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Research Article | DOI: https://doi.org/10.31579/ 2641-8975/025
1Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, Aba, Nigeria.
2Department of Biochemistry, Lead City University, Ibadan, Oyo State, Nigeria.
*Corresponding Author: Emmanuel M. Akwuruoha, Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, Aba, Nigeria.
Citation: Emmanuel M. Akwuruoha, Augustine I. Airaodion, (2025), Prevalence of Gestational Diabetes and Pregnancy Outcome of antenatal Patients in Abia State, Nigeria, Journal of Diabetes and islet Biology, 6(1); DOI:10.31579/ 2641-8975/025
Copyright: © 2025, Emmanuel M. 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: 25 September 2025 | Accepted: 23 October 2025 | Published: 20 November 2025
Keywords: gestational diabetes mellitus; knowledge; attitude; perception; pregnant women; antenatal care
Background: Gestational diabetes mellitus (GDM) is a common pregnancy complication associated with adverse maternal and neonatal outcomes. Understanding pregnant women’s knowledge, attitude, and perception (KAP) towards GDM is crucial for early detection and proper management.
Objective: To assess the knowledge, attitude, and perception of pregnant women towards GDM at Abia State University Teaching Hospital (ABSUTH), Aba, Nigeria.
Materials and Methods:A descriptive cross-sectional study was conducted among 140 pregnant women systematically selected from the antenatal clinic at ABSUTH from January to June 2025. Data were collected using a pre-tested, interviewer-administered questionnaire covering socio-demographics, obstetric history, knowledge, attitude, and perception of GDM. Descriptive statistics summarised variables, while Chi-square and Pearson correlation tested associations between KAP domains (p < 0.05).
Results: Participants’ mean age was 31.2 ± 5.8 years; most were married (90.7%), multiparous (59.3%), and had a tertiary education (43.6%). Good knowledge of GDM was recorded in 42.1% of respondents, while 34.3% had fair knowledge and 23.6% had poor knowledge. Educational level (p = 0.001) and family history of diabetes (p = 0.012) were significantly associated with knowledge level. Attitudes were generally positive, with 80% agreeing that routine screening is important, and 80.7% supporting education on GDM. However, 32.1% agreed that GDM treatment is stressful. Perceptions showed that 42.9% believed they were at risk of developing GDM, and 62.1% agreed it could harm their baby. Significant positive correlations were found between knowledge and attitude (r = 0.482, p = 0.001), knowledge and perception (r = 0.391, p = 0.002), and attitude and perception (r = 0.415, p = 0.001).
Conclusion: Although pregnant women at ABSUTH demonstrated moderately good knowledge and positive attitudes towards GDM, gaps remain in awareness of personal risk and complications. Targeted educational interventions are recommended to improve early detection and current management practices.
Gestational diabetes mellitus (GDM), defined as any degree of glucose intolerance first recognized during pregnancy, has become an increasingly important public-health concern because of its immediate and long-term consequences for mothers and their offspring [1]. GDM increases the risk of antepartum and peripartum complications (including pre-eclampsia, macrosomia and birth injury), and it also predisposes affected women to later type 2 diabetes, while offspring face higher risks of childhood obesity and metabolic disease. The magnitude of these risks has driven calls for improved screening, early detection and appropriate education during antenatal care [2].
Global and regional data indicate a rising burden of diabetes and pregnancy-related hyperglycaemia that disproportionately affects low- and middle-income countries. World Health Organization and large epidemiologic studies report marked increases in diabetes prevalence over recent decades, and global/regional estimates of GDM vary widely depending on diagnostic criteria; the International Diabetes and Pregnancy Study Group (IADPSG) and Diabetes Atlas–based estimates suggest that the proportion of pregnancies affected may be substantial when universal screening and contemporary criteria are applied. This rising burden underscores the need for local data to guide antenatal services and policy [3,4].
In Nigeria, systematic reviews and meta-analyses place GDM prevalence substantially higher than many older regional estimates, with pooled national prevalence around 10 -14% in some analyses; common determinants identified across Nigerian studies include maternal obesity, advanced maternal age, previous macrosomic infant, family history of diabetes and prior adverse obstetric outcomes. Heterogeneity between studies is high because of differing screening strategies and diagnostic criteria, but the overall evidence indicates that GDM is a common and growing problem in Nigeria that requires context-specific interventions [5].
