While it is generally accepted that the support provided to women during the perinatal phase is of vital significance, many fail to receive such support. Migrant ethnic minority women are particularly affected by the shortcomings in service provision despite, in many instances, their already having experienced issues connected to displacement, stigma, racism, and associated social inequalities. With a specific focus on the Republic of Ireland, this article examines perinatal mental health in relation to this group of women and aims to explore underpinning factors of structurally generated discriminatory treatment. In this context, we draw on practitioner accounts from a small, exploratory empirical study.