The objective of our study was to describe the perception, attitudes, and practices of sexuality during pregnancy among women attending prenatal care in the Zinder City Health District. Patients and Methods: This was a descriptive cross-sectional study conducted over two months (September 1 to October 31, 2024) involving 215 pregnant women attending prenatal consultations in the Zinder City Health District. Results: The participants were primarily aged between 26 and 30 years (30%). Multiparous women accounted for 34.9% of cases, 57% were housewives, and 67.9% were educated. A total of 71.62% had attended four prenatal visits, with 59% of the participants being in the third trimester of pregnancy. Most women (92%) believed that sexual intercourse could continue during pregnancy. Sexual activity, with a frequency of 2 to 5 times per week, was reported by 46% of the women. The primary reason for continuing sexual activity was fulfilling marital duty (52.1%). Sexuality remained a taboo topic for 43.2% of participants. According to 74% of respondents, the second trimester was considered the most favorable period for sexual activity. The frequency of sexual activity had decreased for 69.8% of women, and the husband initiated sexual desire in 62% of cases. Additionally, 71% reported dissatisfaction with their sexual relationships. The need for information on sexuality from healthcare providers was expressed in 96% of cases. The missionary position (man on top) was the most commonly adopted during pregnancy (60.9% of cases). Conclusion: Sexuality was practiced by pregnant women of all ages. Most believed that sexual intercourse could continue during pregnancy, although they expressed dissatisfaction with their sexual experiences. The frequency of sexual activity decreased as pregnancy progressed. The second trimester was considered the most favorable period for sexual activity, with the missionary position being the most frequently adopted. Women lacked sufficient counseling on sexuality during prenatal care.