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Research Article | DOI: https://doi.org/DOI:10.31579/2642-9756/245
1 Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, Aba, Nigeria.
2 Babcock University Teaching Hospital, Ilisha-Remo, Ognu State, Nigeria.
*Corresponding Author: Emmanuel M. Akwuruoha, Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, Aba, Nigeria.
Citation: Emmanuel M. Akwuruoha, Christian O. Onyemereze, and Cyril U. Akwuruoha, (2025), Knowledge, Attitude and Perception of Miscarriage among Women of Reproductive Age Attending Abia State University Teaching Hospital, Aba, Nigeria, J. Women Health Care and Issues, 8(4); DOI:10.31579/2642-9756/245
Copyright: © 2025, Emmanuel M. Akwuruoha. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 24 June 2025 | Accepted: 30 June 2025 | Published: 14 July 2025
Keywords: pregnancy; breast; heartburn and indigestion; weight gain
Background: Miscarriage remains a significant public health concern globally, with its burden often underestimated in developing countries due to cultural beliefs and poor reporting systems. Understanding the knowledge, attitude, and perception of miscarriage among women of reproductive age is essential for developing appropriate educational and intervention strategies. This study aimed to assess the knowledge, attitude, and perception of miscarriage among women of reproductive age attending Abia State University Teaching Hospital (ABSUTH), Aba, Nigeria.
Materials and Methods: A descriptive cross-sectional study was conducted among 220 women aged 15–49 years attending the Obstetrics and Gynaecology Clinics of ABSUTH. A systematic random sampling technique was used. Data were collected using a structured, pre-tested, interviewer-administered questionnaire and analyzed using SPSS version
26.0. Descriptive statistics summarized socio-demographic characteristics, knowledge, attitude, and perception. Associations were tested using Chi-square, Spearman’s correlation, and logistic regression, with p < 0.05 considered significant.
Results: The mean age of respondents was 31.6 ± 7.2 years. Most participants (43.64%) were aged 25–34 years, and 54.55% had tertiary education. Good knowledge of miscarriage was observed in 28.64% of respondents, positive attitude in 37.73%, and good perception in 33.18%. Tertiary education (AOR = 2.83, 95% CI: 1.49–5.39, p = 0.001) and urban residence (AOR = 1.92, 95% CI: 1.08–3.43, p = 0.026) significantly predicted good knowledge. Good knowledge (AOR
= 2.11, 95% CI: 1.21–3.67, p = 0.008) and being married (AOR = 1.74, 95% CI: 1.01–3.01, p = 0.045) were predictors of positive attitude. Favorable perception was associated with positive attitude (AOR = 2.95, 95% CI: 1.68–5.19, p < 0.001) and urban residence (AOR = 1.81, 95% CI: 1.02–3.22, p = 0.041).
Conclusion: Knowledge, attitude, and perception of miscarriage among women of reproductive age at ABSUTH were suboptimal. Educational level, residence, and marital status significantly influenced these outcomes. Culturally sensitive health education programs are recommended to improve awareness and reduce stigma associated with miscarriage.
Miscarriage, clinically defined as spontaneous pregnancy loss before fetal viability, represents a profound personal and public health concern in Nigeria. Globally, miscarriage affects approximately 15–20% of recognized pregnancies, with loss rates rising sharply in women over 40 [1]. In Nigeria specifically, fetal viability is defined at 28 weeks, later than in countries such as the UK (24 weeks) or Australia (20 weeks). Despite its high incidence, local data on knowledge, attitudes, and perceptions toward miscarriage especially among women receiving care in tertiary hospitals, remain limited.
A study conducted at Lagos University Teaching Hospital revealed that although a majority of women (73.5%) possessed “good” basic knowledge of miscarriage, myths were pervasive: 63.2% attributed miscarriage to behaviors like eating snails [2]. The same study reported a miscarriage rate of nearly one in 3.7 pregnancies, and psychological consequences such as depression, anxiety, and hostility significantly affected women who had experienced loss [2]. This underscores both the frequency and the deeply emotional impact of miscarriage in Nigerian clinical settings.
