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Spotting in early pregnancy is fairly common, but it should never be considered normal, and it always warrants a call to your ob-gyn, Dr. Landy says. Although the presence of spotting does not always indicate a miscarriage, it is a sign that something abnormal may be going on in the pregnancy, she adds.
No. 5: Spotting may be more common during twin pregnancies. When you spot in the first trimester, you could be undergoing a miscarriage, and miscarriages are more common in mothers of twins, triplets, and quadruplets -- so we see more spotting in first trimester with multiples, Al-Khan says.