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For women in their first trimester of pregnancy, a medical abortion provides an alternative to surgical abortion. Medical abortion is a low-risk, non-invasive method of ending a pregnancy and is nearly 100% successful at terminating an unwanted pregnancy. Around 2% to 5% of women who have a medical abortion will require additional treatment to complete the abortion. Medical abortion in Singapore involves the use of two drugs, mifepristone, and misoprostol, to terminate a pregnancy. Read on to find out more about the procedure, aftercare, and how to select a government-approved abortion clinic in Singapore.

Medical Abortion in Singapore: The Procedure

A medical abortion uses medication to end a pregnancy and does not involve anesthesia or surgery. It is one of the safest methods available to end your pregnancy up to 9 weeks of gestation and can be done as soon as you find out you are pregnant.

What To Expect Before, During, and After a Medical Abortion?

Before
Your healthcare provider will carry out blood and urine tests and an ultrasound scan to confirm you are pregnant and to determine how far you are in your pregnancy. The clinic will also evaluate your medical history and overall health before an abortion procedure.

During
The process generally involves taking two medically prescribed drugs, mifepristone, and misoprostol, within a 48-hour time period. Mifepristone functions by inhibiting progesterone. A pregnancy cannot continue to grow in the uterus without progesterone. Without progesterone, the uterine lining will begin to thin and the embryo will detach from the uterine wall. Misoprostol induces cramping and bleeding to facilitate uterine evacuation.

The 2 most common medical abortions in Singapore are,

Oral mifepristone and misoprostol: you will take mifepristone first and then follow up with misoprostol 24 to 48 hours later at home. The drugs can be administered at the medical practitioner’s clinic or at home.

Oral mifepristone and vaginal, buccal, or sublingual misoprostol: The same medications as in the previous approach are used in this procedure, but a slowly dissolving misoprostol pill is placed in your vagina (vaginal route), in your mouth between your teeth and cheek (buccal route), or under your tongue (sublingual route).

The vaginal, buccal, or sublingual route is less likely to cause side effects and may be more effective. The drugs can be administered at the medical practitioner’s clinic or at home.

Other medical abortions,

Vaginal misoprostol alone: This could only be effective if used before 9 weeks of gestation. When compared with the other routes, this is the least effective.

After

Within the first 24-48 hours of administering medication, you will experience bleeding and cramping. It is important that you be prepared to stay at home and rest well to minimize complications and facilitate the recovery process better. It’s normal to experience more bleeding for one to two days. Over the course of two to three weeks, bleeding will gradually begin to stop.

To limit the risk of infection, it is advised that you avoid sexual activity and the use of tampons for two weeks after an abortion.

Possible Side Effects and Complications

Vaginal bleeding and cramping are the most common side effects of medical abortion. Other side effects could include the following but will clear within 24 hours.

  • Nausea and vomiting
  • Fever
  • Chills
  • Headache

The following symptoms require immediate medical attention:

  • Heavy bleeding: soaking more than 2 thick pads per hour
  • Severe abdominal or back pain
  • High fever that lasts more than 24 hours
  • Foul-smelling vaginal discharge

Follow-up and Self-Care After a Medical Abortion

After a medical abortion, you will require a follow-up appointment with your doctor to perform a pelvic examination, and assess your uterine size, bleeding, and symptoms of infection.

Recovery and Emotional Support

The time it takes to recover from a medical abortion varies. You may be able to resume normal activities within a day or two in some circumstances. Avoid any actions that cause you discomfort. You will most likely experience a range of feelings, including relief, grief, worry, and guilt. These are common and anticipated feelings. It may be beneficial to discuss your feelings with a mental health professional, such as a counselor or therapist. Your healthcare practitioner may be able to refer you to mental health professionals who can assist you.

Selecting An Abortion Clinic in Singapore

The decision to have a medical abortion is highly personal. Therefore, it is essential that you select an abortion clinic that can give you the maximum privacy, support, and understanding you deserve during this difficult decision. Seng’s clinic with their expert medical professionals can guide you through this process and make sure you know what to expect before, during, and after the procedure. Contact us, and our healthcare team will make sure you are comfortable throughout the procedure and receive the best medical and emotional support you need.


