My GP told me that the home pregnancy tests are so accurate these days that if I got a positive on one, then he feels no need to confirm it with a test in his office or bloods. He just writes me my referral for my Ob.
I then book in ASAP with my Ob as he often books out within the first few weeks of pregnancy. Generally Obs will want to see you at 8-10ish weeks for your first appointment at which time they'll usually send you for bloods to test things like iron levels, vit D level, rubella immunity etc, and will also organise your 12 week NT scan if you are having one.
My Ob tends to see me early (during my 6th week) as we had a loss with our first pregnancy. In my second pregnancy I also asked my GP if I could have blood tests done to check my hcg levels and he was happy to do that, so if you really want it done you can request it. My daughter was an ICSI/PGD princess so the start of her pregnancy was monitored pretty closely with scans and bloods. So basically, there are lots of ways it can all be done
Best of luck with your pregnancy and congratulations.
If you are fit, well and healthy, you do not need to be designated as 'high risk' purely because of your age. So you actually have a choice between an obstetrician and a midwife, perhaps interview one of each to see which model of care you think suits you best?
Congratulations, how wonderful to be pregnant at 41! (I was 43 when I had my son, but he was my 4th)
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