{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T09:50:35Z","timestamp":1791280235270,"version":"4.1.0"},"reference-count":59,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":278,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Journal of Pregnancy"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study is aimed at evaluating postpartum women\u2032s vaccination status in two major maternity hospitals in Athens, Greece, and identifying demographic, socioeconomic, and behavioral factors influencing vaccine acceptance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted at Leto General Hospital and Alexandra Hospital. Postpartum women completed a questionnaire covering demographics, obstetric history, vaccination status (COVID\u201019, tetanus\u2013diphtheria\u2013acellular pertussis [Tdap], influenza, and respiratory syncytial virus [RSV]), and reasons for vaccine acceptance or refusal. Data were analyzed to assess the potential factors associated with vaccination uptake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 725 postpartum women participated (Site 1: 531, Site 2: 194; median age: 34 years). Overall, 51.2% received at least one vaccine during pregnancy, with the highest uptake observed for Tdap (42.5%), followed by influenza (19.6%) and COVID\u201019 vaccination (3.6%). RSV vaccination was negligible (&lt;\u20091%). Influenza vaccination was significantly higher in Site 1 (22.2%) compared with Site 2 (12.4%,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), whereas uptake rates for the other vaccines did not differ significantly between sites. Key barriers to vaccination included lack of physician advice (Site 1: 29.0%, Site 2: 18.6%), personal choice (Site 1: 12.4%, Site 2: 14.9%), and safety concerns, which were more prevalent in Site 2. Higher educational attainment and urban residence remained independently associated with vaccine uptake, after adjustment for potential confounding factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Maternal immunization in Greece still remains a great challenge, since only 14.62% of the studied sample received multiple vaccines. Enhancing immunization strategies necessitates targeted interventions that address provider\u2013patient communication, systemic barriers, and perceptions of vaccine safety in order to improve adherence to recommended vaccination schedules.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jp\/8993559","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T08:52:52Z","timestamp":1791276772000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Vaccination Status in Pregnancy: A Cross\u2010Sectional Study of Two Greek Maternity Hospitals"],"prefix":"10.1155","volume":"2026","author":[{"given":"Alexandros","family":"Psarris","sequence":"first","affiliation":[{"name":"1st Department of Obstetrics &amp; Gynecology Alexandra Hospital National and Kapodistrian University of Athens  Athens Greece  uoa.gr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1546-1738","authenticated-orcid":false,"given":"Dimitris","family":"Baroutis","sequence":"additional","affiliation":[{"name":"1st Department of Obstetrics &amp; Gynecology Alexandra Hospital National and Kapodistrian University of Athens  Athens Greece  uoa.gr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafail","family":"Mantzioros","sequence":"additional","affiliation":[{"name":"1st Department of Obstetrics &amp; Gynecology Alexandra Hospital National and Kapodistrian University of Athens  Athens Greece  uoa.gr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agni","family":"Pantou","sequence":"additional","affiliation":[{"name":"1st Department of Obstetrics &amp; Gynecology Alexandra Hospital National and Kapodistrian University of Athens  Athens Greece  uoa.gr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7760-0608","authenticated-orcid":false,"given":"Ioakeim","family":"Sapantzoglou","sequence":"additional","affiliation":[{"name":"1st Department of Obstetrics &amp; Gynecology Alexandra Hospital National and Kapodistrian University of Athens  Athens Greece  uoa.gr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Sindos","sequence":"additional","affiliation":[{"name":"1st Department of Obstetrics &amp; Gynecology Alexandra Hospital National and Kapodistrian University of Athens  Athens Greece  uoa.gr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8280-7796","authenticated-orcid":false,"given":"Marianna","family":"Theodora","sequence":"additional","affiliation":[{"name":"1st Department of Obstetrics &amp; Gynecology Alexandra Hospital National and Kapodistrian University of Athens  Athens Greece  uoa.gr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6836-5028","authenticated-orcid":false,"given":"Panagiotis","family":"Antsaklis","sequence":"additional","affiliation":[{"name":"1st Department of Obstetrics &amp; Gynecology Alexandra Hospital National and Kapodistrian University of Athens  Athens Greece  uoa.gr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pampanos","family":"Andreas","sequence":"additional","affiliation":[{"name":"Department of Genetics Alexandra Hospital  Athens Greece  hosp-alexandra.gr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aikaterini","family":"Gentsoglou","sequence":"additional","affiliation":[{"name":"Leto General Obstetrics &amp; Gynecological Clinic  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afroditi","family":"Gorpa","sequence":"additional","affiliation":[{"name":"Leto General Obstetrics &amp; Gynecological Clinic  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panayiotis D.","family":"Ziakas","sequence":"additional","affiliation":[{"name":"Brown University  Providence Rhode Island USA  brown.edu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7108-211X","authenticated-orcid":false,"given":"George","family":"Daskalakis","sequence":"additional","affiliation":[{"name":"1st Department of Obstetrics &amp; Gynecology Alexandra Hospital National and Kapodistrian University of Athens  Athens Greece  uoa.gr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aristotelis","family":"Tsiakalos","sequence":"additional","affiliation":[{"name":"Leto General Obstetrics &amp; Gynecological Clinic  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14981"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2104983"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.5782"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciab266"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7009e4"},{"key":"e_1_2_14_6_2","unstructured":"American College of Obstetricians and Gynecologists Influenza Vaccination During Pregnancy: Committee Opinion No 732 2018."