I suspect by "Hands off" he means he is not going to push you in any particular direction as some Drs would.
We found him to be a very good listener and to be very intuitive about our worries and concerns. He is excellent at providing information about different options and their risks, and different courses of action that you can take, to allow you to find the solutions you want. His technical expertise is unmatched in Singapore.
He delivered my baby (we think he's fantastic) and I simply cannot imagine him standing back and letting anyone "struggle". As an earlier poster also commented, we trusted him completely and would have taken his guidance on anything. I don't think you have to worry about him not offering advice or support.
Why don't you call the Mother and Child Centre at Tanglin Mall and talk to one of the midwives about the various OBGYN's in Singapore - they know most of them and could answer a lot of your questions.
Good luck