Abstract：Objective To explore the influence of systematic management of pregnancy hypertension on pregnancy outcome. Methods 200 patients with pregnancy hypertension or high-risk factors of hypertension received by our hospital from March 2017 to March 2018 were included in the study. According to compliance, they were divided into the control group and the study group（100 patients in each group）. Routine management was used in the control group and systematic management in the study group; the pregnancy outcomes in the two groups were compared. Results SAS and SDS scores in two groups after management were lower than before management, which in the study group were lower than that in the control group, the difference between the two groups was statistically significant（P＜0.05）. The maternal delivery in the study group was better than the control group, and the incidence of adverse neonatal outcomes was lower than in the control, the differences between the two groups were statistically significant（all P＜0.05）. Conclusion Systematic management can improve the psychological status and pregnancy outcome of patients with pregnancy hypertension.