghamton, NYNY243,18952.5–

331Danville, ILIL71,25952.5–

332Waynesville, NCNC63,36952.6–

333Bonham, TXTX39,26552.6–

334Price, UTUT20,68052.6–

335Corning, NYNY91,85552.6–

336New Castle, ININ49,13752.6–

337Lebanon, NHNH224,50052.6–

338Hilo, HIHI210,04352.6–

339Elmira, NYNY80,41552.7–

340Birmingham, ALAL1,197,76652.7–

341East Stroudsburg, PAPA167,17952.7–

342Appleton, WIWI249,87652.7–

343Findlay, OHOH75,03452.8–

344Mount Sterling, KYKY48,42852.8–

345El Campo, TXTX42,06052.8–

346Gadsden, ALAL103,88652.8–

347Harrisonburg, VAVA140,15552.8–

348Woodward, OKOK19,82752.8–

349Paris, TXTX63,31952.8–

350Pottsville, PAPA145,08552.9–

351Cadillac, MIMI49,71952.9–

352Easton, MDMD38,23852.9–

353Flagstaff, AZAZ144,36853.0–

354Statesboro, GAGA97,97753.0–

355Red Wing, MNMN48,19553.1–

356Orlando, FLFL2,957,67253.1–

357Sidney, OHOH48,06553.1–

358Forest City, NCNC65,74553.1–

359Greensburg, ININ26,57653.2–

360Cordele, GAGA19,23753.2–

361Houghton, MIMI40,02853.2–

362Los Angeles, CACA12,844,44153.3–

363Springfield, MAMA464,33853.3–

364Macon-Bibb County, GAGA238,55353.3–

365Sumter, SCSC105,06753.3–

366Ames, IAIA128,09053.4–

367Canton, OHOH400,24653.4–

368Springfield, OHOH135,34053.4–

369Detroit, MIMI4,390,91353.4–

370Peru, ININ34,48753.5–

371Douglas, GAGA52,86153.5–

372Corbin, KYKY150,04053.6–

373Cambridge, MDMD33,62853.6–

374Waycross, GAGA57,67053.6–

375Owensboro, KYKY113,96253.6–

376Lebanon, MOMO36,94353.6–

377Greenville, SCSC1,014,10153.6–

378Rockingham, NCNC42,04153.7–

379Little Rock, ARAR777,60753.7–

380Ruidoso, NMNM19,84453.8–

381Defiance, OHOH38,29253.8–

382Tulsa, OKOK1,069,27353.9–

383Marinette, WIWI65,51553.9–

384Palatka, FLFL77,73453.9–

385Helena, MTMT97,15353.9–

386Sayre, PAPA59,60054.0–

387Whitewater, WIWI106,12754.0–

388Monroe, MIMI156,00454.1–

389Pinehurst, NCNC110,61954.1–

390Myrtle Beach, SCSC427,55154.1–

391Peoria, ILIL363,50554.1–

392Fallon, NVNV25,85154.1–

393Sevierville, TNTN101,34254.2–

394Marshall, MNMN25,68454.2–

395Allentown, PAPA887,61554.2–

396Sedalia, MOMO44,25454.2–

397Mayfield, KYKY37,05054.3–

398Williamsport, PAPA112,58754.3–

399Tucson, AZAZ1,074,68554.3–

400Morgan City, LALA46,55254.4–

401Lake Charles, LALA244,65554.4–

402Marion, OHOH65,11554.4–

403Sacramento, CACA2,477,27454.5–

404Port Townsend, WAWA33,97054.5–

405Greencastle, ININ37,87654.5–

406Toledo, OHOH599,37654.6–

407Grants Pass, OROR87,86754.6–

408Burlington, NCNC186,17754.6–

409Vicksburg, MSMS41,75954.7–

410Port Angeles, WAWA78,20254.7–

411The Villages, FLFL157,77254.7–

412Morristown, TNTN128,86754.8–

413Zanesville, OHOH87,01454.8–

414Chico, CACA209,21154.8–

415Atlantic City, NJNJ372,04754.8–

416Fergus Falls, MNMN61,04154.8–

417Paris, TNTN32,89654.8–

