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Dear Mary

It seems odd that there are two articles on the same topic, published on
the same date, on the RCM website.
May I suggest that the article written by Hollie Ewers, with the
unfortunate phrase “offers only a marginal drop”, is removed?

Gillian Meldrum

On Fri, 12 Oct 2018 at 11:56, Mary Ross-Davie <[log in to unmask]>
wrote:

> Dear Christine and other Jiscmail members
> I just wanted to write in response to comments about the RCM response to
> the AFFIRM trial.
> I was the lead author for the RCM for our response, with support from the
> wider RCM professional team.  I was concerned to read that you felt that
> our response was unclear.
> We were keen to ensure that we responded quickly to the publication of the
> study in the Lancet and produced this statement within 24 hours of its
> publication as we know this is a very important topic for many of our
> members and for the maternity community.
> I think it is natural that the level of detail that we include in an
> immediate response statement for the media and our members is less than the
> publishing academic journal.
> The first line in the statement where we describe the results is this:
> ‘ The results of the study are clear:  the package of care did not lead to
> a statistically significant reduction in the number of stillbirths and led
> to a significant increase in medical interventions including induction of
> labour and caesarean section’.
> We go on to say this:
> ‘The AFFIRM trial, with its negative result, has made an important
> contribution to our current knowledge.  Further research into this
> important topic is always needed’ and then this…’The risks posed by
> increased interventions need to be balanced by their potential benefits.
> This study did not demonstrate that the interventions tested provide the
> benefits sought in relation to reducing stillbirth or perinatal mortality’.
> In our statement we do not talk about any ‘marginal benefits’, which is
> the description used by the authors.  It appears that the article you have
> read and link to in your email Christine is a brief article written by one
> of the journalists who writes for Midwives magazine, who is quoting from
> the study authors in her article.  This article is the journalist's take on
> the study.
> Our official RCM response and statement can be read in full here:
> https://www.rcm.org.uk/news-views-and-analysis/news/rcm-response-to-the-publication-of-the-affirm-trial-in-the-lancet
>
> We have received some direct positive feedback about our response from a
> number of midwives, they have felt that it provides clarity for them in
> responding to the results of the AFFIRM trial.  The RCM will be involved in
> ongoing discussions and work in shaping how maternity services in the UK
> can best respond to the findings of this trial.
> I am happy to discuss this further through email,
>
> Best wishes
> Mary
>
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