Knowledge, attitudes and perceptions (KAP) about GDM are central determinants of timely care-seeking, adherence to lifestyle recommendations, and acceptance of screening and treatment during pregnancy. Recent Nigerian KAP studies report that a substantial proportion of pregnant women have limited awareness of GDM, misunderstand its risk factors and complications, or do not perceive themselves as at risk — findings that have been reported in diverse settings such as secondary and tertiary antenatal clinics across the country. Low levels of knowledge and variable attitudes at the community and facility levels reduce the effectiveness of early detection and management efforts, and they limit the impact of routine antenatal counselling unless targeted health education is provided [5].
Despite indications that GDM is common in Nigeria and that pregnant women’s knowledge and perceptions are often insufficient, there is a relative paucity of recent, location-specific research for many states. Abia State has limited contemporary published data on pregnant women’s knowledge and perceptions specific to gestational diabetes; the few local studies that exist (for example, older glucose surveys from the region) are outdated and do not address current KAP, screening practices, or the influence of changing sociodemographic factors (rising urbanization, maternal obesity, and shifts in reproductive age). This lack of up-to-date, local evidence makes it difficult to design targeted health education, screening policies, and training for antenatal providers in Abia State [6].
Existing evidence motivates a focused KAP study in Abia State. This investigation aims to quantify current levels of knowledge, attitudes and perceptions among pregnant women attending antenatal clinics, identify sociodemographic and obstetric correlates of poor knowledge or negative attitudes, and reveal gaps in antenatal counselling and health system preparedness. Such evidence is essential to inform context-specific education interventions, strengthen screening uptake, and ultimately reduce the immediate and long-term burdens of GDM for women and children in Abia State and comparable settings across Nigeria. This study assessed the knowledge, attitude, and perception of pregnant women towards GDM at Abia State University Teaching Hospital (ABSUTH), Aba, Nigeria.
Study Design
A descriptive cross-sectional hospital-based study design was employed to assess the knowledge, attitude, and perception of pregnant women towards gestational diabetes mellitus (GDM). This design was chosen as it allows for the collection of data at a single point in time, providing a snapshot of participants’ understanding and opinions about GDM.
Study Area
The study was conducted at the Antenatal Clinic (ANC) of Abia State University Teaching Hospital (ABSUTH), Aba, Abia State, Nigeria. The hospital is a major tertiary health institution in the southeast geopolitical zone of Nigeria, providing specialist healthcare services, including obstetric and gynaecological care, to a diverse population within Abia State and neighbouring states. The ANC operates on weekdays and records a high patient turnover, with an average of 50–70 pregnant women attending each clinic day. The patient population is heterogeneous, comprising individuals from various socio-economic and educational backgrounds.
Study Population
The study population comprised pregnant women attending the antenatal clinic at ABSUTH during the study period, regardless of their gestational age, parity, or previous pregnancy outcomes.
Inclusion Criteria
Pregnant women registered and attending ANC at ABSUTH during the study period.
Women who gave informed consent to participate in the study.
Women aged 18 years and above.
Exclusion Criteria
Pregnant women who were critically ill at the time of the study.
Those who declined participation.
Women with cognitive or communication impairments that could hinder effective response to the questionnaire.
Sample Size Determination
The sample size was determined using Cochran's formula for estimating population proportions, as outlined by Ezebuiro et al. [8]:
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 the established prevalence of contraceptive use among women in Nigeria.
e signifies the allowable margin of error, fixed at 5% (0.05).
q = 1 - p
A recent study conducted by Ajiboye et al. [9] reported the prevalence of GDM in Nigeria as 9%
P = 9% = 0.09
q = 1 – 0.09
= 0.91
n = ((1.96)^2 (0.09 x 0.91))/〖(0.05)〗^2
n = (3.8416 x (0.0819))/0.0025
n = (0.3146)/(0.0025) = 125.85
The minimum sample size was 126, but it was adjusted to 140 to account for a 10% non-response rate.
