Violence during pregnancy is a major global concern with serious health implications. Domestic violence (DV) primarily encompasses intimate partner violence but can also refer to abuse by any other member of the household. Intimate partner violence is the most common form of violence against women and is a preventable contributor to morbidity and financial burden on society. Globally one in three women witnesses violence in their lifetime, with the prevalence higher in low- and middle-income countries. South Asian women are vulnerable to domestic violence due to the sociocultural make-up of their countries. Pregnancy itself is a high-risk period in a woman’s life, and violence during pregnancy is a double menace. It leaves an impact not only on the mother but also on the foetus, infant and newborn with effects extending into childhood. The mental health impact of DV during pregnancy includes antepartum and post-partum depression, post-traumatic stress disorder, suicidality and externalizing behavior in the children exposed to trauma in foetal stage. Legal frameworks are available in all countries to address the same, but stigma often hinders access. The antepartum period is a unique period when a pregnant mother is in constant contact with a healthcare provider and represents a critical window for screening and intervention due to improved healthcare access.