This study assesses maternal nutrition, and the enablers, barriers, and current policy and program strategies to improve dietary patterns and intakes. Results reveal that pregnant women’s diets suffer from low energy, macronutrient imbalance, and poor micronutrient intake, while market and cultural factors including food unavailability, gender norms, and lack of income constrain healthy diets. The authors explore potential interventions and their bottlenecks and efficacy, and recommend investing in health, nutrition, and agricultural systems to promote healthier diets for mothers.