Sampling Technique
A systematic random sampling technique was used. Using the ANC attendance register, the sampling interval was determined by dividing the estimated number of eligible pregnant women attending ANC during the study period by the required sample size [10]. The first participant was selected randomly, and every 5th eligible woman was subsequently recruited until the sample size was attained.
Study Duration
The study was conducted over a 6-month period from January to June 2025.
Study Instrument
Data were collected using a structured, pre-tested, interviewer-administered questionnaire, developed after reviewing relevant literature on GDM. The questionnaire was divided into four sections:
Section A: Socio-demographic and obstetric characteristics (e.g., age, parity, education, occupation, gestational age).
Section B: Knowledge of GDM (definition, risk factors, symptoms, complications, prevention).
Section C: Attitude towards GDM (using a 5-point Likert scale ranging from "strongly agree" to "strongly disagree").
Section D: Perception towards GDM (using a 5-point Likert scale ranging from "strongly agree" to "strongly disagree").
The knowledge component was scored, with correct answers assigned one point and incorrect answers assigned zero points. Scores were categorised as good, fair, or poor knowledge based on tertile cut-offs.
Pre-testing of the Instrument
The questionnaire was pre-tested on 20 pregnant women attending ANC at a different hospital (Rhema University Teaching Hospital, Aba) to ensure clarity, relevance, and reliability. Necessary modifications were made based on feedback. The reliability coefficients (Cronbach’s alpha) for the knowledge, attitude, and perception domains were 0.82, 0.79, and 0.81, respectively, indicating good internal consistency.
Data Collection Procedure
Data collection was carried out over a period of six Months by trained research assistants fluent in English and Igbo languages. For illiterate participants, the questionnaire was read aloud in their preferred language, and their responses were recorded accordingly. On average, each interview lasted 20–25 minutes.
Ethical Considerations
This study was approved by the Abia State University Teaching Hospital Research Ethics Committee with reference number ABSUTH/MAC/117//VOL.II/78. Written informed consent was obtained from each participant after a thorough explanation of the study objectives, procedures, and potential benefits. Confidentiality was maintained by using anonymised codes instead of personal identifiers, and participants were assured that their participation was voluntary and could be withdrawn at any stage without any consequences to their medical care.
Data Analysis
Data were entered into Statistical Package for the Social Sciences (SPSS) version 26.0 for analysis. Descriptive statistics such as frequencies, percentages, means, and standard deviations were used to summarise variables. Knowledge scores were categorised into good, fair, and poor based on tertile distribution. Attitude and perception scores were similarly categorised into positive/negative and favourable/unfavourable, respectively, based on median cut-offs. The Chi-square test was used to assess associations between categorical variables, while independent t-tests were applied for continuous variables. A p-value of less than 0.05 was considered statistically significant.
The study included 140 participants, most of whom were aged between 30–34 years (26.43%) or 35–39 years (22.14%), married (90.71%), and had tertiary (43.57%) or secondary education (37.14%). The predominant occupations were trading (33.57%) and civil service (27.86%) (Table 1). Obstetric history showed that the largest proportion had 3–4 pregnancies (44.29%) and were multiparous (59.29%), with 13.57% reporting a history of macrosomia, 10.71% with previous preeclampsia, 18.57% having a family history of diabetes, and 29.29% with a family history of hypertension (Table 2).
Knowledge of gestational diabetes mellitus (GDM) was varied, with 68.57% correctly identifying its definition, 62.86% recognizing at least three risk factors, and 53.57% identifying at least two complications for the baby. Overall, 42.14% demonstrated good knowledge, 34.29% fair, and 23.57% poor (Table 3).
Attitudes towards GDM were generally positive, with most participants agreeing that routine screening is important (80%) and that pregnant women should be educated about GDM (80.72%). The majority also believed lifestyle changes can reduce risk (76.43%), although a notable proportion disagreed that GDM treatment is too stressful (44.29%) (Table 4). Perceptions were moderate, with 42.86% agreeing they were at risk of developing GDM, 62.14% agreeing it can cause serious harm to the baby, and 56.43% acknowledging that cultural beliefs influence its management (Table 5).
