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SASOG July 2019 Newsletter

July 12, 2019 

Welcome to this edition of the SASOG Newsletter. The intention of the publication is to keep members informed and updated on the issues of the day and assist us in achieving a cohesive Society.

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Results of the ECHO Trial on Contraceptive Safety

June 25, 2019 

Results of the Evidence for Contraception Options and HIV Outcomes (ECHO) Trial were announced on Thursday 13 June at the 9th SA AIDS Conference 2019 in Durban. This randomised multicentre, open-label trial compared three contraceptives, namely intramuscular depot medroxyprogesterone acetate (DMPA-IM), copper intrauterine device (IUD) and levonorgestrel subdermal implant (LNG).

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Reminder: HCPSA Fees 2019/2020

March 12, 2019 

HPCSA fees will be due and payable with effect from 1 April 2019.

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International Women’s Day

March 6, 2019

“Think equal, build smart and innovate for change”

International Women’s Day is a global celebration of the social, economic, cultural and political achievements of women. The day also makes a call to action for accelerating gender parity. In the context of women’s health, the theme for 2019 collectively refers to reducing inequity in access to healthcare by using novel ideas and affordable technology to meet the healthcare needs of all women. South African women face a number of unique challenges. SASOG is committed to promoting excellence and equity in women’s health. We believe that some of the major obstacles that require innovative solutions include:
  • Equal access to free education for the girl-child
  • Access to effective contraceptive services in a private, non-judgemental setting which would allow women equal opportunities in society.
  • Innovative programmes to extend coverage of existing prevention services to control the cervical cancer epidemic.
  • Labour wards and maternity care which need be modified and technologically modernised eg. accommodation of companions in labour
  • Ground-breaking research is required to identify and treat women with hypertensive disease in pregnancy.
Visit the FIGO website to read "Think Equal: women's health, South Africa
https://www.figo.org/news/think-equal-womens-health-south-africa-0016154


Think Equal: Innovative Women in Health

March 06, 2019 

Wellbeing is not just the absence of illness and injury.
Gender equality, with investment in gender-responsive services and infrastructure that meets the needs of women and girls, is essential for a world where all women achieve the highest possible standards of physical, mental, reproductive and sexual health throughout their lives.

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Miracle' baby leaves Durban hospital after blood transfusion while in mom's womb | Daily News

February 26, 2019 

A newborn baby boy who was saved by an advanced in-utero keyhole blood transfusion procedure at 25 weeks while still in his mother’s womb has been discharged from hospital, much to the delight of his parents and staff at Durban's Netcare St Augustine’s Hospital.

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SASOG Press Statement regarding Caster Semenya vs IAAF

February 18, 2019 

SASOG has released a press statement regarding the current legal matter between Caster Semenya and the IAAF.

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Vacant specialist post

February, 2019 

Medical Specialist Grade 1 at Rahima Moosa Mother and Child Hospital.

Click here to view available position


Vacant specialist post in limpopo

November, 2018 
Click here to view available positions
Click here to view available positions

Dr IJ (Koos) van der Watt & Dr JJ (Johan) van der Watt

June, 2018 
It is with great sadness that we inform you of the passing of Dr IJ (Koos) van der Watt (Snr) who died on 23 June 2018 and his son Dr JJ (Johan) van der Watt who died early on 28 June 2018. Both had made great contributions to our discipline and were respected and loved by all . SASOG/GMG send deepest condolences to all their loved ones.



Obituary
Prof Anthony Bruce Koller
MBCHB – Dipmid COG(SA)- FCOG SA –FRCOG

May, 2018

It is with great sadness that I have heard of the passing away of our dear colleague and friend Prof Anthony Bruce Koller better known to all as Tony. I had the privilege of serving with him as a council member of the South African society of Obstetricians & Gynecologists (SASOG) and also served as a council member under him when he was president of SASOG.

Click here to read more

A tribute by Franco Guidozzi and Ron White -  Click here

The family requested people donate to the Cancer Association of SA in lieu of flowers in Prof Koller’s name.


Banking details are:
Cancer Association of South Africa,
Bank: ABSA
Branch clearing code: 632005
Account No : 4052168751
Account type: Current Account

 



Cerebral palsy: Constantia and University of Pretoria join hands in caring

March, 2018

Medical academics, healthcare practitioners, lawyers, as well as representatives from government and Constantia Insurance Company met in a bid to avert the prospective collapse of maternal and child healthcare services, due to the epidemic of medico-legal claims – often without merit – brought against both public and private healthcare providers.

Click here to read more




Listeriosis in pregnancy: What you need to know

January, 2018

Listeriosis is a serious but preventable disease caused by the bacterium, Listeria monocytogenes. The bacterium is widely distributed in nature and can be found in soil and water. Animal (both wild and domesticated) products and fresh produce can be contaminated from these sources. The South African National Department of Health has reported more than 550 laboratory confirmed cases for 2017 with Gauteng province being the most affected. Pregnant women are 13 times more likely than the general population to get listeriosis.

Click here to read more




Professor Emeritus J Moodley for the NCCEMD
Foreword

December, 2017

The target is to reduce maternal mortality to below 70 deaths per 100000 live births by 2030. It will be good to achieve this earlier than 2030 too. At present our institutional maternal mortality ratio is around 153/100000. With an estimated 20% of maternal deaths occurring in communities it is clear that we are still very far from the 2030 target – even though we have evidence of institutional mortality declining. The major reason for this decline is that we are testing pregnant women for HIV and initiating them on ART. However, the three major causes of mortality continue to be present: non-pregnancy related infections (largely HIV); hypertension; and obstetric hemorrhage.

