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目的：分析妊娠晚期孕妇的心理健康状况及与分娩方式的关系，为促进妊娠期孕妇心理健康状况提供相关依据。方法选择2014年1月~12月在四川省仁寿县中医医院进行产前检查并有明确意向在该院分娩的孕28~37w孕妇作为研究对象，采用《症状自评量表(SCL-90)》对孕妇的心理健康状况进行问卷调查。采用独立样本的t检验比较分娩方式孕妇SCL-90因子得分及总分的差异。结果妊娠晚期孕妇检出例数最多的前5位健康症状为：躯体化(11.6%)、精神病性(10.2%)、人际关系敏感(7.8%)、焦虑(7.5%)和抑郁(7.3%)。剖宫产孕妇在躯体化症状、强迫、抑郁、焦虑、偏执、精神病性6个症状因子评分高于自然分娩的孕妇，差异有统计学意义(<0.05)。结论妊娠晚期孕妇的心理健康状况较差，容易出现各种心理问题，做好妊娠期孕妇心理健康教育工作显得尤为重要。“,”Objective To investigate the mental health of pregnant women in late pregnancy and analyze the relationship with birth outcomes. Methods Selected the pregnant who take antenatal care during the period from 2014 April to 2014 December in Chinese Medicine Hospital of Renshou City and have a clear intention in the hospital to give birth as the research object, uses self-designed questionnaire SCL-90 to survey pregnant’s mental health status and fol ow up the birth outcomes by birth records or telephone fol ow-up. Using independent sample t-test to compare dif erent groups of pregnant women's SCL-90 scores and factor scores. Results The largest number of cases before the five health factors were detected in pregnant women in late pregnancy: somatization (11.6%), psychotic (10.2%), interpersonal sensitivity (7.8%), anxiety (7.5%) and depression (7.3%). Cesarean section in pregnant women in somatization, obsessive-compulsive symptoms, depression, anxiety, paranoia, psychotic six aspects of factor scores higher than natural childbirth in pregnant women, the dif erence was statistical y significant ( <0.05). Conclusion Mental health of pregnant women in late pregnancy is poor, prone to al kinds of psychological problems, good mental health education for pregnant women during pregnancy work is very important.