Analysis revealed that knowledge was significantly associated with educational level (p = 0.001) and family history of diabetes (p = 0.012), but not age group (Table 6). Correlation analysis indicated significant positive relationships between knowledge and attitude (r = 0.482, p = 0.001), knowledge and perception (r = 0.391, p = 0.002), and attitude and perception (r = 0.415, p = 0.001) (Table 7).
| Variable | Frequency (n = 140) | Percentage (%) |
| Age group (years) | ||
| 18–24 | 22 | 15.71 |
| 25–29 | 28 | 20.00 |
| 30–34 | 37 | 26.43 |
| 35–39 | 31 | 22.14 |
| 40–45 | 22 | 15.71 |
| Marital status | ||
| Married | 127 | 90.71 |
| Single | 9 | 6.43 |
| Divorced/Separated | 4 | 2.86 |
| Educational level | ||
| No formal education | 8 | 5.71 |
| Primary | 19 | 13.57 |
| Secondary | 52 | 37.14 |
| Tertiary | 61 | 43.57 |
| Occupation | ||
| Unemployed | 23 | 16.43 |
| Trader | 47 | 33.57 |
| Civil servant | 39 | 27.86 |
| Artisan | 18 | 12.86 |
| Professional | 13 | 9.29 |
Table 1: Sociodemographic Characteristics of Participants
| Variable | Frequency (n = 140) | Percentage (%) |
| Gravidity | ||
| 1–2 | 54 | 38.57 |
| 3–4 | 62 | 44.29 |
| ≥5 | 24 | 17.14 |
| Parity | ||
| Nulliparous | 37 | 26.43 |
| Multiparous (1–4) | 83 | 59.29 |
| Grand multiparous (≥5) | 20 | 14.29 |
| History of macrosomia | 19 | 13.57 |
| History of stillbirth | 12 | 8.57 |
| History of preeclampsia | 15 | 10.71 |
| Family history of DM | 26 | 18.57 |
| Family history of HTN | 41 | 29.29 |
Table 2: Obstetric and Medical History of Participants
| Variable (Knowledge Items) | Frequency (n = 140) | Percentage (%) |
| Definition of GDM correctly identified | 96 | 68.57 |
| Recognises at least 3 risk factors | 88 | 62.86 |
| Identifies at least 3 common symptoms | 73 | 52.14 |
| Knows at least 2 complications for mother | 69 | 49.29 |
| Knows at least 2 complications for baby | 75 | 53.57 |
| Overall Knowledge Category | ||
| Good | 59 | 42.14 |
| Fair | 48 | 34.29 |
| Poor | 33 | 23.57 |
Table 3: Knowledge of Gestational Diabetes Mellitus
| Statement | Strongly Agree n (%) | Agree n (%) | Neutral n (%) | Disagree n (%) | Strongly Disagree n (%) |
| Routine screening for GDM is important | 64 (45.71) | 48 (34.29) | 15 (10.71) | 9 (6.43) | 4 (2.86) |
| Pregnant women should be educated about GDM | 72 (51.43) | 41 (29.29) | 14 (10.00) | 8 (5.71) | 5 (3.57) |
| Lifestyle changes can reduce GDM risk | 58 (41.43) | 49 (35.00) | 17 (12.14) | 10 (7.14) | 6 (4.29) |
| GDM treatment is too stressful | 19 (13.57) | 26 (18.57) | 33 (23.57) | 41 (29.29) | 21 (15.00) |
Table 4: Attitude towards Gestational Diabetes Mellitus (n = 140)
| Perception Statement | Strongly Agree (%) | Agree (%) | Neutral (%) | Disagree (%) | Strongly Disagree (%) |
| I am at risk of developing GDM | 21 (15.00) | 39 (27.86) | 34 (24.29) | 29 (20.71) | 17 (12.14) |
| GDM can cause serious harm to my baby | 36 (25.71) | 51 (36.43) | 28 (20.00) | 17 (12.14) | 8 (5.71) |
| Cultural beliefs influence how GDM is managed | 33 (23.57) | 46 (32.86) | 30 (21.43) | 21 (15.00) | 10 (7.14) |
Table 5: Perception towards Gestational Diabetes Mellitus (n = 140)
| Variable | Good Knowledge n (%) | Poor/Fair Knowledge n (%) | χ² | df | p-value |
| Age Group (years) | 7.421 | 4 | 0.115 | ||
| ≤29 | 27 (47.37) | 30 (52.63) | |||
| ≥30 | 29 (34.94) | 54 (65.06) | |||
| Educational Level | 15.812 | 3 | 0.001* | ||
| Primary or none | 8 (21.05) | 30 (78.95) | |||
| Secondary | 18 (39.13) | 28 (60.87) | |||
| Tertiary | 30 (46.88) | 34 (53.12) | |||
| Family History of Diabetes | 6.248 | 1 | 0.012* | ||
| Yes | 22 (57.89) | 16 (42.11) | |||
| No | 34 (33.33) | 68 (66.67) |
Table 6: Factors Associated with Knowledge Level on GDM (n = 140)
*Significant at p < 0>Variables Knowledge r (p-value) Attitude r (p-value) Perception r (p-value) Knowledge 1.000 0.482 (0.001*) 0.391 (0.002*) Attitude 0.482 (0.001*) 1.000 0.415 (0.001*) Perception 0.391 (0.002*) 0.415 (0.001*) 1.000
Table 7: Correlation between Knowledge, Attitude and Perception Scores (n = 140)
*Significant at p < 0>
