To investigate the influencing factors of shivering during cesarean section of puerperaes. Methods: 360 puerperaes who had undergone cesarean section admitted to the obstetrics department of the hospital from January 2021 to December 2023 were collected retrospectively. These puerperaes were divided into group A (puerperaes with shivering during cesarean section) and group B (puerperaes without shivering during cesarean section) according to the score of bedside shivering assessment scale (BSAS). The univariate analysis and multi-factor logistic analysis were used to analyze the risk factors of the shivering situation of the puerperaes during cesarean section. Results: There were 87 (24.2%) puerperaes with intraoperative shivering occurred in the 360 puerperaes. There were significant differences in the age, the body mass index (BMI) before delivery, the fasting time, the rate of multipara, the rate of emergency admission, the anesthesia method, the time from entering the operative room to successful anesthesia, the operation time, the blood loss, the intraoperative infusion quantity, the infusion temperature, the rate of warming blanket used, the rate of dexmedetomidine/esketamine used, the scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS), and the rates of obstetric emergencies and fetal distress/neonatal asphyxia of the puerperaes between the two groups (P<0.05). Multivariate logistic analysis showed that the advanced age, the long fasting time, the emergency admission, the spinal anesthesia, the long time from entering the operative room to successful anesthesia, the long operation time, the more blood loss, the more intraoperative infusion volume, the low temperature of infusion fluid, the high scores of SAS and SDS, the obstetric emergency and the fetal distress/neonatal asphyxia of the puerperaes were all the risk factors of their shivering occurrence. The BMI value before delivery, the multiparas, the warming blanket used and dexmedetomidine/esmketamine used of the puerperaes were all the protective factors of their shivering occurrence (all P<0.05). Conclusion: The incidence of shivering of the puerperaes during cesarean section is higher, and the influencing factors of which are many. The active prevention and treatment targeting these influencing factors should be taken for reducing the incidence of their shivering and improve their operative safety.