{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T06:59:56Z","timestamp":1769669996169,"version":"3.49.0"},"reference-count":65,"publisher":"Public Library of Science (PLoS)","issue":"1","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","award":["INV-016977"],"award-info":[{"award-number":["INV-016977"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>There are numerous infections that can adversely impact a developing fetus, neonates, and pregnant women, and there is limited research related to how specific infections experienced during pregnancy can affect these populations. Tuberculosis (TB), malaria, Group B streptococcus (GBS) and respiratory syncytial virus (RSV) can cause negative outcomes to maternal and neonatal health. For TB and GBS, there are vaccines in various stages of clinical trial development, and malaria and RSV vaccines are available. This study aimed to examine pregnant women\u2019s attitudes toward TB, malaria, GBS, and RSV vaccines in Brazil, Ghana, Kenya, and Pakistan. We administered a cross-sectional survey to pregnant women, recruiting women seeking care in primarily urban health facilities. We surveyed 1,603 pregnant women. Participants indicated that vaccine safety for the baby was the most important factor in their decision-making related to vaccine acceptance, followed by vaccine efficacy for the baby, and then vaccine safety for the mother. When asked why they would receive any of the four vaccines, participants indicated that protecting the baby was most important, followed by protecting self, and then stopping the spread of disease. Almost one-third of participants (30%) indicated that they would definitely intend to receive a GBS vaccine, followed by malaria (26%), RSV (25%), and TB (19%). Related to vaccine hesitancy, approximately 40% of our participants agreed that vaccines are unnatural, 38% agreed that the body should develop natural immunity, and 19% had delayed a recommended vaccine. Pregnant women are interested in receiving various vaccines while pregnant. As several new adult vaccines are on the horizon, understanding the attitudes of potential vaccine beneficiaries at higher risk for diseases is critical for informing clinical trial design and, in the long term, vaccine acceptance.<\/jats:p>","DOI":"10.1371\/journal.pgph.0004562","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T18:24:30Z","timestamp":1769624670000},"page":"e0004562","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pregnant women\u2019s attitudes and intentions toward tuberculosis, malaria, group B streptococcus, and respiratory syncytial virus vaccines in pregnant: Findings from a cross-sectional study of pregnant women living in Brazil, Ghana, Kenya, and Pakistan"],"prefix":"10.1371","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3883-9720","authenticated-orcid":true,"given":"Rupali","family":"Limaye","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5188-5692","authenticated-orcid":true,"given":"Jessica","family":"Schue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2868-4187","authenticated-orcid":true,"given":"Berhaun","family":"Fesshaye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prachi","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9075-9269","authenticated-orcid":true,"given":"Renato","family":"Souza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saleem","family":"Jessani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2069-8752","authenticated-orcid":true,"given":"Marleen","family":"Temmerman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline Dinam","family":"Badzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5837-6997","authenticated-orcid":true,"given":"Molly","family":"Sauer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4860-0828","authenticated-orcid":true,"given":"Vanessa","family":"Brizuela","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Karron","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"pgph.0004562.ref001","doi-asserted-by":"crossref","unstructured":"Kourtis AP, Read JS, Jamieson DJ. Pregnancy and Infection. N Engl J Med [Internet]. 