Care at NUH

Obstetrics & Gynaecology

2024/07/08

NUH Women's Centre

The NUH Women's Centre aims to be a centre of excellence in obstetrics & gynaecology in Southeast Asia. Our goal is to provide the finest clinical service to women and men seeking expertise in obstetric, gynaecologic and sexual health matters. We aim to lead in the frontiers of translational research by investing in relevant basic science and extending its impact into everyday clinical experiences. 

 As a leading tertiary hospital, we are committed to training undergraduates and postgraduates to be honourable clinician-scientists of impeccable stature - the future physicians that the country and the global community can take pride in. 

Our Mission Statement: 

To Serve, to Innovate and to Inspire.  

Our Goal: 

Meeting the needs of our patients who trust us. 

Our Vision: 

To be the premier tertiary referral centre in the region, built upon the dedication and passion of our people, our evidence-based research-focus patient care and our science. 
  
We have five Clinical Divisions: 

  • Maternal Fetal Medicine
  • Reproductive Endocrinology & Infertility
  • Benign Gynaecology
  • Gynaecologic Oncology
  • Urogynaecology & Pelvic Reconstructive Surgery

Our Leadership

We are honoured to be associated with many distinguished clinicians and scientists in the past and the present. Some have dedicated many of their most fruitful years to our department, contributing more than their fair share to its recognition. 
 
Here we pay tribute to some of these honourable individuals who have left an indelible mark and also influenced many practising obstetricians and gynaecologists far and wide. 

Our Heads of Department: 

  • Professor Benjamin Sheares 
  • Professor Tow Siang Hwa
  • Professor SS Ratnam
  • Professor S Arulkurmaran
  • Professor S C Ng
  • Professor P C Wong
  • Professor E L Yong 
  • Associate Professor Mahesh Choolani

Our History

The Department of Obstetrics & Gynaecology was established in 1922. 
 
Professor J S English served as the first Head of Department. During the initial years, the department's main focus was on the training of Obstetricians and Gynaecologists for the local institutional practice. Over the years, numerous outstanding clinicians have been trained in the Department, excelling in the membership examination of the Royal College of Obstetricians & Gynaecologists (United Kingdom). They have continued to serve in the Department or pursued exceptional careers locally or overseas. 
 
In 1985, the University Department of O&G moved to the present site at the National University Hospital, marking a significant shift from Kandang Kerbau (KK) Maternity Hospital and its separation from the other two KK Units.

In the preceding 20 years, the Department has evolved into an internationally recognised centre for research and teaching. Under the leadership of Prof SS Ratnam, the department garnered global acclaim for its work on infertility and reproductive medicine. When Prof S Arulkumaran assumed leadership, the Department continued to be a focal point for research on intrapartum management. 

Rather than resting on its laurels, the Department, even before the national emphasis on bioscience research, firmly established itself in molecular and stem-cell research. It remains committed to providing leadership in the latest biotechnology, seeking better clinical strategies for reproductive and female health. 

Our Milestones

  • 1982 Established the In-Vitro Fertilisation (IVF) Clinic in Singapore
  • 1983 Successfully delivered IVF baby 
  • 1986 Gamete Intra-Fallopian Transfer (GIFT) baby 
  • 1987 Frozen embryo baby 
  • 1989 Micro-manipulation baby (SUZI)
  • 1991 Human tubal co-culture baby 
  • 1992 Blastocyst transfer baby 
  • 1994 Documentation of isolation and growth of human embryonic stem cells 
  • 1997 Zona-free blastocyst transfer baby 
  • 2001 Extended embryo culture
Our Services - Obstetrics

Every birth, every newborn, every family is considered special here, and we pledge to provide you with safe and personalised care. As the medical teaching facility of the National University of Singapore, our specialist consultants are devoted to ensuring high standards of patient care, teaching and medical research.

The Division of Maternal Fetal Medicine specialises in High-Risk Obstetrics. Our team delivers comprehensive, multidisciplinary care for women and their unborn babies facing complications identified prior to or during pregnancy. Women with uncomplicated pregnancies are equally welcome and are supported by our qualified ambulatory and inpatient staff.

