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Obstetrics & Gynaecology Overview

Established in 1986, the Department of Obstetrics & Gynaecology at SGH is a comprehensive clinical department that provides investigative, treatment and emergency services for a whole range of obstetric and gynaecological conditions.

Set within a general hospital setting and always in close collaboration with the specialty centres, our patient-centric model of care delivery has made us a referral centre for tertiary care of complex gynaecological conditions and high risk obstetrics cases.

Our multidisciplinary team of experienced clinicians and specialist nurses ensure that all our patients’ needs are addressed, providing our patients and their families with the support they need during their period of illness and recovery.

For the health professional, our department has established itself as a centre for clinical education, training and research.

Against a backdrop of rapid developments, our department strives to provide our patients with the best care by keeping abreast of the fast changing panorama of women’s health.

Gynaecological Oncology

The Gynaecological Oncology service offers diagnosis and treatment cancerous and pre-cancerous conditions. The spectrum of surgery offered includes minimally invasive and robotic, open and major exenterative techniques collaborating in a multidisciplinary setting with other oncology specialties. Our own Clinical Nurse Specialist offers support to all women with suspected gynaecological malignancy throughout their time in the Unit.

Cervical screening and colposcopy assessment and treatment of cervical abnormalities are all offered including the recent introduction of HPV testing to aid optimum management

Maternal-Fetal Medicine

The MF section comprises a multidisciplinary team of doctors focusing on high-risk obstetrics and includes joint clinics with the endocrinologists and cardiologists.  The patient receives comprehensive care throughout pregnancy with labour being managed by the same team, led by a labour ward Lead Clinician.

First Trimester Screening for Down’s syndrome is performed by an experienced team of sonographers  accredited by the Fetal Medicine Foundation (United Kingdom).  Level II fetal anomaly scans are carried out in conjunction with prenatal invasive testing. There is also a one-stop scan clinic for monitoring multiple pregnancies.

Minimally Invasive & Robotic surgery

The Minimally Invasive and Robotic Surgery service was established in 2013 to provide state-of-the-art surgical techniques for all classes of patients and for a multitude of benign gynaecological conditions. It aims to offer MIS surgery for complex benign pathology where open surgery would generally be offered.

Minimally Invasive Surgery offers patients a shorter hospital stay, less post-operative pain, faster return to normal activities and improved cosmetic results. Robotics offers further enhancements to this by offering the surgeon the best operative view, most precise instruments and most ergonomic approach to keyhole surgery.

Reproductive Medicine

The Centre for Assisted Reproduction or CARE was established in 1987 to look after patients with both male and female with fertility problems. Our team of experienced IVF accredited specialists, nurses, embryologists and sonographers work together to offer state-of-the-art medicine in patients’ fertility and IVF journey. Individualised treatment is tailored according to the couple’s medical conditions and needs. Counselling services are also available as part of the holistic approach to patient care.

Fertility preservation for semen, oocytes, embryo and ovarian tissue storage services are also available for patients about to embark on treatment that may affect their fertility potential (e.g.: cancer patients going for chemotherapy).

Urogynaecology

Our urogynaecology section offers one-stop evaluation and treatment of women with urinary incontinence as well as pelvic floor dysfunction, including urogenital prolapse and post-hysterectomy vaginal vault prolapse. Our multidisciplinary clinic is a special service that looks after women with complex pelvic floor problems and is jointly run by our urogynaecologists, urologists and colorectal surgeons.

Depending on the nature of the urinary incontinence or pelvic floor dysfunction, therapeutic options including non-surgical management with the use of support devices such as pessaries for prolapse, pelvic floor training and medical therapy for bladder disorders. Surgical management may be considered in some women with severe symptoms or when conservative treatment is ineffective. 

Ultrasound Services

Ultrasound services is integral to O&G and our team of experienced sonographers provide a comprehensive service and perform more than 25 000 scans per year. Established in 1987, the team has expanded their service of performing ‘routine’ gynaecological scans to performing specialised scans in the Centre for Assisted Reproduction (CARE), Prenatal Diagnostic Centre (PDC) and the Early Pregnancy Unit (EPU). 

Established in 2006, the EPU facilitates prompt access for patients with first trimester complications and aims to centralise and streamline assessment, diagnosis, management & counselling of patients with conditions such as miscarriages and ectopic pregnancies.

