AUCTORES
Globalize your Research
Case Report | DOI: https://doi.org/10.31579/2578-8965/252
Family Physician & Public Health Consultant, Bengaluru, Karnataka, India.
*Corresponding Author: Suresh Kishanrao, Family Physician & Public Health Consultant, Bengaluru, Karnataka, India.
Citation: Suresh Kishanrao, (2024), Enigma of Caesarean Birthing Trends, J. Obstetrics Gynecology and Reproductive Sciences, 9(2) DOI:10.31579/2578-8965/252
Copyright: © 2024, Suresh Kishanrao. This is an open-access article distributed under the terms of The Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 18 November 2024 | Accepted: 12 December 2024 | Published: 10 February 2025
Keywords: pregnancy, primigravida; gynaecologists
Increasing worldwide rates of caesarean section are of global concern, especially on maternal request have become a hotly debated issue. A Caesarean delivery (C-section/CS) is used to deliver a baby through surgical incisions made in the abdomen and uterus. It is a lifesaving procedure for mothers and newborns in certain circumstances. While the need for a first-time C-section of a primigravida woman isn’t' clear until after labour starts. Planning for a C-section might be necessary if women who have had a C-section earlier or had other systemic diseases like heart or brain diseases. When not strictly necessary, caesarean section cause unnecessary national expenditure and place a strain on scarce public health resources in lower- and middle-income countries. The consequences on adverse health outcomes, due to CS include i) babies born are more likely to develop transient tachypnoea & get accidental surgical injuries to the baby. Though the mother won't feel much pain during the surgery, recovering from a CS is more painful & takes a longer time than from a natural birth.
There is a payment wedge for C-sections relative to vaginal deliveries under fee-for-service and an information asymmetry between obstetricians and patients as most illiterate or Less-informed patients or their families cannot reduce the asymmetry by seeking an independent second opinion during labour and are possibly exploited.
Materials & Methods: This article is based on author’s experience of two deliveries by caesarean section in September and November 2024. CS in September was of a poorly built young lady of 28 years, Primigravida, a precious pregnancy as it was successful after a long-term consultation, hormonal and other efforts (D&C) for 2 years after marriage. The woman was clearly influenced during ANC itself in Bengaluru and during labour in Raichur a district head quarter both private obstetric facilities. The delivery in November was second gravida of twin girls, diagnosed by scanning in Australia, previous delivery also CS, a justifiable cause for CS. Literature search adds value for argument for justifiable reasons of CS & unnecessary caesarean sections.
Outcomes: Both mothers are doing well now but the process of recovery from surgery has taken about 3 weeks. However, the baby of avoidable CS is suffering from frequent upper respiratory infections in the first 3 months of life. The cost involved was around INR 300,000 each and the young infants URIs costing another INR 100,000 so far. The twins of 2.2 kg and 1.8 kg are needing special care where two aunts have taken of for a month each to take care of them an indirect cost of INR 50,000each month.
pregnancy, primigravida, cs= caesarean section delivery, ffs= free for service in public sector, obstetricians, conflict of interest, multigravida, too young (<18 years), too old pregnancies (>34 yrs), breech presentation, hand prolapse, labour second stage delay
A Caesarean delivery (C-section) is used to deliver a baby through surgical incisions made in the abdomen and uterus. It is a lifesaving procedure for mothers and newborns in certain circumstances. While the need for a first-time C-section of a primigravida woman isn’t' clear until after labour starts. Planning for a C-section might be necessary if women who have had a C-section earlier or had other systemic diseases like heart or brain diseases [1]. Increasing worldwide rates of caesarean section and those especially upon maternal request have become common and are of a global concern and a hotly debated public Health issue.
Data available (2010–2018) from 154 countries covering 94.5% of world live births shows that 21.1% of women gave birth by caesarean worldwide, averages ranging from 5% in sub-Saharan Africa to 42.8% in Latin America & Caribbean [2]. CS has risen in all regions since 1990 [3].
In India there is a rise in the number of Caesarean sections (C-section) despite a drop in medical complications during pregnancy and labour due to better antenatal care and early identification of complications between 2016 and 2021 in the country. Most women have more than one reason for opting caesarean birth. Across India the ‘non-poor’ were more likely to opt for C-sections. The chances of a delivery through C-section are greater if a woman gave birth in a private hospital, or if she is overweight and older (aged 35-49) were and most importantly if a woman gave birth in a private hospital. Other factors that could contribute to adverse birth outcomes and possibly justify C-sections are the mother’s age being less than 18 years or greater than 34 years, the interval between births being less than 24 months or the child being the fourth or more born to the mother and therefore considered as high-risk fertility behaviour [4].
