The purpose of this qualitative study was to examine the barriers that may inhibit migrant women farmworkers' management of perinatal care while working in Northern Ohio. Face-to-face interviews were conducted with 15 migrant women farmworkers who had experienced at least one gestational period while working in the Midwest agricultural stream. Participants were voluntarily recruited using purposeful sampling. All participants reported several occupational and access barriers that hindered them from receiving perinatal care while working in the fields. These findings may inform public health providers and migrant healthcare clinicians of the barriers migrant women farmworkers' experience while working in Northern Ohio; results can also be used to influence local and national migrant healthcare policies on developing comprehensive maternal healthcare.