* Vaginal bleeding that may be light or heavy, constant or irregular. Although bleeding is often the first sign of a miscarriage, first-trimester bleeding may also occur with a normal pregnancy. Bleeding with pain, however, is a sign that miscarriage is more likely.3
* Pain. You may have pelvic cramps, abdominal pain, or a persistent, dull ache in your lower back. Pain may start a few hours to several days after bleeding has begun.
* Blood clots or grayish (fetal) tissue passing from the vagina.
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