The City of Cape Town has recorded a concerning 1.2% increase in teenage pregnancies, with 1 230 women under 18 accessing City Health facilities for antenatal care out of 22 097 total women who sought basic antenatal services in 2025.
The figures were released as South Africa observes Pregnancy Awareness Week, with City Health emphasising that support and medical care remains available to all pregnant women regardless of age.
“This increase in teenage pregnancies forms part of a trend that has been observed over the past few years. These pregnancies can be at higher risk for medical complications and have a significant socioeconomic impact for both the mothers and their families,” said Mayco member for Community Services and Health, Francine Higham.
The City has responded by expanding adolescent and youth-friendly services at health facilities to encourage sexually active teenagers to access contraceptive services before unplanned pregnancies occur.
“There are several contraceptive choices available at all clinics, and clients of all ages can ask about and discuss their options with a healthcare professional,” Higham added.
Early care showing improvement
Despite the rise in teenage pregnancies, City Health has recorded positive trends in other areas of maternal care.
Over the past three years, there has been a slight reduction in pregnant women presenting for their first antenatal care visit after 20 weeks of pregnancy. Health officials describe this as an encouraging development, as early antenatal booking before the 20-week mark significantly improves the chances of a smooth pregnancy with successful outcomes.
During antenatal visits, clinicians monitor crucial health indicators including blood pressure, urine levels, maternal weight and uterine measurements to detect potential complications early.
Comprehensive care approach
City Health is promoting a holistic approach to pregnancy care that extends beyond medical check-ups. Expecting mothers are advised to maintain healthy eating habits and avoid harmful substances like tobacco and alcohol that can affect foetal development.
Mental health support has also been identified as a priority, with research indicating that poor mental health during pregnancy can have lasting impacts on both mother and child. “Pregnant women should access support if needed, whether in their communities and own support networks or through professional care,” health officials recommend.
The City also encourages discussion of HIV Pre-exposure Prophylaxis (PrEP) and postpartum contraceptive options during clinical visits, with healthcare professionals providing tailored advice based on individual circumstances. Partners of expecting women are also encouraged to attend antenatal visits where possible to provide additional support.
Access and booking
Residents can register for basic antenatal care at their nearest City Health facility as soon as pregnancy is confirmed. Online booking is available through the Healthcare Appointment System, or expecting mothers can contact their local facility directly for appointments and information.
City Health operates numerous clinics across the metro, providing free antenatal care as part of the public healthcare system.
Visit the City of Cape Town’s Healthcare Appointment System online or contact your nearest clinic for more information about antenatal care services or to book an appointment.
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