About Midwife Terah

When I had my first daughter at 16 years old, I later learned how fortunate I was to be treated with respect and dignity, and to have had an empowering experience. Midwifery care changed my life. As a single, teen parent, I set off on a journey to support my daughter and I.  I worked as a medical assistant while attending midwifery school and now I have attended over 700 births as a midwife. I feel so fortunate to have been a part of midwifery for the last 15 years and in healthcare for the last 20 years.

I have gone on to have five children who were all born with midwives! (Hopefully a new picture is coming soon to show all five of my kids!). If I'm not helping people have a baby, you'd find me on my farm in Enumclaw where we have cows, alpacas, chickens, pigs, ducks, bees and a vegetable garden. 

I have personally seen how important midwifery is for myself and I am now honored to walk beside you on this journey into parenthood. 

terah lara, midwife, cpm, licensed midwife, washington midwife

About Midwife Brittany

It has given me great joy to serve people through this transformative time of their lives as a birth worker over the last decade. I bring that joy with me in my capacity as a staff midwife at Foothills. I currently live in Tacoma with my three children, with plans to relocate by fall to be closer to clients and to the office and birth center. When I’m not working, you can find me exploring nature with my kiddos, cooking fun new dishes, or planning the next adventure my family will go on. I consider it a great privilege to attend births and to witness how powerful our clients are. I look forward to meeting you wherever you’re at on this journey!

Giving birth to all three of my children with midwives helped me see that labor could be beautiful and empowering rather than feared. Then, when I personally experienced postpartum depression, I felt a deeper calling to invest in the needs of other postpartum people's experiences. I come with a compassionate heart to walk with you in your journey and be a guide to resources when you're in need. 

Birth Attendants

At every birth, we bring at least one other birth professional; a birth assistant or a student. Our students & assistants are professionally trained to offer some labor support, although their primary responsibility is to be a second set of hands for the midwife. Nearly all of the time, you will meet your birth assistant(s) several times before your birth. 

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Tina F: Birth & Office Assistant August 2019 - Current

"I first heard the call to midwifery 29 years ago, as a young mother. My fifth and sixth babies were born at home. Living the experience of the Midwifery Model of Care changed my life and opened my heart and soul to the deep desire to serve women the way I had been served. I completed my doula training with DONA, and worked off and on as a doula for another seven years in Wyoming and Colorado before beginning midwifery school in 2017. Some of my fondest doula memories are of serving at the births of five of my now 11 grandchildren. My husband of 36 years and I moved to the area in January of 2018. There's a Norwegian proverb that says, "The greatest joy is to become a mother; the second greatest is to be a midwife." I am overjoyed to be continuing my journey with Terah, in service to all of you as a part of the Foothills Midwifery community. Thank all of you for allowing me the privilege of learning from you, I look forward to sharing this sacred time together." -Tina

Tina is an independent midwife who graduated from Indie Birth School and serves as our

clinical assistant, birth assistant, and administrative assistant. 

Tinneca: Back-Up Midwife & Occasional Birth Assistant

Tinneca attends births as an assistant when a specific request is made. 

"I started my journey into womens' health over 10 years ago with the birth of my first son. This personal experience opened my eyes to a vision of healthcare that involved not only the medical aspects of care, but the need for communication, love and respect for each individual woman and her family. I began teaching and supporting women in 2004 and have had the honor to assist in the births of nearly 400 babies. I have worked with clients both in and out of the hospital as a childbirth educator, doula, monitrice and am a Licensed & Certified Professional Midwife. The love of my life and I share the responsibility of raising 5 great kids and a mini farm in Sumner. We also run the Timbercreek Farm & Forest School.​" -Tinneca

Kastle: Student/Assistant December 2013 - September 2014

"I grew up in a very holistic home and always knew that if I were to have children I would want to have them at home with a midwife. Three years ago I started studying at the Midwives College of Utah so that I could help other women with that same dream. Being from the Pacific Northwest I love playing outside, especially skiing and soccer. For a nice relaxing time I like to cuddle up with my husband, kitties, and a good book. I look forward to sharing this beautiful time with you." -Kastle

Kate R: Student/Assistant September 2014 - November 2015

"Born and raised in the south Puget Sound, I am a Northwest girl to the core. As a teen I developed a real interest in women's health and alternative medicine, and it didn't take me long to discover a love of birth. Shortly after finishing high school I trained as a doula, soon learning that midwifery was truly my passion in the birth room. So, in 2012, I left my native Washington for small town Maine to attend Birthwise Midwifery School. Now I am happy to have returned home to continue to my studies with Foothills Midwifery. When I am not buried in my books studying, I can be found outside kayaking, hiking the woods and gardening, or just enjoying food with friends and family." -Kate

Brittany F: Student/Assistant & Current Foothills Midwife

June 2015 - November 2016

“My journey into birth work began in 2011 when I looked down at my own positive pregnancy test. Nervous, excited, and full of enthusiasm I began to do some serious research and decided that an out of hospital birth would be just right for me. In October of 2012 I began to work as a doula and have enjoyed it immensely, but the desire to serve and empower women in a way that would help them find inner strength drove me to begin formal midwifery education at the Midwives College of Utah. In my spare time I’m with with my loving husband, at playdates with my two kiddos, or singing and making music with friends. I consider it an incredible privilege to be able to serve the Foothills Midwifery families and am eager to learn!" -Brittany







Melissa M: Student/Assistant November 2016 - November 2017

"I have been captivated by pregnancy and birth since I was a young girl. After many years of working on prerequisites for a nursing degree for the certified nurse-midwife path, I discovered that I was really called to OOH birth and enrolled in the midwifery program at Midwives College of Utah. I love to be with my husband and children in my free time. I also love crafting all sorts of things and cooking. When I'm not in school anymore I'll also enjoy reading non-midwifery related books again." 

