Publications by authors named "Mary Maina"
Background: The Maternal and Perinatal Death Surveillance and Response (MPDSR) was introduced in Kenya in 2016 and implemented at Kiambu Level 5 Hospital (KL5H) three years later in 2019. During a routine MPDSR meeting at KL5H, committee members identified a possible link between the off-label use of 200mcg misoprostol tablets divided eight times to achieve the necessary dose for labour induction (25mcg) and maternal deaths. Following this, an administrative decision was made to switch from misoprostol to dinoprostone for the induction of labour in June of 2019.
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- The ShangRing is a disposable circumcision device that offers a quicker, less painful alternative to traditional circumcision methods for males aged 10 and older, providing high client satisfaction and comparable adverse events.
- A study assessed the safety and effectiveness of using topical anesthesia versus injectable anesthesia during ShangRing circumcision, focusing on pain levels, ease of use, and participant satisfaction.
- Results showed that the topical anesthesia group experienced significantly less pain and fewer adverse events, leading to high satisfaction rates, with nearly all participants willing to recommend the ShangRing to others.
To assess safety of the no-flip ShangRing male circumcision technique and to determine clinical course and safety of spontaneous detachment (i.e., allowing the device to fall off), we conducted a case series of no-flip ShangRing circumcision combined with a randomized controlled trial of removal 7 days postcircumcision versus spontaneous detachment at two health facilities in Kenya.
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