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OVERVIEW

The Department of Obstetrics & Gynaecology provides both the general specialist clinical service, as well as sub-specialties in fetal maternal medicine, gynaecological oncology, reproductive endocrinology, assisted reproduction, urogynaecology, endoscopic and minimally invasive surgery, reproductive reconstructive microsurgery, screening and health enhancement programs and women’s psychological health.

Our team in reproductive medicine achieved the first successful live births in Singapore from ovum donation and surgical retrieval of sperm and cryo-preserved embryo. They have also consistently achieved live birth pregnancy rates of above 20% per initiated in-vitro fertilization (IVF) cycle and above 30 per cent with intra-cytoplasmic sperm injection (ICSI). The department manages the andrological laboratories for the hospital as well as the sperm and embryo banks. The subspecialty laboratory provides cytogenetics for embryo and gametes, reproductive endocrine protein biochemistry and molecular biology techniques.

The staff shares a wide range of experience and expertise in advanced laparoscopic and endoscopic procedures (minimally invasive surgery). The department recorded the first tubal patency using falloposcopic tuboplasty in Singapore and the region. Laparoscopic surgeries are also performed for colpo-suspension for genuine stress incontinence, hysterectomy, ectopic pregnancy, ovarian cystectomy and pelvic lymphadenectomy.

There are facilities of advanced pelvic imaging and fetal imaging by color Doppler ultrasound in the department. The Fetal Growth Clinic utilizes fetal and uterine blood flow for monitoring and assessment of fetal growth and well being. Many advanced ultrasound-directed procedures are available in outpatient treatment.

The gynaecological oncology section has evolved to provide total care for women with genital cancers. This includes the whole range of conservative and radical surgeries, laparoscopic cancer surgeries, chemotherapy and palliative care. There are specialized cancer screening programs using tumor markers, colposcopy and color Doppler ultrasound screening.

TEACHING AND TRAINING

The department provides basic and advanced specialty traineeship in obstetrics & gynaecology, and clinical training for medical undergraduates and nurses. The department also runs an active educational program for practising clinicians and the public.

The Ultrasound program was accredited by the Royal College of Radiologists/ Royal College of Obstetricians and Gynaecologists in February 1993. The advanced specialty program is recognized for specialist accreditation by the Royal College of Obstetricians and Gynaecologists and the Royal Australian College of Obstetricians and Gynaecologists. The Department is recognized by the Specialist Accreditation Board.

RESEARCH

Research activities are an integral component of the departmental activities. Ongoing studies include the effect of high cadmium pollution on male fertility, falloposcopic assessment and tuboplasty, ovarian cancer screening, oncogene studies, immuno-gene therapy for gynaecological cancers, molecular genetic pathogenesis of endometriosis, innovative detection methods for cervical cancer and numerous clinical therapeutic trials.

WELFARE & FACILITIES FOR JUNIOR DOCTORS
Under construction