We have under one roof a comprehensive range of obstetrical services and prenatal foetal care facilities. Most of our patients experience a normal, healthy pregnancy and birth. However, major medical disciplines, including ICU care, neonatal care, cardiology, cardio-thoracic surgery and paediatric surgery, are available in the hospital should the need arise. 
 
Obstetrics services include: 

  • Pre-conception counselling
  • Early pregnancy care
  • Routine pregnancy care
  • Emergency care in pregnancy
  • Obstetric ultrasound and antenatal imaging
  • Foetal therapy
  • Diabetes in pregnancy
  • Hypertension and other medical disorders in pregnancy
  • Premature labour
  • Growth restricted baby
  • Multiple and breech pregnancies
  • Emma Care
  • Labour delivery
  • Breastfeeding and postpartum care
Our Services - Gynaecology

The Division of Benign Gynaecology has a dedicated team of doctors who provide quality patient care across a wide range of gynaecological issues, including contraception, abnormal bleeding, pelvic pain, hysterectomy, and all other conditions affecting women.

Our specialised areas include Minimally Invasive Surgery (MIS) and Urogynaecology. In MIS, we leverage integrated technologies such as robotic surgery, single port access surgery, and modern energy sources in clinical care. This approach facilitates faster recovery, reduced pain and lower wound complication rates. Our Urogynaecology programme provides complete diagnostic evaluation and informed discussions on various treatment modalities for pelvic floor reconstruction or strengthening, urinary leakage, bladder pain and other conditions related to the vagina, uterus, bladder, urethra and rectum.

Our team of doctors provide personalised and comprehensive women's care catering to patients of all ages and in all stages of life. The division maintains collaboration with the other Obstetrics & Gynaecology divisions, ensuring seamless care for our patients.

Gynaecology services include: 

  • Absent menstruation 
  • Abnormal menstrual bleeding
  • Menstrual pain
  • Contraception
  • Unwanted pregnancy
  • Caring for teenagers
  • Polycystic ovary syndrome
  • Menopause
  • Uterine fibroids (Myoma)
  • Endometriosis
  • Pelvic organ prolapse 
  • Urinary incontinence
Our Services – Gynaecologic Oncology

The Division of Gynaecologic Oncology provides complete women's cancer care from cancer screening and prevention to treatment and aftercare. We are committed to caring for you and equipping you with the information you need to make empowered decisions about your life and health.  

Our range of services include: 
 

  • Cancer prevention through screening 
  • Integrated screening and diagnostic services 
  • Abnormal menstruation and vaginal bleeding 
  • Gynaecological cancers 
Our Services – Reproductive Endocrinology and Infertility

We offer a full range of fertility investigations and treatment options such as In-vitro Fertilisation (IVF), Intra-Cytoplasmic Sperm Injection (ICSI), Preimplantation Genetic Diagnosis (PGD) as well as oocyte, embryo and sperm cryopreservation for patients who need assistance in achieving parenthood.

In addition to fertility treatment, we have specialists focused on the care of young adolescent and postmenopausal women. Together with our dedicated team of nurses and allied health professionals, we are committed to delivering personalised and comprehensive reproductive endocrine and infertility care to our patients.

Our range of Reproductive Endocrinology & Infertility services include:

Fertility problems in women, including: 

  • Ovulation problems
  • Blocked fallopian tubes 
  • Endometriosis 
  • Polycystic ovary syndrome 
  • Uterine adhesions
  • Miscellaneous problems including ovarian cysts, fibroids and a history of previous tubal sterilisation.

Fertility problems in men,including:

  • low sperm count
  • low sperm motility or abnormality of the shapes of the sperm.

Couples with:

  • Unexplained infertility
  • Sexual problems
  • Recurrent pregnancy loss.

Adolescent care:

  • Pubertal problems
  • Menstrual irregularities 
  • Hirsutism 

Menopause transition: 

  • Hormone replacement therapy for perimenopausal symptoms
  • Premature ovarian insufficiency 
  • Osteoporosis 

Elective Egg Freezing:

From 1 July 2023, women aged 21 to 38 years will have the option to freeze their eggs for non-medical reasons. For more information, click here.

Our Services – Urogynaecology and Pelvic Reconstructive Surgery

The Division of Urogynaecology and Pelvic Reconstructive Surgery is dedicated to improving the quality of life for women dealing with urinary and faecal incontinence; bladder, bowel and sexual dysfunction; voiding difficulties; pelvic pain; pelvic organ prolapse; and pelvic floor disorders.

