I booked with my midwife at 4 weeks pregnant! She's the only one within 45 mins of our town and she does book up fast. She says that there are busy and slow times though, if she has an opening she'll take someone later in pregnancy but she can only take 4-5 women due in the same month and that simply isn't very many for our area. Of course, she has to take so few to be able to give them the standard of care that she provides. Simply put, Canada needs more midwives!