Table 5.
Illustrative comparison of birth outcomes and HIV status in public sector pregnancies (2015) with and without MomConnect registration
| Total Western Cape | Without MomConnect registration | With MomConnect registration | |
| Birth outcomes (n) | 82 455 | 67 478 | 14 977 |
| Live birth | 75 154 (91.1%) | 60 544 (89.7%) | 14 610 (97.5%) |
| Stillbirth | 1774 (2.2%) | 1571 (2.3%) | 203 (1.4%) |
| Miscarriage | 2422 (2.9%) | 2310 (3.4%) | 112 (0.7%) |
| Termination | 3105 (3.8%) | 3050 (4.5%) | 55 (0.4%) |
| HIV-positive status (n) | 118 522 | 97 118 | 21 404 |
| Unknown* | 84 539 (71.3%) | 68 664 (70.7%) | 15 875 (74.2%) |
| Negative | 8433 (7.1%) | 71 000 (7.3%) | 1333 (6.2%) |
| Positive | 25 550 (21.6%) | 21 354 (22.0%) | 4196 (19.6%) |
| Categories for HIV-positive pregnant women | |||
| ART prior to pregnancy | 15 622 (61.1%) | 13 359 (62.6%) | 2263 (53.9%) |
| ART during pregnancy | 5087 (19.9%) | 3619 (16.9%) | 1468 (35.0%) |
| Positive prior to pregnancy, no antenatal or postnatal evidence of ART | 1725 (6.8%) | 1555 (7.3%) | 170 (4.1%) |
| Positive prior to pregnancy, started ART postnatally | 667 (2.6%) | 638 (3.0%) | 29 (0.7%) |
| Positive during pregnancy, no antenatal or postnatal evidence of ART | 497 (1.9%) | 453 (2.1%) | 44 (1.0%) |
| Positive during pregnancy, started ART postnatally | 561 (2.2%) | 527 (2.5%) | 34 (0.8%) |
| Positive after pregnancy, no antenatal or postnatal evidence of ART | 738 (2.9%) | 636 (3.0%) | 102 (2.4%) |
| Positive after pregnancy, started ART postnatally | 653 (2.6%) | 567 (2.7%) | 86 (2.0%) |
*HIV testing is predominantly done through point-of-care tests with the results not captured digitally. Since the overwhelming majority of pregnant women are tested for HIV antenatally and those with HIV are readily identifiable from other data sources, unknown HIV status usually implies being HIV-uninfected.
ART, antiretroviral therapy.