Having a baby
207 public facilities across South Africa
All maternity care in the public sector is free — from the first antenatal booking visit through delivery and postnatal check-ups. South Africa's maternal mortality ratio has dropped from 176 per 100,000 live births in 2012 to approximately 100 in 2023, largely due to expanded access to antenatal care and prevention of mother-to-child HIV transmission (PMTCT). The guideline is a minimum of 8 antenatal visits, with the first ideally before 12 weeks of pregnancy. Most uncomplicated deliveries happen at midwife obstetric units (MOUs) or district hospitals; complications are referred to regional or tertiary hospitals.
What to expect
Full assessment: blood pressure, weight, urine test, HIV test, syphilis screening (RPR), blood group and Rh factor, haemoglobin. You receive a maternity case record.
Monthly until 28 weeks, then every 2 weeks until 36 weeks, then weekly. Each visit: BP, urine, fundal height, baby heart rate. Ultrasound at 18-22 weeks where available.
If HIV-positive: start or continue ARVs immediately. Baby receives nevirapine syrup from birth. With treatment, transmission risk drops below 2%.
Present at the facility when contractions are 5 minutes apart or your water breaks. Bring your maternity case record, ID, baby clothes, and sanitary pads. Caesarean sections are available at district hospitals and above.
6-hour, 3-day, and 6-week check-ups for mother and baby. Baby BCG and oral polio vaccine given at birth. Breastfeeding support and contraception counselling.
Who is eligible?
All pregnant women, regardless of nationality, documentation, or medical aid status. You do not need a referral — walk into any clinic or MOU offering maternity services. Minors (under 18) have full rights to maternity care without parental consent.
Read the full guide
Our guide covers everything in detail: step-by-step process, FAQs, and practical tips.
Free Maternity Care at Public Hospitals →