At other tertiary hospitals, clinical reviews reinforce miscarriage as a public health issue. Between 2007 and 2011 at the University of Ilorin Teaching Hospital, approximately 4.2% of pregnancies ended in miscarriage, primarily occurring in the first trimester; notably, 42.1% were incomplete and nearly 60% of cases occurred without identifiable risk factors [3]. These findings highlight both the burden borne by healthcare systems and the often- unexplained nature of many spontaneous pregnancy losses.
Misconceptions and cultural interpretations around reproductive loss also persist in broader Nigerian society. Deep-seated superstitions such as dietary taboos that pregnant women avoid snails or bananas to prevent miscarriage are documented across diverse ethnic groups, including Igbo and Yoruba communities [4]. While such beliefs are culturally embedded, they are clinically unfounded, and may contribute to stigma and delays in seeking obstetric care.
Legal restrictions and sociocultural attitudes toward reproductive health compounds challenges in addressing miscarriage within the Nigerian healthcare context. Nigeria’s restrictive abortion laws permitting termination only to save the mother’s life push women toward risky practices and limit open dialogue surrounding reproductive loss [1]. Unsafe clandestine procedures contribute significantly to maternal morbidity and mortality: nearly 11% of maternal deaths in Nigeria are linked to unsafe abortion (akin to miscarriage) and often involve adolescents.
Conversely, policy initiatives such as the Abiye Safe Motherhood Project in Ondo State demonstrate that targeted maternal health interventions can dramatically reduce mortality and improve service delivery [5]. However, most efforts focus on delivery and pregnancy tracking not specifically on knowledge, attitudes, and perceptions related to miscarriage itself.
Despite the clinical prevalence and psychosocial impact of miscarriage, research specifically examining women’s knowledge, attitude, and perception (KAP) regarding miscarriage in Nigerian tertiary settings is scarce. Investigating these domains at Abia State University Teaching Hospital is critical. It can shed light on key gaps in awareness, cultural beliefs influencing health-seeking behavior, and emotional support needs, thereby providing an evidence base to inform patient education, counselling protocols, and culturally appropriate service delivery.
Study Design
This study employed a descriptive cross-sectional design aimed at assessing the knowledge, attitude, and perception of miscarriage among women of reproductive age attending Abia State University Teaching Hospital (ABSUTH), Aba, Nigeria. The cross-sectional design was chosen because it allows for the collection of data at a single point in time, enabling the evaluation of the prevalence and distribution of the variables of interest within the study population [6].
Study Setting
The study was conducted at the Obstetrics and Gynaecology Clinics of Abia State University Teaching Hospital (ABSUTH), located in Aba, Abia State, Nigeria. ABSUTH is a major tertiary healthcare facility that provides specialized obstetric, gynecologic, and other medical services to residents of Aba and neighboring communities. The hospital serves as a referral center for both public and private health facilities within the region and caters to a diverse population including urban and peri-urban dwellers.
Study Population
The study population comprised women of reproductive age (15–49 years) attending the Obstetrics and Gynaecology Clinics of ABSUTH during the study period. These included both new and returning patients attending for antenatal care, postnatal care, family planning, and gynecological consultations.
Inclusion Criteria
Women aged 15 to 49 years attending ABSUTH during the study period. Women who provided informed consent to participate in the study.
Women who were mentally and physically capable of responding to the questionnaire.
Exclusion Criteria
Women who were critically ill or unable to participate due to medical or psychological conditions.
Women who declined consent or withdrew from the study at any stage.
Sample Size Determination
The sample size was calculated based on Cochran’s formula for population proportion estimation, following the methodology described by Ezebuiro et al., [7]:
n = (Z^2 (Pq))/e^2
The formula components are defined as follows:
n represents the minimum required sample size.
