Main OBS

About BetterObs™

SASOG have devised the BetterOBS™ program with the intention of promoting safer deliveries, healthier babies, better outcomes all round and consequently decreased opportunities for litigation.

The BetterOBS™ program consists of 4 pillars.

  1. All deliveries (NVD’s & CS’s) should have a signed (Obstetrician, Patient and witness) consent form filed in the patient’s file (Dr and hospital files) (see the consent form on the BetterObs App).
  2. All deliveries should have a cord pH done and documented in the file and hospital delivery register (see the patient delivery form on the BetterObs App).
  3. All deliveries should have an appropriate delivery report in the patient file (see the patient delivery report on the SASOG App or the SASOG delivery form).
  4. All hospitals (along with the Lead Obstetricians) should ensure 2 monthly M&M meetings take place and appropriate notes kept (and M&M meeting logged on the SASOG App).

The purpose of these 4 pillars is to reduce Medico Legal responsibilities for all parties to the minimum. BetterObs will continue to communicate with the Hospital Groups to ensure adherence to these safe delivery issues. All Hospital Group Clinical managers have committed their support to these efforts.


Lead Obstetrician is appointed in each hospital as the champion of the program in each hospital (along with the Hospital manager) and will also be responsible to lead/delegate the teaching sessions for the nursing staff in each hospital.

Protocols and Guidelines have been introduced to the labour wards for staff and medical practitioners to follow.

The Obstetric Handbook (written by Prof Priya Soma - Pillay) is being purchased by the hospital groups and handed to each Obstetrician This book should also be made available to the nursing staff.

The M&M Meetings  held every 2 months,  is a self peer review process involving all involved in maternity.

BetterObs™ Committee
Project HeadDr Johannes Van Waart
National Lead ObstetriciansDr Johannes Van Waart; Dr Sagie Naidu and Prof Priya Soma-Pillay
Western CapeDr Reinarda van Waart
Eastern CapeDr Clayton Grieve
KZNDr Rajesh Gangaram
Northern GautengDr Miems Kleynhans
Southern GautengProf Bash Goolab
Free-StateDr Francois Villiers

BetterObs™ Protocols and Guidelines (Click HERE for full list)

Abdominal trauma in Pregnancy

Antenatal ultrasonography in Pregnancy

Antepartum Haemorrhage

Blood Cord Analysis

Blood Transfusion Guidelines

Delayed Cord Clamping

Diabetes in Pregnancy

Foetal Heart Trace Flow Chart

Foetal Heart Traces

Hypertensive Disorders in Pregnancy

Induction of Labour

Intrauterine Fetal Death

Iron Deficiency Anaemia in Pregnancy

Magnesium Sulphate

Management of Preterm Labour Flowchart

Mode of delivery based on patient preference

Natmed’s Avoidance and Rejection of Policies and Claims


Nausea and Vomiting in Pregnancy

Obstetric Ultrasound evaluation template

A SASOG GMG Obstetric Ultrasound evaluation template is now available for use by a generalist Obstetrician who…

P1 PPH flow chart

P10 Induction of Labour Patient Safety List

P11 Preterm Delivery

P13 Delivery Report

P14 Paediatric Report


BetterObs documents have been developed by interdisciplinary healthcare teams utilising the best available evidence and resources believed to be accurate and current at the time of release. They are intended to provide general advice and guidance on which to base clinical decisions. SASOG takes no responsibility for matters arising from changed circumstances or information that may have become available after issued. They must not be solely relied on or used as a substitute for assessing the individual needs of each patient.