Kaur R, et al. - Although maternal immunization offers optimal protection to pregnant women and their infants against influenza-associated complications, low immunization rates are recorded in the U.S. Considering that pregnant women in rural communities may represent a difficult to reach group for vaccine services, researchers herein compared rural vs urban-residing women with respect to the prevalence of influenza vaccination prior to or during pregnancy and receipt of a vaccine recommendation from a healthcare provider. From the 2016–2018 Phase-8 Pregnancy Risk Assessment Monitoring System for 19 US states, they retrieved data including 45,018 women who recently gave birth to a live infant. Of the 45,018 assessed women, 6,575 were from a rural area; 55.1% of rural-residing women received an influenza vaccine prior to or during pregnancy relative to 61.3% of urban-residing women. Overall rural-residing women appeared to be less likely to be recommended vaccination by a healthcare provider. Relative to the urban counterparts, pregnant women in rural US may be less protected against influenza.