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First steps

Pregnancy consultation

If you think you may be pregnant, or have just found out, a consultation gives you facts to work with: confirmation, an estimate of how far along the pregnancy is, and a clear explanation of all your options.

A quiet, softly lit corridor lined with indoor plantsIllustrative photograph

At a glance

  • Confirms whether you are pregnant
  • Estimates how far along the pregnancy is
  • Explains every option without steering you
  • No obligation to decide anything on the day

When a pregnancy consultation helps

Finding out you might be pregnant can bring a rush of questions. A consultation is a calm place to get answers from a healthcare professional, whatever you are feeling and whatever you think you may decide.

Why the timing matters

How far along a pregnancy is affects the care available to you. In South Africa, the law treats the first 12 weeks, weeks 13 to 20 and the period after 20 weeks differently, and the clinical options change with time as well. Speaking to someone sooner rather than later keeps more options open — but there is no need to rush a decision once you have the facts.

How gestational age is worked out

Pregnancy is dated from the first day of your last menstrual period, not from conception. South African law uses the same definition. Where dates are uncertain, or the clinician needs more information, an ultrasound scan or examination may be recommended. Our article on how gestational age is determined explains this in more detail.

Your options, explained neutrally

You are entitled to clear, unbiased information about continuing the pregnancy, adoption and termination. If you are considering termination, the clinician will explain medical abortion and surgical abortion and which may be appropriate. If you plan to continue the pregnancy, they can advise you on arranging antenatal care.

Confidentiality

What you discuss stays between you and the clinical team. Read more about confidentiality and your rights.

The process

What a pregnancy consultation involves

This is the general sequence. Your clinician will adapt it to your situation and tell you what to expect at each stage.

  1. A private conversation

    You tell the clinician what has brought you in and what you would like to find out.

  2. Confirming the pregnancy

    The clinician confirms the pregnancy and asks about your last menstrual period and any symptoms.

  3. Estimating gestational age

    They estimate how many weeks pregnant you are. A scan or examination may be used if it is clinically needed.

  4. Talking through your options

    Continuing the pregnancy, adoption and termination are explained neutrally, along with what each would involve next.

Frequently asked questions

Questions about pregnancy consultation

I have a positive home test. Do I still need a consultation?

A home test tells you that you are probably pregnant. It does not tell you how far along the pregnancy is, which is what determines the options available to you. A consultation establishes that.

Do I have to decide what to do at the consultation?

No. The purpose is to give you accurate information. You can take time to think, talk to people you trust and come back with questions.

Will the clinician try to influence my decision?

No. Counselling in South Africa is meant to be non-directive, which means it supports you in reaching your own decision rather than pushing you towards one.

What should I bring or know?

If you can, note the first day of your last period, any medicines you take and any health conditions you have. If you do not know these, come anyway.

More frequently asked questions

Keep reading

Related care and information

Where this service is available

Not near our clinic? See the areas we support, or ask us before you travel.

Sources for this page

  1. Choice on Termination of Pregnancy Act 92 of 1996 (as amended). Republic of South Africa.
  2. National Clinical Guideline for Implementation of the Choice on Termination of Pregnancy Act. National Department of Health, South Africa.
  3. Abortion care guideline (2022). World Health Organization.

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Ask a question, check what a consultation involves, or simply find out your options. You decide what happens next.

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