fellowship has involved HS undertaking shadowing at Pfizer UK vaccines trials team, however this has excluded any GBS or Covid-19 vaccine trials shadowing. HS has not and will not, receive any money, stock options, payment in kind, travel expenses, food expenses, conference fees or any reimbursement from Pfizer or any associated companies. HS training agreement between the IMPRINT network, Imperial College London and Pfizer states that: 'it is expressly understood and agreed that this Agreement does not intend and shall not be construed to create the relationship of agent, servant, employee, partnership, joint venture or association between the Home lnstitution or IMPRINT or its Fellows and Pfizer'.

Objective To assess provider attitudes and practices regarding vaccination in pregnancy to discern strategies to increase vaccination rates in pregnancy, given that in the USA, various healthcare organizations recommend that pregnant individuals be vaccinated against influenza, pertussis, and SARS‐CoV‐2, but vaccination rates among gravidas remain suboptimal across these vaccines. Methods An Institutional Review Board‐approved survey was disseminated to obstetric healthcare providers by email from June through October 2021. Questions assessed provider demographics, attitudes, and practices surrounding vaccination in pregnancy. A total of 192 providers consented, 179 initiated the survey, and 153 completed it entirely. Statistical software (SAS) was used to perform descriptive statistics. Results All providers strongly agreed/agreed that all pregnant individuals should receive vaccines in pregnancy. Following patient vaccination consent, 13% reported needing to refer patients to alternative sites for vaccine administration. Following patient vaccination decline, 13% did not determine reasons for refusal, 30% did not re‐counsel at subsequent visits, and 92% did not ask another staff member to counsel the patient. Conclusion Despite provider support for maternal immunization, uptake of vaccines in gravidas remains suboptimal, demonstrating a gap between provider recommendations and patient uptake. These data highlight opportunities for intervention regarding counseling and vaccine availability to increase vaccine uptake in pregnancy.

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