Staying Pregnant

Unplanned Pregnancy – What Are My Options?

Facing an unplanned pregnancy can feel overwhelming, but you do have options. It’s important to choose what feels right for you, your values, and your circumstances. Your three main options are:

Parenting

You can choose to carry the pregnancy and raise the child. There are support services available for young or single parents, including financial aid, counselling, and healthcare.

Parenting Option
Adoption

You can choose to carry the pregnancy and place the child for adoption. You may be able to choose the adoptive family and decide how much contact you want.

Adoption Option
Abortion

In South Africa, abortion is legal and safe during the early stages of pregnancy (up to 12 weeks without needing to give a reason). You can access services through public clinics and hospitals.

Abortion Option

I Am Pregnant and Don’t Know My HIV Status

Getting tested for HIV during pregnancy is very important for your health and your baby’s health. The earlier HIV is diagnosed, the better the chances of preventing it from passing to your baby.

Go for an HIV test at your nearest clinic

Testing is quick, free, and confidential.
If you test negative great news! Continue regular check-ups and stay HIV-negative by using condoms and knowing your partner’s status. If you test positive don’t panic. You can still have a healthy pregnancy and baby with the right treatment.

I’m HIV Positive and Pregnant – What Now?

You can still have a healthy pregnancy and baby. With proper care and treatment, the risk of passing HIV to your baby can be reduced to less than 1%.

Start antiretroviral therapy (ART) immediately
ART is safe during pregnancy and keeps both you and your baby healthy.
Attend all your antenatal appointments
Your health workers will help monitor your pregnancy and adjust your treatment if needed.
You can give birth safely and even breastfeed
If you are on ART and virally suppressed, you can safely breastfeed your baby under medical guidance.

Pregnancy: Each Stage Explained

Pregnancy is usually divided into three stages (trimesters):

First Trimester (Weeks 1–12):
  • Missed period, morning sickness, fatigue.
  • Your baby’s organs begin to form.
  • Early check-ups are vital.
Second Trimester (Weeks 13–26):
  • Baby bump shows, more energy, less nausea.
  • You may feel the baby move.
  • Scans and health checks continue.
Third Trimester (Weeks 27–40):
  • Belly gets bigger, back pain, frequent urination.
  • Baby prepares for birth, settles into position.
  • Time to prepare for delivery and parenthood.