As psychiatric diseases are far from ‘desperate and untreated’; more female psychiatric patients come across the perinatal period. Codes of ethics in the perinatal period are mostly determinate by obstetricians but when it comes to the perinatal psychiatric group there is tremendous divergence of opinions. Different ways of psychiatric treatments are restricted by obstetric and fetal risks. But sometimes even the cultural perceptions are the most limiting via remedy. Involuntary mental hospitalization in the perinatal period sounds to be suspension of fundamental rights of the patient and mostly neglected by the clinicians. Mental hospitalization of a pregnant women or a postpartum one may think to be catastrophe by her siblings. Utility, that the clinician must target first, requires seeking for the best options of treatment for not only the patient but also the baby she is carrying. The efficacy of treatment versus the risk of harm to baby must be balanced. Following the up-to-date literature can be a part of gathering the knowledge about the topic but not only the personal clinical experiences but also the ones rooted in the specific institutes specially designed to hospitalize perinatal women and the newborn. Respect to autonomy attain it’s meaning mostly in gynecology and also psychiatry. The perinatal psychiatry can be called as ‘intersection point’ of them, needed to be respected to the patient’s values, beliefs and her rights to choose between the alternatives from her educational and cultural point of view. But, what if the patient’s choice causes to harm the baby? Should the clinician respect for her autonomy or give priority to baby? If the choose of the patient is potent to harm the baby, and if the evaluation of the patient comes to the fact that she is mentally competent, the choose must be supported by ethical reasons. Privacy in the perinatal psychiatric group, contains all the same regulations as it does in the other patients. Beyond any life-threatening statements such as homicidal or suicidal ones, the clinician must keep any personal information as a secret that the patient herself chooses to be kept as so. Basic and maybe the most popular ethical obligation is informed consent, originating from self determination right, must include possible complications, risks and benefits of the psychiatric treatment not only for the patient but also for the baby. Especially in the perinatal psychiatric group, it is vital to repeat the items and demand to repeat them from the patient aiming to detect the ones not understood properly. If the consent is about a more invasive procedure, like abortion, sterilization or a legal document about the custody of her children; the clinician must wait until she is non-psychotic. Paying attention to possible quality of life of the perinatal patient and targeting to increase as possible will not only effect the life of the mother but also the baby’s as well. Perinatal psychiatric women should have as great right to privacy, bodily integrity and autonomy as other perinatal women.