2014 Jun 5 [cited 2025 Jan 15];370(23):2211\u20138. Available from: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4459512\/","DOI":"10.1056\/NEJMra1213566"},{"key":"pgph.0004562.ref002","doi-asserted-by":"crossref","first-page":"125644","DOI":"10.1016\/j.vaccine.2024.01.069","article-title":"Planning for the future of maternal immunization: Building on lessons learned from the COVID-19 pandemic","volume":"42","author":"D Meaney-Delman","year":"2024","journal-title":"Vaccine"},{"key":"pgph.0004562.ref003","doi-asserted-by":"crossref","unstructured":"Adams RM, Gonik B. The Evolving Maternal Vaccine Platform. Reprod Med [Internet]. 2024 Aug 7 [cited 2025 Jan 31];5(3):154\u201371. Available from: https:\/\/www.mdpi.com\/2673-3897\/5\/3\/14","DOI":"10.3390\/reprodmed5030014"},{"issue":"4","key":"pgph.0004562.ref004","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1093\/cid\/ciu327","article-title":"Maternal immunization","volume":"59","author":"HY Chu","year":"2014","journal-title":"Clin Infect Dis"},{"key":"pgph.0004562.ref005","doi-asserted-by":"crossref","unstructured":"Mathad JS, Yadav S, Vaidyanathan A, Gupta A, LaCourse SM. Tuberculosis Infection in Pregnant People: Current Practices and Research Priorities. Pathogens [Internet]. 2022 Dec [cited 2025 Jan 8];11(12):1481. Available from: https:\/\/www.mdpi.com\/2076-0817\/11\/12\/1481","DOI":"10.3390\/pathogens11121481"},{"issue":"5","key":"pgph.0004562.ref006","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1111\/1471-0528.14408","article-title":"Maternal and perinatal mortality and morbidity associated with tuberculosis during pregnancy and the postpartum period: a systematic review and meta-analysis","volume":"124","author":"S Sobhy","year":"2017","journal-title":"BJOG"},{"issue":"12","key":"pgph.0004562.ref007","doi-asserted-by":"crossref","first-page":"1465","DOI":"10.1080\/10410236.2022.2035943","article-title":"COVID-19 Vaccine Hesitancy in Three Latin American Countries: Reasons Given for Not Becoming Vaccinated in Colombia, Ecuador, and Venezuela","volume":"37","author":"BR Bates","year":"2022","journal-title":"Health Commun"},{"key":"pgph.0004562.ref008","doi-asserted-by":"crossref","unstructured":"Orazulike N, Sharma JB, Sharma S, Umeora OUJ. Tuberculosis (TB) in pregnancy \u2013 A review. European Journal of Obstetrics & Gynecology and Reproductive Biology [Internet]. 2021 Apr 1 [cited 2025 Jan 8];259:167\u201377. Available from: https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0301211521000956","DOI":"10.1016\/j.ejogrb.2021.02.016"},{"issue":"12","key":"pgph.0004562.ref009","doi-asserted-by":"crossref","DOI":"10.1016\/S2214-109X(14)70330-4","article-title":"Tuberculosis in pregnancy: an estimate of the global burden of disease","volume":"2","author":"J Sugarman","year":"2014","journal-title":"Lancet Glob Health"},{"key":"pgph.0004562.ref010","unstructured":"World Health Organization. Global Tuberculosis Report 2024 [Internet]. 2024 [cited 2025 Jan 8]. Available from: https:\/\/www.who.int\/teams\/global-tuberculosis-programme\/tb-reports"},{"key":"pgph.0004562.ref011","doi-asserted-by":"crossref","unstructured":"Zhuang L, Ye Z, Li L, Yang L, Gong W. Next-Generation TB Vaccines: Progress, Challenges, and Prospects. Vaccines (Basel) [Internet]. 2023 Jul 31 [cited 2025 Jan 8];11(8):1304. Available from: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10457792\/","DOI":"10.3390\/vaccines11081304"},{"issue":"1","key":"pgph.0004562.ref012","doi-asserted-by":"crossref","DOI":"10.1016\/S2214-109X(22)00431-4","article-title":"Global estimates of the number of pregnancies at risk of malaria from 2007 to 2020: a demographic study","volume":"11","author":"V Reddy","year":"2023","journal-title":"Lancet Glob Health"},{"key":"pgph.0004562.ref013","doi-asserted-by":"crossref","unstructured":"Desai M, Hill J, Fernandes S, Walker P, Pell C, Gutman J, et al. Prevention of malaria in pregnancy. The Lancet Infectious Diseases [Internet]. 2018 Apr 1 [cited 2025 Jan 9];18(4):e119\u201332. 