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Cramping During First Trimester

Bradley G. Goldberg, M.D.


Q I am in my fourth week and have been experiencing mild cramping much like what I get around the time of my period. I am not scheduled to visit my doctor until 10 weeks and was wondering if this is normal. There is no bleeding accompanying the cramping.

A Many women will experience some degree of cramping in the early stages of pregnancy. The fact that you are not having any bleeding is reassuring. However, the only way to be sure that your pregnancy is progressing normally is to be evaluated by your doctor.

Usually when my patients experience mild cramping without bleeding or other symptoms, I will try to reassure them that this could be normal. If there is bleeding, this could be a sign that something more is going on. Although some spotting can be expected during pregnancy such as after intercourse or with a cervical infection, heavy bleeding with pain should be evaluated in a timely fashion.

For patients in early pregnancy with cramping and bleeding, I will check their cervix and perform an ultrasound. If there is no dilatation (opening) of the cervix, and if the ultrasound demonstrates a healthy intrauterine pregnancy, this could be a "threatened miscarriage". Threatened miscarriage means that a woman is experiencing symptoms such as pain and bleeding, however the pregnancy itself is still healthy. Most of these women will continue to term with a normal pregnancy, although a small number may in fact progress to an actual miscarriage.

Unfortunately, even with all that modern medicine has to offer today, there is still no treatment yet available that can change the course of a threatened miscarriage in early pregnancy. When the pregnancy is closer to term, if premature labor is occurring, there is treatment.

So, at this point it would seem that your symptoms could be a normal occurrence, especially since there was no bleeding. However, I still feel that you should report this to your doctor. Good luck.

Bradley G. Goldberg, M.D.,
Chief of Staff, CRMC
Coffee Women's Center, P.C.

Click here to Ask Dr. Goldberg your pregnancy questions.

Dr. Bradley G Goldberg is a specialist in Obstetrics and Gynecology, Dr. Goldberg is certified by the American Board of Obstetrics and Gynecology. Dr. Goldberg is Chief of Staff of Coffee Regional Medical Center. Currently, he is serving as Director of the Department of Obstetrics and Gynecology, and he is the Chairman of the Perinatal Committee. Dr. Goldberg graduated from the University of Florida in 1989 as a member of The Phi Beta Kappa honor society. He received his medical degree from the University of Florida College of Medicine, and completed his internship and residency in Obstetrics and Gynecology at Georgia Baptist Medical Center in Atlanta.

Dr. Goldberg is a contributing author to, the largest women's health site on the Internet. In addition, Dr. Goldberg is the author of an article on "Urethral Carcinoma," which is in press with the Journal of Urology, and he co-produced an instructional video on Norplant removal that he presented at the annual meeting of the American College of Obstetricians and Gynecologists.

Dr. Goldberg is a member of the American Medical Association, The American College of Obstetricians & Gynecologists, The Medical Association of Georgia, and The Atlanta Medical Association. Dr. Goldberg's wife Kimberly is a pediatric nurse. Together, they enjoy traveling and spending time with their family.

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asma imran Oct 15, 2010 10:03:59 AM ET

Its wonderful to see a foetus grow into a human being.i have a baby boy and now after seeing this video i feel how gently he was being formed into my stomach.ALLAH is great he can create everything out of nothing.

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