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Many thanks for doing this Claire.

Katherine

On Tue, 25 Feb 2020, 12:22 Claire Feeley, <
[log in to unmask]> wrote:

> hello again,
>
> I've drafted a letter to forward to Kathryn Gutteridge regarding fresh
> ears, attached here, I've kept this focused on the fresh ears issue rather
> than the wider issues to keep the letter focused.
>
> Please let me know if you're happy to be named as a contributor/supporter
> of its contents, so far I've included:
>
> Professor Soo Downe
> Professor Jane Sandall
> Dr Jenny Hall
> Dr Lucia Rocca-Ihenacho
> Margaret Jowitt (consumer)
> Dr Sheena Bryom OBE
> Associate Professor Ank de Jonge
> Linda Wylie (ARM)
> >30 clinical midwives from the social media discussion which I’ve opted to
> keep anonymous.
>
>
> I've not done this before, so am hoping it reads alright!
>
> Thanks for your time
> Dr Claire Feeley
>
>
> On Sunday, 23 February 2020, 17:36:00 GMT, Katherine Hales <
> [log in to unmask]> wrote:
>
>
> Thank you Claire this is very helpful.
>
> Katherine
>
> On Thu, 20 Feb 2020, 11:17 Claire Feeley, <
> [log in to unmask]> wrote:
>
> Dear All,
>
> I have been engaged in a conversation of Facebook about the Saving Babies
> Lives v2 regarding the introduction of 'fresh ears' for IA- found here
> https://www.facebook.com/groups/MUNet/permalink/2064124127067440/.
> It was also in V1, but I recall the language was more caveated in the
> previous version.
>
> This idea that midwives require a second midwife to listen to the FH
> during IA once an hour appears to have taken traction in some trusts,
> without any evidence to support its use. Concerning enough...I was
> particularly alarmed by the report from one midwife who reported that at a
> home birth, they are 'required' to phone the labour ward coordinator for
> them to listen to the FH over the phone!
>
> While I appreciate there have been some poor outcomes during uncomplicated
> labours due to errors using IA (audit attached here from one trust), I am
> concerned that once again we're in a position of what 'seems like a good
> idea' may have unintended (negative) consequences. I understand that the
> Consultant Midwives group are in the process of writing a position
> statement on this which is awaiting publication. However, I do not know how
> other concerns can be raised- hence my desire to flag it to this group for
> advice of what to do/what can be done to challenge this?
>
> Also from the fb conversation, one person said their trust was operating a
> 'trial' basis, yet that comes under service improvement/auditing cycles,
> and not 'official' research. Therefore, I am also concerned that such an
> intervention hasn't gone through the usual ethics procedures that we would
> be obliged to do, raising ethical issues all of its own.
>
>
> Any advice on what to do next would be gratefully received!
>
> Best wishes,
> Dr Claire Feeley
> Midwife/Researcher
>
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