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light to heavy vaginal spotting or bleeding can be a symptom of an ectopic pregnancy. A little spotting or light bleeding during pregnancy is common, especially in early pregnancy. Around 1 in 4 pregnant women have some light bleeding very early in the first trimester. But even if the bleeding seems to have stopped, call your healthcare provider right away, just to make sure everything is okay. More often, though, spotting or light bleeding stops on its own and the pregnancy continues (hasan et al 2010, van oppenraaij et al 2009). Ectopic pregnancy is a nonviable pregnancy where a fertilized egg implants outside of the uterus, and it requires immediate medical attention. Youll notice heavier vaginal bleeding and severe sharp abdominal pain, sometimes accompanied by rectal pressure, shoulder pain, lightheadedness, fainting or shock. What is spotting, and is it normal in pregnancy? Spotting is light bleeding from your vagina. Rest assured that in the early weeks of pregnancy, a little spotting or bleeding is very common. Vaginal bleeding during pregnancy is any discharge of blood from the vagina. It can happen anytime from conception (when the egg is fertilized) to the end of pregnancy. Light bleeding, or spotting, during pregnancy is common, especially during the first trimester. More often, though, spotting or light bleeding stops on its own and the pregnancy continues (hasan et al 2010, van oppenraaij et al 2009). During the first 12 weeks of pregnancy, vaginal bleeding can be a sign of miscarriage or ectopic pregnancy. However, many women who bleed at this stage of pregnancy go on to have normal and successful pregnancies. If a pregnancy ends before the 24th week, its called a miscarriage.