Which signs might indicate a miscarriage?

Vaginal bleeding and cramping are critical signs that may indicate a miscarriage, as they are often associated with the body's response to pregnancy complications. During a miscarriage, the body may expel the pregnancy tissue, leading to blood loss and uterine contractions, which manifest as cramping. These symptoms are typically alarming and warrant immediate medical evaluation to assess the status of the pregnancy and to rule out potential complications.

The other symptoms, such as extreme fatigue, intermittent headaches, and swollen feet, are more generalized and could be associated with various conditions or normal pregnancy symptoms rather than specifically indicating a miscarriage. While fatigue can be a common early sign of pregnancy and headaches may occur due to hormonal changes, they do not directly point to the occurrence of a miscarriage. Swollen feet can also happen during a normal pregnancy as a result of fluid retention and is not a specific indicator of a miscarriage. Therefore, the presence of vaginal bleeding and cramping is the most direct and concerning sign of a possible miscarriage that requires prompt attention.