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Malaria in pregnancy: Meta-analyses of prevalence and associated complications. Epidemiology & Infection [Internet]. 2024 Jan [cited 2025 Jan 9];152:e39. Available from: https:\/\/www.cambridge.org\/core\/journals\/epidemiology-and-infection\/article\/malaria-in-pregnancy-metaanalyses-of-prevalence-and-associated-complications\/80F761848A87543B9B0C032644AC684D"},{"issue":"12","key":"pgph.0004562.ref019","doi-asserted-by":"crossref","first-page":"1366","DOI":"10.1016\/S1473-3099(24)00360-8","article-title":"Safety and efficacy of PfSPZ Vaccine against malaria in healthy adults and women anticipating pregnancy in Mali: two randomised, double-blind, placebo-controlled, phase 1 and 2 trials","volume":"24","author":"H Diawara","year":"2024","journal-title":"Lancet Infect Dis"},{"key":"pgph.0004562.ref020","doi-asserted-by":"crossref","unstructured":"Fried M, Duffy PE. Designing a VAR2CSA-based vaccine to prevent placental malaria. Vaccine [Internet]. 2015 Dec 22 [cited 2025 Jan 9];33(52):7483\u20138. Available from: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5077158\/","DOI":"10.1016\/j.vaccine.2015.10.011"},{"key":"pgph.0004562.ref021","doi-asserted-by":"crossref","unstructured":"Armistead B, Oler E, Adams Waldorf K, Rajagopal L. The Double Life of Group B Streptococcus: Asymptomatic Colonizer and Potent Pathogen. Journal of Molecular Biology [Internet]. 2019 Jul [cited 2025 Jan 13];431(16):2914\u201331. Available from: https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S00222","DOI":"10.1016\/j.jmb.2019.01.035"},{"key":"pgph.0004562.ref022","doi-asserted-by":"crossref","unstructured":"Russell NJ, Seale AC, O\u2019Driscoll M, O\u2019Sullivan C, Bianchi-Jassir F, Gonzalez-Guarin J, et al. Maternal Colonization With Group B Streptococcus and Serotype Distribution Worldwide: Systematic Review and Meta-analyses. Clinical Infectious Diseases [Internet]. 2017 Nov 6 [cited 2025 Jan 13];65(suppl_2):S100\u201311. Available from: https:\/\/academic.oup.com\/cid\/article\/65\/suppl_2\/S100\/4589589","DOI":"10.1093\/cid\/cix658"},{"issue":"2","key":"pgph.0004562.ref023","doi-asserted-by":"crossref","DOI":"10.1128\/cmr.00079-21","article-title":"Group B streptococcal neonatal meningitis","volume":"35","author":"T Tavares","year":"2022","journal-title":"Clin Microbiol Rev"},{"key":"pgph.0004562.ref024","unstructured":"Gon\u00e7alves BP, Procter SR, Paul P, Chandna J, Lewin A, Seedat F, et al. Group B streptococcus infection during pregnancy and infancy: estimates of regional and global burden. The Lancet Global Health [Internet]. 2022 Jun [cited 2025 Jan 13];10(6):e807\u201319. Available from: https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2214109X22000936"},{"key":"pgph.0004562.ref025","doi-asserted-by":"crossref","unstructured":"Le Doare K, O\u2019Driscoll M, Turner K, Seedat F, Russell NJ, Seale AC, et al. Intrapartum Antibiotic Chemoprophylaxis Policies for the Prevention of Group B Streptococcal Disease Worldwide: Systematic Review. Clinical Infectious Diseases [Internet]. 2017 Nov 6 [cited 2025 Jan 13];65(suppl_2):S143\u201351. Available from: https:\/\/academic.oup.com\/cid\/article\/65\/suppl_2\/S143\/4589585","DOI":"10.1093\/cid\/cix654"},{"key":"pgph.0004562.ref026","doi-asserted-by":"crossref","unstructured":"Steer PJ, Russell AB, Kochhar S, Cox P, Plumb J, Gopal Rao G. Group B streptococcal disease in the mother and newborn\u2014A review. European Journal of Obstetrics & Gynecology and Reproductive Biology [Internet]. 2020 Sep [cited 2025 Jan 13];252:526\u201333. Available from: https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0301211520303912","DOI":"10.1016\/j.ejogrb.2020.06.024"},{"issue":"50","key":"pgph.0004562.ref027","doi-asserted-by":"crossref","first-page":"7307","DOI":"10.1016\/j.vaccine.2016.12.029","article-title":"WHO consultation on group B Streptococcus vaccine development: report from a meeting held on 27-28 April 2016","volume":"37","author":"M Kobayashi","year":"2019","journal-title":"Vaccine"},{"key":"pgph.0004562.ref028","doi-asserted-by":"crossref","unstructured":"Ricc\u00f2 M, Ferraro P, Corrado S, Zaniboni A, Satta E, Ranzieri S. Respiratory Syncytial Virus in Pregnant Women: Systematic Review and Meta-Analysis. Women [Internet]. 