I am 4 weeks pregnant, should I have mild cramps and blood?

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Elena H. Yanushpolsky, MD
OBGYN (Obstetrics & Gynecology)
Mild cramping is very common and normal in early pregnancy. Although some early bleeding may occur in normal pregnancies it may also signal poor prognosis and possibility of failed pregnancy, either miscarriage or ectopic pregnancy.  If bleeding and cramping are occurring in early pregnancy then this pregnancy needs to be followed closely.  Patients should contact their doctors and be evaluated and followed with blood tests (serial hCG levels, blood counts) and ultrasound evaluations to be sure that an ectopic pregnancy is not missed.

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