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Acceptability of maternal RSV vaccination during pregnancy: A cross-sectional study in diverse global settings
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1
University of Health Sciences of Lausanne, Midwifery, Lausanne, Switzerland
2
HESAV- Lausanne- Switzerland + Necker Hospital- Paris- France, Obstetrics, Paris, France
3
HESAV, Research, Lausanne, Switzerland
Eur J Midwifery 2026;10(Supplement 1):A405
ABSTRACT
BACKGROUND:
Respiratory syncytial virus (RSV) is responsible for a common viral infection that mainly affects nweborns and infants, causing bronchiolitis and pneumonia. Two prevention strategies are possible: a postnatal monoclonal antibody, or a vaccine during pregnancy based on bivalent prefusion RSV F protein.
OBJECTIVES:
To assess the acceptability of vaccination against RSV during pregnancy, and the preference of pregnant women between this vaccine and a postnatal monoclonal antibody.
METHODS:
A cross-sectional study recruited 887 pregnant women from Brazil, Canada, Colombia, Spain, France, Italy, Luxembourg, and Switzerland between March 2024 and March 2025.
RESULTS:
In total, 76.1% (675/887) of participants were vaccinated (10.8%, 96/887) or would have liked (65.3%, 579/887) to receive RSV vaccine during their pregnancy, ranging from 70.3% (Switzerland) to 79.1% (Colombia). Having had a child hospitalised in intensive care, having received other recommended vaccines during pregnancy, and perceiving a positive influence from health authorities were factors independently associated with the willingness to be vaccinated.
A majority of participants (69.8%, 619/887) preferred this vaccine over the alternative of postnatal monoclonal antibody. The factors independently associated with this preference were having received the other vaccines recommended during pregnancy, while a history of pre-eclampsia or a perception of foetal or obstetric risk associated with this vaccine favoured a preference for the monoclonal antibody. Avoiding an additional injection for their future child, a perception of greater efficacy of maternal vaccination, and a preference for immunisation with endogenous antibodies could be additional motivations for the participants' preference for the vaccine.
CONCLUSIONS:
A majority of pregnant women seems to be interested in RSV vaccine during pregnancy and tends to prefer this method of immunising their child with postnatal monoclonal antibody.
KEY MESSAGE:
The factors highlighted for a preference or reluctance of these immunisation options will be useful in providing vaccination advice tailored-advice to pregnant women from the next RSV season onwards.
Poster session 1 (Group A)