@article{3219370, title = "Uptake of COVID-19 Vaccines among Pregnant Women: A Systematic Review and Meta-Analysis", author = "Galanis, P. and Vraka, I. and Siskou, O. and Konstantakopoulou, O. and Katsiroumpa, A. and Kaitelidou, D.", journal = "Vaccine", year = "2022", volume = "10", number = "5", publisher = "MDPI", issn = "0264-410X", doi = "10.3390/vaccines10050766", abstract = "Mass vaccination against COVID-19 is essential to control the pandemic. COVID-19 vaccines are now recommended during pregnancy to prevent adverse outcomes. With this review, we aimed to evaluate the evidence in the literature regarding the uptake of COVID-19 vaccinations among pregnant women. A comprehensive search was performed in PubMed, Medline, Scopus, ProQuest, Web of Science, CINAHL, and medRxiv from inception to 23 March 2022. We performed a meta-analysis to estimate the overall proportion of pregnant women vaccinated against COVID-19. We found 11 studies including 703,004 pregnant women. The overall proportion of pregnant women vaccinated against COVID-19 was 27.5% (95% CI: 18.8–37.0%). Predictors of COVID-19 vaccination uptake were older age, ethnicity, race, trust in COVID-19 vaccines, and fear of COVID-19 during pregnancy. Mistrust in the government, diagnosis of COVID-19 during pregnancy, and fears about the safety and side effects of COVID-19 vaccines were reasons for declining vaccination. The global COVID-19 vaccination prevalence in pregnant women is low. A large gap exists in the literature on the factors influencing the decision of pregnant women to be vaccinated against COVID-19. Targeted information campaigns are essential to increase vaccine literacy among pregnant women. © 2022 by the authors. Licensee MDPI, Basel, Switzerland." }