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Cynthia FlynnFirst Trimester Spotting
by Cynthia Flynn, CNM, Ph.D.

Q. I had a small bit of brown spotting on the toilet paper. I had an ultrasound and my pregnancy was confirmed, and we saw the heartbeat. I am still spotting a tiny bit but I'm scared of miscarriage.

A. The tinge of brown blood was most likely left over from either:

  1. an "implantation" bleed, which occurs when the egg implants in the womb at about four weeks after the first day you menstruated (about 2 weeks after conception), or

  2. a broken tiny capillary in the cervix, which is very common throughout pregnancy.

Neither of these reasons is any cause for concern, but ANY bleeding should be reported to your caregiver.

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