How early can a midwife tell if your pregnant?

A midwife can often detect pregnancy as early as a few days after a missed menstrual period, typically around 4 to 5 weeks gestation. This is usually confirmed through a combination of a home pregnancy test and a clinical assessment. Some early signs, such as changes in the body or symptoms like nausea and fatigue, might also be noted even before a missed period. However, the most reliable confirmation comes from a positive pregnancy test and subsequent evaluation.