{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:30:20Z","timestamp":1790627420764,"version":"4.1.0"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Women's Health Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Maternal vaccination rates are low in the United States. Understanding barriers to vaccination for pregnant women from the provider\u2019s perspective can help better address these issues. This exploratory study assesses participating prenatal health care providers\u2019 beliefs and perspectives regarding maternal vaccination for Tdap, flu, COVID-19, and respiratory syncytial virus (RSV) vaccines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This qualitative study included 24 virtual in-depth interviews with prenatal health care providers (12 physicians, 12 certified nurse midwives) working in rural and urban areas. Thematic analysis was conducted to identify perceived barriers and challenges to prenatal care, provider perceptions and recommendations on Tdap, flu, COVID-19, and RSV vaccines, vaccination resources shared with pregnant women, and vaccine administration practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most providers reported pregnant women were receptive to vaccination when benefits and risks of prenatal vaccination were explained. Rural providers identified barriers to care that included limited transportation, lack of access to health care, and language barriers. Findings also indicate prenatal health care providers can foster trust, engage in two-way conversations, and navigate patients\u2019 cultural influences when addressing vaccination challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Provider communication about maternal vaccination should be grounded in an evidence-based, participatory approach. Building trust, recognizing and addressing cultural barriers and access challenges are key to identifying practical steps to support access to and uptake of maternal vaccinations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26884844261475854","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T10:13:11Z","timestamp":1787307191000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Improving Maternal Vaccination: Analysis of Formative Interviews with Prenatal Health Care Providers"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4304-7776","authenticated-orcid":false,"given":"Amimah F.","family":"Asif","sequence":"first","affiliation":[{"name":"Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Diseases Control and Prevention (CDC), Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan C.","family":"Lindley","sequence":"additional","affiliation":[{"name":"Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Diseases Control and Prevention (CDC), Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura A.","family":"Randall","sequence":"additional","affiliation":[{"name":"Office of Center Communications (OCC), NCIRD, CDC, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elle","family":"Chumlongluk","sequence":"additional","affiliation":[{"name":"Oak Ridge Institute for Science and Education, on behalf of OCC, NCIRD, CDC, Oak Ridge, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica G.","family":"Gilliard","sequence":"additional","affiliation":[{"name":"Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Diseases Control and Prevention (CDC), Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison M.","family":"Fisher","sequence":"additional","affiliation":[{"name":"Office of Center Communications (OCC), NCIRD, CDC, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha M.","family":"Olson","sequence":"additional","affiliation":[{"name":"Influenza Division (ID), NCIRD, CDC, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara C.","family":"Jatlaoui","sequence":"additional","affiliation":[{"name":"Immunization Services Division (ISD), National Center for Immunization and Respiratory Diseases (NCIRD), U.S. Centers for Diseases Control and Prevention (CDC), Atlanta, Georgia, USA."},{"name":"U.S. Public Health Service Commissioned Corps, Rockville, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"e_1_3_4_2_1","unstructured":"1.Centers for Disease Control and Prevention. (2024). FastStats\u2014Births and Natality. Available from: https:\/\/www.cdc.gov\/nchs\/fastats\/births.htm"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005750"},{"key":"e_1_3_4_4_1","unstructured":"3.Centers for Disease Control and Prevention. (2024). Flu Tdap and COVID-19 vaccination coverage among pregnant women\u2014United States April 2024. Available from: https:\/\/www.cdc.gov\/fluvaxview\/coverage-by-season\/pregnant-april-2024.html"},{"key":"e_1_3_4_5_1","unstructured":"4.Centers for Disease Control and Prevention. (2025). Adult Immunization Schedule by Medical Condition and Other Indication (Addendum updated August 7 2025). Available from: https:\/\/www.cdc.gov\/vaccines\/hcp\/imz-schedules\/adult-medical-condition.html"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.10.041"},{"key":"e_1_3_4_7_1","unstructured":"6.Kahn KE Garacci E Razzaghi Het al. (2024). Influenza Tdap and COVID-19 vaccination coverage and hesitancy among pregnant women\u2014United States April 2024. FluVaxView. CDC. Available from: https:\/\/www.cdc.gov\/fluvaxview\/coverage-by-season\/pregnant-april-2024.html"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7241e1"},{"key":"e_1_3_4_9_1","unstructured":"8.Centers for Disease Control and Prevention. (2024). Respiratory syncytial virus (RSV) vaccination coverage pregnant persons. RSVVaxView. Available from: https:\/\/www.cdc.gov\/rsvvaxview\/dashboard\/pregnant-persons-coverage.html"},{"key":"e_1_3_4_10_1","unstructured":"9.Centers for Disease Control and Prevention. (2025). RSV Immunization Guidance for Infants and Young Children. RSV Immunization Guidance for Infants and Young Children | RSV | CDC. Available from: https:\/\/www.cdc.gov\/rsv\/hcp\/vaccine-clinical-guidance\/infants-young-children.html"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12647"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2021.106531"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines11010094"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2019.1698901"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316446002000104"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000003499"},{"key":"e_1_3_4_17_1","unstructured":"16.Stoneburner A Lucas R Fontenot J et al. & March of Dimes. (2024). Nowhere to go: Maternity care deserts across the US. Available from: https:\/\/www.marchofdimes.org\/sites\/default\/files\/2024-09\/2024_MoD_MCD_Report.pdf"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/irv.70090"},{"key":"e_1_3_4_19_1","unstructured":"18.American College of Obstetricians and Gynecologists. Immunization for pregnant women: A call to action. Available from: https:\/\/www.acog.org\/programs\/immunization-for-women\/activities-initiatives\/immunization-for-pregnant-women-a-call-to-action [Last accessed: June18 2025]."},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2023.2195786"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/26884844261432105"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2026.128423"},{"key":"e_1_3_4_23_1","unstructured":"22.Kang Y Zhang F Vogt TM. Pediatrician and OB\/GYN survey on RSV immunization. RSV VaxView. Centers for Disease Control and Prevention. Available from: https:\/\/www.cdc.gov\/rsvvaxview\/publications\/rsv-immunization-survey-2024.html [Last accessed: June16 2025]."},{"key":"e_1_3_4_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0298407"}],"container-title":["Women's Health Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26884844261475854","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26884844261475854","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26884844261475854","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T11:16:16Z","timestamp":1787483776000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26884844261475854"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":23,"alternative-id":["10.1177\/26884844261475854"],"URL":"https:\/\/doi.org\/10.1177\/26884844261475854","relation":{},"ISSN":["2688-4844","2688-4844"],"issn-type":[{"value":"2688-4844","type":"print"},{"value":"2688-4844","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"article-number":"26884844261475854"}}