Objective To systematically review and synthesize the real experience of women with fear of birth, to provide theoretical basis and practical guidance for promoting natural delivery and improving the quality of clinical nursing service. Methods Both fo-reign（PubMed, Medline, Embase, Web of Science, and PsycINFO) and domestic （SinoMed, CNKI, VIP and WangFang Data) databases were searched to retrieve qualitative studies on the experience of women with fear of birth published between database inception and August 2018.The JBI Critical Appraisal Tool for qualitative studies was used to evaluate the quality of the included studies and Meta synthesis was applied to synthesize the searching results. Results A total of 18 publications were included. As many as 87 fin-dings were extracted and summarized into 6 new categories, which resulted in 2 synthesized findings. Integration result 1：full of worries and fears that no one can understand, pregnant women feel deeply lonely, and struggle in ambivalence on their own; integration result 2:women take a positive or negative approach to cope with fear of birth for the different feelings about childbirth, also they are eager for support and help from others. Conclusion The society and health system should attach great importance to the impact of fear of birth on pregnant women, and show more understanding and support to them, which will help the women to overcome fear of birth, and to promote natural delivery and maternal health.