Meet the Certified Nurse-Midwives of Goshen Birth Center

Our nurse-midwifery group practice has been a part of Fairhaven Obstetrics & Gynecology since 1993. As certified nurse-midwives, our practice is based on a philosophy that views childbearing as a normal process.  We work toward empowering women in their own individual pregnancy and birth, expanding choices and promoting health and normalcy in the childbearing years.

Lauren Cox


Professional interest

Lauren enjoys partnering with women in their healthcare throughout their lifespan, and feels especially privileged to care for women and their families during pregnancy and birth. She is passionate about supporting the normal process of birth, advocating for women and new life, and educating about fertility awareness.


Personal information

In her spare time, Lauren enjoys spending time with family and friends, being outdoors, international travel, playing piano, Latin dancing, and being a member of St. Joseph County Right to Life.


Professional degrees and certifications

  • Masters of Science in Nursing, Nurse-Midwifery, Frontier Nursing University, 2018

  • Bachelor of Science in Nursing. Bethel College, 2014

  • Board Certified Nurse-Midwife, American Midwifery Certification Board, 2018

  • Fertility Education & Medical Management (FEMM) Teacher Certification, In progress


Betsy McCanse C.N.M.
Morgan DeKleine


Professional interest

Morgan enjoys supporting women throughout each stage of life, from puberty to menopause. She encourages women to take ownership of their health by being actively involved in the decision-making aspect of their care. Morgan considers it a great honor to be present with women during pregnancy and birth.


Personal information

Morgan and her husband, Randy, enjoy reading, cooking, hiking, traveling, and spending time with friends and family.


Professional degrees and certifications

  • Master of Science in Nursing, Certified Nurse Midwife and Family Nurse Practitioner, Vanderbilt University, 2015

  • Certified Lactation Counselor, Academy of Lactation Policy and Practice, 2012

  • Bachelor of Science in Nursing, Calvin College, 2009


Professional experience

  • Certified Nurse Midwife at Fairhaven OB/GYN

  • Labor & Delivery Nurse at Rehoboth McKinley Christian Hospital, Gallup, NM

  • Emergency Room Nurse at Floyd Medical Center, Rome, GA

Ann Brookhyser


Natima Alexander


Professional interests 

Anne provides care for women throughout the lifespan. She especially
enjoys mentoring women on their transformation to motherhood.  She
encourages mothering through breastfeeding.

She worked in maternal-child health for 12 years before becoming a
midwife. She has experience as a labor/delivery, postpartum/newborn
nurse, lactation consultant, public health home visiting nurse, and
with the WIC program. She enjoys health advocacy for women's health
issues and underserved populations.  She has additional training in
support after perinatal loss and domestic violence.

Personal information

She is married to Brad Alstrom.  They have two children, both
redheads. She enjoys spending time outdoors, especially gardening and

Professional degrees and certifications

  • Masters of Science in Nursing, Nurse-Midwifery, Frontier Nursing 
    University, Hyden, Kentucky, 2016

  • Associates in Applied Science, Nursing, Clatsop Community College,
    Astoria, Oregon, 2004


  • Bachelor of Arts, International Studies, Friends World Program of Long Island University, Southampton, New York, 1998

  • Certified Nurse-Midwife (CNM) since 2016


  • ​​International Board-Certified Lactation Consultant (IBCLC) since 2010


Professional interests

Natima enjoys working with women and their families to attain their desired healthcare goals and birth experiences. She is passionate about placing value on and advocating for the individuality of each woman's needs for herself and her family. She enjoys educating others on their reproductive health care and being a guide for women throughout and after their childbearing years.

Personal interests

Natima enjoys spending time outdoors with her two rescue dogs, especially on the lake. She enjoys camping out lake-side, river floating, and kayaking. She also looks forward to opportunities to host parties and events for her friends and family from baby showers to game nights.


Professional degrees and certifications

  • Master of Science in Nursing, Nurse-Midwifery, Vanderbilt University, Nashville, Tennessee, 2018

  • Bachelor of Science in Nursing, Western Kentucky University, Bowling Green, Kentucky, 2016

  • Board Certified Nurse-Midwife, American Midwifery Certification Board, 2019

  • Certified Electronic Fetal Monitoring, 2018


Betsy McCanse C.N.M.
Betsy McCanse


Professional interest

Betsy enjoys working with women to enable them to be active participants in their health care. She is delighted to be with women through pregnancy, labor and birth.


