The City of Cape Town says teenage pregnancies remain a growing concern, with new figures showing a slight increase in the number of girls under 18 accessing antenatal care at public health facilities.
According to City Health, 22,097 women visited City clinics for basic antenatal care in 2025. Of those, 1,230 were teenagers under the age of 18, a 1.2% increase compared to the previous year.
Mayoral Committee Member for Community Services and Health, Francine Higham, said the rise forms part of a longer-term trend.
“These pregnancies can be at higher risk for medical complications and have a significant socioeconomic impact for both the mothers and their families,” she said.
Higham added that City clinics provide Adolescent and Youth-Friendly services, aimed at helping sexually active teenagers access contraceptives and reproductive health advice in a supportive environment. A range of contraceptive options is available at all facilities, and young people are encouraged to speak to healthcare professionals about their choices.
Despite the rise in teen pregnancies, there is some encouraging news. Over the past three years, City Health has recorded a slight drop in the number of women booking their first antenatal visit after 20 weeks of pregnancy.
Health officials say early antenatal care (before 20 weeks) is crucial for improving outcomes for both mother and baby. During these visits, clinicians monitor key indicators such as blood pressure, weight, urine tests and foetal growth to detect potential complications early.
The City is also urging pregnant women to focus on healthy eating, and to avoid alcohol, tobacco and other harmful substances. Mental health support is equally important, as growing research shows that poor mental health during pregnancy can affect both mother and child later in life.
Expectant mothers are encouraged to speak to clinic staff about HIV prevention options such as PrEP, as well as postpartum contraceptive choices. Partners are also welcome to attend antenatal visits where possible.
Residents can register for antenatal care or contraceptive services at their nearest clinic, or book online through the City’s Healthcare Appointment System.
