The importance of adequate completion of clinical records and data collection tools at a health care facility is widely acknowledged. This study was conducted in order to explore and describe the completion of the ante-natal care (ANC) register by midwives in Tshwane Metsweding District, Gauteng Province, South Africa. A sequential mixed method approach consisting of quantitative and qualitative phases was employed. To collect quantitative data, 155 entries of variables completed in the ANC register were assessed using a checklist. Subsequently, qualitative data were collected through two focus group discussions with midwives to understand their experience regarding the completion of the register. The findings revealed that the completion of the ANC register is generally poor. Midwives indicated that the register is a good data collection tool. Recommendations to improve record-keeping such as the implementation of an electronic ANC register were made. / Health Studies / M.A. (Health Studies)