2022 Jun 10 [cited 2025 Jan 13];2(2):147\u201360. Available from: https:\/\/www.mdpi.com\/2673-4184\/2\/2\/16","DOI":"10.3390\/women2020016"},{"key":"pgph.0004562.ref029","doi-asserted-by":"crossref","unstructured":"Kachikis AB, Cho H, Englund JA. Respiratory Syncytial Virus\u2014An Update for Prenatal and Primary Health Providers. Obstetrics and Gynecology Clinics of North America [Internet]. 2023 Jun [cited 2025 Jan 13];50(2):421\u201337. Available from: https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0889854523000451","DOI":"10.1016\/j.ogc.2023.02.011"},{"issue":"10340","key":"pgph.0004562.ref030","doi-asserted-by":"crossref","first-page":"2047","DOI":"10.1016\/S0140-6736(22)00478-0","article-title":"Global, regional, and national disease burden estimates of acute lower respiratory infections due to respiratory syncytial virus in children younger than 5 years in 2019: a systematic analysis","volume":"399","author":"Y Li","year":"2022","journal-title":"Lancet"},{"key":"pgph.0004562.ref031","doi-asserted-by":"crossref","unstructured":"Esposito S, Abu Raya B, Baraldi E, Flanagan K, Martinon Torres F, Tsolia M, et al. RSV Prevention in All Infants: Which Is the Most Preferable Strategy? Front Immunol [Internet]. 2022 Apr 28 [cited 2025 Jan 13];13:880368. Available from: https:\/\/www.frontiersin.org\/articles\/10.3389\/fimmu.2022.880368\/full","DOI":"10.3389\/fimmu.2022.880368"},{"key":"pgph.0004562.ref032","doi-asserted-by":"crossref","unstructured":"Pecenka C, Sparrow E, Feikin DR, Srikantiah P, Darko DM, Karikari-Boateng E, et al. Respiratory syncytial virus vaccination and immunoprophylaxis: realising the potential for protection of young children. The Lancet [Internet]. 2024 Sep 21 [cited 2025 Jan 9];404(10458):1157\u201370. Available from: https:\/\/www.proquest.com\/docview\/3106957807\/abstract\/219B7A7D26914C31PQ\/1","DOI":"10.1016\/S0140-6736(24)01699-4"},{"issue":"7","key":"pgph.0004562.ref033","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0234827","article-title":"Factors that influence vaccination decision-making among pregnant women: A systematic review and meta-analysis","volume":"15","author":"E Kilich","year":"2020","journal-title":"PLoS One"},{"key":"pgph.0004562.ref034","doi-asserted-by":"crossref","first-page":"100062","DOI":"10.1016\/j.ijnsa.2022.100062","article-title":"Decision making in vaccine hesitant parents and pregnant women - An integrative review","volume":"4","author":"SE Smith","year":"2022","journal-title":"Int J Nurs Stud Adv"},{"key":"pgph.0004562.ref035","doi-asserted-by":"crossref","unstructured":"Schue JL, Singh P, Fesshaye B, Miller ES, Quinn S, Karron RA, et al. Vaccine decision-making among pregnant women: a protocol for a cross-sectional mixed-method study in Brazil, Ghana, Kenya and Pakistan. Gates Open Res [Internet]. 2024 Aug 29 [cited 2024 Aug 30];8:94. Available from: https:\/\/gatesopenresearch.org\/articles\/8-94\/v1","DOI":"10.12688\/gatesopenres.16280.2"},{"issue":"2","key":"pgph.0004562.ref036","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"PA Harris","year":"2009","journal-title":"J Biomed Inform"},{"key":"pgph.0004562.ref037","doi-asserted-by":"crossref","first-page":"103208","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap consortium: Building an international community of software platform partners","volume":"95","author":"PA Harris","year":"2019","journal-title":"J Biomed Inform"},{"key":"pgph.0004562.ref038","unstructured":"Schue JL. Exploring Knowledge, Attitudes, and Practices Related to Vaccine Decision-Making among Pregnant People [Internet]. OSF; 2024 [cited 2024 Aug 19]. Available from: https:\/\/osf.io\/g3yd2\/"},{"issue":"21","key":"pgph.0004562.ref039","doi-asserted-by":"crossref","DOI":"10.1016\/j.vaccine.2014.02.089","article-title":"Acceptability of a hypothetical group B strep vaccine among pregnant and recently delivered women","volume":"32","author":"AF Dempsey","year":"2014","journal-title":"Vaccine"},{"key":"pgph.0004562.ref040","doi-asserted-by":"crossref","unstructured":"Costa NS, Rio-Tinto A, Pinto IBF, dos Santos Silva Alvim DC, de Assis Rocha A, Oliveira LMA, et al. Changes in Group B Streptococcus Colonization among Pregnant Women before and after the Onset of the COVID-19 Pandemic in Brazil. Pathogens [Internet]. 