England's pack may be a player down, but they still seem to have the advantage.

The Red Roses' attack isn't looking too bad either and suddenly they're 5m out.

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England still manage to string some attack together, despite playing with two players fewer than their opponents.

Prop Maud Muir eventually spills the ball forward and we'll have a scrum.

Katy Daley-Mclean
Former England captain on BBC Two

Italy want to throw this ball around so it will be interesting to see how England defend this.

Do they bring Ellie Kildunne into the frontline and drop the two wingers?

The TMO says there is direct head contact.

Helena Rowland heads to the bin. England are down to 13.

This one will have a bunker review as well so there could still another red card for the visitors.

We're having a TMO check.

They're looking at Helena Rowland's clear-out in a ruck.

England have already fallen foul of this once today, with Sarah Beckett's early red card.

Hosts Italy make a change at number eight as Lucia Gai takes to the field for Gulia Cavina.

England are hovering inside Italy's 22 again.

They are delivering on their promise of a fast attack now. Feaunati sends a nice ball inside and Connie Powell wriggles over the tryline, but the ball is held up.

England head coach John Mitchell, speaking to BBC Sport: "We knew this game was going to be sticky, but I am proud of the way the girls have worked through it.

"Maddie Feaunati is extremely athletic, fast and young.

"She was brought up in Leeds and has been totally committed wanting to play for her country - the girls have embraced her really well."

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Among all the excitement of the tries we didn't mark England back row Maddie Feaunati's arrival onto the field for her first cap.

She is making herself known out there too.

Wait a minute... Italy suddenly have their best chance of scoring.

They are well inside England's 22, but Ellie Kildunne says no thank you and carries Italy wing Aura Muzzo into touch.

Italy decide to freshen their forward pack.

Valeria Fedrighi, Sara Tounesi, Francesca Sgorbini, Silvia Turani and Giai Maris come off for Alessandra Frangi-Pani, Alessia Pilani, Giordana Duca, Laura Gurioli and Emanuela Stecca.

Captain Stefan Sofia is also brought off for Francesca Granzotto.

One of England's most enjoyable tries so far, this one from Ellie Kildunne.

England still look full of fire as we enter the final 20 minutes.

The Red Roses are threatening on the 22 again buoyed by an influx of replacements.

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Marlie Packer leaves the field as her team-mates lovingly hold up a 100-cap flag in the stands. Flanker Alex Matthews is on.

England head coach John Mitchell said before this one that Italy wouldn't "die wondering" and they are still giving it their all.

The Azzurre run the ball into England's half but it's stolen and a smart kick gets the Red Roses back in the opposition 22.

Five replacements for the Red Roses.

Three changes in the forwards as the entire front row makes way for Mackenzie Carson, Connie Powell and Maud Muir.

In the backs, Emily Scarratt is off for Holly Aitchison and at scrum-half Natasha Hunt is on for Lucy Packer.

This could get ugly now.

What can England do in the next 25 minutes?

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That was the bonus-point score for England and it looks like they're hungry for more as Abby Dow makes her way down the right wing.