Objective To understand serum positive rates of herpes simplex virus type 1 (HSV-1) and human cytomegalovirus (HCMV) in 178 neonats and their relationship with clinical manifestation of premature infants. Methods A total of 178 neonatal serum samples were collected, including 114 umbilical cord sera from normally delivered newborns and 64 blood sera from premature infants. IgG and IgM antibodies to HSV-1 and HCMV were detected with ELISA. The χ2 test was adopted for the comparisons. Results In 178 neonats, HSV-1 IgG and IgM positive rates were 83.70% and 0.00%, HCMV IgG and IgM positive were 94.38% and 0.56%, respectively. In 114 normally delivered newborns, HSV-1 IgG and IgM positive rates were 78.07% and 0.00%, HCMV IgG and IgM positive were 94.74% and 0.88%, respectively. The positive rate of both HSV-1 IgG and HCMV IgG was 73.68%. In 64 premature infants, HSV-1 IgG and IgM positive rates were 93.75% and 0.00%, HCMV IgG and IgM positive rates were 93.75% and 0.00%, respectively. The positive rate of both HSV-1 IgG and HCMV IgG was 87.50%. The HCMV IgG positive rates between premature and normally delivered neonates were not statistically significant (χ2= 0.07, P>0.05); while HSV-1 IgG positive rate and both HSV-1 IgG and HCMV IgG positive rate in premature neonates were significantly higher than those in normally delivered newborns (χ2=7.38, 4.65, P<0.05). The premature infants with HSV-1 IgG and HCMV IgG positive had higher risk of premature rupture of membranes, placental abruption, oligohydramnios, amniotic fluid contamination and skin abnormalities. Conclusions The positive rates of HSV-1 IgG and HCMV IgG are high in neonates. The premature infants with HSV-1 IgG and HCMV IgG positive may be associated with premature rupture of membranes and other clinical manifestations.