{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T08:49:57Z","timestamp":1791881397650,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Maternal immunization is essential for preventing severe influenza and pertussis in pregnant women and young infants. Despite clear recommendations, uptake in Greece remains suboptimal, and evidence on effective antenatal interventions is limited. This study evaluated the impact of a structured counselling programme on maternal influenza and pertussis vaccination coverage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective before\u2013after study was conducted among 595 pregnant women delivering at a regional perinatal centre across two influenza seasons (2022\u20132023 and 2024\u20132025). During the pre\u2010intervention period, routine antenatal care lacked standardized counselling. The intervention included provider\u2010initiated structured counselling supported by an educational leaflet and routine prescription of both vaccines. Vaccination status was confirmed postpartum. Multivariable logistic regression identified determinants of uptake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Antenatal counselling increased from 43.1% to 74.2%. Influenza vaccination rose from 38.5% to 61.4%, pertussis from 33.8% to 65.5% and combined uptake more than doubled (27.0% to 58.4%). Structured counselling significantly improved adherence (OR 8.7; 95% CI 5.236\u201314.493). Fear of vaccine\u2010related risks remained the main reason for refusal, though less frequently reported post\u2010intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Structured antenatal counselling substantially improved maternal influenza and pertussis vaccination coverage. Integrating standardized counselling and routine prescription into antenatal care aligns with international recommendations and may strengthen maternal immunization efforts in Greece.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70629","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T11:33:32Z","timestamp":1780313612000},"page":"2572-2579","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Structured Antenatal Counselling Improves Maternal Influenza and Pertussis Uptake: A Prospective Comparative Study in Greece"],"prefix":"10.1111","volume":"115","author":[{"given":"A.","family":"Drougia","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit, School of Medicine University of Ioannina  Ioannina Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1090-3698","authenticated-orcid":false,"given":"F.","family":"Ladomenou","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University Hospital of Ioannina  Ioannina Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Sourla","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, School of Medicine University of Ioannina  Ioannina Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Klapas","sequence":"additional","affiliation":[{"name":"School of Medicine University of Ioannina  Ioannina Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Pappa","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, School of Medicine University of Ioannina  Ioannina Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Skendou","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University Hospital of Ioannina  Ioannina Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Paschopoulos","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University Hospital of Ioannina  Ioannina Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Giapros","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, School of Medicine University of Ioannina  Ioannina Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.07.085"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0708630"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.08.046"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/08964289.2021.1987853"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/08964289.2024.2424171"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0282525"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2021.08.074"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2019.1568158"},{"key":"e_1_2_12_10_1","unstructured":"Ministry of Health Greece \u201cNational Adult Immunization Programme 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