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Due to an increasing number of women in the medical field, psychotherapists and their patients will more frequently be faced with problems raised by the therapist’s pregnancy. A literary review and case history examined in this article describe specific transference and countertransference issues as well as modifications to the therapeutic setting observed in this context. Conflicts induced by the therapist’s pregnancy can hasten the therapeutic process as it gives rise to intensified transference. The therapist’s resistance can nevertheless reduce the impact of her pregnancy on the process and make it become superficial. The effects of maturation in pregnancy when integrated into the psychotherapist’s maternal and professional roles can enhance the therapeutic process. The impact of her pregnancy should be recognized and discussed so as to become a part of the therapeutic process.