Adventist Health Castle: labor and delivery in Kailua, HI
Adventist Health Castle is a hospital in Kailua, Honolulu County, Hawaii that delivers babies. It handled 874 deliveries in 2025. Of first-time mothers with a full-term, single, head-down baby, 23% delivered by C-section (356 such births). That is below the Hawaii rate of 24% and below the U.S. median of 26%.
- 23%First-birth C-section rate
- 874Deliveries in 2025
- YesBirthing-Friendly designation
- 517Severe complications per 10,000 deliveries
- 4 of 5Patient survey stars
- 4 of 5Overall hospital stars
Address and phone
640 Ulukahiki St
Kailua, HI 96734
Honolulu County
Call (808) 263-5015 Directions
- Emergency department: Yes
- Hospital type: Acute Care hospital
- Ownership: Nonprofit, Church
How Adventist Health Castle compares
| Measure, 2025 | This hospital | Hawaii | U.S. |
|---|---|---|---|
| First-birth C-section rate | 23% | 24% | 26% (median) |
| Severe complications per 10,000 deliveries | 517 | 345 | 285 |
| Severe complications, not counting transfusion-only cases, per 10,000 | 116 | – | 68 |
Severe-complication ranking among U.S. hospitals: Bottom 25% (most complications).
In Hawaii, Adventist Health Castle has the 4th-lowest first-birth C-section rate of 9 hospitals that report one.
The first-birth C-section rate counts first-time mothers with a full-term, single, head-down baby. Complication rates are adjusted for patient risk. Our data explains each number.
What patients say
- Patient survey summary: 4 of 5 stars
- 79% of patients would definitely recommend this hospital
- 80% of patients rated this hospital 9 or 10 out of 10
Survey results cover all patients at the hospital, not only maternity patients.
Birthing-Friendly designation
Adventist Health Castle holds the federal Birthing-Friendly designation. Hospitals earn it by taking part in a perinatal quality collaborative and following maternal safety practices.
Other hospitals that deliver babies near Kailua
| Hospital | City | Miles | First-birth C-section rate | Deliveries, 2025 | Birthing-Friendly |
|---|---|---|---|---|---|
| The Queens Medical Center | Honolulu | 8.0 | 26% | 1,773 | Yes |
| Kaiser Foundation Hospital | Honolulu | 9.2 | 20% | 1,354 | Yes |
| Molokai General Hospital | Kaunakakai | 59 | – | – | Yes |
| Maui Memorial Medical Center | Wailuku | 89 | 29% | 1,206 | Yes |
| Wilcox Memorial Hospital | Lihue | 111 | 22% | 404 | Yes |
| Kauai Veterans Memorial Hospital | Waimea | 129 | 23% | 245 | Yes |
More in Honolulu County
- Kaiser Foundation Hospital (Honolulu)
- The Queens Medical Center (Honolulu)
All hospitals in Kailua · Honolulu County · All Hawaii hospitals