Background <p>Structural inequities, racial discrimination and gendered expectations of <i>“motherhood”</i> shape perinatal mental health outcomes among Black women by influencing access to care and social support. Despite this, Black mothers remain at a higher risk of developing perinatal mental health disorders compared to other racial groups, reinforcing the urgency of addressing this disparity. Research on perinatal depression and anxiety often neglects the distinct racial, cultural, social, and health perspectives of Black women in Canada.</p> Research Question <p>How do cultural beliefs, values, health perspectives and perceived social support influence perinatal mental health in Black women in Canada?</p> Methods <p>13 qualitative, semi-structured interviews were conducted virtually. The participants were Black mothers who have given birth or attended the birth as a legal parent in Canada between 2019 and 2025. Interviews were coded inductively and deductively for relevant themes. Data analysis was guided by Critical Race Theory and Black Feminist Theory, displaying the interplay of race, culture, and gender in perinatal mental health experiences.</p> Results <p>The identified themes were: (1) Postpartum Mental Health Barriers for Black Mothers; (2) Beyond the Baby Blues; (3) Beliefs, Faith, and Holistic Approaches; (4) Healing Love: Support and Spirituality in Perinatal Mental Health, and (5) Navigating Change Pre- and Post-Birth.</p> Conclusion <p>These findings emphasize the need for culturally tailored screening tools and diagnostic strategies to address the perinatal mental health needs of Black mothers in Canada, providing a foundation for future research and practical interventions.</p>