Objective To systematically evaluate the real experience of pregnant women experiencing fetal anomaly events. Methods Qualitative studies on emotional experience of pregnant and pregnant women experiencing fetal abnormalities were searched by computer in Chinese and English databases including PubMed，Web of Science，Embase，Cochrane Library，CNKI，Wanfang Database，VIP database and Chinese Biomedical Literature database. The search period was set from the establishment of the database to October 2022. The quality of the literature was evaluated using the 2016 edition of the Australian JBI Quality Evaluation Criteria for evidence-based Health care Center quality research，and a pooled integration method was adopted. Results A total of 15 literatures were included，and 45 topics were summarized into nine categories. Finally，three integration results were formed，namely fetal abnormalities lead to a variety of negative psychological experiences in pregnant women，lacking of social support for pregnant women who are eager for and grateful for diversified external support and help，maternal mentality change，positive adjustment，reflection and personal growth. Conclusion Pregnant women who experienced fetal abnormalities generally suffer from great physical and mental pressure. Nursing staffs should understand the dilemmas they faced，pay attention to their psychological feelings，give emotional support and counseling，and assist in the establishment and improvement of their social support system in order to improve the quality of life and mental health of pregnant women.