Objective To systematically evaluate midwives′ experiences and feelings of caring for women with perinatal loss, and to provide reference for improving their physical and mental health as well as quality of care.Methods We searched domestic and fo-reign electronic databases for studies using qualitative methods and reporting midwives′ experiences of caring for women with perinatal loss, from the establishment of the databases to January 2024.Methodological quality of the included research was assessed using JBI Critical Appraisal Checklist for Qualitative Studies, and meta-aggregation was used to synthesize statements.Results Sixteen studies were included and 69 findings were extracted.These findings were then classified into 11 categories and condensed into 4 themes:negative experiences; adopting different coping strategies; adaptation and growth; dilemma and needs.Conclusion Caring for woman with perinatal loss is a challenge for midwives.Hospital managers should pay attention to negative experiences of midwives providing perinatal loss care, and help them to adapt, in an effort to maintain their physical and mental health.