The gynae I visited for my first pregnancy increase their price by a huge margin and we want to be prudent with the second pregnancy. Do you think I should visit the same gynae as they have my medical record (diabetes & Thalassamia) or I should change?

Since your priority is to cut costs, then there's not much point sticking to the same gynae. I was a fully subsidised patient and experienced a very smooth pregnancy and delivery with professional staff. Medical records in Singapore are linked but that only applies to public health care institutions. Therefore, you may want to request for a copy of your medical history. In my opinion, there is quality care even at a public hospital. http://yourhealth.asiaone.com/content/1-patient-database-serve-all-public-health-care-institutions

If you feel the fees is something that you can't afford, you can switch your gynae and hospital. You can ask your gynae if you able to request a copy report of your medical history and pass to your new gynae yourself. Alternatively, you can get the tests again at your new gynae's clinic/hospital.

I would prefer to stay with the same doctor also for comfort level. With the same doctor you'll know what to expect at least. However if her fees are really unreasonable then you have no choice but to switch and remember to ask for your reports.

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thanks