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If spotting or bleeding occurs alongside your cramps, it might signal a miscarriage or an ectopic pregnancy. Hormones and stress on the muscles are the biggest causes of again pain in early pregnancy. Later on, your elevated weight and shifted heart of gravity may add to your back ache. Round half of all pregnant girls report again pain during their pregnancy. Pregnant women have an elevated danger of anemia, which causes symptoms resembling lightheadedness and dizziness. The situation can lead to premature beginning and low birth weight.