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The development of psychiatric interventions in maternity wards and of prenatal therapeutic consultations is recent. These require collaboration with gynecologists, obstetricians, and midwives. Moreover, the child psychiatrist, through reference to a psychodynamic theory of psychic functioning, is led to build a specific work setting with precise goals concerning the prevention of infantile psychopathology. He/she focuses on the parenting process and the modes of transmission at work prior to birth. The intense psychic changes that occur during pregnancy are conducive to early intervention, which can facilitate these changes. The aim is to ease subconscious projections on the fetus and future baby in order to facilitate his/her own psychic construction. Based on a clinical case, this paper proposes a conceptualization of pedopsychiatric therapeutic work during pregnancy.