Here is a sample code that illustrate how to do this.
var manager =
var itemID =
var itemToChange = manager.GetCurrentState(itemID);
WorkflowInstance workflow = WorkflowRuntime.Instance.GetWorkflow(itemToChange.WorkflowInstanceId);
ContentWorkflow activity = (ContentWorkflow)workflow.Activity;
(activity.ApprovalStatus == ApprovalStatus.Approved)
There is an old blog post that you can check Schedule content items publishing with workflow enabled
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