Z is set at 1.96, corresponding to a 95% confidence level. P denotes prevalence of miscarriage in Nigeria.
e signifies the allowable margin of error, fixed at 5% (0.05). q = 1 - p
A recent study conducted by Eleje et al., [8] reports the prevalence of miscarriage in Nigeria as 15.34%
P = 15.34% = 0.1534
q = 1 – 0.1534
= 0.8466
n = ((1.96) ^2 (0.1534 x 0.8466))/〖 (0.05) 〗^2 n = (3.8416 x (0.1299))/0.0025
n = (0.4989)/ (0.0025) = 199.56
Although the initially calculated minimum sample size was 200, it was increased to 220 to accommodate an anticipated 10% rate of non-response.
Sampling Technique
A systematic random sampling technique was employed. Based on the clinic's average weekly attendance of approximately 100 women and the data collection period of 10 weeks, the sampling interval was determined as:
k = (Total Population)/Sample Size= (1000)/220=4.55 ~ 5
Every fifth eligible woman was selected after the first respondent was chosen randomly on each clinic day.
Data were collected using a structured, pre-tested, interviewer-administered questionnaire designed by the researchers based on an extensive review of relevant literature. The questionnaire consisted of four sections:
Socio-demographic characteristics: age, marital status, education, occupation, parity, religion, residence.
Knowledge of miscarriage: causes, risk factors, symptoms, prevention, complications.
Attitude towards miscarriage: beliefs about miscarriage, stigmatization, health-seeking behavior.
Perception of miscarriage: cultural and personal views, perceived severity, perceptions regarding healthcare services for miscarriage management.
The questionnaire was initially developed in English and translated into the local language (Igbo) for participants who preferred to respond in the indigenous language. The translated version was back-translated to ensure consistency.
Pretesting and Validation
The questionnaire was pre-tested among 20 women of reproductive age attending Rhema University Teaching Hospital, Aba to assess clarity, relevance, and reliability. Necessary modifications were made based on feedback to improve the tool’s comprehensibility. Cronbach’s alpha was calculated for internal consistency, yielding a coefficient of 0.82, indicating good reliability.
Data Collection Procedure
Data collection was carried out over a period of 8 weeks by trained research assistants, who were medical and nursing students familiar with obstetrics and gynecology terminologies and patient interaction. The assistants were trained over two days on the purpose of the study, ethical considerations, and techniques for administering the questionnaire respectfully and confidentially. Participants were approached at the clinic waiting areas. After explaining the purpose of the study and obtaining written informed consent, the questionnaire was administered in a private setting within the clinic premises to ensure confidentiality.
The questionnaire was pre-tested among 20 women of reproductive age attending Rhema University Teaching Hospital, Aba to assess clarity, relevance, and reliability. Necessary modifications were made based on feedback to improve the tool’s comprehensibility. Cronbach’s alpha was calculated for internal consistency, yielding a coefficient of 0.82, indicating good reliability.
Data collection was carried out over a period of 8 weeks by trained research assistants, who were medical and nursing students familiar with obstetrics and gynecology terminologies and patient interaction. The assistants were trained over two days on the purpose of the study, ethical considerations, and techniques for administering the questionnaire respectfully and confidentially. Participants were approached at the clinic waiting areas. After explaining the purpose of the study and obtaining written informed consent, the questionnaire was administered in a private setting within the clinic premises to ensure confidentiality.
Written informed consent was obtained from all participants after providing detailed information about the study’s objectives, procedures, potential risks, and benefits. Participation was entirely voluntary, and respondents were assured of confidentiality and anonymity. They were informed of their right to decline participation or withdraw at any stage without any impact on their medical care.
Completed questionnaires were checked for completeness and consistency at the point of collection. Data were entered into a computer and analyzed using the Statistical Package for the Social Sciences (SPSS) version 26.0 (IBM Corp., Armonk, NY, USA).
Descriptive statistics (frequencies, percentages, means, standard deviations) were computed for socio-demographic variables, knowledge, attitude, and perception responses.
For inferential analysis:
Chi-square test (χ²) was used to determine associations between socio- demographic characteristics and levels of knowledge, attitude, and perception.
