A miscarried fetus due to maternal complications early in pregnancy!! This woman presented with vaginal bleeding at 13 weeks gestation. After approximately 3 hours of bleeding she sadly passed this fetus. It was sent off to the anatomical pathology lab for testing. Amazing to see the little ribs, feet, and even ears at such a young age! Miscarriage is the natural or spontaneous end of a pregnancy at a stage where the embryo or the fetus is incapable of surviving, generally defined in humans at a gestation of prior to 20 weeks. It is an unfortunate thing to deal with, and many medical complications during early pregnancy can lead to it such as an infection, uterine and hormonal abnormalities, unhealthy lifestyle, drug and alcohol usage and smoking, exposure to environmental and workplace hazards, immune system problems, and list goes on and on. In addition, women may be at increased risk for miscarriage as they age. When a miscarriage occurs, the tissue passed from the vagina should be examined. This is done to determine if it was a normal placenta or a hydatidiform mole (a rare growth that forms inside the womb early in pregnancy). When looking for gross or microscopic pathologic symptoms of miscarriage, one looks for the products of conception. Microscopically, these include villi, trophoblast, fetal parts, and background gestational changes in the endometrium. Genetic tests may also be performed to look for abnormal chromosome arrangements.