The early years of parenthood have lasting implications for health and well-being with mounting evidence that social inequities exacerbate adverse health outcomes for parents and children. Challenges such as perinatal mental health concerns, barriers to care, and rising birth interventions highlight the need for a comprehensive, inclusive approach to perinatal health promotion. This chapter critiques the influence of neoliberal and patriarchal ideologies on perinatal health promotion, arguing that individualistic and moralizing narratives place undue pressure on parents while marginalizing those with fewer resources. The chapter proposes a values-driven and equity-focused approach that addresses the systemic factors shaping perinatal health, integrating gender-transformative and intersectional perspectives. By distributing responsibility across individual, community, and policy levels, this approach fosters inclusivity and prioritizes diverse caregiving experiences. The chapter explores four key areas in need of reorientation: trauma-informed perinatal health, trans-inclusive frameworks, attention to disability, and the role of place and land in parental well-being. Through an intersectional feminist lens, it calls for policies and practices that empower all parents, particularly those facing structural inequities, to ensure a more just and inclusive parent-centered perinatal health promotion.