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Navigating Abortion in Singapore
Termination of a pregnancy or otherwise known as abortion, is the the removal or expulsion of a foetus or embryo from the uterus, resulting in the end of the pregnancy. Abortion in Singapore is a legal and regulated medical procedure.
Abortions can be performed for various reasons, including medical, personal, or social factors.
The specific methods and legal regulations for abortion vary from one country or jurisdiction to another.
Common reasons for seeking an induced abortion include concerns about the health of the pregnant person, foetal abnormalities, unwanted pregnancies, and various personal or socioeconomic factors.
Whatever your reasons may be, we are here to ensure your comfort and well-being throughout the process.
What abortion methods are there?
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Medical Abortion
(Abortion Pill)
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Early Medication Abortion: Typically used up to 10 weeks gestation. It involves taking two medications, usually mifepristone followed by misoprostol, under medical supervision. Mifepristone is taken first to block progesterone, a hormone needed to sustain a pregnancy. This is followed by misoprostol, usually taken 24 to 48 hours later, which causes the uterus to contract and expel the pregnancy.
2
Surgical Abortion
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Aspiration Abortion (Suction or Vacuum Aspiration): This method is used for pregnancies from 6 to to12 weeks, with the specific technique varying based on the gestational age. It involves removing the pregnancy by gentle suction, and it is usually performed in a healthcare facility.
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Dilation and Evacuation (D&E): Typically performed for pregnancies from 13 to 16 weeks of gestation, D&E involves dilating the cervix and removing the pregnancy using suction and medical instruments. The procedure is more complex than aspiration abortion and typically takes longer to perform.
3
Induction Abortion
This method may be used for pregnancies 14-23 weeks after conception. It involves inducing labour to deliver the fetus. The process is similar to full-term labour and delivery and is performed in a hospital setting due to the advanced gestational age and the associated risks.
Medical vs Surgical Abortion in the first trimester
Cost of Abortion Programme
A medical abortion can cost between $1,000 to $2,000 in Singapore, while the cost for a surgical abortion starts from $5,500. The exact cost will depend on where the abortion is performed.
Medical abortion generally costs less than surgical abortion, particularly in the early stages of pregnancy. Surgical abortion costs can vary more widely, primarily depending on the gestational age of the pregnancy, the type of procedure required and the healthcare facility utilised.
Don't hesitate to contact us for more information
Eligibility & Legality
In Singapore, the process for terminating a pregnancy is governed by specific regulations outlined in the Termination of Pregnancy Act. These guidelines ensure that abortions are performed under regulated conditions to protect the health and rights of the individuals involved.
Here’s an overview of the eligibility requirements and legal framework for accessing abortion services in Singapore:
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TOP can only be carried out by a licensed medical practitioner in an approved institution.
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TOP is permitted only for the following groups of people:
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Singapore citizens or the wives of Singapore citizens
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Holders of work permits or employment passes, or their wives
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Individuals who have been residents in Singapore for at least four months, though an exception may be made if the procedure is immediately necessary to save the life of a pregnant woman.
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Potential Risks of Abortion
Abortion is a medical procedure with potential risks and complications, like any other medical intervention. Being aware of these risks can help you better prepare for any possible outcomes.
Medical abortion risks:
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Incomplete abortion
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Heavy bleeding
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Moderate to severe pain
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Infection
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Gastrointestinal symptoms
Surgical abortion risks:
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Injury to reproductive and surrounding organs
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Pain
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Bleeding
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Infection
Myths
Abortion is often surrounded by misconceptions that can create confusion or fear. Telling facts from fiction can provide clarity.
1. Abortion Causes Infertility
Most women who have an abortion go on to have healthy pregnancies in the future. There are risks associated with any medical procedure, but complications affecting fertility are rare.
2. Abortion Is Unsafe
When performed by a qualified medical professional in a licensed facility, abortion is a generally safe procedure. The risks are comparable to those of other medical procedures, and serious complications are rare.
3. Abortion Leads to Long-Term Psychological Problems
Many women feel relief or experience no negative psychological effects after an abortion. While some may experience emotional distress, this is not universally the case. Support and counselling are available for those who need them.
4. Abortion is Only for Young or Unmarried Women
Women of all ages, marital statuses, and life circumstances seek abortions. The decision to terminate a pregnancy is a personal one and can be influenced by a wide range of factors, including health, financial stability, and personal readiness.
Abortion Process at Daniel Koh Clinic
At Daniel Koh Clinic, the process for handling abortion services is designed to ensure the highest standards of care, safety, and privacy. The process and recovery for an abortion can vary depending on the specific method used and the gestational age of the pregnancy.
Consultation and Counseling:
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The process typically begins with a consultation with a healthcare provider or a reproductive health clinic. During this consultation, your options, the different abortion methods, potential risks, and any legal requirements are discussed.
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Counselling is offered to ensure you fully understand your decision and have an opportunity to ask questions or address concerns.
Medical History and Examination:
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A thorough medical history is taken, and a physical examination may be performed to determine the gestational age of the pregnancy and assess your overall health.
Decision and Consent:
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You'll be asked to give informed consent for the abortion procedure.
Abortion Procedure:
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The specific procedure depends on factors such as gestational age and your health. Methods include medication abortion, aspiration (suction) abortion, dilation and evacuation (D&E), and induction abortion.
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Medication abortion usually involves taking medication under medical supervision, followed by another medication taken at home. This leads to an abortion within a few days.
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Surgical abortion, such as aspiration or D&E, involve removing the pregnancy through the cervix. These procedures are typically performed in a healthcare facility.
Recovery:
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Recovery time can vary. For medication abortion, expect abdominal pain for a few days and bleeding for weeks or months.
