BackgroundAnxiety and depressive disorders are somewhat masked by features of pregnancy; hence many women are ignorant of them and are untreated.AimTo determine the level of awareness and treatment of anxiety and depression in pregnancy.SettingThe study was carried out at the antenatal clinic of Enugu State University Teaching Hospital, Enugu, Nigeria.MethodThis was a cross-sectional and descriptive study of 200 pregnant women in consecutive attendance of the antenatal clinic using the Hospital Anxiety and Depression Scale (HADS) and a sociodemographic questionnaire.ResultsOf the participants, 23.5% had anxiety and/or depression, 7.5% of them were aware of their condition and only 0.5% of all the participants or 6.7% of those who were aware of their problem received treatment.ConclusionAnxiety and depression are prevalent among pregnant women. Because of overlap of symptoms of anxiety and depression with those of pregnancy, the awareness is very low; hence many of them suffer immensely without treatment.