FYi

Hi All

Just sharing some positive news.

I know Amanda Mansfield has been very instrumental in changing practice and guidelines within the ambulance service.

Please forwards to anybody else who might be interested.

Kind regards

Amanda

---------- Original Message ----------
From: Amanda Mansfield <[log in to unmask]>
To: "[log in to unmask]" <[log in to unmask]>
Cc: JRCALC <[log in to unmask]>, Amanda Mansfield <[log in to unmask]>
Date: 07 August 2018 at 18:56
Subject: Shoe Lace advice

Dear Amanda

 

I hope you are well?

 

Thank you for your email in regards to the current telephone advice provided by ambulance services in relation to management of the umbilical cord after the birth of a baby without the attendance of a clinician at the time.

 

I am responding as the Midwifery representative for the Joint Royal Colleges Ambulance Liaison Committee.

 

At present, I can confirm, that our national guidance is to ensure the cord is left to stop naturally pulsating, and only recommends any clamping and cutting where the ambulance clinician cannot exercise resuscitative care in a difficult or unplanned environment.

 

The advice provided by the software used by ambulance trusts, known as “MPDS”, uses advice that, until recently, was developed by a group of “experts” based in the US and is ratified through the UK oversight of the National Ambulance Services of Medical Directors. This has previously been raised as an area of practice in keeping with the emerging evidence and understanding around newborn adaption and physiology.  At the present time, we are wanting to change the advice within the UK ambulance services so that for normal births, where there is no clinician on scene, that the cord is left to stop pulsating, as had done prior to this advice being incorporated.

 

Please do share this response as we continue to look at solutions to a ensuring that no person is instructed to utilise any ligature to clamp the umbilical blood flow.

 

Kind regards

Amanda Mansfield

 

 

Amanda Mansfield

Consultant Midwife

On behalf of JRCALC Group, RCM Member representative.