Background and Objective Pregnancy is one of the most important and vulnerable periods in women's Life. One of the common side effects of pregnancy is anxiety. Despite its relative high prevalence in childbearing-aged women, little specific attention has been directed to anxiety disorders in pregnancy. Various studies have shown the effect of spiritual health and spirituality on mental health. It is important to identify the factors affecting anxiety such as spiritual health. Typically, at least one evaluation is recommended for depression and anxiety and attention to mental health during pregnancy. The purpose of this study was to investigate the relationship between spiritual health and anxiety in pregnant women. Materials and Methods A cross-sectional study was conducted on 170 pregnant women referred to Shaheed Mostafa Khomeini hospital in 2018. After obtaining consent, demographic characteristics were recorded. By using the questionnaire anxiety, depression and stress DASS-42 and Dr. Azizi spiritual health questionnaire, anxiety and spiritual health information were recorded. Chi-square and student t tests were used to compare the data Results The frequency of anxiety in the pregnant woman was 69. 4%. The relationship between spiritual health and anxiety was not statistically significant (p= 0. 483). The frequency of anxiety was not significantly different based on maternal age, gestational age, gravidity, pariety, abortion history, education, maternal satisfaction, type of pregnancy, gestational age and gender. Conclusion Regarding the high prevalence of anxiety in pregnant women, more attention to screening and risk factors in order to identify pregnant women at risk for anxiety is essential.