Studies have demonstrated that depression and anxiety in the perinatal period are common among women in low- and middle-income countries and are associated with a range of psychosocial and health-related stressors. This chapter explored the mental health wellness of women during pregnancy. Ten participants were randomly sampled during prenatal visits to clinics. This was based on the researcher-led inquiry, and an interview guide was used to gather data. The following themes emerged: paucity in contextual maternal research, lack of mental health literacy, limited access to care and culturally based support systems, and impact of stressors on mental health. As pregnancy progresses, emotional challenges such as fatigue and anxiety also increase. There is a lack of trained maternal mental health specialists. These led to the following conclusions: there is a high rate of mental health manifestations like cognitive, emotional, behavioral, and spiritual challenges. These have been attributed to cultural norms and exacerbated by low literacy, poor access to care, and enduring pregnancy processes without perinatal services. Conclusively, it has been noted that the mental health of pregnant women is highly compromised and can be mitigated by crafting policies and practices to assist in early detection and promote prevention strategies. There is also the need for task shifting and promotion of synergies between traditional and modern intervention strategies, combined with a multidisciplinary approach. This has the potential to minimize casualties while enhancing positive outcomes.