Click here to download the newsletter for Provincial Assessors of Confidential Enquiries into Maternal Deaths




Professor Emeritus J Moodley for the NCCEMD
Foreword

May 22, 2017

This ACE is produced and distributed ahead of the release of the results of the 2015 HIV Antenatal Survey as well as the 2016 Demographic Health Survey (DHS). These surveys will, together with the NCCEMD reports, inform us of the progress we have made recently in dealing with maternal mortality as well as its causes. The DHS will provide us with overall maternal mortality – including those that occur outside our health institutions.

Click here to download the newsletter for Provincial Assessors of Confidential Enquiries into Maternal Deaths




Adalat (Nifedipine) is currently not available Alternatives:
Cipla Retard 20 mg tabs

Mr Doug Craythorne is the product manager and says stocks are available country wide. The drug stat team at Discovery health scourged the following.

NappiProduct nameStrengthDosage formManufacturer
789499 Cardifen 5mg Cap Litha Pharma
780502 Cardifen 10mg Cap Litha Pharma
826863 Bio-nifedipine 5mg Cap Biotech Laboratories (Pty) Ltd
(Was Norton Nifedipine)
The pharmacy at the clinics should be able to find alternatives through their wholesaler.

The problem is that often the drug has been taken over by another company and one has to track the current manufacturer down.


SASOG ANDROID APP

SASOG are pleased to announce the launch of our very own SASOG APP which is currently available in the Android store and is expected in the Apple store within the next 2 weeks. The APP uses the same user name and password as the SASOG website – member secure platform.

Follow these simple steps to download the APP from the Google Play store:
  • On your Android mobile phone, click on the Play Store Icon
  • Search for 'SASOG'
  • Click on the first App on the list. SASOG
  • Click on the Install button
  • Give the App access to your phone by clicking the Accept button
  • Once the App has finished downloading and installing, please click on the Open button to start the Application
  • You will be directed to the Login page where you will need to enter your Username and Password 
  • When you open the App for the first time, a short cut will also be created on your Dashboard for easy access
For assistance contact lizelle@e2.co.za

Click here to download the SASOG User manual




URGENT NEWSFLASH

SASOG/GMG/HealthMan are endeavouring to create a procedure code specifically to cover the obstetric insurance premium.

In order to determine the RVU (Relative Value Unit) for this code it is essential to know how many deliveries are performed by our members.

Two surveys have already been sent out requesting the obstetrician disclose the number of deliveries performed but the response has been so poor that the actuaries are unable to determine the RVU.

PLEASE complete the survey to respond with your delivery figures. www.surveymonkey.com/r/2017malpracticeinsurance

If we do not get a sufficient number of responses we will have to abandon this concept.

Dr Ron White (GMG)


Mediation in Motion

If you are interested in being trained as a mediator contact
Gratia van Eck
072 687 9404
O83 403 7324
Mail gratia@mediationinmotion.com
info@mediation.com


Safer Motherhood APP from GLOWM

FIGO has now taken over full responsibility for The Global Library of Women’s Medicine (GLOWM) and integrated it into its exciting, ongoing educational programme.

Click here to read more


RANZCOG FOUNDATION Research Scholarships

The ASGO Travelling Fellowships were established in 2011 to facilitate links and the sharing of knowledge within the gynaecological oncology community. The Fellowship funds are provided by the Australian Society of Gynaecologic Oncologists (ASGO) and administered through the RANZCOG Foundation

Click here to read more


SASGO position statement on the safety of cervical cancer vaccines

Author: Prof Lynette Denny
Head, Department Obstetrics and Gynaecology, University of Cape Town/Groote Schuur Hospital on behalf of SA Society of Gynaecology Oncology
A recent report in a local newspaper implied that 2 learners who had received the vaccines against Human Papillomavirus (HPV) were adversely affected by the vaccines and that the damage was caused by the vaccines themselves. This information was not put into context and was attributed to the vaccines without any evidence.
Click here to read more.


STEM CELL COLLECTION

CRYO - SAVE have announced an increase in the payment for collection of stem cells at the time of delivery from R1000 to R1200.
GMG thanks Mr Rudi Viviers (National Sales Manager) and Mrs Cecilia Bakkes for their help in reviewing payment to practitioners. CRYO - SAVE also announces a new offering Mx Nurse.
This is for Caesarian sections only.
The Obstetrician will have the option of having a nurse present who will do the extra uterine collection of stem cells from the placenta and will do the paper work for both intra and extra uterine collection collection.
Payments to the Obstetrician will be R1200 for intra uterine collection and an added amount for the extra uterine collection.
Notices will be sent to all Obstetricians about this new product.


Obstetricians: 'Litigated out of practice'

In the next three years, South Africa can expect to see private obstetrics practices collapse as indemnity insurance costs continue to climb and they are litigated out of practice.
Click here to read more.


Once more Professor Fawcus has worked in an energetic manner to produce a new edition of the ACE newsletter. The intention of ACE is keep all assessors up to date with the processes of the NCCEMD and in current language to let you know “what’s trending” in the field of Maternal Health issues in the public health sector.



If the international news coverage over the last week is anything to go by, many of you will be aware of the rapid spread of Zika in the Americas and the concerns over the risk of microcephaly in babies whose mothers are exposed to the virus.



Recently there have been two developments that are concerning. The first has already been aired on the website about patients refusing to pay if a locum delivers their baby and an alleged comment from HPCSA that it is illegal to have locum cover. The second is that it is unethical to charge a cash paying patient less than what a medical aid patient is billed. GMG has written to the HPCSA asking for clarity on these matters and to date have not had a reply.
SASREG SAUGA SAATOG SASUOG SAMS SASGO