2022 Sep 27 [cited 2025 Jul 23];11(10):1104. Available from: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9609651\/","DOI":"10.3390\/pathogens11101104"},{"key":"pgph.0004562.ref041","doi-asserted-by":"crossref","unstructured":"Freitas FT de M, Romero GAS. Early-onset neonatal sepsis and the implementation of group B streptococcus prophylaxis in a Brazilian maternity hospital: a descriptive study. Braz J Infect Dis [Internet]. 2016 Nov 19 [cited 2025 Jul 23];21(1):92\u20137. Available from: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9425498\/","DOI":"10.1016\/j.bjid.2016.09.013"},{"key":"pgph.0004562.ref042","unstructured":"Carvalho AG, Rodrigues RS, Rodrigues MD, Oliveira LP de, Bel\u00e9m MGL, Ricarte MJVG, et al. Group B Streptococcus colonization prevalence and susceptibility profile in pregnant women in the Brazilian Amazon <span class=\u201cso-article-trans-title\u201d dir=\u201dauto\u201d> Translated title: Preval\u00eancia e perfil de suscetibilidade da coloniza\u00e7\u00e3o por Streptococcus do grupo B em gestantes da Amaz\u00f4nia Brasileira <\/span>. Revista Brasileira de Sa\u00fade Materno Infantil [Internet]. 2024 Jan 1 [cited 2025 Feb 24]; Available from: https:\/\/www.scienceopen.com\/document?vid=f6d6205f-1fb0-4e63-91f7-a50e148e4bc5"},{"key":"pgph.0004562.ref043","article-title":"Geography and public health: analysis of the epidemiological dynamics of meningitis in Brazil, between 2010 and 2019","volume":"27","author":"da Silva LR","year":"2024","journal-title":"Rev Bras Epidemiol"},{"key":"pgph.0004562.ref044","doi-asserted-by":"crossref","unstructured":"Tsalta-Mladenov M, Dimitrova V, Georgieva D, Andonova S. Streptococcus agalactiae meningitis presenting with cerebral infarction in an adult patient: Clinical case and review. Neurology Asia [Internet]. 2022 Mar 31 [cited 2025 Feb 24];27(1):185\u201390. Available from: https:\/\/www.neurology-asia.org\/system\/index.php\/neuro\/article\/view\/705","DOI":"10.54029\/2022eeh"},{"issue":"1","key":"pgph.0004562.ref045","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1080\/14760584.2016.1209113","article-title":"Group B streptococcal immunisation of pregnant women for the prevention of early and late onset Group B streptococcal infection of the neonate as well as adult disease","volume":"16","author":"AL Kenchington","year":"2017","journal-title":"Expert Rev Vaccines"},{"issue":"6","key":"pgph.0004562.ref046","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1093\/cid\/cix896","article-title":"Clinical and Laboratory Features of Group B Streptococcus Meningitis in Infants and Newborns: Study of 848 Cases in France, 2001-2014","volume":"66","author":"A-S Romain","year":"2018","journal-title":"Clin Infect Dis"},{"key":"pgph.0004562.ref047","doi-asserted-by":"crossref","unstructured":"Vaciloto E, Richtmann R, Costa H de PF, Kusano EJU, Almeida MFB de, Amaro ER. A survey of the incidence of neonatal sepsis by group B Streptococcus during a decade in a Brazilian maternity hospital. Braz J Infect Dis [Internet]. 2002 Apr [cited 2025 Jul 23];6:55\u201362. Available from: https:\/\/www.scielo.br\/j\/bjid\/a\/jKhb7kghVHjcZv7vggynxZF\/?lang=en","DOI":"10.1590\/S1413-86702002000200001"},{"key":"pgph.0004562.ref048","doi-asserted-by":"crossref","unstructured":"McClymont E, Wong JMH, Forward L, Blitz S, Barrett J, Bogler T, et al. Acceptance and preference between respiratory syncytial virus vaccination during pregnancy and infant monoclonal antibody among pregnant and postpartum persons in Canada. Vaccine [Internet]. 2025 Mar 19 [cited 2025 Feb 24];50:126818. 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Malaria vaccine trials in pregnant women: An imperative without precedent. Vaccine [Internet]. 