However, you can still miscarry, even after seeing a heartbeat. On the other hand, having a low fetal heart rate at an early ultrasound is associated with increased miscarriage risk. You are no longer sure of your pregnancy signs. Having yourself examined vaginally by your doctor, sexual intercourse and trauma to your cervix may cause women to have pain and light bleeding while pregnant. If your doctor sees a healthy fetal heart rate at an early ultrasound - usually done between 7-8 weeks - it's a sign of healthy pregnancy and lower miscarriage risk. On the other hand, having mild cramps and spotting at seven weeks is not unusual and may not be due to a miscarriage.
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