Miscarriage can be a very devastating thing to go through, no matter whether or not they have been through it before. According to Pregnancytips.org, Miscarriage, also sometimes known as spontaneous abortion, is defined as a spontaneous loss of pregnancy anytime in the first twenty weeks. There are some risk factors that can make it more likely that a woman will suffer a miscarriage. Those risk factors include things like drug use, alcohol abuse, smoking, the mother’s age being over 35, uncontrolled illness like lupus or diabetes, or hormonal or structural abnormalities in the mother, such as uterine fibroids, or fallopian tube defects. Most of the time, the first and foremost sign of miscarriage is abnormal vaginal bleeding. In some cases, spotting during early pregnancy does not indicate a problem, but it should always be reported to a doctor. Bright red bleeding, or bleeding that is moderate to severe are both signs of a miscarriage, along with things like mild to moderate cramping, back pain, or the passing of tissue or other clot like material. If you notice a sudden ceasing of your pregnancy symptoms, such as nausea or breast tenderness, this could be a sign that a miscarriage is occurring. However, keep in mind that some women never have any symptoms associated with miscarriage, so normal and regular prenatal care is very important to stay up to date about any changes going on in your pregnancy.