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Clara Ann sounds a little dated. Anne and Ann were very popular as a middle name for women of my generation and up to 15 years younger than me. Nearly every woman my age seems to have the middle names Anne, Ann or Louise and I’m 39. The A at the end of Clara also runs into the A at the start of Ann. If it was me I would avoid an A middle name but this is just personal preference as I have the same issue with my name. My first name ends in an A and my middle name is Agnes. Clara is not very common here and I live in Scotland.