About Off the Grid


Your baby: Birth center or hospital.

Off the Grid's two midwives, Kay Jackson, CNM, ARNP, and Tiffani Hoffman, LM, CPM, provide individual care for every pregnancy and birth.

We'll be the midwives you've gotten to know at all those prenatal appointments, and the ones who show up when your baby comes. One of us will likely be with you during your entire labor. It's what we DO.

We specialize in out-of-hospital birth at The Birthing Inn (Tacoma's only freestanding birth center) and hospital birth at St. Joseph's Medical Center. Our expertise includes waterbirth, hospital-based VBAC, facilitating your use of hypnosis, and postpartum support. 

If there's a concern while laboring at The Birthing Inn, Kay can admit you to St. Joe's and continue to be your midwife there, where she partners with local obstetricians if special help is needed.


We're here for you after the baby comes...

Tiffani, mother of eight, is Off the Grid's  postpartum expert. She has a wonderful ability to help families come together and welcome their newest member in the best way possible, as well as troubleshoot those pesky breastfeeding problems.

We tailor your after-baby care to your immediate needs, those that show themselves a couple of weeks later, and to your ongoing health in the weeks and months after that.

Because adding a new family member comes with unexpected challenges, we screen for the many common physical, intimacy, and postpartum mood issues that can emerge.

It seems natural to first address many of these with supplements, support, humor, and a hug. Or help you decide if prescription medication is appropriate.


Taking the "scary" out of women's health care.

 You don't have to be left without the kind of care you've come to expect Off the Grid after you've had your baby.

Kay has been a women's health specialist for over 25 years and is committed to making sure annual exams and evaluation of female issues are taken care of in a relaxed and sensitive way.

You can take advantage of this kind of midwifery care throughout your lifetime. And tell your mom! She may want the same consideration as she navigates the second half of life.

No matter your age--whether you're putting off starting a family, having difficulty getting one started, or you've come to the end of that road--midwives are with women for a lifetime.

Get In Touch

Off the Grid Midwifery & Women's Health

Office: (253) 509-2960 Fax: (253) 292-1045


Always open when babies come.

We fit appointments in on Monday, Wednesday, and Thursday: 10 am to 5 pm. And by special arrangement.

Registered members of Off the Grid can schedule their appointments HERE:

Stay In Touch

Just in case we've got news about new insurance carriers, phone numbers, all that stuff...