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Surgical abortion generally has a shorter recovery time, typically a few hours to a few days of recovery.
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Rest, pain management, and taking any prescribed antibiotics or medications are common during the recovery phase.
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You may be advised to avoid strenuous activities and sexual intercourse for a specified period.
Follow-up:
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It's important to attend any scheduled follow-up appointments as recommended by your healthcare provider to ensure your recovery is progressing as expected.
Emotional Support:
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Abortion can be an emotional experience, and it’s important to get emotional support from friends and family. We can recommend counselling services to you, too.
Contraception:
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After an abortion, discussions about contraception and family planning can be essential to prevent unintended pregnancies in the future.
Expulsion of Products of Conception
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We carefully handle the expulsion of products of conception to ensure safety and completeness. Complete expulsion is crucial to prevent complications such as infection or excessive bleeding.
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After an abortion, the patient will be monitored to assess the process of expulsion through regular check-ups, to confirm that the pregnancy tissue has been fully expelled from the uterus.
Consult with a healthcare provider or clinic for specific details regarding the abortion process, recovery, and any aftercare instructions. Talk to us to find out more so you can make the choice that's right for you.
At Daniel Koh Clinic, patient privacy and confidentiality are paramount. All personal and medical information is kept strictly confidential, and the clinic adheres to stringent privacy policies to protect your data.
Our Abortion Clinic in Singapore
At our abortion clinic in Singapore, we provide compassionate and comprehensive care throughout your abortion experience. Daniel Koh Clinic offers a range of services to support your needs, from initial consultation to post-procedure care.
Our clinic is accredited by the Ministry of Health (MOH), ensuring that we meet stringent medical and safety standards. This accreditation underscores our dedication to the highest standards of medical practice and patient safety.
Our Medical Termination of Pregnancy Programme at Daniel Koh Clinic
Includes:
First pre-abortion consultation
First pre-abortion bedside ultrasound
Abortion Medication (Limited to 1 tablet of Mifepristone 200mg and 8 tablets of Misoprostol 200mcg)
First post-abortion consultation
First post-abortion ultrasound
Note:
Additional charges apply for each consultation exceeding 20 minutes
SGD $699 (before GST)
*WEF from 1st July 2024
Terms & Conditions
1. Package is strictly non-refundable.
2. Package excludes
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Mandatory abortion counselling
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Full blood count and ABO screen
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All additional consultations or scans not specified
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All send-out tests (such as but not limited to blood tests, ultrasound scans)
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All medications not specified (such as but not limited to antibiotics, pain-killers, gastric medications, probiotics)
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All emergency call-back or surgical procedure
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Any consumables as determined by the clinic as chargeable
3. The clinic’s decision on any matter pertaining to the package shall be considered as final.
Our Specialist
Dr Daniel Koh
Obstetrician & Gynaecologist
BMBS (AUS), M.MED (O&G, SG), MRCOG (UK), FAMS (SG)
Dr Daniel Koh has years of experience in medical and surgical termination of pregnancy (TOP) in Singapore. He is also a highly respected specialist obstetrician and gynaecologist based at Gleneagles Hospital.
As a MOH-accredited abortion counsellor, Dr Koh strongly believes in a woman's right to autonomy over her body. He provides non-judgmental, supportive, and confidential care to those considering abortion, ensuring they are fully informed about their options.
How Do We Work?
SCHEDULE A CONSULTATION
RECEIVE YOUR TREATMENT PLAN
SEE RESULTS & PLAN FURTHER TREATMENT
Make an appointment to meet Dr Koh to share your needs and expectations.
Dr Koh will proceed to review your needs to prescribe an appropriate procedure.
Depending on your goals, we will continue to follow up with your progress and monitor your recovery!
Our Services
Providing a comprehensive suite of services to prioritise your needs and comfort at every step of the way in your fertility journey.
Obstetrics
Antenatal care & delivery, maternal & fetal medicine including high-risk pregnancies and fetal screening.
Gynaecology
Urogynaecology, abortion, contraception and laparoscopic procedures.
Menstrual Problems
Period problems such as extreme menstrual pain, absence of menstruation and prolonged bleeding.
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How do I check my fertility?To check your fertility, schedule an appointment with a fertility specialist. Our clinic conducts screening tests and ultrasound scans to evaluate ovarian reserve and overall reproductive health.
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How do you prepare your body for egg freezing?Prepare your body for egg freezing by practising a healthy lifestyle. Incorporate a balanced diet, regular exercise, and optimal body weight. Supplements to support fertility are advisable. Additionally, it would help if you also managed any pre-existing medical conditions.
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Am I eligible for egg freezing in Singapore?Women aged 21 to 37 are eligible for egg freezing in Singapore. Eligibility also depends on your medical history and overall health.
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How much does egg freezing cost in Singapore?The cost of egg freezing in Singapore varies depending on the clinic and the number of cycles required. Poor response to an egg freezing cycle may require additional cycles, increasing the total cost.
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What are alternatives to egg freezing?Alternatives to egg freezing include in vitro fertilisation (IVF) at a later age or adoption, which offers the opportunity to build a family without fertility treatments.
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Is egg freezing legal in Singapore?Yes, egg freezing is legal in Singapore.
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What is the age limit for egg freezing?The age limit for egg freezing in Singapore is 37. For women over 37, eligibility is typically assessed on a case-by-case basis.
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Does Medisave cover egg freezing?Medisave does not cover egg freezing for non-medical reasons in Singapore.
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What is the best age to freeze your eggs?The best age to freeze your eggs is between 21 and 37. Younger eggs are generally healthier and more viable.
Frequently Asked Questions
