I am sharing my story because my wonderful sister is struggling right now with the possibility of a misscarriage. I am an Emergency Room nurse and I see women every week who are having or are threatening to have a misscarriage. I always tell them my story and tell them that it "isn't over until it's over." With my fourth pregnancy (1 miscarriage, 2 sons - second marriage - first child for my husband) I started bleeding at six weeks gestation. I was very sure of my dates. I went to see my new OB who was highly recommended by several different people who didn't even know each other. The bleeding I was having was red, but "spotting" - there would be blood on the tp - but not really in my underwear. It was like the end of your period, very light, but not just a dot either. Enough to actually freak you out. I had no cramping. She did an ultrasound - nothing there to see. HCG level was low. Repeat HCG level didn't rise. My OB was very conservative. She said, "Most DR's would rush you into a D&C now, but we will wait." Waiting is very hard. I continued to spot. I was on bed rest. We repeated U/S and HCG every three days until there was an embryo and rising HCG levels. I continued to bleed every few weeks. I was on pelvic rest (pretty tough for newlyweds) and bed rest most of the pregnancy. Every time I would stop bleeding I would go back to work and then the bleeding would start again. I couldn't even go shopping for maternity clothes because walking into the store started the bleeding again. My doctor said, "implantation bleeding" during the first trimester. During the second trimester it was a "partial placenta previa", third trimester the previa was resolved but I kept bleeding. "Maybe the placenta just isn't attached very well on the edge." My doctor said there isn't any proof that stress and activity cause bleeding during pregnancy or that bed rest improves the outcome, but that it was sensible to assume that bleeding can cause cramping and cramping can cause more bleeding and that could lead to a misscarriage. In retrospect I believe that stress and dehydration lead to the bleeding. I had a very stressful job and I know I didn't drink enough or rest enough. So, you want to know what happened? Well, we celebrated our son's tenth birthday last November. With my next pregnancy I wasn't working, walked every day, took a nap every day, and made sure to drink lots of water every day! Dehydration leads to muscle cramps, why wouldn't it lead to uterine cramps as well? I have never seen any "scientific evidence" to that, but I feel it played a big role in my bleeding. With my fifth pregnancy I only had one episode of bleeding and it was during a camping trip with my Camp Fire group. I did an incredible amount of walking, it was hot and I didn't drink any water. I started bleeding the next day. I took notice and made sure to stay really hydrated and it didn't happen again. I also learned later that my mother-in-law also bleed the entire ten months when she carried my husband. So maybe it was a water and stress, maybe it was a genetic thing, maybe it was just what it was. This is why I tell women, "it isn't over until it's over." Please don't rush into a D&C until it is really over. How do we know when it's really over? When your cervix is open, your bleeding, there isn't any fetal anything and the HCG levels are dropping. My advice is: be informed, be your own advocate, listen to your body. Also, a little known or discussed fact is that one in every three pregnancies end in miscarriage. This is nature's way of ensuring you have a healthy baby. Many embroys just stop growing because something is wrong. It is not your fault. It is your right to grieve the loss of your pregnancy and child. One misscarriage or many doesn't mean you will never carry a baby to term. I know many women who have had babies after years of miscarriages. I know a woman who had a baby after two tubal pregnancies. Miracles happen every day and nature has a way of working things out. In case you are wondering, I have four children. My first pregancy ended in miscarriage. My oldest son will be 20 next month. I have a 16 year old son, 10 year old son and 7 year old daughter. Good luck to all of you! My thoughts and good wishes go to you.