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Ntog 2013 09 'Gebroken hart' na laparoscopie Preventieve katheter bij placenta praevia Therapie bij haemorrhagia postpartum Vrouwelijke genitale verminking Sport en fertiliteit 2013 GyNaecoloGie, oNcoloGie, periNatoloGie eN VoortplaNtingsGeNeeskuNde 09 Volume 126 NoVEMber 2013 Nederlands Tijdschrift voor Obstetrie & Gynaecologie vol. 126, november 2013 colofon inhoud HOOFDREDACTIE Editorial V. Mijatovic, hoofdredacteur (e [email protected]) 424 Imago dr. Velja Mijatovic hoofdredacteur W.M. Ankum, voorzitter deelredactie gynaecologie J. van Eyck, voorzitter deelredactie perinatologie Bestuur NVOG R.M.F. van der Weiden, voorzitter deelredactie voortplantingsgeneeskunde 426 Standpunt en perspectief dr. Sjaak Wijma (voorzitter) I.A.M. van der Avoort, namens de NVOG Federatie medisch specialisten 2015 dr. Robert Hakvoort (secretaris) I.M.W. Ebisch, namens de VAGO Brief van NVOG aan minister Schippers naar aanleiding van Peristat 3 A.C.M. Louwes, bureauondersteuning NVOG Actueel DEELREDACTIES E.A. Boss, gynaecoloog, J.J. Duvekot, perinatoloog, 432 Kwaliteit medische apps | Young Scientist Award (WGE) voor Angelo Hooker | J.W. Ganzevoort, perinatoloog, S.V. Koenen, peri- Zorguitgaven en sterftecijfers kanker in de Europese Unie natoloog, K.D. Lichtenbelt, klinisch geneticus, A.C.J. Ravelli, epidemioloog, Ingezonden S.J. Tanahatoe, voortplantingsgeneeskunde, 432 WGE: tijd voor een terugblik | Verslag VAGO-minisymposium implementatie BOEG W.B. de Vries, kinderarts-neonatoloog, W.C.M. Weijmar Schultz, gynaecoloog-seksuoloog, Wat komt er uit de PAN? R.P. Zweemer, gynaecologisch oncoloog 430 S.F.P.J. Coppus, rubrieksredacteur NOBT Foetale bewaking S. Ensing, rubrieksredacteur UNO K.M. Wong, rubrieksredacteur UNO Oorspronkelijke artikelen G.H. de Wet, redigeren abstracts 435 'Gebroken hart' na diagnostische laparoscopie UITGEVER & REDACTIESECRETARIAAT dr. E.A.M. Kuijper, dr. R.S. Kuipers, dr. M.J. Lambers, dr. A.C. Bolte, dr. R.B. van Loon, GaW ontwerp+communicatie b.v. dr. V. Mijatovic Generaal Foulkesweg 72, 6703 BW Wageningen mw. Judica Velema (bureauredactie) 438 Preventieve plaatsing ballonocclusiekatheters bij placenta praevia 0317 425880 [email protected] www.ntog.nl t e i drs. M. Martens, dr. J.M.J. Sporken, dr. A.H.M. Molenaar, dr. P.H. Haarbrink ABONNEMENTEN 444 Standaard € 195,- per jaar. Studenten € 86,50 per jaar. Therapeutische mogelijkheden bij een ernstige haemorrhagia postpartum Buitenland € 295,- per jaar. Losse nummers € 26,-. drs. A.M. Meijerink, drs. C.D. van Bijsterveldt, drs. B.M. Pijlman Abonnementen lopen per jaar van 1 januari t/m 31 december. Aanmelden en opzeggen van abonnementen 447 Een klein onderwerp: vrouwelijke genitale verminking en adreswijzigingen s.v.p. doorgeven aan de uitgever. Een gesprek tussen dr. Caroline Vos en prof. dr. Jos van Roosmalen ADVERTENTIES 452 Sport en fertiliteit Brickx, Kranenburgweg 144, 2583 ER Den Haag, dr. M.F. van Driel t 070 3228437 i www.brickx.nl dhr. E.J. Velema m 06 4629 1428 e [email protected] Meet the professor OPLAGE & VERSCHIJNING 456 Een zelfportret van Lex Peters prof. dr. A.A.W. Peters 1700 exemplaren, 10 x per jaar. Column AUTEURSRECHT EN AANSPRAKELIJKHEID 458 "Mijn man knipt de navelstreng door…" Mieke Kerkhof Alle rechten voorbehouden. Niets uit deze uitgave mag worden verveelvoudigd of openbaar gemaakt, in enige Focus op historie vorm of enige wijze, digitaal noch analoog, zonder 