Aurora’s Outcomes of 2025
"Sometimes your body or baby lets us know we need to change plans. We see transfers as a change in location that is still supported by our team. We share these numbers because they matter in the context of informed decision making and trust." - Alyssa Johns, Aurora founder
The families behind the data
WHO WE SERVED
Every number here represents a family who trusted us with one of the most significant moments of their lives. Here's a closer look at who they were.
100 clients in labor called us to their home in 2025. The outcomes are below:
34
FIRST-TIME PARENTS
34% of our clients were welcoming their first baby at home
66
RETURNING FAMILIES
66% had given birth before, many returning to Aurora after a previous experience with us.
31
CLIENTS OVER 35
Advanced maternal age is not a barrier to safe home birth. Nearly a third of our clients were 35 or older.
7
FAMILIES THROUGH LOSS
In addition, we also walked alongside 7 families through miscarriage, care that rarely appears in statistics but matters deeply to us.
BIRTH OUTCOMES
How the births unfolded
The vast majority of our clients gave birth at home as planned. Here's the complete picture.
87%
BORN AT HOME
87 out of 100 families who called us for labor gave birth at home.
11
VAGINAL BIRTH AFTER TRANSFER
11 families transferred and still gave birth vaginally in the hospital setting with us present for support
2%
CESAREAN RATE
2 births by c-section — far below the 32% national hospital average.
57%
LABOR ONSET 40-41W 6D
More than half of our clients began labor between 40 and 41 weeks 6 days
When plans change
BIRTH OUTCOMES
Transfers before labor starts are a sign that our risk screening is working. We offer to support every family through a change in birth plan with the same depth of care as those who birth at home.
BIRTH OUTCOMES
11%
9% OF TOTAL CLIENTS
11 families were transferred before labor began, for medical reasons including preterm labor and preeclampsia. Identifying risk before labor starts is what midwifery risk screening is designed to do.
LABOR TRANSFERS
13
13% LABOR TRANSFER RATE
13 families transferred during labor. Only 2 were emergent. The remaining 11 transferred for pain relief after abnormally long, taxing labors, a valid and supported choice, never a failure.
2 emergent transfers in 2025.
Our emergency protocols, equipment, and hospital relationships exist for exactly these moments, and we transfer via ambulance if there is a clear red flag that tells us we need to change locations quickly.
What the details reveal
CLINICAL HIGHLIGHTS
Beyond the numbers, the details of a year tell their own story.
90% VBAC success rate
7 home VBACs attended and 90% resulted in vaginal birth. We are honored to support VBAC at home as an informed choice and with careful risk assessment.
2 planned breech home births
Both successful. Breech at home requires advanced training and careful risk assessment and informed choice conversations.
35% intact perineums
35% of our clients had no perineal tearing. Only one client experienced greater than a 2nd degree tear.
36w 2d – 41w 6d
Earliest to latest baby born at home. Our earliest was a 36 week baby who went on to thrive.
1 NICU transfer
One newborn, born at 36 weeks, was transferred for breathing support and required a NICU admission. This was anticipated, monitored, and handled promptly.
6 lbs 2 oz – 10 lbs 13 oz
Range of babies born at home. Our biggest overall in the practice? 11 lbs 2 oz born via c-section to a first-time mother.
"We trust your body and baby and know that sometimes additional support is needed. Transferring when it’s needed is not a home birth failure, it’s a success to seek higher level care when we recognize it’s needed.."
116
FIVE-STAR GOOGLE REVIEWS · 5.0 AVERAGE
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