Spotting in early pregnancy
is seen in many cases and is not a sign of miscarriage
. It can also be an implantation
bleed. Also, at 3-4 weeks of pregnancy, it is difficult to visualize a gestation sac unless with experience and by the trans-vaginal route. So, please do not worry. Watchfulness along with precautions like absolute bed rest
, abstinence and avoidance of any stress
. Along with repeat trans-vaginal sonogram after a week, serial titres of serum beta-hCG
will help to guide in the progress of the pregnancy. Doubling titres every 2-3 days indicate good prognosis. Hope this helps. Good luck.