{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T16:46:27Z","timestamp":1764175587878},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To identify pregnant women\u2019s attitudes towards, and acceptance and rejection of, COVID-19 vaccination. This prospective, descriptive, implementation study was conducted in the Antenatal clinic of Siriraj Hospital, Bangkok, Thailand. In Phase I, 40 pregnant women were interviewed. Phase II consisted of questionnaire development and data validation. In Phase III, the questionnaire was administered to 400 participants. Pregnant women\u2019s attitudes towards and acceptance and rejection of COVID-19 vaccination. Most pregnant women were uncertain about the potential harm of vaccination to themselves or their unborn child, including risks such as miscarriage or premature birth (59\u201366\/101 [58.4%\u201365.3%]; OR 2.53\u20138.33; 95% CI 1.23\u20133.60, 5.17\u201319.30; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) compared to those who disagreed with vaccination. Their vaccination decisions were significantly influenced by social media information regarding vaccination complications in pregnant women (74\/101 [73.3%]; OR 15.95; 95% CI 2.15\u2013118.55; <jats:italic>P<\/jats:italic>\u2009=\u20090.001) compared to those who disagreed with vaccination. Most pregnant women opined that they should not receive a COVID-19 vaccination during pregnancy (adjusted odds ratio [AOR] 6.57; 95% CI 2.44\u201317.70; <jats:italic>P<\/jats:italic>\u2009=\u20090.001). Most also rejected vaccination despite being aware of its benefits (AOR 17.14; 95% CI 6.89\u201342.62; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Social media messages and obligatory vaccination certifications influence maternal vaccination decisions. Pregnant women believe vaccination helps prevent COVID-19 infection and reduces its severity. Nevertheless, the primary reason for their refusal was concern about potential harm to their unborn child or themselves during pregnancy.<\/jats:p><jats:p><jats:bold>The Thai clinical trials registry:<\/jats:bold> TCTR20211126006.<\/jats:p>","DOI":"10.1038\/s41598-024-55867-z","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T16:03:57Z","timestamp":1709309037000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A qualitative study of pregnant women\u2019s perceptions and decision-making regarding COVID-19 vaccination in Thailand"],"prefix":"10.1038","volume":"14","clinical-trial-number":[{"clinical-trial-number":"tctr20211126006","registry":"10.18810\/tctr"}],"author":[{"given":"Saifon","family":"Chawanpaiboon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanitra","family":"Anuwutnavin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attapol","family":"Kanjanapongporn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julaporn","family":"Pooliam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vitaya","family":"Titapant","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,3,1]]},"reference":[{"issue":"10223","key":"55867_CR1","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1016\/S0140-6736(20)30185-9","volume":"395","author":"C Wang","year":"2020","unstructured":"Wang, C., Horby, P. 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All authors have no conflicts of interest to disclose. All procedures were conducted in accordance with the ethical standards of the institutional research committee (Si1018\/2021) and the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Written, informed consent was obtained from all participants. I declare that the authors have no competing interests as defined by BMC, or other interests that might be perceived to influence the results and\/or discussion reported in this paper.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"5128"}}