It is best to start care in early pregnancy. There is so much that goes on in the first trimester, and a lot to talk about. Prenatal visits, which can last up to an hour depending on your needs, are monthly until your 3rd trimester, then every 2 weeks and, in your last month, every week. By the time you go into labor we will know each other well, and have that foundation of trust so essential to optimal childbirth.
That said, many women decide upon home birth after starting care elsewhere, and I am happy to meet with you at any time during your pregnancy and to facilitate transfer of care.