These conditions can affect women at various life stages, with urinary incontinence and pelvic organ prolapse becoming more common after pregnancy, natural childbirth, menopause and with advanced age.
The female pelvis, including the pelvic floor, plays a crucial role in controlling urination, defecation, sexual, and reproductive functions. Disorders in this area can affect physical, psychological and emotional health and well-being.

Our approach involves a holistic combination of counselling, specialised investigations, and a range of conservative, medical and surgical treatments. Surgical options include vaginal, pelvic organ, pelvic floor and incontinence operations, including the minimally invasive tension-free vaginal tape (TVT) and TVT-obturator (TVT-O).

Our Facilities

Please contact the NUH Women's Clinic at (65) 6908 2222 or email to make an appointment.


Women's Clinic - Emerald/Ruby

Women's Clinic - Sapphire

The NUH Women's Clinic, equipped with sophisticated facilities and comfortable environment, is a one-stop centre for specialised outpatient obstetrics and gynaecological services tailored to our private patients.

For contact details, operating hours and directions to the NUH Women’s Clinic, please click here.

Women’s Clinic Jade [Former Clinic G]

Women's Clinic Jade is dedicated to meet the obstetrics and gynaecological needs of our subsidised patients. Our team of specialists conducts surgical procedures for patients requiring such interventions in this clinic. 

For contact details, operating hours and directions to the Clinic G, please clickhere.

Jurong Clinic for Women

In our commitment to serving the community, we extend care and treatment for all obstetrics and gynaecological needs to residents in the west.

Fetal Care Centre (FCC) 
The Fetal Care Centre serves both our private and subsidised patients.

For contact details, operating hours and directions to the Fetal Care Centre, please click here.

Clinic for Human Reproduction (CHR)

The Clinic for Human Reproduction was established to address fertility issues in couples. Since its inception, we have made key discoveries that are vital to the advancement in the field of assisted reproduction.

 

For contact details, operating hours and directions to the Clinic for Human Reproduction, please click here.

Delivery Suite

Our Delivery Suite comprises a four-bedder first-stage room, seven single-bed suites with attached bathrooms and one deluxe delivery suite equipped with Water Birth facilities (please note that the Water Birth service is not available presently). Using our telemetry monitoring system, we ensure our patients receive quality medical care. 

For contact details and directions, please clickhere.

Maternity wards (Ward 9A and 9B)

Private patients are admitted to Wards 9A and 9B, each equipped with attached bathrooms. There are two deluxe suites and 24 single-bed rooms.

 For contact details and directions, please click here.

Maternity Ward - Ward 48
Subsidised patients are admitted to Ward 48, which includes 16 four-bedder rooms, 12 six-bedder rooms and 7 eight-bedder rooms. 

For contact details and directions, please click here.

Outpatient Services

Before your visit: Important Details to Note

  • Preparation
  • Registration
  • Consultation
  • Tests/ Procedures
  • Payment

Preparation

1. Documents to bring:

  • NRIC
  • Appointment card (if any)
  • Referral letter (if any)
  • Medical reports (if any)

2. Do note down any questions you would like to ask the doctor.

Registration

During your visit:
1. Our Patient Service Associate at the information counter will request for your NRIC.
2. Kindly inform us if you are covered by any medical benefits scheme, such as:

  • Civil Service Card (CSC)
  • AVIVA
  • NTUC Income
  • NUH staff
  • NUHS staff 

Consultation

Your name will be called when it is your turn, and our service staff will guide you to the consultation room.

To help the doctor understand your health condition and individual needs better, please provide complete and accurate information on your present condition and medical history including past illnesses and hospitalisations, any medications that you are currently taking and any other health-related matters.

Tests/Procedures

Our doctors and Patient Care Associates are here to guide you through any tests or procedures you may require. Feel free to ask any queries regarding your diagnosis, treatment plan, medication, discharge planning and follow-up appointments.

Maternity Packages and Services

We are happy to support you throughout your pregnancy and delivery. Our team of experienced obstetricians and nursing staff aim to provide quality care and service to ensure you stay in the best health and are well-prepared for the arrival of your baby.

