title: Knowledge and attitude of pregnant women toward flu vaccination: a cross-sectional survey.
abstract: OBJECTIVE
  The study was conducted to explore the knowledge of pregnant women about influenza, influenza vaccine during pregnancy and the attitudes regarding immunization.
  
  
  METHODS
  A questionnaire based on the model proposed by Yudin in 2009 was translated, adapted and administered to 309 pregnant women in the third trimester of pregnancy between October 1 and December 1, 2013 at San Giovanni Calibita Fatebenefratelli hospital of Rome (Italy).
  
  
  RESULTS
  Most of the interviewed women (68.9%) answered that influenza is highly contagious, 34.6% of them believed that pregnant women have the same risk of complications as non-pregnant women. Only 5.8% were aware that the vaccine is recommended for women in the second and third trimester of pregnancy and only 14.2% of women answered that the vaccine is safe during pregnancy. Only 3/309 women reported recommendation and offer of vaccination during current pregnancy, but none of them was vaccinated.
  
  
  CONCLUSIONS
  Overall, knowledge regarding influenza, implications during pregnancy and influenza vaccine was poor among pregnant women. In Italy, the National Vaccine Prevention Plan 2012-2014 recommends influenza vaccine during pregnancy, but only 18/309 were aware of this recommendation. These results suggest that in order to increase influenza vaccine acceptance it is necessary to improve pregnant women knowledge about influenza and to offer education to healthcare providers.
authors.affiliation: a Department of Biomedicine and Prevention, Laboratory on Simulation and Optimization of Services for NHS , University of Rome Tor Vergata , Rome , Italy .
authors.forename: Massimo
authors.initials: M
authors.lastname: Maurici
authors.affiliation: b Department of Biomedicine and Prevention Specialization School for Hygiene and Preventive Medicine , University of Rome Tor Vergata , Rome , Italy .
authors.forename: Valentina
authors.initials: V
authors.lastname: Dugo
authors.affiliation: c Department of Biomedicine and Prevention , University of Rome Tor Vergata , Rome , Italy , and.
authors.forename: Laura
authors.initials: L
authors.lastname: Zaratti
authors.affiliation: a Department of Biomedicine and Prevention, Laboratory on Simulation and Optimization of Services for NHS , University of Rome Tor Vergata , Rome , Italy .
authors.forename: Luca
authors.initials: L
authors.lastname: Paulon
authors.affiliation: d Unit of Obstetrics and Gynecology , San Giovanni Calibita Fatebenefratelli Hospital , Isola Tiberina , Rome , Italy.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Pellegrini
authors.affiliation: d Unit of Obstetrics and Gynecology , San Giovanni Calibita Fatebenefratelli Hospital , Isola Tiberina , Rome , Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Baiocco
authors.affiliation: c Department of Biomedicine and Prevention , University of Rome Tor Vergata , Rome , Italy , and.|d Unit of Obstetrics and Gynecology , San Giovanni Calibita Fatebenefratelli Hospital , Isola Tiberina , Rome , Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Rizzo
authors.affiliation: c Department of Biomedicine and Prevention , University of Rome Tor Vergata , Rome , Italy , and.
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Franco
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control; D037841:Pregnant People / Q000523:psychology*; D012384:Rome; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000523:psychology*
chemical_list: D007252:Influenza Vaccines
keywords: Health knowledge; influenza; pregnancy; questionnaire; vaccine