Personal information

Betsy enjoys parenting, lindy hop and blues dancing, hosting dinner and game nights, sewing and reading and camping with her daughter



  • Masters of Science in Nursing, Certified Nurse Midwife (CNM) University of Illinois, College of Nursing, Chicago, Ill., 2013

  • American Midwifery Certification, Board Certified Nurse Midwife (CNM), 2013

  • BA to Nursing Bridge Program, University of Illinois, College of Nursing, Chicago, Ill., 2010

  • B.A., Humanities, Calvin College, Grand Rapids, Mich., 1997


Professional experience

  • Fairhaven OB/GYN, Certified Nurse Midwife

  • Registered Nurse, South Haven Health System, South Haven, Mich.,

  • Childbirth Educator, Bradley Method, Brio, Independent, Southwest Mich.

  • Labor Doula, DONA, Southwest Mich., Northern Ind.

Headshot Lauren.jpeg
Amy Hartman FNP-C, C.N.M.
Natima Alexander headshot.jpg

What is Nurse-Midwifery

Today’s midwife is a skilled health care professional who provides high-quality primary health care to women. While midwives are probably best known for their care of women during pregnancy and childbirth, they are also experts in women’s health throughout their lifespan, from adolescence through menopause.


Certified nurse-midwives complete four years of undergraduate nursing education and two years of graduate school in midwifery culminating in a national board for certification in nurse-midwifery. Many midwives work for several years as a labor/delivery nurse prior to attending graduate school. Certified nurse-midwives are licensed by the state of Indiana and are required to complete 30 hours of continuing education every 2 years to maintain their license. They practice in collaboration with qualified physicians, typically obstetrician/gynecologists.

Betsy Black
Administrative Director

Betsy Black is the Administrative Director of the Goshen Birth Center. She comes to the birth center as a seasoned birth professional, serving our local community for over 10 years. Her work experience as a doula and childbirth educator enables her to understand the questions and needs of an expectant couple when planning for their baby’s birth. She enjoys being a part of a couple’s journey to find the right fit for their pregnancy and birth needs. Her own journey is what led her to dedicate herself to supporting women in pregnancy and birth.


The birth of Betsy’s first child 12 years ago was difficult and disappointing. This experience sparked a passion within her to help facilitate a birth experience where the woman is supported, respected and treated with dignity. Working as a certified birth doula brought many opportunities to witness the experience of natural birth and midwifery care. Subsequently she chose out of hospital water births for her next two children; finding it to be an empowering and satisfying experience.


This personal journey is what motivates her to continue the work of the Goshen Birth Center. Betsy works to ensure that the facility is welcoming and prepared for your birth. As Administrative Director she serves the team of medical providers to facilitate a positive birth experience. She welcomes inquiry via email or phone and is available to give a personal tour for interested expectant parents.


When asked Betsy says, “I am excited to serve the community by supporting the Goshen Birth Center. I believe it is important for pregnant women to have options when seeking prenatal care and a location for delivery. The birth center provides an out of hospital birth option where mom and baby’s medical needs are met within a calm and supportive atmosphere. It is a beautiful, private, quiet safe place to have a baby. I’m honored to work here.”

We collaborate with a group of physicians who respect and support our approach to care.


We believe in:

  • Respecting you, the client, as the primary decision maker

  • Viewing birth as a normal event

  • Using technology appropriately while being as minimally invasive as possible

  • Building positive, trusting relationships with you and your family

  • Empowering each woman to take an active role in making the right choices for herself and her family.

  • Providing adequate time at prenatal visits and during classes to provide information, counseling and education to allow you to make informed and educated decisions about your prenatal care and birth experience.

  • Providing continuity of care: One of the CNM group providing your prenatal care will be present at your labor and birth at the birth center and at the hospital as needed.

  • Working with physicians who support the midwife philosophy of care; consulting with them to assist with your care if you develop complications that require a physician’s expertise

How Care is Provided

We provide prenatal care at the Fairhaven OB/GYN offices (just across the parking lot) and one-to-one labor support and birth for women at Goshen Birth Center. We also have privileges at Goshen Hospital (5 minutes away) and provide care there if a transfer is needed. With a group practice, it is not possible to select a particular midwife to attend your birth. You can be assured that we all practice with the same philosophy and approach. Call rotates during the week and on weekends to provide prompt 24/7 response to your emergencies and availability for your birth.


We would like to know each of you and develop a trusting relationship with you. We encourage you to schedule your prenatal appointments so you will meet each of us. However, if you would prefer, you may choose to limit your prenatal appointments to just two midwives knowing that anyone of them might be there for your labor and birth. We will also learn to know each other as you participate in the prenatal classes taught by the midwives.


We look forward to the opportunity to care for you during your pregnancy and the birth of your baby.