Waiver or Review of Termination of Pregnancy Regulations in Cases of Impossibility of Survival of Unborn Child and to Reduce Anguish to Parents
Ministry of HealthSpeakers
Summary
This question concerns whether mandatory pre-abortion counselling and the 48-hour waiting period apply to pregnancies where the unborn child cannot survive and if such regulations can be reviewed. MP Ms Sylvia Lim inquired about waiving these requirements to reduce parental anguish in cases where termination is medically certified due to foetal non-viability. Minister for Health Ong Ye Kung clarified that these rules are waived only when termination is immediately necessary to save the woman's life or prevent grave injury. For foetal anomalies incompatible with life, the requirements remain to ensure women have time to consider various options and receive tailored psychosocial support. The Minister stated that the 48-hour lapse balances the avoidance of life-threatening delays with the need for informed decision-making and the support of medical social workers.
Transcript
35 Ms Sylvia Lim asked the Minister for Health (a) whether the Termination of Pregnancy Regulations requiring mandatory counselling and a 48-hour time lapse thereafter before termination of a pregnancy under 24 weeks are applicable in cases where the termination of pregnancy is medically certified to be required due to the impossibility of survival of the unborn child; and (b) if so, whether the requirements can be reviewed so as to reduce the anguish caused to the parents.
Mr Ong Ye Kung: The pre-abortion counselling by a trained counsellor and a 48-hour time lapse after the counselling session is not required where termination of pregnancy is immediately necessary to save the life or prevent grave permanent injury to the physical or mental health of the woman.
The requirements still apply to women whose babies have been diagnosed with foetal anomalies not compatible with life. In such situations, there may be options presented to the mother, such as proceeding with termination of pregnancy, or delivery upon confirmation of foetal demise, or delivery of a liveborn baby with planned palliative care to the point of neonatal or infant death. The trained counsellor would tailor the counselling session to the individual’s needs and focus on supporting the psychosocial, mental and emotional well-being of the woman.
The 48-hour time lapse balances between avoiding undue delays where the situation may be life threatening to the woman and providing the woman sufficient time to prepare and consider her next steps to make an informed decision. Medical social workers and counsellors may also be activated, when needed, to support the distressed woman during this window.