One in 5 pregnant persons have a mental health condition, but a lack of recognition and treatment persists. The Risk We Fail to See offers information to increase obstetric healthcare professionals’ awareness of perinatal mental health conditions. It also provides strategies to address perinatal mental health conditions, discusses the ways in which the patient’s environment can impact their mental health, explores appropriate approaches to screen patients for the risk and development of mental health conditions, and reviews interventions for treatment.