〔Abstract〕 Objective To investigate the effects of different delivery time on gestational hypertension syndrome patients and neonates. Methods A total of 94 patients with gestational hypertension syndrome who received treatment in Pingdingshan Maternal and Child Health Care Hospital from January 2017 to January 2019 were selected. According to the pregnancy cycle, the observation objects was divided into preterm group (32-36 weeks of gestation with 56 cases) and full-term delivery group (37-40 weeks with 38 cases). The incidence of pregnancy complications, perinatal adverse reactions and Apgar score 10min postnatal were compared between the two groups. Results The total incidence of pregnancy complications in the preterm group was 14.30%, and there was no significant difference compared with 21.4% in the full-term delivery group (P > 0.05). The total incidence of perinatal adverse outcomes in the full-term delivery group was 39.47%, higher than 17.86% in the preterm group, and the difference was statistically significant (P < 0.05). Apgar score was (8.04 ± 1.53) in preterm delivery group, which was higher than that in the full-term delivery group (6.38 ± 2.19), and the difference was statistically significant (P < 0.05). Conclusion Early termination of pregnancy in patients with gestational hypertension syndrome can effectively reduce the incidence of perinatal adverse outcomes and improve Apgar score 10 min postnatal.