This study has some limitations which needs to be taken into consideration. Similar to any study conducted in a health setting, results may not be generalised to all preg-nant women in the study area. Also, this study might not be adequately powered to identify risk factors for rubella seropositivity. Data on factors such as histories of abor-tion, stillbirth and fetal death depends on the recall ability of the study participants and/or their commitment to provide genuine information; thus, a recall and/or information bias might be introduced.