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When you unexpectedly discover that you are pregnant, you may experience a mix of emotions. And if you decide that an abortion is the right choice for you, it is common to worry about what will happen next.

Abortion is a significant decision. If you are considering the termination of your pregnancy in Singapore, there are some crucial factors you need to take into account. Let us walk you through some of these aspects, from the legal framework to the accessibility of qualified practitioners and clinics, and the abortion clinic cost in Singapore.

What is the Process of Termination of Pregnancy in Singapore?

1. What is Pregnancy Termination?

Termination of pregnancy, also known as abortion, is a medical procedure followed to end a pregnancy. This process uses oral medication or surgery to remove the embryo and placenta from the uterus. All procedures done in an MOH-approved clinic under the supervision of a trained medical professional are considered safe and effective.

2. Legal Framework for Termination of Pregnancy in Singapore

There is no set minimum or maximum age for termination of pregnancy in Singapore, and there is no legal necessity for minors to obtain parental consent (under 16). However, after 24 weeks (6 months) of gestation, abortion is illegal unless it is determined that carrying the pregnancy to full term may put the mother’s life at risk. Generally, the pregnancy duration is calculated from the first day of the last normal menstrual cycle.

Foreigners can get an abortion in Singapore if they meet one of the following four conditions:

  • Been a resident of Singapore for at least four months
  • PR holders/Citizens or married to a Singapore citizen
  • Married to a work permit holder (not a temporary work permit) or has an employment pass
  • Medical determination by a registered practitioner that an abortion is necessary to save the life of the pregnant mother

3. The Procedure

The first step in getting an abortion is to talk to your family doctor or a gynecologist.

STEP 1: Counselling

All patients seeking abortions are required to receive counselling before the procedure. After your consultation, your physician will refer you to a counselling organisation.

Girls under the age of 16 are required to obtain guidance from the Health Promotion Board Counselling Centre (except for rape victims). Before pregnancy termination procedures can be conducted on mentally challenged patients, a psychiatrist must certify that continuing the pregnancy will be unfavourable for the mother’s health.

Non-Singaporean women, women with three or more children, and women who did not pass the PSLE (Primary School Leaving Exam) and had little to no secondary education were not required to get pre-abortion counselling prior to April 17, 2015. However, current legislation requires that all patients have access to pre-abortion counselling.

STEP 2: Waiting Time

There is a 48-hour waiting time following the counselling session before the treatment can be performed.

STEP 3: Document Requirement

Patients who choose to terminate a pregnancy must sign a declaration stating their marital status, educational level, and the number of living children. The Ministry of Health keeps a record of all pregnancy termination treatments, including the patient’s name, date of procedure, and type of termination.

4. Types of Abortion

It is always better to take your pregnancy termination decision early. The more advanced your gestation period is, the more complex it becomes. If your pregnancy has advanced past 24 weeks, an abortion is not permitted. Most doctors would not perform an abortion after 23 weeks, so making a decision sooner is preferable.

Medical Abortion: is a method of terminating a pregnancy that requires the use of drugs. It’s a safe and effective way to end pregnancies that are less than 9 weeks long.

Surgical Abortion in the First Trimester (upto 12 weeks): A vacuum aspiration is the ideal approach if the pregnancy is more than 9 weeks old. Currently, all surgical termination procedures are performed under intravenous sedation to make the process more comfortable and tolerable for patients . After sedation , the cervix is first gently dilated, then a small tube connected to a hand-held syringe or a suction machine is inserted into your uterus to remove its contents. It may take several minutes to complete the procedure.

Surgical Abortion in the Second Trimester (14 to 24 weeks): Although doctors can do vacuum aspirations until around 14 weeks, dilation and evacuation, or D&E, is the most common type of second-trimester abortion. Medicine is administered into the vaginal canal to encourage natural expulsion of the pregnancy. The womb is cleaned via vacuum aspiration after the foetus and placenta are aborted.

In the case of a fatal fetal abnormality, one may be permitted to perform a surgical abortion beyond 24 weeks. This requires special approval from the authorities before the procedure can be carried out.