The sociodemographic profile of the study participants shows that most women were aged 25–39 years and were overwhelmingly married, with a high level of formal education (43.6% tertiary). This age and marital distribution are typical of antenatal clinic populations in Nigeria and other sub-Saharan settings, where married, mid-reproductive-age women constitute the majority of ANC attendants. The relatively high proportion with tertiary education in this sample helps explain some of the stronger knowledge scores observed, since education is strongly associated with greater awareness and understanding of pregnancy complications, including gestational diabetes mellitus (GDM). Large Nigerian hospital-based surveys and cross-sectional studies have similarly reported that higher educational attainment is associated with better awareness and knowledge of GDM and related preventive behaviours [11,12].
Overall knowledge in this study was mixed: 42.1% of participants had “good” knowledge, 34.3% “fair,” and 23.6% “poor.” This distribution places the cohort somewhat above several reports from the region that document generally low awareness of GDM but below studies from better-resourced tertiary centres that report higher awareness. For example, some Nigerian tertiary-centre studies have reported high overall awareness and that many antenatal women understand risk factors and effects of GDM, whereas community or lower-resourced settings often show much lower awareness or knowledge gaps. These disparities reflect heterogeneity in information transfer during ANC, differing outreach and health-education programs, and variable media and social networks as sources of information. The mixed knowledge levels in this study mirror a common regional picture: pockets of adequate knowledge mostly linked to education and healthcare exposure, but persistent gaps remain that leave a substantial minority with insufficient understanding [6,11].
The participants of this study showed favorable attitudes in several key areas: most agreed that routine screening is important (79.1% combined strongly agree/agree), that pregnant women should be educated about GDM (80.7%), and that lifestyle changes can reduce risk (76.4%). These positive attitudes are encouraging because they indicate receptivity to preventive interventions and screening programs. Other recent studies in Nigeria and neighbouring countries report similar positive attitudes toward screening and education when women are aware of GDM. However, the item showing many women disagreed that “GDM treatment is too stressful” suggests a notable proportion perceive GDM management as burdensome or anxiety-provoking; that perception can impair adherence to recommended dietary, glucose-monitoring, or treatment regimens and therefore requires attention in counselling. The coexistence of positive attitudes toward screening but concerns about treatment burden underscores that knowledge alone is not sufficient — supportive, practical counselling and health system measures (e.g., easy access to screening, simplified follow-up, peer support) are also needed [11].
Perception items reveal a moderate perceived personal risk (only 42.9% strongly agree/agree that “I am at risk of developing GDM”) and stronger belief that GDM can harm the baby (62.1% strongly agree/agree). The moderate perceived risk despite reasonable knowledge suggests a disconnect between general knowledge of GDM and women’s appraisal of their personal vulnerability. This is consistent with other studies in sub-Saharan Africa showing that even when women recognise GDM as harmful, many do not consider themselves personally at risk unless they have obvious risk markers (older age, prior macrosomia, obesity, or family history). The finding that many respondents agreed cultural beliefs influence GDM management (56.4% strongly agree/agree) aligns with qualitative and mixed-methods reports from Nigeria which emphasise that traditional beliefs, family norms, and local health-seeking behaviours shape how pregnancy complications are interpreted and managed. Interventions therefore must be culturally sensitive and involve family/community influencers to be effective [6].
