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Risks & Cost of Abortion


The risks and possible complications are listed below, but the risks in my hands are very rare.

I have been performing abortions for about 30 years and the main worry that I have for my patients is not whether they become infertile, but whether they will quickly get pregnant and come for another abortion.

Prevention is better than cure, so it is better to use condoms or other methods of contraception, than to use abortion as a method of family planning.

Breakdown of the charges for Abortion (less than 9 weeks) or Dilatation & Curettage (D&C):
(All prices in Singapore dollars)

  1. Consultation:S$150
  2. Ultrasound: S$100
  3. Anaesthetic fee: S$250
  4. Procedure fee: S$900
  5. Pap smear: S$30
  6. Facility fee: S$400
  7. Ward fee: S$100
  8. Medicine: S$20
  9. Total Fee: S$1,950

Delivery Charges

Normal delivery - $2,000.00 Assisted delivery with vacuum or forceps - $2,300.00 Caesarean section delivery - $3,500.00

Hospital attendance fees ($200 to $400 per day) and post delivery visits are charged separately.

A baby specialist (paediatrician) is required during the hospital stay and is not included in the package. The usual fee is from $250.00.

If the baby is delivered by an operation (caesarean section), the anaesthetic fee is also not included. This is usually about $650.00 to $750.00.

Some people book for the operation but change their minds at the last moment, causing us to lose patients who are not able to get the bookings of their choice. The deposit of $200.00 is instituted so that patients are more serious when they book. If you cancel the operation with more than 48 hours grace, the deposit will not be forfeited as a cancellation charge. This deposit will go towards paying for the anesthetic fee which has risen due to increased cost of the drugs.

My normal charges for consultation and ultrasound are $150.00 plus $100.00 - totaling $250.00. However, if the consultation is longer than 15 minutes, the consultation fee will increase accordingly (from $120.00 and upwards).

If you decide to carry on with the pregnancy, any deposit made can be used for the next consultation which you will need for any continuing pregnancy.

The final amount which you need to pay will be informed to you and it depends on the size of the pregnancy. It is inclusive of the operation procedure, ward charges, anesthesia and standard pain-killers.I normally also perform a Pap smear which is charged separately. If any injectable pain killer is needed, or if antibiotics are required after the operation due to pre-existing vaginal infection - then these are NOT included, and will be charged separately.

I hope that you are now clear about the charges. Please do not hesitate to ask if you have any further queries.

What Are The Common Risks Of Abortion

What complications may arise from a termination?

Fewer complications arise if the pregnancy is terminated early. There is no such thing as an operation or procedure that is completely risk-free. Termination of pregnancy is a safe procedure but complications are possible.

The most common complications are described below:

  • Bleeding
    After the abortion it is normal to bleed for a couple of days. After that, the bleeding will decrease for a couple of weeks. A period or menstruation will, in most cases, occur after five to six weeks. If the woman bleeds more heavily than she would normally, it could be because her uterus has not been emptied completely. If this is the case she should ask a doctor to examine her. This complication applies to both medical and surgical terminations.
  • Incomplete Evacuation of the Womb The vacuum aspiration of the womb is much less traumatic to the womb and it’s lining than the scrapping of the womb by a sharp metal instrument, which is traditionally used to ensure that all the parts of the pregnancy are removed. However, this gentler procedure also means that the bleeding after the abortion is longer than usual. Also, in some cases, the usual shape of the womb or its usual position may make it impossible to aspirate all parts of the womb.
  • Pelvic inflammatory disease If a woman has an unpleasant vaginal discharge, a temperature and abdominal pains, she should contact her doctor. Inflammation can occur if the uterus has not been emptied properly, or if bacteria have got into the uterus during the operation. The inflammation is treated with antibiotics. If some tissue still remains in the uterus, it may be necessary to remove it with a new evacuation of the womb. Baths, swimming pools and unprotected sexual intercourse should all be avoided until any bleeding has stopped.
  • Pain It is normal to have mild pain across the lower abdomen for the first couple of days after a termination. If the pain is not reduced by normal pain killers the woman should contact her doctor.
  • Puncture of the uterus During a surgical termination, inserting the suction device may risk puncturing a hole in the uterus. If the doctor suspects this, the operation will be stopped and the patient will be kept in hospital for observation. This complication is rare.

Can abortion lead to infertility?

This is possible but rare, and is usually caused when the woman is already harboring a Chlamydia infection prior to the abortion procedure. Inflammation of the Fallopian tubes and ovaries caused by the Chlamydia organism is the most common cause of infertility following an abortion. Examination for Chlamydia is now routine in most hospitals and clinics and, if necessary, the patient will be treated before the abortion is carried out.

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We aim to provide each patient with educated information on abortion in Singapore so that they may make an informed decision.

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