Hi, Thanks for the query. Spotting can be seen in early pregnancy sometimes due to different causes like : - Increased blood supply to local genital organs -Growing gestational sac can damage small blood vessels in the uterine wall. -Possibility of abortion etc. So, if the bleeding is continuous, better to consult gynecologist once and get examined. If the pain and bleeding subsides, she can take bed rest and can go to doctor when she is available. Better to undergo ultrasound once to check the wellbeing of the fetus. Progesterone supplementation may needed to prevent the miscarriage. Take care.