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A 37-year-old member asked:

Do cramping and spotting at 8 weeks mean i have had a miscarriage?

11 doctor answers26 doctors weighed in
Dr. Michael Traub
Fertility Medicine 19 years experience
No: Many women have some type of cramping and spotting or bleeding in early pregnancy. That does not mean a miscarriage will occur. Usually everything is fine. But it should be evaluated to make sure everything looks ok and to put you at ease.
Dr. Padmavati Garvey
A Verified Doctoranswered
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No: Both are very common. Half of the time they occur because the uterus and placenta are growing and half of the time they are a sign of a miscarraige.
Dr. Sheila Goodman
Specializes in Obstetrics and Gynecology
No: Cramping and spotting does put you at increased risk of having a miscarriage but many women will have both and still have healthy pregnancies. The next step is to have an ultrasound to see if there is a fetus with a heartbeat. That will give you the answer.
Dr. Jeff Livingston
Obstetrics and Gynecology 22 years experience
No: Cramping is very common early in pregnancy. Spotting occurs in a large number of patients in the first trimester. This does need to be evaluated by a doctor to make sure the pregnancy is inside the uterus and not an ectopic pregnancy. We also need to make sure it is not miscarriage. In many cases though spotting and cramping can just be normal.
Dr. Kathryn Mercer
Obstetrics and Gynecology 34 years experience
No: The placenta implants in the wall of your uterus and has to get to blood supply, so may cause bleeding. The bleeding can cause the uterus to cramp. You would need to get and ultrasound or serial blood tests to see if the pregnancy isn't progressing.
Dr. Lauren Phillips
Obstetrics and Gynecology 15 years experience
No: Cramping and spotting can be a sign of a miscarriage or threatened miscarriage, but can also be due to an infection or can be a normal finding in the first trimester. Let your doctor know what's going on :).
Dr. Pam Yoder
Specializes in Maternal-Fetal Medicine
Might be warnings: It is important to stay calm, get information and stay positive even if the news is not reassuring. Stress itself is not good for mom. Later in pregnancy it might affect the fetus negatively (we don't know about the 8-week embryo). So any woman with cramping and spotting should see her OB doctor, determine if the fetal heart beat is present, learn the cause of bleeding, do her best to rest/relax.
Dr. Andrew Silverman
Fertility Medicine 49 years experience
Yes: Cramping & spotting at 8 weeks from LMP (last menstrual period), seems late for bleeding of implantation. Although it may be perfectly normal it deserves to be checked because it may be a warning of possible miscarriage. It's occurrence 1-2 weeks after implantation may indicate delayed ovulation (pregnancy is not as far along) and may actually be bleeding of implantation, or an abnormal pregnancy.
Dr. Caren Reaves
Obstetrics and Gynecology 24 years experience
No: While it is never normal to bleed during pregnancy, it is common. It could mean a miscarriage or no reason at all may be found. Contact your provider and get in for a sonogram to evaluate your baby.
Dr. Stephen Scarantino
Obstetrics and Gynecology 26 years experience
Yes: Not necessarily. While cramping and/or spotting can be associated with a miscarriage, that is not always the case. A normal, viable pregnancy may also have bleeding/cramping and everything turn out O.K. Any bleeding or cramping that is encountered should be brought to the attention of your obstetrician. He/she may do a sonogram and bloodwork to make sure that everything is fine.
Dr. Jerome Yaklic
Obstetrics and Gynecology 29 years experience
No: Cramping and spotting are always concerning to mothers-to-be and can be a sign of a potential miscarriage; however, about 1 in 5 pregnancies that go on to be normal babies experience some spotting and menstrual-like cramping in the first 12wks of pregnancy. Although nothing is likely to change the outcome, ultrasounds and serial bloodwork can confirm the viability of your early pregnancy.

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Last updated Sep 30, 2020

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