459 voorafgaande schriftelijke toestemming van de uitgever. Erich Saling: perinatale bewaking Redactie en uitgever verklaren dat deze uitgave op dr. J. de Graaff en prof. dr. H.P. van Geijn zorgvuldige wijze en naar beste weten is samengesteld; evenwel kunnen uitgever en auteurs op geen enkele PICO Bello wijze instaan voor de juistheid of volledigheid van de informatie. Redactie en uitgever aanvaarden dan ook 461 Behandeling van varicocèle en de invloed op androgene fertiliteit geen enkele aansprakelijkheid voor schade, van welke F.J. Amelung, drs. G.A. Zoet, dr. T.E. Vogelvang aard dan ook, die het gevolg is van bedoelde informatie. Gebruikers van deze uitgave wordt met Update Nederlands Onderzoek nadruk aangeraden deze informatie niet geïsoleerd te 466 Woman gebruiken, maar af te gaan op professionele kennis en ervaring en de te gebruiken informatie te controleren. drs. Kai Mee Wong en drs. Sabine Ensing (red.) RICHTLIJNEN VOOR AUTEURS Boeken Zie i www.ntog.nl 467 A Textbook of Gynecology for Less-Resourced Locations dr. J.J. Duvekot 423 prof.dr. C. de Groot BEELD OMSLAG Gezond zwanger worden Hanneke van den Bergh (www.hannekevdbergh.nl) NOBT Fotografie Wim van Hof (www.gaw.nl) 469 Pelvic floor muscle problems mediate sexual problems in young adult rape victims ISSN 0921-4011 Intra-uteriene adhaesies en miskraam: stop met curetteren! ADVERTEERDERS IN DIT NUMMER Geen verschil in cardiovasculaire risicofactoren door uitstellend beleid bij hyperten- Ferring Pharmaceuticals | Menopur sie in de zwangerschap Smith & Nephew | Truclear Toshiba MSNL | Xario 200 NEDERLANDS TIJDSCHRIFT VOOR OBSTETRIE EN GYNAECOLOGIE Memidis | Evagynal Het NTOG is het officiële tijdschrift van de Nederlandse Vereniging voor Obstetrie sing van kennis en kunde in de uitoefening van het specialisme Obstetrie en Astellas Pharma | Vesicare en Gynaecologie (NVOG) en de Dutch Society of Perinatal Medicine. Zij stelt zich Gynaecologie te stimuleren en de maatschappelijke belangen van beoefenaars van MSD | Nuvaring als doel de leden van de NVOG en andere specialisten, die werkzaam zijn op het het specialisme Obstetrie en Gynaecologie en in het bijzonder van haar leden te gebied van de gynaecologie, perinatologie en voort-plantingskunde, op de hoogte behartigen. De vereniging wil dit doel bereiken door het houden van wetenschap- te houden van nieuwe ontwikkelingen op deze deelterreinen. Het NTOG probeert pelijke bijeenkomsten; het publiceren van wetenschappelijke artikelen; het houden haar doel te bereiken door middel van vaste rubrieken, columns, commentaren, van toezicht op de nascholing van opgeleide specialisten; het behartigen van de wetenschappelijke artikelen, congresverslagen en themanummers. belangen van de specialisten, alsmede de beoefenaars van dit specialisme, en in De vereniging NVOG heeft als doel het wetenschappelijk onderzoek op het gebied het bijzonder de leden van de NVOG, bij daarvoor in aanmerking komende orga- van de voortplanting en van de vrouwenziekten te bevorderen, de optimale toepas- nen en instanties. 