OBJECTIVES:  Traditional and complementary medicine (T&CM) has grown its roots in the Malaysian health care system. This could be due to high demands from users where women are dominating its use even without sufficient information on its safety and effectiveness. We aim to review the literature on women’s use of T&CM to conceive and during pregnancy exploring prevalence, pattern and reason of T&CM use. METHODS: A systematic search of multiple databases was conducted using key words and selection criteria for relevant articles published between 2004 and 2015. RESULTS: A total of thirteen articles that met the selection criteria, were included where six articles were among women to conceive and seven articles among women during pregnancy. The articles were analyzed under three key themes: user prevalence, pattern of T&CM modalities, and reasons for use. This review demonstrates important gaps in the evidence regarding prevalence of T&CM use among women between 29% and 91%. Common modalities used include herbal medicines, acupuncture, reflexology, exercise, massage, traditional Chinese medicine, homeopathy and mineral supplements. Reasons for use are varied and include reducing nausea and vomiting in early pregnancy, with the belief that these practices offer less adverse effect than pharmaceutical products as well as the experience of adverse and desirable effect during child birth. The advantageous of empowering, calming and ensuring individual's welfare is crucial among women trying to conceive. CONCLUSIONS: Many women decide to use T&CM to conceive and during pregnancy. Therefore, further studies are needed to fill the gaps in the evidence and provide better prevalence rates. Hence, the outcome may help to investigate the efficacy and safety of these T&CM modalities. It will also be helpful in evaluating the effects of these modalities to the developing fetus and to the mother before and during pregnancy.