 The study found that only half of pregnant women received influenza and tap vaccines in 2018, despite the importance of maternal vaccines. Attitudinal constructs associated with intention to vaccinate include confidence in vaccine safety and efficacy, perceived risk of vaccine preventable diseases, social norms, and trust in sources of vaccine information. First time pregnant women were less likely than women who had prior children to intend to vaccinate themselves and their children, highlighting an opportunity for vaccine education to increase vaccine confidence and informed decision making among this group. This article was authored by Matthew Z Dudley, Rapoli J. Lemai, Saad B. Oma, and others.