Background and Purpose: This study was conducted to develop a measurement tool to determine the perception of pregnancy. Methods: The scale was developed in four main stages: the design and development of the items, submitting the draft form to expert opinion, administration of the scale, and performing construct validity and reliability analyses. The study data were collected from 327 women with pregnancies between May 1, 2020, and February 1, 2021. The Statistical Package for the Social Sciences 22 and LISREL software packages were used to evaluate the data. Results: The result of the exploratory factor analysis of the scale indicated that there were three factors with an eigenvalue greater than 1 and that the factors explained 54.152% of the total variance. Cronbach’s coefficient α (alpha) values of the factors were.84,.80, and.81, respectively. Conclusions: Considering the factor structure, item–total test correlations, and reliability coefficients, the negative perceptions of the pregnancy scale that were developed in this study can be used to determine the perception of pregnancy.