Introduction of management protocol for early-onset severe pre-eclampsia.

Aim: This quality Improvement study evaluated the applicability of our protocol for early-onset severe pre-eclampsia, prepared in April 2013.

Methods: We collected data from all women with early-onset severe pre-eclampsia treated at our hospital between March 2008 and August 2015. Neonatal and maternal outcomes were compared between protocol-based (n = 17) and non-protocol-based management groups (n = 28).

Groin lymph node detection and sentinel lymph node biopsy in vulvar cancer.

Objective: To identify suitable diagnostic tools and evaluate the efficacy of sentinel lymph node (SLN) biopsy for inguinal lymph node metastasis in vulvar cancer.

Methods: Data from 41 patients with vulvar cancer were evaluated retrospectively, including magnetic resonance imaging (MRI) measurements, SLN biopsy status, groin lymph node metastasis, and prognosis.

Results: SLN biopsy was conducted in 12 patients who had stage I to III disease.

Planned vaginal delivery versus planned cesarean delivery in cases of low-lying placenta.

Objective: To assess the applicability of trial of labor in cases of low-lying placenta.

Methods: In this observational cohort study, we collected data from the women with low-lying placenta delivered at our hospital between April 2012 and December 2015. Low-lying placenta was diagnosed when the length from the placental lowest edge to the internal cervical os (placenta-os distance) was 0-20 mm at 36 gestational weeks.