418Santa Fe, NMNM156,90754.9–

419Hattiesburg, MSMS158,01454.9–

420Pensacola, FLFL544,94954.9–

421Oxnard, CACA830,85154.9–

422Virginia Beach, VAVA1,797,21354.9–

423Steamboat Springs, COCO38,45155.0–

424New Ulm, MNMN25,51755.0–

425St. Louis, MOMO2,814,42155.0–

426Augusta, GAGA641,23155.0–

427New Orleans, LALA970,84955.0–

428Calhoun, GAGA61,70155.0–

429Sonora, CACA53,16055.0–

430Kenosha, WIWI168,44855.0–

431Baltimore, MDMD2,857,78155.1–

432Quincy, ILIL74,14655.2–

433Freeport, ILIL43,22055.2–

434Kiryas Joel, NYNY718,37755.3–

435Arkansas City, KSKS34,38255.4–

436Nashville, TNTN2,197,41655.4–

437Charlotte, NCNC2,938,83055.5–

438Fort Smith, ARAR234,14055.5–

439Milwaukee, WIWI1,575,01055.6–

440Wilson, NCNC81,15055.6–

441Portland, OROR2,542,28255.6–

442Danville, KYKY56,98555.7–

443Seattle, WAWA4,161,88355.7–

444Cape Coral, FLFL875,60755.7–

445Kinston, NCNC55,83755.8–

446Beaver Dam, WIWI89,09755.8–

447Searcy, ARAR80,08555.8–

448Fort Madison, IAIA32,30655.8–

449College Station, TXTX287,47655.8–

450Wausau, WIWI139,43255.8–

451San Diego, CACA3,282,24855.9–

452Winchester, VAVA152,33255.9–

453Enterprise, ALAL56,95356.1–

454Jasper, ININ44,01656.1–

455Huntington, ININ37,22456.2–

456Davenport, IAIA380,45256.2–

457Sunbury, PAPA107,78856.2–

458Dover, DEDE194,78656.2–

459Winona, MNMN50,52356.2–

460McComb, MSMS52,64056.2–

461Owatonna, MNMN37,46456.2–

462Starkville, MSMS62,06356.3–

463Charleston, SCSC889,26356.3–

464New Philadelphia, OHOH92,37356.3–

465Casper, WYWY80,52656.4–

466Seymour, ININ47,37056.4–

467Warren, PAPA37,03856.4–

468DuBois, PAPA78,10056.5–

469Albemarle, NCNC68,83056.5–

470Washington, DCDC6,465,72456.6–

471Gettysburg, PAPA107,59456.6–

472Battle Creek, MIMI133,40856.7–

473Raleigh, NCNC1,595,72056.7–

474Sturgis, MIMI60,96856.7–

475Hagerstown, MDMD315,28056.8–

476Flint, MIMI401,09356.8–

477Laurel, MSMS82,28156.9–

478Manitowoc, WIWI81,71056.9–

479Watertown, WIWI86,50556.9–

480Ottawa, KSKS26,29956.9–

481Lebanon, PAPA146,38056.9–

482Chattanooga, TNTN594,53056.9–

483Atlanta, GAGA6,482,18257.0–

484Ashland, OHOH52,52357.0–

485Grand Forks, NDND105,04657.0–

486Columbia, SCSC879,91857.0–

487Reno, NVNV578,73457.1–

488Lexington Park, MDMD211,17657.1–

489Fremont, OHOH58,65557.1–

490Willmar, MNMN44,72057.1–

491Farmington, MOMO67,80957.1–

492Hot Springs, ARAR99,69557.2–

493Key West, FLFL80,40657.3–

494Monroe, LALA222,39057.3–

495Selma, ALAL35,14057.4–

496Chicago, ILIL9,434,12357.4–

497Guymon, OKOK20,32257.4–

498Durham, NCNC625,48557.5–

499Aberdeen, SDSD41,58357.5–

500Marion, ININ66,52457.5–

SHOWING 1–500 OF 918

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

Frequently asked

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).