Janssens J
Ned Tijdschr Geneeskd. 1997 Jan 4;141(1):26-32.
In the Netherlands the last 40 years have seen major changes in obstetrics and gynaecology: Progressive expansion of evidence-based medicine. A measurable, greatly improved quality policy during gynaecologists' training and the subsequent period. Increase of diagnostic possibilities during pregnancy (such as real-time echography, Doppler measurements, amniocentesis and umbilical-cord puncture). Foundation of the Landelijke Verloskunde Registratie (LVR. National Obstetrical Registry) in 1982, in which by now 90% of the specialists and 80% of the midwives are participating. Implementation of the 'Dutch model' of obstetrical care. Decrease of the number of home deliveries and increase of the obstetrical interventions. More attention for sex problems. Better results in the treatment of gynaecological tumours. Great progress in the field of reproduction endocrinology (both pharmaceutical and surgical).
在荷兰，过去40年里妇产科领域发生了重大变化：循证医学不断发展。在妇科医生培训期间及之后实施了可衡量的、大幅改进的质量政策。孕期诊断可能性增加（如实时超声检查、多普勒测量、羊膜穿刺术和脐带穿刺）。1982年建立了全国产科登记处（LVR），目前90%的专科医生和80%的助产士参与其中。实施了产科护理的“荷兰模式”。家庭分娩数量减少，产科干预增加。对性问题给予更多关注。妇科肿瘤治疗取得更好效果。生殖内分泌学领域（包括药物和手术方面）取得巨大进展。
