Is this a sure sign of pregnancy?

I was late for 1 week so I decided to take a pregnancy test and it was positive thrice. During my first OB visit, I also had my first transvaginal ultrasound. No heartbeat yet & my OB said it was too early but found this. FIRST SONOGRAM PHOTO ♥

Is this a sure sign of pregnancy?
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Yes po. Ganyan din akin nung una. 6weeks pa lang nagpa TV na ko and inunan pa lang po ang nakita.

4y ago

We had the same situation po. 6weeks transV then after ilang days nagspotting then nagpacheck ako nakita na sya pero tuloy-tuloy pa din spotting until bleeding na then tuluyan na po nawala.