2019 Feb [cited 2025 Mar 17];37(6):763\u201370. Available from: https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0264410X18316980","DOI":"10.1016\/j.vaccine.2018.12.025"},{"key":"pgph.0004562.ref053","doi-asserted-by":"crossref","unstructured":"Gamain B, Ch\u00eane A, Viebig NK, Tuikue Ndam N, Nielsen MA. Progress and Insights Toward an Effective Placental Malaria Vaccine. Front Immunol [Internet]. 2021 Feb 25 [cited 2025 Mar 17];12:634508. Available from: https:\/\/www.frontiersin.org\/articles\/10.3389\/fimmu.2021.634508\/full","DOI":"10.3389\/fimmu.2021.634508"},{"key":"pgph.0004562.ref054","doi-asserted-by":"crossref","unstructured":"Duffy PE, Gorres JP, Healy SA, Fried M. Malaria vaccines: a new era of prevention and control. Nat Rev Microbiol [Internet]. 2024 Dec [cited 2025 Mar 17];22(12):756\u201372. Available from: https:\/\/www.nature.com\/articles\/s41579-024-01065-7","DOI":"10.1038\/s41579-024-01065-7"},{"issue":"1","key":"pgph.0004562.ref055","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1055\/s-0041-1735878","article-title":"Attitudes Toward COVID-19 Illness and COVID-19 Vaccination among Pregnant Women: A Cross-Sectional Multicenter Study during August-December 2020","volume":"39","author":"AN Battarbee","year":"2022","journal-title":"Am J Perinatol"},{"issue":"39","key":"pgph.0004562.ref056","doi-asserted-by":"crossref","first-page":"5673","DOI":"10.1016\/j.vaccine.2021.07.099","article-title":"My primary purpose is to protect the unborn child: understanding pregnant women\u2019s perceptions of maternal vaccination and vaccine trials in Europe","volume":"39","author":"E Karafillakis","year":"2021","journal-title":"Vaccine"},{"issue":"2","key":"pgph.0004562.ref057","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1007\/s10654-021-00728-6","article-title":"COVID-19 vaccine acceptance among pregnant women and mothers of young children: results of a survey in 16 countries","volume":"36","author":"M Skjefte","year":"2021","journal-title":"Eur J Epidemiol"},{"issue":"44","key":"pgph.0004562.ref058","doi-asserted-by":"crossref","first-page":"6922","DOI":"10.1016\/j.vaccine.2020.08.059","article-title":"Pregnant women\u2019s perceptions of risks and benefits when considering participation in vaccine trials","volume":"38","author":"E Jaffe","year":"2020","journal-title":"Vaccine"},{"issue":"4","key":"pgph.0004562.ref059","first-page":"1","article-title":"Women\u2019s views about participating in research while pregnant","volume":"34","author":"AD Lyerly","year":"2012","journal-title":"IRB"},{"issue":"4","key":"pgph.0004562.ref060","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2015-010790","article-title":"Factors influencing women\u2019s attitudes towards antenatal vaccines, group B Streptococcus and clinical trial participation in pregnancy: an online survey","volume":"6","author":"F McQuaid","year":"2016","journal-title":"BMJ Open"},{"key":"pgph.0004562.ref061","doi-asserted-by":"crossref","unstructured":"Taylor MM, Kobeissi L, Kim C, Amin A, Thorson AE, Bellare NB, et al. Inclusion of pregnant women in COVID-19 treatment trials: a review and global call to action. The Lancet Global Health [Internet]. 2021 Mar [cited 2025 Mar 17];9(3):e366\u201371. Available from: https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2214109X20304848","DOI":"10.1016\/S2214-109X(20)30484-8"},{"issue":"2","key":"pgph.0004562.ref062","doi-asserted-by":"crossref","DOI":"10.21106\/ijma.554","article-title":"Factors Impacting Vaccine Uptake during Pregnancy: A Retrospective Analysis","volume":"11","author":"MA Coleman","year":"2022","journal-title":"Int J MCH AIDS"},{"issue":"1","key":"pgph.0004562.ref063","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.vaccine.2019.01.011","article-title":"Pregnant women & vaccines against emerging epidemic threats: Ethics guidance for preparedness, research, and response","volume":"39","author":"CB Krubiner","year":"2021","journal-title":"Vaccine"},{"key":"pgph.0004562.ref064","unstructured":"World Health Organization. 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