Early pregnancy bleeding is a common presentation in the emergency setting. Traditionally, its assessment relied on clinical findings, including pelvic examination. However in recent years, ultrasonography and quantitative beta human chorionic gonadotropin assays have gained prominence and are now first-line in diagnosing early pregnancy bleeding. Accordingly, the role of pelvic examination in ...

( Obstet Gynecol . 2021;137:355–370) Gestational trophoblastic disease (GTD) refers to rare processes originating from the placenta that require timely and appropriate management. GTD includes partial or complete hydatidiform moles (HM), as well severe gestational neoplasia (GTN) related tumors. Obstetrician-gynecologists are more likely be involved in care of women with HM who have unclear dia...