When not strictly necessary, CS can cause several adverse health outcomes, leading to unnecessary expenditure, and place a strain on scarce public health resources. The consequences of CS include i) babies born by scheduled C-section are more likely to develop a transient tachypnoea (to breathe too fast for a few days after birth), surgical injury- rare and accidental nicks to the baby's skin can occur. The mother won't feel much pain during the surgery, but recovering from a C-section may be more painful and take longer than recovering from a natural birth [ 5].
We all know that medical decision-making during childbirth is well-suited to testing for inducement. There is a well-documented payment wedge for C-sections relative to vaginal deliveries under fee-for-service [FFS] and an information asymmetry between obstetricians and patients. Illiterate or Less-informed patients and their families cannot reduce the asymmetry by seeking an independent second opinion during labour [1].
This article is based on author’s experience of two deliveries by caesarean section in September and November 2024. CS in September was clearly unjustifiable as she was influenced during ANC itself and during labour both private obstetric facilities. The delivery in November was second gravida of twin girls, previous delivery also by CS, a justifiable cause for repeat CS.
1 Vanshi Patil: Vaani aged 28 years, now married for 3 years, had conception problem since mid-2022. A D&C followed by hormone therapy was done for 6 months in 2022. Her husband’s sperm count, and quality was proved normal in March 2022.In September 2022 Hormone (TSH 3rd generation), a follicular study and scanning of KUB & Pelvis and basic investigations of Blood were done on 20th September and repeated on 22 November 2022, reported: i) Retroverted uterus, normal in size ii) Both ovaries Normal. iii) No abnormality.
| Date | Day of Cycle | Endometrial Thickness | Right Ovarian Follicle mms | Left Ovarian follicle mm | Scanning date |
| 22/20/22 | 11th | 6 | 1.4x1.4x1.4 | Small | 24/10/22 |
| 25/10/22 | 14th | 8 | 23x9 | Small | 27/10/22 |
| 27/10/22 | 16th | 10 | 27x20 | Small | 29/10/22 |
Table 1: Key markers of Follicular Study
In Starting 27th October 2023, another course of hormone and supportive therapy was done but had a miscarriage of 10 weeks pregnancy. On 23 February 2024 scanning confirmed pregnancy and another scan rule out genetic abnormalities. In May 2024 I had an opportunity of examining physically. As a norm she went to her mother home Raichur in August 2024 for delivery. In September the local obstetrician suggests normal delivery and asked if she would go for Pudendal block to minimize the labour pain with a warning that if she fails to deliver normally, a CS may have to be done. Fearing the unavoidable CS, family opted for CS in early September and post operatively no untoward things happened. This caesarean section was totally influenced by the attending Gynaecologists. However, the newborn had common cold (Rhinovirus infection) in the first month itself and repeatedly every month. The October 2024 episode was severe with wheeze, needing hospitalization for 4 days, Oxygen support and ICU care, managed with standard protocol of URI in young infants. A 2 D echo report read mild congenital Peri-membranous VSD, LR shunt, No PDA, Normal Biventricular function (62%). The parents have been alerted her sensitivity common cold and repeated URI & counselled for proper care. Vanshi named a week ago now had her recent episode of Common cold on 15/11/2024.
2 Adithi’s Second Gravida:
Aditi my niece married in 2017 had her fist baby girl in 2019. The couple live in Sydney Australia as her husband is a software, Engineer. Thou herself an Engineering graduate, hasn’t been working since 2019 after her first childbirth. Her second pregnancy was diagnosed as twin girls’ pregnancy (Australia doesn’t have restriction in revealing gender of the babies unlike in
India where sex cannot be intimated even to parents fearing female foeticide) She came to Mysuru for delivery and a private obstetrician who had attended
her first CS, chose to schedule a CS in 38th week and did so on 3 November 2024. This one is a justifiable Caesarean delivery and extracted both babies in a gap of 1.5 minute. Both kids weighing 2.3kg and 1.8 kg are doing well as seen on 8th November.
A Caesarean delivery (C-section /CS) is a lifesaving procedure for mothers and newborns used to deliver a baby through surgical incisions made on the mother’s abdomen & uterus. While the need for a first-time C-section of a primigravida woman isn’t' clear until after labour starts. Planning for a C-section might be necessary if women who have had a C-section earlier or have systemic health concerns like heart or brain diseases, therefore have a risk to deliver through vaginal birthing [1]. The reasons for a CS can be of three categories:
1. Common technical reasons for caesarean section (CS): i) Labour dystocia: A CS is recommended for women only if Labor isn't progressing normally (labour dystocia). Prolonged first stage (due to prolonged dilation or opening of the cervix) or prolonged second stage (prolonged time of pushing after complete cervical dilation) are key reasons. ii) The baby is in distress: Changes in a baby's heartbeat (very fast or slow) might make a C-section the safest option iii) The baby in an unusual position: A C-section is the safest way to deliver babies whose feet or buttocks enter the birth canal first (breech) or babies whose sides or shoulders come first (transverse). iv) Multiple pregnancies: A woman carrying more than one baby, twins, triplets or more especially when labour starts too early, or the babies are not in a head-down position v) Placental Problems: Placenta previa a condition in which the placenta covers the opening of the cervix, a CS is recommended vi) Prolapsed umbilical cord: If a loop of umbilical cord slips through the cervix in front of the baby, CS is resorted to vii) Other health concerns: A C-section might be recommended for women with a heart or brain condition viii) Cervical canal blockage: A large fibroid blocking the birth canal, ix) Disproportionate head size of the baby: If the baby has severe hydrocephalus (a condition that causes the head to be unusually large) might be reasons for a C-section. x) A pelvic fracture or other condition restricting pelvic expansion or contraction.
