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A miscarriage is a spontaneous pregnancy loss before 20 weeks of gestation. Some 8 to 20 percent known pregnancies end in miscarriage, with the majority happening before the 12th week. The signs and symptoms of miscarriage vary from person to person. Symptoms may also vary depending on how far along you are. Bleeding may start as light spotting, or it could be heavier and appear as a gush of blood. As the cervix dilates to empty, the bleeding becomes heavier. The heaviest bleeding is generally over within three to five hours from the time heavy bleeding begins.