Objective <p>This multicenter study aimed to assess the psychological health and social pressures experienced by women delaying childbearing, compared to those of average childbearing age age. The study further explored the socio-demographic factors contributing to the emotional well-being of these women during early pregnancy.</p> Methods <p>A total of 1232 women, aged 18–45 years, were recruited between January and December 2023. Participants were categorized into two groups: average childbearing age (&lt; 30 years) and delayed childbearing (≥ 30 years). Psychological health was evaluated using the Edinburgh Postnatal Depression Scale (EPDS), Perceived Stress Scale (PSS), and State-Trait Anxiety Inventory (STAI). Socio-demographic data, including educational background, employment status, income level, and stress sources, were collected and analyzed. Binary logistic regression and multiple linear regression were employed to identify factors associated with negative emotional states and perceived stress.</p> Results <p>The delayed childbearing group exhibited significantly higher levels of anxiety and stress compared to the average childbearing age group. Factors such as career development stress, reproductive health issues, and social expectations related to delayed childbirth were identified as independent contributors to negative emotional states. Women in the delayed childbearing group reported higher levels of age-related anxiety (65.1%) and societal pressure (54.6%) than their counterparts. Multiple regression analyses indicated that delayed childbearing, career stress, financial stress, and reproductive health issues were key factors affecting perceived stress.</p> Conclusions <p>Women delaying childbearing experience significant psychological distress due to both societal pressures and self-imposed expectations. Understanding these stressors is crucial for improving mental health support for women in this demographic.</p>