Antenatal Package for private patients

We are pleased to offer you an antenatal package that covers all pregnancy-related consultations after your 20th week of pregnancy.

This package includes:

  • All pregnancy-related consultation with POCT Urine Dipstick test from 20 weeks onward;
  • First Obstetric scan at approximately 20 weeks; and
  • Repeat Obstetric scan at approximately 32 weeks.

All private patients who are at least 20 weeks pregnant are eligible for the antenatal package. As you approach your 20th week of pregnancy, our staff will inform you of this package during your visit, and you can sign up and make payment at the clinic.

Claim your MediSave Maternity Package (MMP)

The MediSave Maternity Package covers pre-delivery expenses (such as consultations and ultrasound scans) and delivery expenses in public and private hospitals. You may withdraw:

  • Up to $900 for pre-delivery medical expenses,
  • An additional surgical withdrawal limit ranging from $750 to $2,600 depending on the type of delivery procedure, and
  • Up to $550 per day for the first two days of admission and $400 per day from the third day onwards for the hospital stay.

To claim pre-delivery charges from Medisave, the hospital will submit the bills of pre-delivery medical care to the CPF Board for you, together with the delivery bill. The amount of Medisave that can be used is capped by the amount of the actual bill or the withdrawal limit, whichever is lower. 

Please click hereto submit yourpre-delivery medical care bills for MMP claims.

For more information on MediSave withdrawal limits for maternity bills, please visit the CPF website (see Maternity Expenses).

Paediatric Screening Package

This package consists of daily check-ups by a Paediatrician throughout your stay at NUH. 

All private patients are automatically registered for this package.

Any tests and medication required will be charged separately. Additional charges may apply for higher-level care or intensive care due to unforeseen circumstances.

Optional Services

  • Paediatric Standby Service
    This is an optional service for a Paediatrician to be on standby during your delivery, available upon request by you and your Obstetrician.
  • Room-in Service
    This service is available in the single-bed ward (A1 Class) with the option for a family member to accompany you overnight. The ward is equipped with a sofa bed for one adult to room in. 

Antenatal and Parentcraft Programme (for NUH patients only)

Our antenatal programme provides information and guidance to prepare you for your pregnancy and parenthood journey. Our programme covers a range of essential topics, including:

  • Antenatal care and managing physical changes during pregnancy;
  • The labour experience and coping strategies;
  • Infant feeding guidance; and
  • Postnatal and newborn care insights.

Our physiotherapy sessions focus on antenatal exercises and relaxation techniques. We offer two programmes tailored to meet the needs of our patients. Please click here to view the brochure and programme details.

  • Normal Class - 6 consecutive classroom sessions & 1 Baby Massage session 

Wednesdays: 6pm - 8pm

Saturdays : 9am – 11am / 11.30am – 1.30pm / 2pm – 4pm

  • Express Class - 1 classroom session & 1 Baby Massage session

Full day class at 9am – 5pm. 
 
*All classes are on a first-come-first-serve basis; kindly make your booking early.

You can sign up with our clinic staff at at 6908 2222 or email to [email protected].

Pre-Registration Service: Streamlining Your Admission Process

From your 28thweek of pregnancy, our pre-registration service ensures a smooth and hassle-free admission process for your delivery. By doing so, you can bypass the usual administrative procedures and proceed directly to the Delivery Suite. Upon completing pre-registration, you will receive all necessary documents for direct admission. Payment of the deposit is only required upon admission, and our team will provide financial counselling during the pre-registration process.

Preparing for Delivery and Admission: What to Bring

To ensure you're well-prepared for delivery and admission, consider packing your bag or suitcase a few weeks in advance. Essential items to include:

For the mother

  • Comfortable clothes or pyjamas with front fastening (hospital's nursing pyjamas will be provided)
  • Cardigan
  • Nursing bras
  • Breast pads
  • Slippers
  • Toiletries (will be provided in A & B Class wards)
  • All documents given during pre-registration

For the baby

  • Hat
  • Mittens & booties
  • Vest
  • Blanket or shawl for use on the day of discharge

Signs of Labour

  • Regular Contractions: Contractions occurring at intervals of 5 to 15 minutes.
  • 'Show': The presence of a blood-stained mucus discharge from the vagina.
  • Unexplained Bleeding:If you experience any bleeding from the vagina that is not 'show,' promptly proceed to the Delivery Suite (Ward 22, Main Building Level 2).
  • Ruptured 'Waterbag': A sudden gush or continuous trickle of clear fluid from the vagina, signalling the rupture of your 'waterbag.'
  • What to expect during delivery?