},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr7202a1"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa1112"},{"key":"e_1_2_14_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciz217"},{"key":"e_1_2_14_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60686-3"},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.3633"},{"key":"e_1_2_14_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu821"},{"key":"e_1_2_14_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw634"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw633"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-4091"},{"key":"e_1_2_14_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2016-312341"},{"key":"e_1_2_14_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cix724"},{"key":"e_1_2_14_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciy244"},{"key":"e_1_2_14_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(18)30717-5"},{"key":"e_1_2_14_20_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021-051076"},{"key":"e_1_2_14_21_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciab260"},{"key":"e_1_2_14_22_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7301a3"},{"key":"e_1_2_14_23_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis923"},{"key":"e_1_2_14_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2014.08.038"},{"key":"e_1_2_14_25_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.14298"},{"key":"e_1_2_14_26_2","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofy209.023"},{"key":"e_1_2_14_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002438"},{"key":"e_1_2_14_28_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciad227"},{"key":"e_1_2_14_29_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw027"},{"key":"e_1_2_14_30_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciac651"},{"key":"e_1_2_14_31_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ700"},{"key":"e_1_2_14_32_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ695"},{"key":"e_1_2_14_33_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw551"},{"key":"e_1_2_14_34_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-062664"},{"key":"e_1_2_14_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(22)00414-3"},{"key":"e_1_2_14_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2024.114045"},{"key":"e_1_2_14_37_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2216480"},{"key":"e_1_2_14_38_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2110275"},{"key":"e_1_2_14_39_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2214773"},{"key":"e_1_2_14_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2024.03.014"},{"key":"e_1_2_14_41_2","unstructured":"Hellenic Statistical Authority 2021 Census Data 2021 https:\/\/www.statistics.gr."},{"key":"e_1_2_14_42_2","doi-asserted-by":"publisher","DOI":"10.3390\/jpm11111196"},{"key":"e_1_2_14_43_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2113891"},{"key":"e_1_2_14_44_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.5906"},{"key":"e_1_2_14_45_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2204399"},{"key":"e_1_2_14_46_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2022.2442"},{"key":"e_1_2_14_47_2","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines10060848"},{"key":"e_1_2_14_48_2","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiac222"},{"key":"e_1_2_14_49_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-026-04266-z"},{"key":"e_1_2_14_50_2","volume-title":"Vaccination During Pregnancy","author":"ECDC","year":"2023"},{"key":"e_1_2_14_51_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-019-03563-w"},{"key":"e_1_2_14_52_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2026.128806"},{"key":"e_1_2_14_53_2","doi-asserted-by":"publisher","DOI":"10.3390\/v14030458"},{"key":"e_1_2_14_54_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2017.11.010"},{"key":"e_1_2_14_55_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2021.03.007"},{"key":"e_1_2_14_56_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-022-06639-5"},{"key":"e_1_2_14_57_2","volume-title":"Immunization Agenda 2030","author":"WHO","year":"2023"},{"key":"e_1_2_14_58_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1323394"},{"key":"e_1_2_14_59_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1675946"}],"container-title":["Journal of Pregnancy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jp\/8993559","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/jp\/8993559","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jp\/8993559","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T08:52:54Z","timestamp":1791276774000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/jp\/8993559"}},"subtitle":[],"editor":[{"given":"Karuna","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":59,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/jp\/8993559"],"URL":"https:\/\/doi.org\/10.1155\/jp\/8993559","archive":["Portico"],"relation":{},"ISSN":["2090-2727","2090-2735"],"issn-type":[{"value":"2090-2727","type":"print"},{"value":"2090-2735","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-08-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"8993559"}}