What Is The Cost Of Abortion?
The total cost of the abortion include the first consultation to confirm and date the pregnancy using ultrasound scan, preparing the womb before the surgery, the procedure itself and the post-operative medication and care. This initial consultation costs about S$250.The abortion procedure is charged base on the weeks of gestation at the performance of the procedure. It is more difficult to abort a more advance pregnancy and it is charged higher. An early stage abortion procedure costs S$900-1300 (procedure only), and the fees go up after 8 weeks of pregnancy. An additional charge will be levied when an anaesthetist is called in when the women has pre-existing medical illness. We will not compromise on your safety. It is best to discuss your needs and constraints with us and we will advise you accordingly.
Schedule of fees (a guide)
The above estimates do not include GST.
|Initial Consultation and Ultrasound for pregnancy dating:
|Early Trimester Medical Abortion (from 7 weeks to 8 wks gestation, dated from the last menstrual period):
|Early Trimester Surgical Abortion (from 7 weeks to 8 wks gestation, dated from the last menstrual period, NOT INCLUDING anaesthetist fees):
|First Trimester Surgical Abortion (from 9 weeks to less than 12 weeks of gestation, NOT INCLUDING anaesthetist fees):
|First Trimester Abortion (from 12 weeks to <24 weeks of gestation):
Can medisave be used to pay for the abortion?
The clinic is registered with CPF Board to make claims on your behalf. So if you wish to use your Medisave to pay for part of or full amount of the procedure cost, you will need to indicate during your initial consultation. Please check that your Medisave account has adequate funds. You will need to provide a recent print out of the CPF account statement. We may be able to confirm your account status through the CPF Board website if you have a SingPass for access. An administrative charge ill be levied if you wish to tap into your Medisave account (the clinic staff will advise you on the prevailing charge).
Can I pay by instalments?
It is not our normal practice to have payment by instalments. We advised that you secure adequate funds before attending for the procedure. If necessary, taking a loan from your friend or friends, or visiting a pawn-facility, may be a better option than to delay the procedure.
Are there any subsidy?
The clinic is not in a position to grant you any subsidy. We advised that you secure adequate funds before attending for the procedure.
Complications Of Surgical Abortion
As in any surgical procedure, surgical abortion has potential complications. Legalizing abortion is to help prevent serious complications that accompany back-street abortions. Gynecologists receive extensive surgical training, and are best suited to reduce these risks substantially. Majority of women will experience no complication after surgical abortion
. In general, the procedure is safer when it is conducted in the first trimester (less than twelve weeks). The rate of major complications is now at about 1 in 1000 procedures.
Injury to womb
During abortion, the neck of the womb is progressively dilated to allow the smallest vacurette to enter. While dilating the cervix, it may be damaged (less than 1 in 100 procedures). If the neck is inadequately dilated, inserting subsequent instruments will be difficult, putting the womb at higher risk of being perforated. Piercing the uterus (about 0.8-1.4 in 1000 procedures) does not permanently damage the uterus. However additional procedures may have to be performed to diagnose if other abdominal organs are injured. On the other hand, excessive dilating the womb opening may lead to repeated miscarriages.
Incomplete removal of pregnancy
Abortion is normally a “blind procedure” where the products of conception is removed by feel (and not by sight). The complete removal of all products is not guaranteed. Incomplete evacuation, when some of the products or membrane is left in the womb, is likely when the pregnancy is implanted in a peripheral position in the womb, or if the womb is abnormally shaped.It happens in lss than 1% of procedures. In abortion, it is a balance between excessive effort and damage to the womb; and possibly leaving some products in the womb. Most of these products will be expelled with the bleeding in the following days. In those cases where it remained stuck to the womb, a repeat procedure is necessary. Using ultrasound scan to guide the procedure improves the safety.
Excessive bleeding may follow a successfuly abortion, occuring in 0.5-2.0 per 1000 procedures. It may be up to 5 per 1000 procedures when the pregnancy is 20 weeks or more. In uncomplicated cases, we expect the vaginal bleeding to be mild and last for about a week or two, and it should be bleeding less each day. If you find that your bleeding becomes more and does not appear to be stopping, you need to return to the clinic. Besides incomplete evacuation, you may be developing a womb infection as well.
Unpleasant vaginal discharge, running a temperature and having lower abdominal pain are features of an ongoing infection. Inflammation sets in when your womb is trying to respond to residual pregnancy products that are degenerating, or when bacteria find their way into the womb. Infection occurs up to 1 in 100 procedures, which is not common, but it is significant because it contributes to 30% of the death cases due to surgical abortion. Therefore, any suspected infection has to be aggressively treated with appropriate antibiotics and possibly a repeat evacuation. Until we have eradicated the infection, we advise that you avoid soaking yourself in baths, swimming and sexual intercourse.
Can your abortion lead to infertility?
Each surgical abortion will impart a small degree of physical trauma to the womb. The injury is minimal in most instances, and the women recover well and go on to have normal pregnancies. Abortion is not a contraceptive method and should not become a habit. Theoretically, repeated abortions damage to the wall of the womb cavity, enough for it to stick together patchy area, preventing a pregnancy to take root. This complication is also seen in Chlamydia infection of the womb and tubes, which occurs more in women with repeated abortions as well. It is good practice to check for Chlamydia infection and have it fixed. At the same time, repeating surgical abortions many times may injure the cervix enough to cause miscarriage in future pregnancies. However, this perception has not been proven in good clinical research yet.
Some women have a Rhesus-NEGATIVE blood group, and they are at risk of iso-immunisation when they undergo induced abortion. This phenomenon affects future pregnancies and anti-D serum is necessary to prevent it.
The risk of dying from a surgical abortion is very rare, estimated to be 3 in 100,000 procedures in the early second trimester (13-15 weeks), and 12 in 100,000 procedures in the late second trimester (after 20 weeks).
Every woman will experience one or more feelings, including sadness, disappointment, anxiety, grief, guilt, regret or relief. This normal response will soon settles in a few weeks and majority will find their way to cope with the loss. Serious emotional problems, though uncommon, can occur and the affected distressed person will need professional support.