目的　探讨初产妇分娩前后焦虑、抑郁情绪反应的发生率及变化情况。方法　应用焦虑自评量表、抑郁自评量表 ,对正常人及初产产妇进行调查 ,随机抽取正常人 1 0 4人及在本院分娩的初产妇 76人为调查对象。结果　产前焦虑状态、抑郁状态发生率 2 8.95 %、2 3.68% ,产后焦虑状态、抑郁状态发生率分别为 2 3.68%、1 8.4 2 %。结论　产前保健中 ,要对孕妇加强心理卫生知识宣教 Objective To investigate the prevalence and changes of anxiety and depression reaction in primipara before and after childbirth. Methods The self-rating anxiety scale and self-rating depression scale were used to investigate normal subjects and primiparous women. A random sample of 104 normal pregnant women and 76 primipara were delivered to our hospital for investigation. Results The incidence of anxiety and depression in the prenatal period was 28.95% and 23.68% respectively. The incidences of postpartum anxiety and depression were 23.68% and 8.42% respectively. Conclusions In prenatal care, mental health education should be strengthened for pregnant women