Optimal care for neurodiverse pregnancies necessitates a tailored approach that acknowledges and accommodates the unique needs of individuals with conditions such as autism and ADHD. Sensory sensitivities require careful consideration, with efforts made to minimize environmental stimuli within clinical settings. Clear, direct communication is essential, ensuring information is readily comprehensible. Given the potential for heightened anxiety during pregnancy and childbirth, consistent routines, predictable expectations, and robust emotional support are critical. Empowering self-advocacy and facilitating access to relevant support networks are paramount, with birth plans serving as valuable tools for outlining specific requirements. Professional development for healthcare providers regarding neurodiversity is crucial for delivering effective and empathetic care. By addressing these factors, healthcare professionals can cultivate a more positive and supportive pregnancy experience for neurodiverse individuals.