Lake Washington Midwives

Lake Washington Midwives is one of the two resident practices at PSBC-Kirkland, holding clinic on Mondays and Wednesdays.  They use electronic charting through Maternity Neighborhood, which clients love for the ability to access their own medical records and test results from their computer or phone at any time.


Read on to learn about each midwife...



Ali Tromblay

LM, CPM, Co-owner

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The discovery of my life’s calling, amazingly enough, happened on a Mother’s Day.  In 1993 I was asked to video and photograph a friend’s home birth.  I eagerly said yes, as I was pre-med at the University of Washington and had never attended a birth before.  As time disappeared and the awe inspiring process of labor and birth unfolded, I found myself enraptured, at peace, and so grateful for the privilege to bear witness to such a miracle.  I felt at home in the atmosphere of birth, and as the first sounds of the newborn rang into the room I realized I had found my calling.  Many years have passed, and almost 800 births later I am still in awe of the birthing process, and thrilled that I get to offer the midwifery model of care which I believe in so deeply, to so many different kinds of people.  What makes our care different, in a word, is listening.  My intention when I sit with people in a prenatal visit or during their birthing process is to offer a quality of listening within the moment.  This allows for a more fluid sense of time to evolve.  I believe that within such a quality of timing, everthing is possible and balance and a sense of flow are more accessible. Questions find their answers, conversations create connections, and babies discover how to nurse.


I am always learning from this work that I love and the people I meet in it, and always I am humbled by the power that women possess and the wisdom in the eyes of the newborns.


I have a similar awe in my garden when new seeds poke their noses through the earth.  Gardening in the sanctuary that is the land we live on, brings me great joy and balance. As well as “catching babies”, tending to growing families, and being one of the owners of Puget Sound Birth Center, I am on faculty at Bastyr University Department of Midwifery and I sit on the Department of Health Midwifery Advisory Committee. It is really only because of my incredibly supportive and lovely wife that I can do all of this, as well as tending to our two beautifully passionate boys and the myriad of four legged and winged creatures we share our home with.  My other passions include growing food, baking (I’ve finally mastered the gluten free pie crust!), making pottery, sewing, being outside, and listening to the birds, all of which are exponentially better of course when shared with my family!


Melissa Hughes


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I became quickly amazed and intrigued with midwifery care following the home birth of my nephew. In the year that followed, I explored childbirth options and also chose to have a midwife attended home birth. In doing so, I discovered that choices in pregnancy, birth and infant care have profound impacts on our lives and well-being; and that our experiences in birth, giving birth and being born, play an important role in how we relate to ourselves and the world around us.


My professional midwifery journey began in 2005 when I enrolled in the direct entry midwifery program at the Seattle Midwifery School.  Since 2009, I have been providing midwifery services as a Licensed and Certified Professional Midwife (LM,CPM).  


The care that I provide is guided by my understanding that our childbearing years, the season of pregnancy, birth, and postpartum, can be a time of tremendous joy and great challenge.  As a midwife, my hope is to create an environment where mothers and families feel supported and empowered.   I firmly believe that all women deserve providers who align their practices with the Midwifery Model of Care.


I stand on the shoulders of many great midwives who facilitated my training and have gratitude beyond words for my colleagues at Lake Washington Midwives. 


My personal interests include art, gardening, mountains, fresh air and above all spending time with my family.




Melanie Dickson


I grew up in New England and did not hear of midwifery and homebirth until I moved to California and a friend showed me her birth pictures.  I was enthralled.  Squatting upright in her bed, her bag of waters bulging, it looked like she was giving birth to the whole Milky Way galaxy.   I began to learn all I could about birth and, a few years later, never having been to a birth, I started Seattle Midwifery School.

Since 2006 I worked with Peninsula Midwives in Port Townsend, serving families on the Olympic Peninsula.  I loved being a community midwife—seeing my clients at the farmer’s market, the library, watching their babies—and their families—grow, and occasionally consulting with physicians (privately!) during school drop-off time.  

During that time I gave birth to my own two daughters.   I loved giving birth the first time.  The second time, which took a lot longer and involved more puking, I did not enjoy nearly so much.  Both times I appreciated my quiet, caring midwife, supporting me from the side of the tub, and the feelings I had of privacy, freedom, and total comfort to labor however I needed to.  

As my kids grew older and my husband found contracting work to be less and less sustainable, I began to be ready to work more at this job that I love so much.  Last year, in the spirit of “go big or go home” I travelled to Toronto to train in the Canadian model of midwifery, which includes hospital birth, induction and augmentation, and managing epidurals.  It was challenging and lots of fun, but Washington midwifery still felt like home to me.  As it turns out, my midwifery career with a sustainable work/life balance was waiting for me here in Kirkland!

I am thrilled to be working with the Lake Washington Midwives, both to work with amazing midwives whom I have long admired as leaders in the field, as well as to serve a wider clientele in the greater Seattle area, and lastly to have both more work, and more time off-call to devote to my family.

The reasons I love midwifery now are not the same reasons I fell in love with it.  It’s no longer about striving for that perfect birth.  As a parent, I see so many parallels between giving birth to our babies, and bringing up these sweet, fierce children.  We are simply amazing at both, and neither is for the faint of heart!  Parenting, like labor, is hard, no matter what choices we make.  There is no perfect and very few rules.   We have to make choices with uncertain outcomes for the people we love most, and what’s right for one family might not work for another.  Sometimes it’s just about getting through the day—or the night.  Sometimes we need help.  Most of the time we can do it on our own.  We always need support. 

I am honored to support families as they journey through pregnancy, birth, and those first few weeks postpartum.  Thanks for letting me be a part of your story.

  1. Kirkland Birth Suite 3
  2. Kirkland Birth Suite 3
  3. Kirkland Family Room
  4. Kirkland Birth Suite 1
  5. Kirkland Birth Suite 1
  6. Kirkland Birth Suite 1
  7. Kirkland Entrance
  8. Kirkland Reception Area
  9. Kirkland Birth Suite 2
  10. Kirkland Birth Suite 2
  11. Kirkland Birth Suite 2
  12. Kirkland Birth Suite 2