Background and Objectives: The health of the nation is often judged by the health of mothers and infants. In all societies, family is the central nucleus of people and women form the backbone of it. Thus mothers play an indispensable role in the health of any nation. Anxiety is common in life, it is more among Primigravida mothers during labour and delivery. The objectives of the study are to assess the anxiety related to the onset of labour and delivery among primigravida mothers and to determine the association between the level of anxiety with selected variables. Methods and materials : The descriptive survey approach and descriptive exploratory survey design was used. By purposive sampling technique, 100 Primigravida mothers were selected in the clean labour ward at Kamla Nehru State Hospital, Shimla. The tool consisted of 63 items to assess the level of anxiety. The reliability was established by conducting a pilot r = (0.948). The data was collected and analyzed. Results: Majority 50% of respondent are in the age group of 20-25 years and 42% of the respondent had studied upto high school which is the highest. 100% among them of respondent were married and income was between Rs. 5000 and above (63%), 99% of respondent are Hindus and emerge from nuclear family background (61%), 71% of respondent live in rural area and seek support through elders and relatives (44%), 80.5% of mothers had anxiety related to family aspects. Interpretation and Conclusion: Overall findings showed that there is no significant association found between educations, employment status, religion, type of family and type of marriage with the level of anxiety to onset of labour. The result on aspect wise reveals that the mean anxiety was higher than family aspect 80.5%, compared to physical aspect 41.47%, social aspect 33.67% and psychological aspect 45.98.