This study is a global, systematic scoping review of what women want, need and value in pregnancy.to inform a framework for future antenatal care (ANC) provision, comprising three equally important domains: clinical practices (interventions and tests); relevant and timely information; and psychosocial and emotional support. The findings suggest that a positive pregnancy experience matters across all cultural and sociodemographic contexts and that ANC guidelines and services should be designed to deliver it, and those providing ANC services should be aware of it at each encounter with pregnant women.