This research explored community pharmacists’ perspectives and the obstacles they encounter when delivering pharmaceutical care to pregnant women in Bulgaria. A cross-sectional online questionnaire was distributed to pharmacists in the Plovdiv region, featuring 18 Likert-scale items designed to capture their views and challenges related to this aspect of practice. Responses were obtained from 122 pharmacists. Nearly all participants (90%) believed that pharmacist-led care could significantly enhance both the well-being and health awareness of pregnant women. The notion that such care offers professional fulfillment achieved the highest average score (4.61). Nonetheless, about half of the respondents (50.8%) expressed hesitation due to concerns about bearing responsibility for therapeutic outcomes. The most prominent difficulty cited was insufficient time (mean = 4.10), followed by limited access to continuing education (83.9%) and the absence of digital medical records for pregnant women (68.9%). In summary, pharmacists in Bulgaria generally show favorable attitudes toward providing care to pregnant women, yet targeted educational programs and practical workshops are essential to strengthen their involvement in this field.