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. The Obstetrician, who will be tasked to do the following:
    • Adhere to the SASOG protocols introduced into all labour wards .
    • Attend at least 50% of the M & M meetings as arranged by the hospital
    • Complete a delivery report on each delivery
    • Informing the patient about the BetterOBS™ program
  2. The treating Paediatrician, who will be tasked to do the following:
    • Complete a discharge summary on each neonate discharged from the hospital and notify the delivering obstetrician if a neonate is re-admitted (in the same or in a different hospital).
    • Attend the M & M meetings
  3. The Hospital
    • Make the patient aware of the BetterOBS™ program by handing out the BetterOBS™ info sheet
    • Ensure that M & M meetings take every second month
  4. The Patient
    • To sign that they have been informed of the dispute resolution channels for the Doctor.

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 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™ Protocols and Guidelines

P4 Cord prolapse flow chart

P5 Shoulder Dystocia

P6 Obstetric Haemorrhage Protocol

P8 MgSo4 for Neuroprotection

P9 Protocol for Administration of Antenatal Steroids

SASOG Risk Reduction Strategy

The SASOG Exco has approved a “risk reducing” approach and the idea is to reduce Obstetric and…

Universal Cord pH sampling

During the latest BetterObs Management Committee meeting (August 2020), a discussion was held regarding the viability and…


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.

BetterObs™ Committee
Project HeadDr Johannes Van Waart
National Lead ObstetriciansDr Johannes Van Waart and Dr Sagie Naidu
Western CapeDr Reinarda van Waart
Eastern CapeDr Clayton Grieve
KZNDr Rajesh Gangaram
Northern GautengDr Miems Kleynhans
Southern GautengProf Bash Goolab
FSDr Francois Villiers