People with disabilities face significant disparities in perinatal health and care, influenced by healthcare inequities. A study analyzed data from the Pregnancy Risk Assessment Monitoring System (PRAMS) covering 2019-2021, focusing on how perinatal care varies with the extent of disability among 43,567 respondents. The study found that individuals with some difficulty in functioning were less likely to receive pre-pregnancy care from an OB/GYN and postpartum checkups compared to those with no difficulty. Specifically, those reporting a lot of difficulty were even less likely to receive adequate prenatal care and postpartum visits. While respondents with disabilities were equally likely to receive education on maternal health and pregnancy prevention, they were less likely to discuss desires for children or preparations for a healthy pregnancy. The findings indicate that disabled women, especially those with greater difficulties, receive unequal perinatal healthcare. This underscores the importance of providing comprehensive and equitable healthcare solutions for all women, regardless of their disability status.