Pregnant South Asian immigrants in Ontario, Canada, are facing significant challenges adapting to their new cultural and social contexts, leading to increased stress and anxiety. Despite receiving support from agencies, these women often struggle with language barriers, limited social support, and restricted access to culturally responsive resources, which can exacerbate their stress levels. This study aims to better understand how these women experience and cope with acculturative stress during pregnancy, with the goal of developing actionable recommendations to improve support programs and services tailored to their unique needs.