{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T22:37:55Z","timestamp":1793659075233,"version":"4.5.1"},"reference-count":57,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T00:00:00Z","timestamp":1631836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Pregnant women are more likely to develop a more severe course of COVID-19 than their non-pregnant peers. There are many arguments for the safety and efficacy of COVID-19 vaccines in pregnant women. The aim of this study is to conduct a systematic review concerning the approach of pregnant women towards vaccination against COVID-19, with particular regard to determinants of vaccination acceptance. Materials and Methods: Articles were reviewed in which the aim was to evaluate\u2014via a survey or questionnaire\u2014the acceptance and decision to undergo vaccination against COVID-19. The articles were subjected to review according to recommendations of Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA). Results: In various studies, the percentage of pregnant women accepting the COVID-19 vaccine was between 29.7% and 77.4%. The strongest factors co-existing with the acceptance of the COVID-19 vaccination in pregnancy were trust in the importance and effectiveness of the vaccine, explicit communication about the safety of COVID-19 vaccines for pregnant women, acceptance of other vaccinations such as those for influenza, belief in the importance of vaccines\/mass vaccination in one\u2019s own country, anxiety about COVID-19, trust in public health agencies\/health science, as well as compliance to mask guidelines. The remaining factors were older age, higher education, and socioeconomic status. Conclusions: This review allowed us to show that geographic factors (Asian, South American countries) and pandemic factors (different threats and risks from infection) significantly influence the acceptance of vaccines. The most significant factors affecting acceptance are those related to public awareness of the risk of infection, vaccine safety, and the way in which reliable information about the need and safety of vaccines is provided. Professional and reliable patient information by obstetricians and qualified medical personnel would significantly increase the level of confidence in vaccination against COVID-19.<\/jats:p>","DOI":"10.3390\/medicina57090977","type":"journal-article","created":{"date-parts":[[2021,9,18]],"date-time":"2021-09-18T00:13:47Z","timestamp":1631924027000},"page":"977","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":86,"title":["The Approach of Pregnant Women to Vaccination Based on a COVID-19 Systematic Review"],"prefix":"10.3390","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3175-3120","authenticated-orcid":false,"given":"S\u0142awomir M.","family":"Januszek","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Fryderyk Chopin University Hospital No. 1, 35-055 Rzesz\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Faryniak-Zuzak","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, University Hospital No. 2, 35-029 Rzesz\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7567-3782","authenticated-orcid":false,"given":"Edyta","family":"Barna\u015b","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Institute of Medical Sciences, Medical College of Rzeszow University, 35-310 Rzeszow, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"\u0141ozi\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Clinical Specialist Hospital Profamilia, 35-302 Rzesz\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"G\u00f3ra","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Clinical Specialist Hospital Profamilia, 35-302 Rzesz\u00f3w, Poland"},{"name":"Department of Gynecology and Obstetrics, Jan Pawe\u0142 II Hospital, 35-241 Resz\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Siwiec","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Fryderyk Chopin University Hospital No. 1, 35-055 Rzesz\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6834-1130","authenticated-orcid":false,"given":"Pawe\u0142","family":"Szczerba","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Jagiellonian University Medical College, 31-501 Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6591-1919","authenticated-orcid":false,"given":"Rafa\u0142","family":"Januszek","sequence":"additional","affiliation":[{"name":"Department of Clinical Rehabilitation, University of Physical Education, 31-571 Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Kluz","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Fryderyk Chopin University Hospital No. 1, 35-055 Rzesz\u00f3w, Poland"},{"name":"Department of Gynecology and Obstetrics, Institute of Medical Sciences, Medical College of Rzeszow University, 35-310 Rzeszow, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,9,17]]},"reference":[{"key":"ref_1","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":"Skjefte","year":"2021","journal-title":"Eur. 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