The association analyses in this study showed two important determinants of good knowledge: educational level (p = 0.001) and family history of diabetes (p = 0.012). The education effect is well documented in the literature; multiple African and Nigerian studies find that women with secondary or tertiary education are significantly more likely to know about GDM, its risk factors, complications, and preventive strategies. Likewise, family history often raises awareness because family members with diabetes bring the disease into everyday conversation and increase the chance that women encounter information about diabetes. Such patterns were also reported in regional cross-sectional work and reinforce the need to target health education at less-educated women and those without personal or familial exposure to diabetes. Targeted messaging (simple, pictorial, community outreach) at lower-education groups will likely narrow knowledge gaps and improve early screening uptake [11,12].
The correlation analysis reveals significant, moderate positive relationships between knowledge and attitude (r = 0.482), knowledge and perception (r = 0.391), and attitude and perception (r = 0.415), all statistically significant. These correlations suggest that better factual knowledge is associated with more positive attitudes toward screening and prevention and with perceptions that recognise the seriousness of GDM. This pattern is concordant with health-behaviour theory and empirical findings: information and understanding shape attitudes, which in turn influence perceived susceptibility and readiness to adopt preventive measures. Several recent studies have reported similar positive links between knowledge and attitudes/practices in pregnancy-related conditions, implying that education efforts can have downstream benefits for uptake of screening and lifestyle interventions. However, correlation does not prove causation; multifaceted approaches that combine knowledge transfer with skills, motivation, and system facilitation are most likely to change behaviours [12].
When compared with national and regional syntheses, the findings of this present study sit within the documented heterogeneity of GDM awareness and knowledge in Nigeria. A systematic review and meta-analysis of GDM in Nigeria reported wide prevalence estimates (0.5–38%) and emphasised common determinants such as previous macrosomia, obesity, family history, and advanced age [5]. That broad epidemiologic heterogeneity is mirrored in awareness studies: some tertiary centres and urban cohorts report relatively high awareness and acceptable knowledge levels, while community-based or rural studies frequently find low awareness and knowledge. More recent multi-centre and regional reviews continue to show that a sizeable fraction of pregnant women remain unaware of GDM or its potential harms. The implication is that national maternal health programs should standardise GDM health education content in ANC and strengthen routine screening policies to detect and manage cases early [5].
Practically, these results point to several action priorities. First, ANC health education sessions should include explicit, repeated messaging on GDM, definition, risk factors, maternal and neonatal complications, the benefits of screening, and what management entails, tailored to literacy levels in the local population. Second, routine and accessible screening (with clear referral pathways) should be strengthened so positive attitudes toward screening translate into actual testing. Third, counselling must address concerns about the stress of treatment by explaining practical management strategies (dietary guidance, feasible glucose-monitoring routines, and where to get help) and by offering social support structures (peer groups, family counselling). Fourth, outreach should target groups with lower education and those without a family diabetes history, using community health workers, visual aids, and radio/WhatsApp channels that reach lower-literacy audiences. Finally, because cultural beliefs influence management, community leaders and family decision-makers should be engaged in health education to ensure interventions are acceptable and effective. These suggested responses are consistent with recommendations from recent regional studies emphasising health education, standardised ANC messaging, and context-appropriate screening strategies [6].
The findings of this present study demonstrate a mixed but promising picture: appreciable proportions of pregnant women possess good knowledge and positive attitudes toward GDM and screening, but nearly one quarter retain poor knowledge and many underestimate their personal risk. Education level and family history significantly predict knowledge, and knowledge correlates positively with attitude and perception. These findings are consistent with regional and national literature and highlight the urgent need to standardise GDM education across ANC services, expand routine screening, and design culturally sensitive interventions targeting less-educated women and those without familial exposure to diabetes. Implementing these steps will strengthen prevention, timely detection, and management of GDM, helping reduce adverse maternal and neonatal outcomes in Abia State and similar settings.
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"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.
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.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.
Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed
Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.
Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.
Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.
