Monument Health Spearfish Hospital: labor and delivery in Spearfish, SD
Monument Health Spearfish Hospital is a hospital in Spearfish, Lawrence County, South Dakota that delivers babies. It handled 536 deliveries in 2025. Of first-time mothers with a full-term, single, head-down baby, 21% delivered by C-section (183 such births). That is above the South Dakota rate of 19% and below the U.S. median of 26%.
- 21%First-birth C-section rate
- 536Deliveries in 2025
- YesBirthing-Friendly designation
- 84Severe complications per 10,000 deliveries
- 4 of 5Patient survey stars
- 4 of 5Overall hospital stars
Birth services at Monument Health Spearfish Hospital
- Private labor and delivery rooms
Address and phone
1440 N Main St
Spearfish, SD 57783
Lawrence County
Call (605) 644-4000 Directions
- Emergency department: Yes
- Hospital type: Acute Care hospital
- Ownership: Nonprofit, Private
How Monument Health Spearfish Hospital compares
| Measure, 2025 | This hospital | South Dakota | U.S. |
|---|---|---|---|
| First-birth C-section rate | 21% | 19% | 26% (median) |
| Severe complications per 10,000 deliveries | 84 | 214 | 285 |
| Severe complications, not counting transfusion-only cases, per 10,000 | 46 | – | 68 |
Severe-complication ranking among U.S. hospitals: Top 25% (fewest complications).
In South Dakota, Monument Health Spearfish Hospital has the 9th-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
- 78% of patients would definitely recommend this hospital
- 78% 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
Monument Health Spearfish 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 Spearfish
| Hospital | City | Miles | First-birth C-section rate | Deliveries, 2025 | Birthing-Friendly |
|---|---|---|---|---|---|
| Monument Health Rapid City Hospital | Rapid City | 44 | 16% | 1,810 | Yes |
| Campbell County Health | Gillette | 88 | 11% | 604 | No |
| Pine Ridge IHS Hospital | Pine Ridge | 113 | – | – | Yes |
| Chadron Hospital | Chadron | 120 | 19% | 83 | – |
| West River Regional Medical Center | Hettinger | 123 | – | – | No |
| Memorial Hospital of Converse County | Douglas | 142 | 17% | 174 | Yes |
All hospitals in Spearfish · Lawrence County · All South Dakota hospitals