Neva Gerke, LM, MSM & Tiffani Hoffman, LM

empowering Puyallup midwifery care


Experience in-depth skilled midwifery care customized for your unique family.

Your choice of birth space.

Empowering home visits.

9+ years of supporting local families with safe, supportive care.

laoch midwifery


We offer prenatal, postpartum and newborn care. Choose from home birth services and birthing at The Birthing Inn in Tacoma, WA.

Preconception & IUI

We offer prospective parents advice on fertility and timing as well as insemination from our convenient office in Puyallup, WA.

Laoch means warrior in Gaelic.

Pronounced "lay-ock", Neva chose this name to reflect her belief that each pregnant person is a warrior in their own right. We are the foundation of our families.  We are the seat of our communities. We work tirelessly to keep our families safe and together every day throughout the world. It is this fighting spirit that carries us through one of the most vulnerable times: childbirth.