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.
- 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).
- 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).
- 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).
- 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.
A 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.
|Project Head||Dr Johannes Van Waart|
|National Lead Obstetricians||Dr Johannes Van Waart; Dr Sagie Naidu and Prof Priya Soma-Pillay|
|Western Cape||Dr Reinarda van Waart|
|Eastern Cape||Dr Clayton Grieve|
|KZN||Dr Rajesh Gangaram|
|Northern Gauteng||Dr Miems Kleynhans|
|Southern Gauteng||Prof Bash Goolab|
|Free-State||Dr Francois Villiers|
P15 Caesarean Section
P16 Prenatal Tests April 2018
P17 Severe VTE Imminent Eclampsia
P18 Patient Pregnancy Information Letter
P19 Pre Mediation Meeting Clause including standard procedure
P2 Pre term labour
P3 Massive antepartum haemorrhage flow
P4 Cord prolapse flow chart
P5 Shoulder Dystocia
P6 Obstetric Haemorrhage Protocol
P8 MgSo4 for Neuroprotection
P9 Protocol for Administration of Antenatal Steroids
Placenta Accreta Spectrum Disorder diagnosis and screening flowchart
Placenta Accreta Spectrum Disorder Management Flowchart
Placenta Accreta Spectrum Disorders
Post Partum Haemorrhage
Pre-term labour with intact membranes
Preeclampsia First Trimester risk screening and prevention
Premature rupture of membranes
Puerperal Sepsis and SIRS
Pulmonary Embolism diagnosis and management
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.