Hi, Thanks for posting in HCM. I have read your description and understand your concern. Based on the symptoms you have described, it is indicating that you could have been on the process of miscarriage. Experiencing spotting, cramps and passing tissue like things are not good signs during the initial stages of pregnancy. Kindly take absolute bed rest. Drink good quantity of fluids. Do not strain yourself physically. Get an ultrasound scan done at the earliest and consult Gynecologist with the report for clinical assessment. Hope the information provided would be helpful. All the best.