When you are in labour, please proceed to the Delivery Suite (Ward 22, Main Building Level 2). 

Upon arrival at the Delivery Suite:

  • Our nurses will escort you to your private suite, where you will stay throughout the delivery.
  • If your labour is established, a fleet enema will be administered to clear your bowels.
  • Continuous monitoring of you and your baby's well-being will be ensured.
  • Regular vagina examinations by an obstetrician/ midwife will be conducted, and if necessary, an infusion line will be set up.
  • During labour, refrain from eating, but sips of water are allowed.

Your spouse/partner is encouraged to accompany you throughout your labour.

Some patients may find contractions uncomfortable. Options for pain relief such as entonox, pethidine or epidural, can be discussed with your obstetrician prior to your delivery to determine the most suitable for your needs.

What to expect after delivery?      

Our medical and nursing staff will help you understand more about:

  • Neonatal jaundice
  • Postnatal 'blues'
  • Postnatal visits at our clinic for you and your baby
  • Vaccination for your baby
  • Family planning 

Birth Registration

From 29 May 2022 onwards, the introduction of digital birth certificates eliminates the need for parents to physically collect a birth certificate at NUH or the Immigration & Checkpoints Authority (ICA) Building.

Parents are required to use the LifeSG app to register their child's birth within 42 days. The issuance of a digital birth certificate costs S$18. You will be notified to download the digital birth certificate via an ICA (www.ica.gov.sg) e-Service known as the “electronic Retrieval of Certificates and Instant Verification”. You have up to 90 days to download the digital birth certificate, which can be stored on your personal devices.

Please click here to access the LifeSG application.

Baby Bonus Scheme

When registering your child’s birth at our Patient Service Centre, you will receive the Baby Bonus Congratulatory Card. It provides you with a quick overview of online resources relevant to new parents. For more details, please visit the Baby Bonus website.

 

Frequently Asked Questions
  1. What are the locations and operating hours for the various clinics? 
    Please click here to learn more about our clinic locations and operating hours.
  2.  Where should I go after office hours?
    For appointments after office hours, email us. We will tend to your email the next working day and reply within three working days. Please proceed to the nearest hospital if you need to see a doctor urgently.
  3. I am experiencing severe bleeding, what should I do?
    Please proceed to the nearest A&E. For our NUH Obstetrics & Gynaecology patients, please bring the reports/results on your next visit.
  4. How do I register?
    Strictly by appointments only. For subsidised patients, a polyclinic referral is required. For private patients, you can email us or call 6908 2222 for appointment booking.
  5. I am a foreigner and would like to make an appointment to Women's Clinic. What should I do?
    You may email us or call (65) 6908 2222 for appointment booking.

    If you do need accommodation or assistance for visa extension, please state so in your email. We will direct you to the right department to handle your queries.
  6. What can I expect on my first consultation? 
    Patients will be registered first before their consultation. 
    Please bring along your:
    • NRIC
    • Appointment card (if any)
    • Referral letter (if any)
    • Medical reports (if any)
  7. Will I get to see the doctor early if I arrive earlier than my scheduled appointment time? 
    All patients are advised to be punctual for their appointments as they will be seen according to their scheduled time.
  8. What happens if my doctor is on urgent leave during my appointment?
    All patients will be notified beforehand if there are planned changes to the doctor’s schedule, and a new appointment date will be given to them. However, in cases where the doctor is on urgent leave on the day of the appointment, patients will be seen by the covering doctor. If patient prefers to be seen by the principal doctor, the appointment will be rescheduled.  
  9. Why is the waiting time for the clinic always so long? How long is a consultation?
    Our doctors may need to leave the clinic at times for unprecedented deliveries or emergencies or some patients may require additional treatment during consultation. As strive to deliver quality to all patients, we do not restrict consultation duration. We hope to seek your understanding for any unforeseen delay in your appointments. 
  10. What are the charges of the antenatal package?
    All pregnant mothers who are at least 22 weeks pregnant are eligible for the antenatal package covering all pregnancy-related consultations, including:
    • All clinic consultations with your obstetrician from the 22nd week of your pregnancy till the birth of your baby.
    • Two ultrasound / obstetric scans (at the 22nd and 32ndweeks) to monitor the growth of your baby.
      As you approach your 22nd week of pregnancy, our clinic staff will inform you of this package during your visit. You can sign up and make full payment for the package at the clinic.
  11. Can I change my doctor even after signing up for the antenatal package? 
    The package is non-transferrable and non-refundable.

