Teenage pregnancies rise in Cape Town, City urges early care and contraception
Teenage pregnancies remain a growing concern in the City of Cape Town, with new figures showing a slight increase in under-18s accessing antenatal services in 2025.
According to City Health, a total of 22,097 women accessed municipal facilities for basic antenatal care last year. Of these, 1,230 were teenagers under the age of 18, a 1.2% increase compared to the previous year.
The City released the figures as South Africa marks Pregnancy Awareness Week, using the moment to remind residents that reproductive health care and advice are available to everyone.
“These pregnancies can be at higher risk for medical complications and have a significant socioeconomic impact for both the mothers and their families,” City Health said.
To address the trend, the City says it is strengthening access to youth-focused health services.
“City Health facilities offer Adolescent and Youth-Friendly services to encourage teenagers who are sexually active to access contraceptive services,” said Mayoral Committee Member for Community Services and Health, Councillor Francine Higham.
“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.”
The City also noted an encouraging development, in that fewer women are delaying their first antenatal visit.
“Over the past three years, City Health has also seen a slight reduction in the number of pregnant women who present for a first antenatal care visit after 20 weeks in their pregnancy,” said the City.
“This is an encouraging trend. Early antenatal booking, before the 20-week mark, is crucial to improve the chances of a smooth pregnancy with a successful outcome.”
At antenatal visits, clinicians check key indicators such as blood pressure, urine, weight and uterine measurements to ensure the well-being of both mother and baby.
“Early detection and appropriate intervention greatly improve outcomes for both mother and baby,” the City said.
The department also urged pregnant women to make healthy food choices, avoid tobacco and alcohol, and seek mental-health support when needed.
“There is a growing body of research showing that poor mental health during pregnancy can have an impact on both mom and baby later in life,” the City said.
Women are also encouraged to discuss HIV Pre-Exposure Prophylaxis (PrEP) and postpartum contraception with their clinicians, and partners are urged to attend antenatal visits where possible.
“City Health encourages all expecting mothers to register for basic antenatal care at their nearest facility as soon as they become aware that they are pregnant.”
Residents can book online through the City’s Healthcare Appointment System for antenatal or contraceptive services or contact their nearest clinic for more information.
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