I don't know how it usually works in the U.S. but where I am in Canada you pretty much have to call as soon as you find out you're pregnant to get a Midwife. I didn't know this, being a FTM, and I also had some misconceptions about Midwives only doing home births, which I didn't want. So I ended up calling when I was 9 weeks along after a friend of mine cleared the air on some things and they were already booked for September. I was pretty disappointed about it but they did put me on a waiting list. Turns out that there was so much demand for summer and early fall births that they had to bring in 2 extra Midwives from another clinic to take on some patients. I was one of them! My biggest fear was that I would get a spot because someone else had had a loss which would have broken my heart and made me feel pretty bad about the whole thing. But this is the best situation! Now, it means my appointments are going to be pretty strict as up until June she will only be there for a few days a month. But I'll take it! SO excited and such a relief to know I have someone who will be there from beginning to end to deliver my baby! YAY! lol!