    A change in doctor is only allowed for valid reasons, e.g., principal doctor is on leave.
  12. Do you conduct house calls?
    Our doctors do not conduct house calls. Please book an appointment at NUH by emailing us or calling (65) 6908 2222.
  13. Are you able to bill me and let me pay later? 
    We do not have such billing practices. However, we do have the ZOOM scheme which allows you to make a one-time payment by credit card or GIRO. All bills will subsequently be deducted from this mode of payment, and the bills will be sent to you a week later. 
  14. My address/mobile number has changed? How do I inform you?
    You can email us or call 6908 2222 to change your personal particulars.
  15. I didn't receive a follow-up reply on my email/ call enquiry made 2 days ago. What should I do
    If you have emailed us, you should have received an automated reply acknowledging your email enquiry. We appreciate your patience, and a reply will be sent to you within three working days.
  16. I would like to express my appreciation and thanks to the team of doctors and staff. How do I do so?
    We appreciate for your feedback! You can email us or write a thank-you card available at our clinic counters.
Centre of Reproductive Education and Specialized Training (CREST)

Based in Singapore, CREST – Centre for Reproductive Education & Specialist Training, is founded in 2010 by Professor P. C. Wong, Senior Consultant, Division of Reproductive Endocrinology & Infertility, Department of Obstetrics and Gynaecology, National University Hospital (NUH).

CREST is located in NUH and is made possible by a donation from Merck Serono and Learning Initiatives for Fertility Experts (LIFE).

Our Objectives

Specialising in Assisted Reproductive Techniques (ART), CREST welcomes aspiring ART specialists in the Asia-Pacific region to Singapore.

We aim to:

  • Enhance the ART skills of clinicians, embryologists, nurses and administrators in the region;

  • Enable practitioners to immediately apply newly acquired skills through a unique "real life, real learning" approach that combines theory and hands-on learning opportunities;

  • Impart effective ART procedures through four laboratories;

  • Maximise learning and growth opportunities through a low student-teacher ratio.

 

Our Director's Message

Patients who seek assisted reproductive treatments, which involve a considerable financial outlay, often go through an emotional journey plagued by self-doubt. They sometimes have to make difficult decisions and need a reliable partner to help them make informed decisions.

At CREST, we help specialists and practitioners gain not just the skills but also the sensitivity to help their patients. We are committed to growing your role to one that is beyond a mere facilitator of birth. You will be empowered with hard and soft skills that will help you in offering holistic consultation services for your patients.

CREST equips you with good all-rounded skills so you can deliver uncompromised service.

JOYCE ELIZABETH MATHEW
Centre Director and Chief Embryologist
Department of Obstetrics & Gynaecology

Our programmes

Please click here(PDF, 548 KB) for a summary of programmes offered.

Details of each programme can be found below:

Our Facilities

CREST offers a hands-on learning experience at its training centre, featuring four modular laboratories equipped with state-of-the-art cameras and a live video link. This set-up enables trainees to monitor follicle development and observe Assisted Reproductive procedures such as oocyte recovery and embryo replacement.


Our labs are well-equipped with incubators for sperm preparation, oocytes culture and embryo culture, microscopes for sperm check, oocyte retrieval and embryo washing, micromanipulator system for ICSI, freezing machine for embryo cryopreservation and carbon dioxide gas cylinders.

The two modes of course delivery are as follows:

1.     Clinical Session 
Trainees study real-life cases and take on observational roles. 

2.     Laboratory Session 
Our low student-teacher ratio ensures trainees maximize their learning experience. Through real-life simulations, trainees enjoy full hands-on training.
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Contact us for your NUH appointments

You may contact us at  [email protected] or call us at (65) 6908 2222 to enquire or reschedule your appointments.

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