38 years old. Fourth pregnancy. The previous one in Caesarea. Week four plus 5. I bled last night in a submenstrual amount. without pain. I went to the emergency room. A gestational sac with a yolk sac was demonstrated in a low position in the uterus with some contents visible as clots above the sac. Normal ovaries. Normal BHCG increase (4 days ago 1550, yesterday 4213). The doctor concluded with a high probability that, based on the bleeding and sonographic image, it is a miscarriage. She ordered a US in 3-4 days. Could it be a normal pregnancy after all?