Hi Gamaliel
Firstly congrats on your pregnancy. I went through the same thing I tried to get on the medical aid schemes after I fell pregnant and they told me possibilities of getting accepted while already pregnant were slim. So I too had no choice but to just embrace going to the government hospital as paying cash would have been a very big expense that I think all that money would have rather been better to use towards preparing for the baby and so forth.
So I went to the hospital (GOV) and I must say it was not as bad as I thought it was going to be. The hospital I opted for looked quite clean and they were very professional. So what they did is took some tests, did a sonar to determine how far I am and opened a file. They recorded my due date in their books for the EDD. Then they transferred me to the nearest clinic where I could go for my checkups. Honestly so far I have not had a single bad experience with both the hospital nor the clinic. The only thing is the long queues so the earlier I go the better. You just have to go there and tell them its your first time coming. Then from your first visit they will tell you on your next appointment date.