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. Waterbirth is also supported. Our office is located at Seattle’s newest birth center, 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.


Baby Boy 4/6
Basil Alice 4/4
Baby Girl 4/1
Eleanor Grey 3/28
Baby Girl 3/27
Samuel Oliver 3/20
Ursula Eleanor 3/19
Sloane Leighton 3/17
Ada Pearl 3/16
Isydor 3/14
Obsidian Jet 3/12
Baby Boy 3/7
Lottie Elizabeth 3/1
Penelope Mae 2/24

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 a little space in late May and plenty of space left in June and July. Click here for information.

This year’s picnic is scheduled for Saturday September 14th. Mark your calendar now!
Click here to see some lovely photos from last year’s picnic!

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

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