09 Editorial Imago dr. Velja Mijatovic hoofdredacteur Met dank aan Metro - Een wereldkrant. U had het misschien niet voor mogelijk gehouden Tja, hoe liberaal en onbetrokken kun je zijn? maar zelfs het Sinterklaasfeest kan een imagopro- Ook wij artsen hebben een imagoprobleem. Dat dat bleem hebben. Oorzaak hiervoor ligt in het publieke niet altijd het geval is geweest kwam ik achter toen ik 424 debat over het stereotype karakter van het hulpje in 2010 'Witte jassen en bruinhemden' las dat uitge- van de goedheiligman, Zwarte Piet. Wat blijkt, is geven is door de KNMG. Dit boekje toont bijzondere dat gedurende de laatste jaren het aantal klachten getuigenissen van artsen gedurende de bezettings- over Zwarte Piet bij het antidiscriminatie kantoor in tijd. Wat opvalt bij het lezen van al die verhalen is Amsterdam, sterk is gestegen. Hierbij wordt Zwarte dat de Nederlandse arts in die tijd een ander imago Piet als domkop en knecht ervaren, een beeld dat had dan nu. Artsen werden, zelfs door de bezetter, zou bevestigen dat negroïde mensen tweederangs gerespecteerd en vervulden een cruciale rol in het zijn. Dit heeft ertoe geleid dat de Verenigde Naties verzet ondanks de vele beperkende maatregelen. Eén gestart zijn met een onderzoek naar de vraag of van de voormannen van het Medisch Contact, Bru- Zwarte Piet racistisch is. Op het eerste gezicht een tel de la Rivière, schreef in 1941 aan aarzelende col- nogal zwaar ogend middel waarop Premier Rutte lega’s dat de kracht van het artsenverzet moest zijn reageerde dat Zwarte Piet nu eenmaal zwart was en gebaseerd op hun morele gezag in de maatschappij dat deze kwestie een zaak was van de samenleving en hun persoonlijke contact met de bevolking. Hoe en niet van de regering. bevreemdend is het om nu in de kranten te lezen dat Nederlands Tijdschrift voor Obstetrie & Gynaecologie vol. 126, november 2013 het imago van artsen is afgegleden tot het niveau van ven waar de beste spindokter niet tegenop kan. In geldwolven en zorgfraudeurs. de kwestie van het afglijdend artsenimago zou overi- Ook was ik onlangs geschokt door het bericht over gens een spindokter welkom kunnen zijn om te hel- de zelfmoord van huisarts Nico Tromp uit Tuitjen- pen het negatieve imago te kantelen, maar ook hier horn nadat hij een inval van een arrestatieteam tegen geldt dat we primair bij ons zelf en onze kernwaar- middernacht had meegemaakt vanwege een omstre- den moeten blijven. Hiermee behouden we het beste den palliatieve sedatie bij een terminale kankerpa- onze integriteit ondanks de negatieve publiciteit. tiënt. De krant meldde dat hij na de inval urenlang Tenslotte, hoe is het eigenlijk gesteld met het imago werd verhoord in aanwezigheid van IGZ en daarna van ons NTOG? op 2 oktober jl. op non-actief werd gezet. Dit verhaal Het NTOG is het tijdschrift van en voor de NVOG roept het beeld op van een politieactie die wij ken- leden. Sinds de oprichting in 1889, toen onder redac- nen uit de wereld van de georganiseerde misdaad. Is tie van o.a. Hector Treub, is het NTOG gericht op de het imago van de Nederlandse arts zo gedevalueerd informatie voorziening van de Nederlandse gynae- dat wij ook in zake ons medisch handelen alleen coloog door middel van opiniestukken, oorspronke- maar op een agressieve wijze kunnen worden bena- lijke artikelen en nieuws ten aanzien van beleid. Is derd? Het verontrust me en het voelt bedreigend om het daarmee een stoffig tijdschrift dat niet of nauwe- deze ontwikkeling waar te nemen. lijks wordt gelezen? Nee, die indruk heeft de redac- Laten we nu eens kijken of het omgekeerde, je imago tie niet. Steekproeven tonen juist aan dat het impact positief veranderen, ook mogelijk is. Dan kom ik uit heeft binnen de beroepsgroep en goed wordt gele- bij de paus. Het zal u niet ontgaan zijn dat paus Fran- zen.
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