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Fairhaven Midwives



We have had a nurse-midwifery practice at Fairhaven Obstetrics & Gynecology since 1993. Our practice has grown to include five Certified Nurse Midwives (CNM). It is the Nurse-Midwifery philosophy that the childbearing process is essentially a normal one. We work toward empowering women in their own individual pregnancy and birth, expanding choices and promoting health and normalcy in the childbearing years. We value the following:
  • Continuity of care: One of the CNMís providing your prenatal care will be present at your labor and birth.
  • You are the primary decision maker
  • Birth is a normal event
  • Appropriate use of technology
  • Time at visits to provide information, counseling and education
We also care for women in all stages of life. Sound decisions are integral to good healthcare, and we want you to take an active role in making the right choices for yourself. As a provider of gynecological care from adolescence to midlife and beyond we will provide the information you need to make informed and educated decisions about your healthcare. We are committed to providing quality healthcare from birth and beyond.


Julia Gaustche CNM

Professional interest
Julia's professional interest is in promoting healthy living and disease prevention that is integrated with primary care. Her focus is enabling women to be active participants in their health care. She feels especially privileged to be with women and their families during pregnancy and birth.

Personal information
Julia and her husband Larry are the parents of three young adults that they enjoy visiting. She also enjoys gardening, distance walking and being a member of the Goshen City council.

Professional degrees and certifications
Post Master's Midwife Certificate Program (CNM), University of Illinois at Chicago, 1995
Master of Science Degree in Maternity Nursing, Indiana University-Purdue University Indianapolis, 1981
Certificate Program in OB/GYN-Nurse Practitioner, Indiana University School of Nursing, 1980
Bachelor of Science in Nursing, Goshen College, 1975

Beverly Lowther CNM

Professional interest:
Beverly encourages women of all ages to participate in making decisions about their health and the health of their families by exploring benefits and options available to them. As a midwife, she particularly appreciates being able to provide continuity of care and support to women through the changes and adjustments life brings.

Personal information:
Beverly enjoys international travel, playing piano and guitar, playing a variety of sports and enjoys any outdoor activity, in particular hiking and horseback riding.

Professional degrees and certifications
Masters of Science in Nursing, Certificate in Nurse-Midwifery (CNM), University of Indianapolis, 2012
Bachelor of Science in Nursing, Athabasca University and Mount Royal College, Calgary, Alberta, 2007

Betsy McCanse, CNM

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.

Professional degrees and certifications
Masters of Science in Nursing, Certified NurseMidwife (CNM) University of Illinois, College of Nursing, Chicago, Ill., 2013
American Midwifery Certification, BoardCertified Nurse Midwife (CNM), 2013
BAtoNursing Bridge Program, University of Illinois, College of Nursing, Chicago, Ill., 2010
B.A., Humanities, Calvin College, Grand Rapids, Mich., 1997

Kristi Troyer, FNP-C, CNM

Professional interest:
Kristi has enjoyed caring for children & families, as well as providing women's healthcare including pregnancy & childbirth, all of her career. She has worked in family practice settings, providing the full scope of care to individuals of all ages, before joining Fairhaven. She enjoys focusing her career now on caring for women before, during and after the childbearing years.

Personal information:
Kristi and her husband Doug have three children including a son, and a set of boy/girl twins. She enjoys the blessings of motherhood very much. As a family, they enjoy activities like camping, water sports, biking and anything outdoors. Kristi enjoys gardening and piano as well.

Professional degrees and certifications:
BSN from the University of Michigan, 1999
MSN from Vanderbilt University as a Family Nurse Practitioner, 2002
Post Master's Nurse Midwifery Certificate from the University of Michigan, 2004

Sara Linkey, CNM

Professional interest:
Sara is passionate about walking through life stages with women. She wants to empower women to make educated decisions about their health and feel supported through those decisions. Sara has a special interest in natural family planning options and fertility awareness.

Personal information:
Sara and her husband, Justin, enjoy being dog parents, boating and DIY projects. Sara enjoys sewing, crafting of any kind, and spending time with friends and family.

Professional degrees and certifications:
Frontier Nursing University: Masters of Science in Nursing and Midwifery certificate 2016
Mercy College of Northwest Ohio: Bachelors of Science in Nursing 2009
Mercy St. Charles labor and delivery. Oregon, Ohio
Wood County Hospital emergency room. Bowling green, Ohio

Anne Brookhyser, CNM

Professional interest:
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 bicycling.

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