Heather B: Student/Assistant November 2017 - June 2018

The magic of midwifery captured my heart over a decade ago while I was pregnant with my first child.  realized shortly after his birth that I wanted to become a midwife myself, to do the work of holding space for others on the transformative journey to parenthood. My path as a student midwife took my family to the mountains of Tennessee where I undertook my first apprenticeship. In 2015 I began the coursework at Birthwise Midwifery School in Maine. The following Spring, I began apprenticing with a midwife near my home in Maryland. My entire family is delighted with the opportunity to discover the wonders of the Pacific Northwest, and I look forward to working with Terah as I continuously discover magic in the process as I give birth to myself as a Midwife.

Elizabeth (Beth) D: Student/Assistant August 2019 - August 2020

I have been interested in reproductive health since I was in high school but my fascination with birth began much earlier through the stories my mom would tell of her experience with pregnancy and delivery. Since then, I have worked in public health, urban agriculture, food justice, and finally coming full circle, back to birth work. I am passionate about fostering community connections and believe every person is entitled to receive holistic, evidence-based care that honors their goals for their family.

Originally from Los Angeles, I’ve lived in Washington (Puyallup & Seattle), Montana, and even in the Philippines while serving as a US Peace Corps Volunteer. My partner works for Mt. Rainier National Park as a Park Ranger and we have an active toddler and a cat who puts up with our antics. Drinking coffee, being outside, and story-telling in the kitchen are some of my favorite things.

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Kiele A: Student/Assistant August 2020 - February 2021

"I am a mom to two little ones and I am just starting my path into the world of Midwifery as a student at the Midwives College of Utah. I have always been interested in a more holistic approach to medicine and healthcare, and for years I was planning on being a naturopathic nurse practitioner. After my daughter was born (at a hospital) I began to look deeper into alternatives to the standard maternal care that is offered and I was blown away by everything that I was discovering about out-of-hospital births and maternal care. I had the honor of supporting my sister through her first birth and that is when it clicked for me that birth work was where I was meant to be. From there I took a DONA Birth Doula training, got accepted, and began the Certified Professional Midwife program at MCU, and here I am now. I am so excited to be a student midwife under Terah and to be joining her team at Foothills Midwifery. I am looking forwards to getting to know you all and learning from you!" -Kiele A.


Kiana A: Student/Assistant February 2021 - April 2021

Hello! I’m Kiana! I've been a doula for two years and I'm currently in my first year of midwifery school. Before starting, I was an EMT for three years. Being an EMT definitely made me sway into the birthing world. I am a mom to two little girls.


Heidi: Student/Assistant September 2021 - Current

"I just finished my second year at Mercy in Action College of Midwifery. I have gained observational experience over the past 5 years in birthwork, and after training to be a Doula, I started my journey into midwifery in 2019. Born at home myself, I had the dream to be a midwife from the tender age of 8 and I'm now thankful to be on track for that dream to come true. I am passionate about assisting in making safe and empowering birth experiences for midwifery clients.

I have spent most of my life in the Northwest. I enjoy the outdoors, flower gardening, crafts, knitting baby hats, and writing music in my spare time. Besides this, I also serve as president of a non-profit young adult organization." -Heidi


Hannah: Student/Assistant September 2021 - Current

“I place the responsibility for sparking my interest in birth on my grandma, who, instead of babysitting me as planned, sent this wide-eyed three and a half year old along to her younger brother’s birth. From then on, I was fascinated by babies and birth, but it was years before midwifery appeared on my radar. Growing up in a naturally minded but also medical home in a rural part of Canada, I got lots of experience responding to medical emergencies as well as learning how to foster good health through simple, natural methods. After taking a step back from pre-nursing to reevaluate my chosen profession, I discovered midwifery. As I learned about the principles by which midwives practice, I knew instinctively that this was exactly what I had been looking for — client-centered continuity of care with emphasis on safeguarding the natural, healthy body processes. When the opportunity presented me to job shadow a midwife, I was overjoyed to accept, and I’ve been hooked ever since. I started training with Mercy In Action College of Midwifery in 2019, and I am excited to be joining the Foothills Midwifery team as a learner, a witness, and a guardian of the miracle of birth." -Hannah


"The Midwives Model of Care is based on the fact that pregnancy and birth are normal life processes.

The Midwives Model of Care includes:​

  • Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle

  • Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support

  • Minimizing technological interventions 

  • Identifying and referring women who require obstetrical attention 

The application of this woman-centered model of care has been proven to reduce the incidence of birth injury, trauma, and cesarean section."

Midwives Model of Care

Why Midwifery? 

Families choose out-of-hospital birth for a wide variety of reasons. Among those reasons include: safety, the desire for decreased intervention, and to have more control of their birth.

When women and their babies are screened well and “low-risk” is established, they are candidates for midwifery care. Midwives spend a tremendous amount of time with their clients, increasing safety for their client and their baby with thorough screening as well as developing a relationship that leads to a compatible and cohesive team for a woman’s birth. 



Midwives Association of Washington State

The Midwives Association of Washington State has set up guidelines for Licensed Midwives of Washington to reference. I agree with these standards and under nearly all circumstances, will adhere to their guidelines. I also support The Midwives Association of Washington State through my annual membership.