Logistic regression analysis was employed to identify independent predictors of good knowledge, positive attitude, and favorable perception, controlling for potential confounders.
A p-value < 0>
The study involved 220 respondents, with the majority aged 25–34 years (43.64%), followed by those aged 35–44 years (29.09%). Most participants were married (80.91%) and had tertiary education (54.55%). Over half resided in urban areas (51.82%), and nearly half had parity of three or more (45.45%) (Table 1).
| Variable | Frequency (n = 220) | Percentage (%) |
| Age Group (years) | ||
| 15–24 | 38 | 17.27 |
| 25–34 | 96 | 43.64 |
| 35–44 | 64 | 29.09 |
| 45–49 | 22 | 10.00 |
| Marital Status | ||
| Married | 178 | 80.91 |
| Single | 32 | 14.55 |
| Divorced/Widowed | 10 | 4.55 |
| Educational Level | ||
| No formal education | 8 | 3.64 |
| Primary | 24 | 10.91 |
| Secondary | 68 | 30.91 |
| Tertiary | 120 | 54.55 |
| Residence | ||
| Urban | 114 | 51.82 |
| Semi-urban | 68 | 30.91 |
| Rural | 38 | 17.27 |
| Parity | ||
| 0 | 26 | 11.82 |
| 1–2 | 94 | 42.73 |
| ≥3 | 100 | 45.45 |
Table 1: Socio-Demographic Characteristics of Respondents
Regarding knowledge of miscarriage, 32.27% of respondents had poor knowledge, 39.09% had fair knowledge, and 28.64% demonstrated good knowledge (Table 2).
| Knowledge Level | Frequency | Percentage (%) |
| Poor knowledge | 71 | 32.27 |
| Fair knowledge | 86 | 39.09 |
| Good knowledge | 63 | 28.64 |
Table 2: Knowledge of Miscarriage (summary of responses)
In terms of attitude, 37.73% exhibited a positive attitude, while 35.91% were neutral, and 26.36% showed a negative attitude (Table 3).
| Attitude Category | Frequency | Percentage (%) |
| Negative attitude | 58 | 26.36 |
| Neutral attitude | 79 | 35.91 |
| Positive attitude | 83 | 37.73 |
Table 3: Attitude towards Miscarriage
For perception, 33.18% had a good perception of miscarriage, 36.82% had fair perception, and 30.00% had poor perception (Table 4).
| Perception Category | Frequency | Percentage (%) |
| Poor perception | 66 | 30.00 |
| Fair perception | 81 | 36.82 |
| Good perception | 73 | 33.18 |
Table 4: Perception of Miscarriage
Significant associations were observed between age and knowledge (p = 0.022), age and perception (p = 0.046), marital status and attitude (p = 0.020), education and knowledge (p = 0.002), education and perception (p = 0.011), occupation and knowledge (p = 0.018), and residence and perception (p = 0.008) (Table 5).
| Variable | χ² value | df | p-value |
| Age vs Knowledge | 14.76 | 6 | 0.022* |
| Age vs Attitude | 10.33 | 6 | 0.110 |
| Age vs Perception | 12.85 | 6 | 0.046* |
| Marital Status vs Knowledge | 9.28 | 4 | 0.054 |
| Marital Status vs Attitude | 11.65 | 4 | 0.020* |
| Marital Status vs Perception | 7.45 | 4 | 0.114 |
| Education vs Knowledge | 16.48 | 4 | 0.002* |
| Education vs Attitude | 8.95 | 4 | 0.062 |
| Education vs Perception | 13.12 | 4 | 0.011* |
| Occupation vs Knowledge | 15.29 | 6 | 0.018* |
| Residence vs Perception | 9.55 | 2 | 0.008* |
Table 5: Association Between Socio-Demographics and Knowledge, Attitude, Perception
Correlation analysis revealed that knowledge positively correlated with attitude (ρ = 0.41, p < 0 xss=removed xss=removed xss=removed>(Table 6).