  • After care: Patients are usually requested to visit the clinic two weeks later for a follow up consultation and are also referred to post-abortion counselling. Doctors may urge you not to have sex for up to two weeks after your procedure due to danger of infection.

5. Abortion Clinic Cost in Singapore

An abortion can cost anywhere from $800 to $5,000, depending on whether it is conducted in a government hospital, a private hospital, or a private clinic. Patients in Singapore can pay for the pregnancy termination procedure with their MediSave accounts.

Finding the Right Clinic

Abortion clinics vary according to where you live and how they operate. Therefore, it is critical to select one that will provide you with the safe, compassionate, and high-quality care you require prior to, during, and following your procedure. As a Ministry of Health (MOH) approved abortion clinic in Singapore, at Seng’s OG, we ensure that our patient’s privacy and emotional and physical well being are prioritized throughout the process.


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Statistically, around the world, six out of every ten unwanted pregnancies end in abortion. The reasons for yours are entirely personal. You should always be in control of your body, without feeling obligated to justify your actions.

If you decide to terminate your unwanted pregnancy in Singapore, it is crucial that you do so in a safe and trusted environment using standard procedures available within the confines of a reputed Singapore abortion clinic. You also need to ensure you are well informed and supported while doing so. In this article, we explore key factors you must take into consideration before going ahead with your abortion decision and how to have an abortion the safe way.

Am I Pregnant?

The only way to confirm pregnancy is to take a pregnancy test. You can have a test performed at your general practitioner’s office, a women’s health center, or a family planning clinic, or you can purchase a home pregnancy test kit at your local pharmacy or supermarket. Early pregnancy detection provides you with more time to consider your alternatives. If you choose to have an abortion, it is recommended that you do so as soon as possible.

Someone to Speak With

Unplanned pregnancies occur in women of all ages and socioeconomic statuses. It can be beneficial to discuss your alternatives with close friends or family members. You can also talk to a health professional to get more information before you decide.

What Is a Safe Abortion?

While the most suitable abortion method would vary from person to person, the most essential thing is to make sure you choose a safe method.

The safe methods, as recognized by the World Health Organization, are

  • Medical abortion (with pills) – up to 9 weeks of gestation
  • Surgical Abortions – 12 weeks of gestational age
    1. Manual vacuum aspiration (MVA)
    2. Electric vacuum aspiration (EVA)
  • Dilation and Evacuation: – past 12 weeks, using a combination of medication and instruments to safely evacuate the uterus.

How Is an Abortion Performed?

Medical Abortions

A qualified gynecologist may perform a medical abortion. If your pregnancy is less than 9 weeks gestation, you may obtain a medical abortion. You cannot undergo a medical abortion if you are more than 9 weeks pregnant. There are two things you need to do before having a medical abortion: get an ultrasound and have your blood type checked.

Medical abortion is a multistep process involving two medications (mifepristone and misoprostol) and/or multiple doses of one medication (misoprostol alone).

You will experience symptoms comparable to a miscarriage after taking both of these medications. You will experience a significant amount of bleeding at first, and this will later subside. Occasionally, bleeding may linger longer than two weeks. Your abortion clinic and the medical practitioner should be able to give you access to advice and emergency care in the event of complications.

After a medical abortion, you will require follow-up care 2-3 weeks later. Additional blood tests and an ultrasound may be necessary.

Surgical Abortions

Surgical abortions are performed in a clinic by a skilled gynecologist. You will need to undergo an ultrasound and a blood test prior to the abortion. The majority of surgical abortions are performed with sedation or a mild anesthetic. You will need to stay at the clinic for approximately four hours to get a surgical abortion. Vacuum Aspiration is the medical term for an abortion performed surgically.

It takes approximately 15 minutes to complete, and this method works by gradually emptying the uterus’s contents using a little plastic tube. When performed within the first 12 weeks of pregnancy, it is safe, straightforward, and low-risk. If more than 12 weeks have passed since your last period, the abortion procedure may become more complicated. You can discuss this with your doctor.

Following the abortion, it is common to experience slight cramping and light bleeding.

