<?xml version="1.0" encoding="UTF-8"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-10-28T02:56:29Z</responseDate><request verb="GetRecord" identifier="oai:kostu-rdlopen.rawdatalibrary.net:kostu/10412" metadataPrefix="oai_dc">https://kostu-rdlopen.rawdatalibrary.net/oai/request</request><GetRecord><record><header><identifier>oai:kostu-rdlopen.rawdatalibrary.net:kostu/10412</identifier><datestamp>2026-10-27T23:53:17Z</datestamp><setSpec>openaire</setSpec><setSpec>com_kostu_10000</setSpec><setSpec>col_kostu_10001</setSpec><setSpec>com_kostu_10007</setSpec><setSpec>col_kostu_10061</setSpec></header><metadata><oai_dc:dc xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><dc:title>Examining the hesitations of pregnant women towards COVID-19 vaccines during the pandemic: A mixed methods approach</dc:title><dc:creator>Aksoy, Sena Dilek</dc:creator><dc:creator>Yalçın, Suna Uysal</dc:creator><dc:creator>Odabaş, Resmiye Kaya</dc:creator><dc:subject>COVID-19</dc:subject><dc:subject>COVID-19 Vaccines</dc:subject><dc:subject>Midwifery</dc:subject><dc:subject>Mix Method</dc:subject><dc:subject>Pregnancy</dc:subject><dc:description>Background: Various reasons stemming from direct vaccine concerns, individual factors, and sociocultural and environmental factors contribute to vaccine hesitancy among pregnant women regarding COVID-19 vaccines. Aims: The study described and compare pregnant women's perspectives on COVID-19 vaccination during the pandemic and to identify barriers and facilitators. Findings: A mixed-methods research design was adopted to integrate quantitative and qualitative descriptive methods. At a state hospital in the western region of Turkey, 249 pregnant women attending the maternity clinic from March to August 2022 were surveyed using questionnaires, and in-depth individual interviews were conducted with 17 of them. The interview topics were based on the participants’ perceptions and attitudes toward COVID-19 vaccines. A mixed-methods research design was adopted, using quantitative purposive sampling to describe and compare their COVID-19 vaccination status and qualitative purposive sampling to identify their hesitations regarding COVID-19 vaccines, analyzed through content analysis. Reporting followed the GRAMMS guidelines. Discussion: Sixty-six percent of pregnant women had not received the COVID-19 vaccine. Those with advanced age, lower education levels, and lower income exhibited higher levels of vaccine hesitancy. The hesitations of pregnant women toward COVID-19 vaccines revealed three main themes: direct vaccine-related hesitation, hesitation arising from individual factors, and hesitation stemming from socio-cultural and environmental factors. Conclusion: Vaccine hesitancy, which emerged during the COVID-19 pandemic, was a significant cause for concern. This hesitancy was explained by three main themes: vaccine hesitancy arising from the vaccine itself, vaccine hesitancy due to individual factors, and vaccine hesitancy stemming from socio-cultural and environmental factors. Additionally, sub-themes such as perceptions related to the management of the vaccination program, personal and infant-related risk-benefit assessments, the influence of anti-vaccine activists on social media, and political factors were also identified as playing a significant role in vaccine hesitancy.</dc:description><dc:publisher>Churchill Livingstone</dc:publisher><dc:date>2025</dc:date><dc:type>Article</dc:type><dc:identifier>https://rdlopen.rawdatalibrary.net/r/kostu/10412</dc:identifier><dc:identifier>https://doi.org/10.1016/j.midw.2025.104469</dc:identifier><dc:identifier>0266-6138</dc:identifier><dc:language>en</dc:language><dc:relation>Midwifery</dc:relation><dc:rights>info:eu-repo/semantics/closedAccess</dc:rights><dc:type>info:eu-repo/semantics/article</dc:type><dc:identifier>https://kostu-rdlopen.rawdatalibrary.net/tr/items/kostu/10412</dc:identifier></oai_dc:dc></metadata></record></GetRecord></OAI-PMH>