| Variables | Knowledge | Attitude | Perception |
| Knowledge | 1 | 0.41** | 0.36** |
| Attitude | 0.41** | 1 | 0.44** |
| Perception | 0.36** | 0.44** | 1 |
| Age | -0.12 | -0.09 | -0.15* |
| Education | 0.33** | 0.21** | 0.27** |
| Parity | -0.05 | 0.07 | -0.04 |
Table 6: Correlation Analysis (Spearman’s rho)
Logistic regression showed that tertiary education (AOR = 2.83, p = 0.001) and urban residence (AOR = 1.92, p = 0.026) significantly predicted good knowledge. Good knowledge (AOR = 2.11, p = 0.008) and being married (AOR = 1.74, p = 0.045) predicted positive attitude. Favorable perception was significantly predicted by positive attitude (AOR = 2.95, p < 0 xss=removed xss=removed>(Table 7).
| Predictor | Adjusted OR | 95% CI | p-value |
| Good Knowledge | |||
| Tertiary education | 2.83 | 1.49 – 5.39 | 0.001* |
| Urban residence | 1.92 | 1.08 – 3.43 | 0.026* |
| Positive Attitude | |||
| Good knowledge | 2.11 | 1.21 – 3.67 | 0.008* |
| Married | 1.74 | 1.01 – 3.01 | 0.045* |
| Favorable Perception | |||
| Positive attitude | 2.95 | 1.68 – 5.19 | <0> |
| Urban residence | 1.81 | 1.02 – 3.22 | 0.041* |
Table 7: Logistic Regression Predictors of Good Knowledge, Positive Attitude, and Favorable Perception
The findings of this study provide valuable insights into the knowledge, attitude, and perception of miscarriage among women of reproductive age attending Abia State University Teaching Hospital, Aba, Nigeria. The socio- demographic data indicated that the majority of the respondents were aged between 25 and 34 years (43.64%), married (80.91%), and possessed tertiary education (54.55%). These demographics are comparable to those reported in a similar Nigerian study by Olamijulo et al., [9], where most participants were in their late twenties to early thirties, married, and had post-secondary education. This reflects the typical demographic structure of women who actively seek obstetric and gynecological care in tertiary hospitals in Nigeria [9,10].
Regarding knowledge, 32.27% of participants demonstrated poor knowledge, 39.09% had fair knowledge, and only 28.64% showed good knowledge of miscarriage. This pattern aligns with a study conducted in Lagos, Nigeria, by Akinlusi et al., [11], which revealed that despite high educational levels, gaps in knowledge regarding miscarriage causes, risk factors, and management persisted among women attending antenatal clinics. Similarly, an Ethiopian study by Ayele et al., [12] reported that 35% of women had poor knowledge of miscarriage, highlighting that limited awareness is not restricted to Nigeria but is prevalent in other low- and middle-income countries. The significant association between education and knowledge in this study (p = 0.002) further emphasizes the role of formal education in shaping reproductive health awareness, as also noted by Anorlu et al., [13].
In terms of attitude, 26.36% of the respondents had a negative attitude toward miscarriage, 35.91% were neutral, and 37.73% exhibited a positive attitude. The positive attitude observed among a sizeable proportion of respondents may reflect increasing openness about miscarriage in contemporary Nigerian society, albeit at a slower pace compared to Western societies [14].
Interestingly, the significant association between marital status and attitude (p = 0.020) suggests that social support inherent in marriage may foster more positive dispositions toward miscarriage, consistent with the findings of Ojukwu et al., [15], who highlighted the protective effect of marital support in mitigating negative attitudes toward reproductive health complications.
The perception of miscarriage among respondents showed that 33.18% had good perception, 36.82
This study highlights a critical need for targeted health education interventions to address the knowledge gaps and to promote more positive attitudes and perceptions regarding miscarriage, particularly among women with lower educational levels, those residing in rural areas, and single or divorced women. Public health programs that integrate culturally sensitive educational campaigns on miscarriage could help dispel myths, reduce stigma, and enhance coping strategies among affected women.
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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.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
