According to the latest round of estimates, the maternal mortality ratio (MMR) has stagnated globally. In some developed countries, it seems to have increased with the urgent need for a new approach. WHO [1] and others [2] have reported that between 2016 to 2020, maternal mortality in 17 countries out of 133 countries, actually increased, mainly in Latin America, the Caribbean, Europe, North America, and sub-Saharan Africa. Hoyert [3] and others [4] have reported that in certain marginalised groups in high-income countries (HICs), particularly the USA, MMR has exceeded than those in some low-middle-income countries (LMICs). It is essential to look back and try to understand what has gone wrong and where. While newer knowledge is coming and technology is being developed for the prediction and early diagnosis of disorders, to know more about causes and the best and timely therapies of disorders but overuse brings in many issues which impact the mental health of women, and families with a lot of economic burden on society. It has created a world of ‘have and have nots’. It is essential that health scientists work with communities and learn from their worldly wisdom about real-life happenings. It is essential to recognize the missing gaps in the context of adversities during the slippery journey of pregnancy, birth, and post-birth to address maternal health challenges. A lot has been done and is still being done to prevent maternal deaths and promote maternal health, but still, women suffer because of many problems. A lot is needed not only for women in low-income (LI) and low-middle-income countries (LMIC), but HIC also. It is essential to understand the current status of maternity care, policies, programs, and services and find gaps for learning, the need for new policies, programs and services with their modalities and the expected impact on mothers as well as babies and new generations too. It is essential to know the facilitators for sustainable and safe modes for maternal health promotion with increasing challenges of choice and cost, which further affect the physical and mental health of women and families. Some unlearning and new learning are essential to try to understand the visible and the invisible too, with a critical look at pregnancy, birth and postpartum care