A newborn at a Rainy City Midwifery home visit

Midwives Beth Coyote and Lynn Hughes along with midwives and naturopathic doctors Sara Alvarado and Abigail Nelson offer a Seattle-based midwifery practice located in Seattle’s Eastlake neighborhood, specializing in home births and birth center deliveries. We attend home births throughout the greater Seattle area – ask us about your area. For those desiring a birth center birth, we are privileged at Center for Birth as well as Seattle Home Maternity Birth Center in Columbia City. Waterbirth is also supported. Our office is located at Center for Birth on Eastlake. We accept most insurance plans and Medicaid / Apple Health. For insurance questions, call (360-632-4435) or send an email to Ingrid Skjelsted, our insurance biller. (Drs. Alvarado and Nelson also provide primary, reproductive health and pediatric care at Rainy City Natural Medicine.)

Since the mid 1980’s, we have welcomed more than 1500 babies into the world. Long experience has taught us that each family and birth are unique and special. We offer leisurely appointments where family and friends are welcome. Our goal is to assist in the passage from pregnancy to parenthood with our skills, intuition and trust in the process.  We anticipate that each pregnancy will be healthy and vital, as most are.

It is an honor to serve families and their little ones during one of life’s most important journeys. We love what we do.

Angus Conan 4/17
Olive 4/14
Oskar Phoenix 4/12
Baby Girl 4/11
Dila 4/11
Onyx Jean 4/10
Ainsley 4/7
Milena Zena 4/4


It’s not too late to switch to midwifery care!
Thinking of transferring to midwifery care? Maybe you’d like to have your baby at Seattle’s premiere birth center, Center For Birth, or perhaps you’d like a home birth? We currently have space in November and December and are interviewing for 2021 winter and spring due dates. Click here for information.

For questions about midwifery or giving birth at home or in a freestanding birth center, click here.

Thank you to everyone who joined us for our ANNUAL FROLIC! We enjoyed a lovely gathering of families with babies and children of all ages. It’s always wonderful to reconnect. You’ll find many wonderful photos posted on our Instagram and Facebook accounts.

Learn about costs and coverage for your Cell-Free DNA genetic testing with Progenity

Videos from Rainy City Families
Baby KoaBirth of AnukBirth of Tessa

Rainy City Photo Gallery

Resources For Clients