Avera St Mary's Hospital: labor and delivery in Pierre, SD
Avera St Mary's Hospital is a hospital in Pierre, Hughes County, South Dakota that delivers babies. It handled 434 deliveries in 2025. Of first-time mothers with a full-term, single, head-down baby, 15% delivered by C-section (123 such births). That is below the South Dakota rate of 19% and below the U.S. median of 26%.
- 15%First-birth C-section rate
- 434Deliveries in 2025
- YesBirthing-Friendly designation
- 369Severe complications per 10,000 deliveries
- 4 of 5Patient survey stars
- 2 of 5Overall hospital stars
Address and phone
801 E Sioux
Pierre, SD 57501
Hughes County
Call (605) 224-3100 Directions
- Emergency department: Yes
- Hospital type: Acute Care hospital
- Ownership: Nonprofit, Private
How Avera St Mary's Hospital compares
| Measure, 2025 | This hospital | South Dakota | U.S. |
|---|---|---|---|
| First-birth C-section rate | 15% | 19% | 26% (median) |
| Severe complications per 10,000 deliveries | 369 | 214 | 285 |
| Severe complications, not counting transfusion-only cases, per 10,000 | 106 | – | 68 |
Severe-complication ranking among U.S. hospitals: Middle 50%. Not counting transfusion-only cases: Bottom 25% (most complications).
In South Dakota, Avera St Mary's Hospital has the lowest first-birth C-section rate of 12 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
- 67% of patients would definitely recommend this hospital
- 74% 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
Avera St Mary's Hospital 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 Pierre
| Hospital | City | Miles | First-birth C-section rate | Deliveries, 2025 | Birthing-Friendly |
|---|---|---|---|---|---|
| Sanford Chamberlain Medical Center | Chamberlain | 63 | – | 41 | – |
| Mobridge Regional Hospital - CAH | Mobridge | 68 | – | 62 | – |
| Cherry County Hospital | Valentine | 103 | – | – | Yes |
| Huron Regional Medical Center | Huron | 106 | 15% | 233 | – |
| Avera St Lukes | Aberdeen | 119 | 26% | 351 | Yes |
| Sanford Medical Center Aberdeen | Aberdeen | 120 | 34% | 253 | Yes |
All hospitals in Pierre · Hughes County · All South Dakota hospitals