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Background: Childbirth is a personal and individual journey that is different for every woman. Perception of the birth experience is thought to be influenced by many factors, the most significant of which may be the type of delivery. The second stage of labor (delivery or birth stage) starts from full dilation of the cervix or when the woman feels the urge to push to complete expulsion of the fetus. The care and support provided during this phase can have strong influence both on the birth giving experience as a whole and on the pregnancy outcome. Aim: The aim of this meta-synthesis was to examine women’s and family members’ perceptions and experiences of the second stage of labor in order to illuminate components of midwifery support they deemed ’supportive’. Method: This study design is a qualitative meta-synthesis. Qualitative articles were included and analyzed by meta-ethnographic method. electronic searches were performed using the following databases: CINAHL, Web of Science, Google, Pubmed and manual searches. After assessing for relevance and quality by Johanna Briggs Institute (JBI QARI) Critical Appraisal Checklist, 15 articles were included, synthesised and categorised in the analysis. Result: This meta-synthesis describes three main categories and fifteen sub-categories. The first category “A professional midwives” includes being skilled and competent, professional planning, motivate upright position of birth process, encourage the bonding between mother and baby, establish women empowerment, and performing quality of midwifery care. The second category: “A genuine encounter” includes being trustworthy, kind, and protective with a positive attitude, being sympathetic, knowledgeable about pregnancy, encouraging breathing exercises and develop birth plans, having good relationships. The 3rd category includes active communication, enhancing power of the father, accurate and clearly messages. Conclusion: The result of this study should support midwives in providing quality care to mothers during labor, thus providing satisfaction and positive experiences of the mother’s labor. Midwives can enhance fathers’ feelings of involvement and participation by attentiveness through interaction and communicating skills. Clinical implications: This study aim women/family members’ perception and experiences second stages of labor. There is a need to improving the educational status, improving policy and practice of health care program and facilitate the necessary resources. The second stage of labour are condition which have need to extra support and encouragement of women during the delivery as well as midwifery special care.