The Annals of Clinical Medicine and Medical Research (ISSN 2994-7464) is a peer-reviewed Open Access Journal dedicated to publishing of the most comprehensive and reliable research in medical and health sciences.

Annals of Clinical Medicine and Medical Research accepts articles in all the formats from: Endocrinology, Rheumatology, Infectious diseases, Pulmonary diseases, Cardiovascular diseases, Critical care medicine, Haematology, Oncology, Gastroenterology, Nephrology, Neurology, Psychiatry, Dermatology, Ophthalmology, Gynaecology, Otorhinolaryngology, Non-surgical orthopaedics, Palliative medicine, Sleep medicine, Geriatrics, Rehabilitation medicine, opioid-related disorders, depressive symptoms, chronic pain, cardiovascular disease, epidemiology, alcohol use disorder, healthcare delivery, telehealth, COVID-19, acupuncture, clinical reasoning, diabetes mellitus etc...

Medicine

Annals of Clinical Medicine and Medical Research (ISSN 2994-7464)

The Annals of Clinical Medicine and Medical Research (ISSN 2994-7464) is a peer-reviewed Open Access Journal dedicated to publishing of the most comprehensive and reliable research in medical and health sciences.     

Drain Site Herniation of the Vermiform Appendix: A Rare Complication Following Laparotomy

Conservative Multisystem Trauma Management in a Patient with Severe Dilated Cardiomyopathy: A Case Report

When Cellulitis Is Not Cellulitis: Early Necrotizing Fasciitis in the Emergency Department

Background: Epidural analgesia is recognized as an effective method for labor pain management; however, its utilization remains low in Nigeria. This study examines the factors influencing the adoption of epidural analgesia among obstetric caregivers in Southeast Nigeria, encompassing knowledge, attitudes, practice, and accessibility.
Materials and Methods: This descriptive cross-sectional study was conducted across selected healthcare facilities in Southeast Nigeria, including tertiary, secondary, and primary care centers. A multistage sampling technique recruited 265 obstetric caregivers (obstetricians, anesthetists, midwives, and nurses) with at least one year of experience. Data were collected via a structured, self-administered questionnaire, validated through expert review and pilot testing (Cronbach's alpha: 0.7). Descriptive statistics summarized demographics, knowledge, attitudes, and practice.
Results: Of the participants, 63.02% were female, with 40% having 11–15 years of experience. Although 100% of caregivers were aware of epidural analgesia, 29.81% had not received formal training. While 73.21% of facilities offered epidural analgesia, frequent use was limited by barriers such as high cost (42.96%), lack of trained personnel (26.30%), and limited equipment (9.81%). Positive attitudes towards epidural use were prevalent, yet only 18.49% reported adequate staff training.
Conclusion: The utilization of epidural analgesia in Southeast Nigeria is influenced by caregiver training, resource availability, and cultural beliefs. Improving training, funding, and patient education could enhance utilization rates.


Factors Influencing the Utilization of Epidural Analgesia among Obstetric Caregivers in Southeast Nigeria

Euglycemic Ketoacidosis: Etiologies, Pathogenesis, and Management

eSource in Clinical Research

Systematic review of the Bedaquiline, Pretomanid, and Linezolid (BPaL) Regimen for Drug- Resistant Tuberculosis

The Correlation between the Overweight and Obesity as Predisposing Risk Indicators to Cardiometabolic Disorders among Adults in Kisumu County Nyanza Region of Kenya

The Impact of Specific Dietary Interventions on The Gut Microbiome in Patients with Inflammatory Bowel Disease: A Systematic Review

Hepatorenal Syndrome

Acute Kidney Injury

Volume 4, Issue 1

Drain Site Herniation of the Vermiform Appendix: A Rare Complication Following Laparotomy

Volume 4, Issue 1

Conservative Multisystem Trauma Management in a Patient with Severe Dilated Cardiomyopathy: A Case Report

Volume 4, Issue 1

When Cellulitis Is Not Cellulitis: Early Necrotizing Fasciitis in the Emergency Department

Volume 2, Issue 1

Factors Influencing the Utilization of Epidural Analgesia among Obstetric Caregivers in Southeast Nigeria

Volume 2, Issue 1

Euglycemic Ketoacidosis: Etiologies, Pathogenesis, and Management

Volume 1, Issue 1

eSource in Clinical Research

Volume 1, Issue 1

Systematic review of the Bedaquiline, Pretomanid, and Linezolid (BPaL) Regimen for Drug- Resistant Tuberculosis

Volume 1, Issue 1

The Correlation between the Overweight and Obesity as Predisposing Risk Indicators to Cardiometabolic Disorders among Adults in Kisumu County Nyanza Region of Kenya

Volume 1, Issue 1

The Impact of Specific Dietary Interventions on The Gut Microbiome in Patients with Inflammatory Bowel Disease: A Systematic Review

Volume 1, Issue 1

Hepatorenal Syndrome