Spotting (light vaginal bleeding) in early pregnancy is not always a sign of miscarriage and may happen when the fertilized egg implants itself in the uterus. In about half the cases, the pregnancy will continue normally. Your maternity care provider may send you for an ultrasound or other tests to find out what might be going on.

When a miscarriage happens, your uterus contracts to push out the pregnancy tissue. You may have severe cramps and pain, heavy bleeding that may include clots, or pass the placenta (may look like blood clots or liver). These symptoms usually lessen within a few days and disappear within seven days. To relieve the pain, your doctor may advise you to take acetaminophen, ibuprofen, or aspirin with codeine. For the bleeding, use sanitary napkins, not tampons.