Objective To explore the demands for perinatal health education among primigravidas and the influencing factors of health education so as to provide a basis for curriculum design based on the internet + health education platform in the school for pregnant women.Methods From March to May 2018, we selected 100 primigravidas registered for the first time in department of obstetrics at a ClassⅢ hospital in Xiamen as subjects by the method of general survey. All of the patients were investigated with the self-designed perinatal health education demands questionnaires.Results There was no statistical difference in the demands of pregnant women for training mode and training content of health education among primigravidas with different ages, occupations, educational backgrounds and incomes (P>0.05). The health education demand for 100 primigravidas in the first trimester of pregnancy was higher: pregnancy/birth/postpartum diet and nutrition accounted for 88.0％, baby growth and development accounted for 75.0％, and fetal growth and development accounted for 71.0％. The factors influencing the maternal health education series of pregnant women participating in pregnant women's schools or medical institutions mainly include 66.0％ of busy/no time, 9.0％ of distance/inconvenient transportation, 3.0％ of economic difficulties, and no feeling of self-feeling for 8.0％. Conclusions Primigravidas are with the high demands for perinatal health education. The mode of health education favours network interactions, WeChat consult group for doctors and patients. Puerpera pay more attention to perinatal diet and nutrition, growth and development of babies/fetuses and neonatal nursing care in pregnancy. The main influencing factors attending health education in the school for pregnant women and the medical institution are busy, timeless and great distance/inconvenient transportation. We should have the aid of network platform in future work for perinatal health education to individually carry out a variety of ways of health education by "internet +" so as to make primigravidas select perinatal health education best for them at the most convenient time and place.