A global meta-analysis examined the fertility intentions of highly educated women, revealing significant regional differences. The study analyzed data from 35 eligible studies, involving 17,292 women across 19 countries, and found that 12.2% of these women did not expect to have children in the future. This percentage varied widely by region, from 5.1% in Europe to 22.9% in the Western Pacific. Factors influencing fertility intentions included individual pursuits like career and education, the need for stable relationships and family support, as well as community environments, labor market conditions, and national policies. The results indicate that regional disparities in fertility intentions reflect broader differences in social welfare systems, labor markets, and gender norms. To support fertility choices among highly educated women, policies should address not just individual preferences but also the contextual factors affecting reproductive decisions. Recommendations include creating a supportive environment for parenting through equitable parental leave, accessible childcare, and family-friendly policies.