The following descriptions detail the main conditions dealt with by each of Centres and Clinics within the O&G Department. The lists are not exhaustive as we act as a tertiary referral centre for many other conditions not listed below.

Gynaecological Oncology


Main conditions dealt with:

  • PAP smear abnormalities
  • Cervical cancer and premalignant abnormalities
  • Endometrial cancer
  • Ovarian cancer
  • Vulval cancer and premalignant abnormalities

Specialist treatments offered: 

  • HPV testing
  • Colposcopic treatment of cervical abnormalities
  • Oncology surgery including MIS & Robotics for appropriate cases
  • Multidisciplinary assessment & management of cancers

Clinic schedules:
Colposcopy Clinic
Mon Am, Tues PM, Alt Wed PM, Thu PM, Fri AM

Gynaecological Oncology Clinics
Mon PM, Tues AM & PM, Wed AM & PM, Thu AM, Fri PM

Maternal-Fetal Medicine


Main conditions dealt with:

  • Pre-existing maternal illnesses in pregnancy
  • Multiple pregnancies
  • Feta abnormalities
  • Preterm labour
  • Pre-eclampsia
  • Placenta Praevia
  • Chromosomal & Genetic conditions  

Specialist treatments offered:

  • Pre-natal invasive testing: Amniocentesis, Chorionic Villus Sampling
  • Fetal anomaly screening and management
  • Multiple pregnancy management

Clinic schedules:
High Risk Pregnancy clinic
Mon AM, Wed AM, Fri AM

Gestational Diabetes Clinic
Wed PM

Specialised fetal scans
Mon PM, Wed PM, Thu PM

Cardiology Joint Clinic
Last Mon AM of month

Multiple pregnancy scans
1st & 3rd Mon PM of month

Minimally Invasive & Robotic Surgery


Main conditions dealt with: 

  • Complex benign surgery
  • Pelvic pain and endometriosis
  • Adenomyosis
  • Dysfunctional bleeding and menorrhagia
  • Uterine Fibroids
  • General gynaecological problems & screening

Specialist treatments offered:

  • Management of Chronic Pelvic Pain
  • MIS & Robotic Surgery for Hysterectomy, Myomectomy & Endometriosis
  • Severe endometriosis surgery including recto-vaginal disease 

Clinic schedule:  
Mon AM, Thu PM

Reproductive Medicine - CARE (Centre for Assisted Reproduction)

Main conditions dealt with:

  • Female subfertility due to endometriosis, PCOS, tubal blockage, idiopathic, poor ovarian reserve
  • Male subfertility due to poor sperm count or quality or absent sperms, erectile dysfunction
  • Fertility preservation
  • Preimplantaion (e.g.: Diagnosis for thalassemia carriers, haemophilia etc.)


Specialist treatments offered:

  • Fertility assessment (male and female)
  • Ovulation induction
  • Intra Uterine Insemination
  • In Vitro Fertilisation
  • Intra Cytoplasmic Sperm Injection
  • Preimplantation Genetic Diagnosis
  • Donor insemination & egg donation (anonymous or known)
  • Sperm collection
  • Autologous sperm, oocyte, embryo and ovarian tissue banking
  • In Vitro Maturation (in the future)

Clinic schedules:
Fertility Augmentation Clinic – FAC (Private)
Mon PM, Tues AM, Thurs AM, Fri PM

Fertility Augmentation Clinic – FAC (Subsidised)
Thurs PM, Wed PM (3rd week of the month)

Andrology Clinic
Fri AM, Mon PM (1st and third week of the month)

Climacteric Clinic

Main conditions dealt with:

  • Perimenopausal & menopausal hormonal problems
  • Early menopause
  • Bone health

Specialist treatments offered:

  • Hormone replacement therapy
  • Osteoporosis treatment

Clinic schedule:
Tues PM, Wed PM

Adolescent & Endocrinology Clinic


Main conditions dealt with:
 

  • Menstrual disorders
  • Secondary sexual characteristic disorders
  • Congenital anomalies


Specialist treatments offered:

  • Hormonal therapy
  • Counselling

Clinic schedule:
Tues PM, Thurs PM

Urogynaecology


Main conditions dealt with:

  • Urinary incontinence
  • Overactive bladder
  • Incomplete bladder emptying
  • Haematuria
  • Recurrent urinary tract infection
  • Pelvic organ prolapse
  • Vaginal vault prolapse

Specialist treatments offered:

  • Multi-disciplinary assessment (for complex cases)
  • Urodynamic evaluation of bladder function
  • Pelvic floor training
  • Bladder training
  • Medical therapy for overactive bladder
  • Non-surgical treatment of pelvic organ prolapse
  • Surgery for pelvic organ prolapse
  • Surgery for correction of urinary incontinence

Clinic schedule:
Mon AM, Tue PM, Thu AM
Wed PM (Pelvic floor service joint clinic)

Ultrasound Services

Early Pregnancy Unit 


Main conditions dealt with:

  • Miscarriage
  • Recurrent Miscarriage
  • Pregnancy of Unknown Location (PUL)

Specialist treatments offered:

  • Serial specialised scans and blood tests
  • Medical treatment of miscarriages & PUL
  • Surgical treatment of miscarriages & PUL
  • Prevention of recurrent miscarriages
  • Counselling & support

Clinic schedule:
Mon to Fri 9am-5pm

Gynaecological Ultrasound


Conditions dealt with:

  • Characterisation of ovarian cysts
  • Fibroids
  • Adenomyosis
  • Endometriosis
  • Pelvic pathology

Clinic schedule:
Mon to Fri 9am-5pm

High Risk Pregnancy Ultrasound


Conditions dealt with:

  • Fetal abnormalities
  • Multiple pregnancies
  • Co-existing maternal diseases

Specialist treatments offered:

  • Down’s Syndrome Screening
  • Fetal Anomaly Scans
  • Prenatal Invasive Testing
  • Multiple pregnancy assessment

Clinic schedule:
Mon PM, Wed PM, Thurs PM

Additional Services

Psychosexual assessment and counselling

 

Staff MembersSub-Specialty
Head & Senior Consultant
Assoc. Prof. Tan Hak Koon MBBS, FRCOG (UK), M Med (O&G), MRACOG (Aust), FAMSMaternal Fetal Medicine
Emeritus Consultant & Advisor
Prof. Charles Ng MA, MB B Chir, FRCOG, FAMS, Clinical ProfessorReproductive Medicine
Senior Consultant & Advisor
Prof. Ho Tew Hong MBBS, M Med (O&G), FRCOG, FAMS, Clinical ProfessorGynaecologic Oncology
Senior Consultant
Dr. Peter Barton-Smith MBBS, MD, MRCOGMinimal Access and Robotic Surgery
Dr. Chew Ghee Kheng MBBS, MD, FRCOGGynaecological Oncology
Dr. Chua Hong Liang MBBS, MRCOG (UK)Gynae-Oncology, Urogynaecology
Dr. Devendra Kanagalingam MBBS (Spore), FRCOG (UK)Maternal Fetal Medicine, High-Risk Pregnancy, Intrapartum Care
Assoc Prof Tan Lay Kok MBBS, FRCOG (UK), M Med (O&G), FAMSMaternal Fetal Medicine, Obstetric Medicine (Medical disorders), High-risk Pregnancy
Dr. Tan Wei Ching MBBS (S'pore), MRCOG (UK), FAMSMaternal Fetal Medicine
Prof. Tay Sun Kuie MBBS, FRCOG (UK), MD (Lond), FAMS, MAppLawGynaecological Tumours and Cancers, Endometriosis
Dr. Yong Tze Tein MBBS, MRCOG (UK), FAMSReproductive Medicine, Menopause, Adolescent Gynaecology
Dr. Yu Su Ling MBBS, M Med (O&G), MRCOG, FRCOG (UK), FAMSReproductive Medicine
Consultant
Dr. Pang Yi Ping Cindy MBBS, M Med (O&G), MRCOG (UK)Gynaecological Oncology
Dr. Hemashree Rajesh MBBS, MRCOGReproductive Medicine
Dr. Tan Eng Loy MBBS, M.Med (O&G), MRCOG (UK)Maternal Fetal Medicine
Associate Consultant
Dr. Lim Shau Khng Jason MBBS (Spore), MMed (Spore), MRCOG (UK)Urogynaecology, Andrology, Reproductive Medicine
Dr. Ravichandran A/L Nadarajah MBBS, MRCOG

Last Modified Date :05 Aug 2014