2. The individual psychological reasons: Psychological reasons, mostly influenced by peers and attending doctor during antenatal care include i) fear of pain, ii) previous caesarean birth, or negative birth experiences (self or any other known woman), higher education with misinformation iii) safety concerns related to health risk perceptions, iv) Promoting Positive attitudes towards CS during ANC, v) Superstitious beliefs in auspicious birth dates.
3. Institutional or Gynaecologist’s Bias or Conflict of Interest: Most Gynaecologists of younger generation brain wash the Primigravida woman during routine antenatal care with possibilities of unbearable pain, perineal tear, fistulas etc due to straining and ease of delivery through caesarean. Doctors have several reasons to prefer C-sections to natural childbirth most common being conflict of interest of making Quick Bucks - more income, more convenience in planning and scheduling, and fear of malpractice lawsuits.
Global Standards of CS: According to The World Health Organization (WHO) no more than 10–15% of deliveries can be C-sections. Increased C sections give no advantage in terms of reducing infant or maternal mortality beyond 10%. According to WHO the factors that could contribute to adverse birth outcomes and possibly justify C-sections are the mother’s age being less than 18 years or greater than 34 years, multiparty, the interval between births being less than 24 months, which are considered as high-risk fertility behaviour [3].
The proportion of C-sections in India increased from 17.2% in 2015–2016 to 21.5% in 2019–2021. This increase was seen in all but four states and union territories. According to the National Family Health Survey (NFHS-5) of 2019–2021, the proportion of caesarean section (C-section) deliveries in India was 21.5%. However, desegregation of the data based on the delivery place, private sector contributes more than three time of that in public sector [4]. In the private sector, these numbers stand at 43.1% (2016) and 49.7% (2021), meaning that nearly one in two deliveries in the private sector is a C-section in the years of 2019-2021 [4].
| Type of delivery | Proportion of CS % |
| All India | 21.5 |
| Public facility | 14.3 |
| Private facility | 45.4 |
Table 1: Proportion of CS in NFHS 5
A study by the Indian Institute of Technology Madras (Department of Humanities and Social Sciences) conducted the research in Tamil Nadu and Chhattisgarh and reported that there was a rise in the number of Caesarean sections (C-section) despite a drop in medical complications between 2016 and 2021 in the country. This, despite a drop in medical complications during pregnancy. The chances of a delivery through C-section were greater if a woman gave birth in a private hospital, the study revealed. Also, overweight and older women (aged 35-49) were more likely to have C-section deliveries. The chances of a delivery through C-section were greater if a woman gave birth in a private hospital [3].
Another descriptive qualitative study s conducted, using in-depth interviews with 27 pregnant women who preferred caesarean birth, attending antenatal care in Thailand Songklanagarind Hospital, from September 2018 to June 2019 inferred that Maternal reasons for caesarean preference were of six categories. They included i) fear of childbirth, ii) safety concerns related to health risk perceptions, iii) negative previous birth experiences, iv) positive attitudes toward caesarean birth, v) access to biased information and vi) superstitious beliefs in auspicious birth dates. Most women had more than one reason for opting caesarean birth. One striking reason was superstitious beliefs in auspicious birth dates, which are difficult for obstetricians to deal with.
A Caesarean Section delivery (C-section /CS) is a lifesaving procedure used to deliver a baby through surgical incisions made on the mother’s abdomen & uterus. The need for a first-time C-section of a primigravida woman isn’t' clear until after labour starts.
Causes of high caesarean section usage vary widely between and within countries. Drivers include health sector policies and financing, cultural
norms, perceptions and practices, private health sector influence for conflict of interest, and quality of healthcare.
However, when not strictly necessary, a C- section delivery can cause several adverse health outcomes on mothers and newborns, leads to unnecessary expenditure to the family and the nation, and places a strain on scarce public health resources in developing countries.
Therefore, the community Obstetricians must explore the exact reasons for the requests for caesarean birthing to prevent or diminish unnecessary caesarean sections.
Rather than recommending specific target rates, WHO underscores the importance of focusing on each woman’s unique needs in pregnancy and childbirth.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
