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The authors propose a model of a registry-based, patient-centered learning system (LS) that unites patients, clinicians, and researchers to co-produce better health outcomes, improved services and patient-centered research in Great Britain. Also covered are the key mechanisms that can be utilized to build a registry-based LS including patient and clinical facilitated networks, decision support dashboards, and multistakeholder engagement.

Background: Maternity care services in the United Kingdom have undergone drastic changes due to pandemic-related restrictions. Prior research has shown maternity care during the pandemic was negatively experienced by women and led to poor physical and mental health outcomes in pregnancy. A synthesis is required of published research on women's experiences of maternity care during the latter half of the COVID-19 pandemic., Aim: To update a previous systematic review of maternity care experiences during the pandemic to June 2021, exploring experiences of maternity care specifically within the United Kingdom and how they may have changed, in order to inform future maternity services., Methods: A systematic review of qualitative literature was conducted using comprehensive searches of five electronic databases and the Cochrane COVID Study Register, published between 1 June 2021 and 13 October 2022, and further updated to 30 September 2023. Thematic Synthesis was utilised for data synthesis., Findings: Of 21,860 records identified, 27 studies were identified for inclusion. Findings included 14 descriptive themes across the five core concepts: (1)Care-seeking and experience; (2)Virtual care; (3)Self-monitoring; (4)COVID-19 vaccination; (5)Ethical future of maternity care., Discussion: Our findings in the UK are consistent with those globally, and extend those of the previous systematic review, particularly about women's perceptions of the COVID-19 vaccine during pregnancy., Conclusion: Our findings suggest the following are important to women for future maternity care: personalisation and inclusiveness; clear and evidence-based communication to facilitate informed decision-making; and achieving balance between social commitments and time spent settling into motherhood., Competing Interests: Declaration of Competing Interest Six studies included in the qualitative evidence synthesis were authored by at least one member of the review team (SAS, LAM, PvD, or the wider RESILIENT Study Group). However, data extraction, quality assessment, and synthesis of these papers were not conducted by any of these authors, rather by TD and GH who have no competing interests. The RESILIENT Study has been adopted by the National Institute for Health and Care Research Applied Research Collaboration South London [NIHR ARC South London] at King’s College Hospital NHS Foundation Trust. The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)