On that Particular Day

Your doctor will discuss the abortion procedure with you prior to it, the risks involved, and how to care for yourself afterward. If you are undergoing a surgical abortion, the clinic personnel will discuss the importance of not eating or drinking before your visit and what you need to bring with you. Having a support person nearby is frequently beneficial. If you are sedated, someone will need to drive you home. Medical abortions are usually self-administered and done at home.

Contraception

It is critical to consider your post-abortion contraceptive plan. Speak with your gynecologist about utilizing contraception. This is the most effective way to immediately safeguard yourself against another unwanted pregnancy.

Selecting the Correct Abortion Clinic

Termination of an unwanted pregnancy in Singapore can be very stressful, and it’s important to ensure your safety and privacy. Consult a certified medical practitioner at a registered Singapore abortion clinic to discuss your concerns and explore the available pregnancy termination options for you. They are trained, equipped, and have the right experience to help you through the entire process.


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It can be an overwhelming experience to find out that you’re pregnant when you least expect it. It can be just as hard to decide if abortion is the best choice for you and which abortion clinic in Singapore will be able to guide you correctly.

Throughout this stressful and emotional process, you will need the help of expert medical professionals you can trust. Therefore, before you decide to settle on an abortion clinic in Singapore, here are a few things you should consider to make sure you know what you’re getting into.

Types Of Abortions

Whilst the majority of abortion clinics in Singapore are safe and hygienic and provide high-quality care, most abortion clinics in Singapore only perform abortions up to 11 or 12 weeks into pregnancy. Abortions for pregnancies from 12 to 24 weeks have to be performed in a hospital. Therefore, depending on your gestational stage, the selected abortion clinic in Singapore should be able to give you the best advice concerning the latest and the safest abortion procedures available for you.

Abortion is classified into two types: medical abortion and surgical abortion.

Medical abortion is a procedure that involves the use of medication to terminate a pregnancy. It is a safe and successful method of terminating pregnancies of less than 8 weeks.

Surgical abortion utilizes a suction machine to remove the uterine tissue. This procedure is effective for terminating pregnancies that are up to 12 weeks gestation.

Tips For Selecting A Reputable Abortion Clinic In Singapore

It is a tedious process to locate an abortion clinic let alone find one you can trust. Following these essential tips will help you find a safe and trustworthy abortion clinic in Singapore.

Request a Referral

Large or expensive advertisements do not always imply that a clinic is good or even that it is a clinic at all. So, never base your decisions on the advertisements you see. Always seek to obtain a referral from someone you trust. If no one in your life has discussed their abortion with you or if you are uncomfortable discussing your abortion plans, you can always call in at a nearby hospital or your family physician’s office to discuss the options available to you. Also, do your research. You can start by looking through the clinic’s website and reading online patient reviews about their services.

Contact The Clinic

Once you have decided on a facility, give them a call before visiting the premises. Inquire as to whether they provide abortions. If they evade the question, it may not be a safe abortion clinic. Avoid centers that are unwilling to provide a direct response. Inquire as to whether they employ physicians or nurses. As you would with any clinic, inquire about the doctors’ training. If their responses appear suspect, trust your instincts and discontinue the conversation. Some possible questions to ask yourself would be,

  • Do they sound professional and amicable?
  • Are they well-informed about the procedures?
  • Do they address all of your concerns?

Visit The Facility Before The Procedure

Is the clinic clean and the staff professional, inviting, and warm? How much experience do the physicians and nursing staff possess? What are their credentials? Are they capable of providing you with all the information you require? These are some of the concerns you will need to address by visiting the clinic. Furthermore, it is essential to check how they will ensure your confidentiality, what anesthetics will be administered to you, whether they are equipped enough to handle emergencies, and what procedures they will follow in the event of an emergency.

Inquire About The Charges

A standard abortion clinic will be able to provide you with a general overview of the costs involved. Therefore, inquire about the charges included in the fee and request a possible breakdown of the costs. See whether the charges include hospitalization, abortion procedure, post-abortion care, a complete list of drugs, and complete laboratory work.

As with any other medical decision, it is important to take your time when making a pregnancy termination decision. It’s always best to consult a qualified and experienced physician as soon as you can so you can get the best medical guidance possible and make informed decisions.


*The duration of the pregnancy is calculated from the first day of the last normal menstruation of the pregnant woman to the end of the 24th week.

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