Abstract: Objective To explore the perinatal mental state of primiparas and its influenc-ing factors.Methods HAD scale was applied for 148 primiparas,and the results of evaluation a-mong primiparas with different ages,education levels,gestational diseases and history of natural abortion were compared.Results Scores of anxiety and depression as well as positive rate of HAD score were high in 148 primiparas,and the scores of anxiety and depression and positive rate of HAD score in primiparas with lower education levels,gestational diseases and history of natural abortion were significantly higher than those in primiparas with higher education levels and without gestational diseases and history of natural abortion (P <0.05).There were no significant differ-ences among primiparas with different ages (P >0.05).Conclusion Expressions of bad perinatal mental states in primiparas are significant,and the lower education levels,gestational diseases and history of natural abortion are the bad influencing factors.