I, Terah Lara, am the founder of Foothills Midwifery, LLC.  After having my daughter at a young age, I went through medical assisting school and graduated with the highest honors. I continued my education and maintained subsequent nursing positions in nurse-midwifery and obstetrical offices. When I decided midwifery was my true calling, I attended several schools for my undergraduate classes, then went to Seattle Midwifery School (Bastyr) and the Midwives College of Utah, where I continued my education until graduation. I am certified by the National American Registry of Midwives (CPM) and by the State of Washington (LM). Throughout my education and career, I have attended over 400 births, worked directly with several midwives in Washington as well as a midwife in Mexico.

I have five children who were all born with midwives! I have an extremely supportive husband who also loves my clients and is enthused when I run off to help another family with their birth. We reside on a farm in Enumclaw and I enjoy knitting, photography, remodeling/decorating my home, and going to births! We have cows, alpacas, chickens, pigs, goats, ducks, bees and a big garden.

As a midwife, I take 4-5 birth clients per month so that I have enough time to dedicate to each client and to my family. I have resources for back-up physicians, back-up midwives, consultations and referrals.

About Midwife Terah

Birth Attendants

At every birth, I bring at least one other birth professional; a birth assistant or a student. Birth assistants are professionally trained to offer some labor support, although their primary responsibility is to be a second set of hands for the midwife. I strive for clients to meet my birth assistant so they feel comfortable with all attendants.

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 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.






Tina F: Student/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 Maple Valley 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.





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

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.

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.

Tinneca (right) and Toni Erickson. 

"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. 

By Appointment Only
1108 Washington Ave. Enumclaw, WA 98022

© 2013-2019 by Foothills Midwifery, LLC