Who prescribes progesterone? Midwife? Gp?

[NinNinJin]

I'm new to the UK maternity care. In case there is a need in progesterone support during the first trimester of pregnancy who would be the one to prescribe it and based on what?

I'm ten weeks and have had some brown discharge. Just thinking who would be the right person to report it to. My midwife is v v rarely available, only works 1 day a week. And I don't feel it is an a&e matter.

Google your local area early pregnancy unit. I know ours sees women up to 12 weeks and we contact ours directly, rather than go through the midwife or gp.
I hope all will be okay for you.

I think hospital. GP won’t prescribe without hospital advice/approval. I got mine from FS.

This would completely be outside a midwife’s scope or practice and midwives do not prescribe. They are just allowed to administer certain common medications used in labour and neonatal care without a prescription in certain circumstances or medications on hospital which a doctor has individually prescribed for you.
In the UK, although you will often be allocated a ‘named midwife’ who you would hopefully see for at least some of your community based appointments and may have some general oversight of your care (often in conjunction with the GP and obstetrician) you are usually given a helpline or triage telephone number to contact when you wish to speak to a midwife so it’s very different to countries where you are employ a private midwife. I think a lot of the literature is misleading, for example when medications say ‘speak to your midwife’ it is not within their scope of practice to do medication reviews, this would be the GP or another doctor. A lot of literature also states to ‘speak to your midwife’ if you have a worrying symptoms. Again this is misleading to the UK model of maternity care. You should be contacting either your GP depending on the issue or the helpline/triage number given to you at your first midwife appointment.

P.s. in your particular case I would say to contact your GP who will review whether you need a referral to the early pregnancy assessment unit (usually run by nurses from the gynaecology department) if you contact maternity triage they might also agree to refer you directly or may advise you contact your GP/111

@Clariee45 thank you so much for such a detailed response! Really appreciate it. As I'm pretty clueless.

I have tried contacting the EPU at their 24h number but obviously the phone is never picked up and then they just hang. Classic.
So far so good with me, I will see what the scan says tomorrow and will act accordingly. I'm not sure I can visit the EPU (they are within the hospital) although I might try to show up and speak to smb f2f to get a referral/appointment.
With the gp, last time I mentioned my pregnancy to them (I had a flu vaccination just when I found out) they said you need to self refer to the midwifes so I assumed they will have nothing to do with me. Helpful to know they may still have resources to refer.

@Rosiiee sorry what is FS?
And how did you get hold off the appointment? Were you referred?

@Moderateorgoodoccasionallyverypoor thank you! I do have their number but they never pick up the phone. I truly try. Do you think it is ok to show up? Not to be seen straight away. I appreciate they are busy. Just to get an idea of whether I need to be seen at all/booked in

FS is fertility specialist- it was an IVF pregnancy.
You can definitely show up to any maternity hospital ED if you're bleeding. I know some do scans on the spot and they'd be able to prescribe progesterone if you needed it.

@Rosiiee thank you!