Does spotting with cramps mean a miscarriage?

Not necessarily. Spotting with cramps during pregnancy can be a sign of miscarriage, but it can also be normal and not a sign of anything wrong. Many women experience spotting during their pregnancy, and it does not always mean that there is a problem. If you are experiencing spotting with cramps, call your doctor to let them know what you are experiencing, so they determine the cause and provide appropriate care.