<s>[INST] I am 6 weeks pregnant. Started spotting dark a week ago after an exam. Sat. morning started spotting heavier and brighter red blood, have done it off and on each day since then. Some clotting. Cramping off and on also, headaches, still positive pregnancy test. My ob office aware but tell me to do nothing til appt on Fri and it isn t anything to worry about. I miscarried in Nov 09 and also in May 09. What should i do? Waiting on ChatDoctor levels to come back. HELP! [/INST] Hello, I have gone through your query and understood your concern. If I were to treat you, I would ask for a sonogram of the pelvis to look for any hemorrhages and fetal viability, get serial serum beta-ChatDoctor titles, put you to absolute bed rest and manage based on the results. In view of your previous history of abortions, it becomes all the more important to suspect another missed pregnancy with your persistent spotting now. Doubling serum beta-ChatDoctor titles are a positive sign of a healthy pregnancy. If there is no fresh bleeding now, it is likely that the bleeder may have arrested and hopefully, the pregnancy will continue. Hope you find this information useful. Wish you good health. </s>