WEBVTT 00:00:00.500 --> 00:00:12.390 align:start position:0% [Music] 00:00:12.390 --> 00:00:12.400 align:start position:0% [Music] 00:00:12.400 --> 00:00:14.749 align:start position:0% [Music] uh<00:00:12.559> covid<00:00:12.880> disease<00:00:13.639> and<00:00:13.839> all<00:00:14.000> the<00:00:14.200> process<00:00:14.639> I'm 00:00:14.749 --> 00:00:14.759 align:start position:0% uh covid disease and all the process I'm 00:00:14.759 --> 00:00:17.429 align:start position:0% uh covid disease and all the process I'm not<00:00:14.920> going<00:00:15.040> to<00:00:15.200> discuss<00:00:15.599> the<00:00:16.039> viral<00:00:16.600> load<00:00:17.199> and 00:00:17.429 --> 00:00:17.439 align:start position:0% not going to discuss the viral load and 00:00:17.439 --> 00:00:19.590 align:start position:0% not going to discuss the viral load and all<00:00:17.640> those<00:00:17.840> things<00:00:18.560> I'll<00:00:18.800> just<00:00:19.000> come<00:00:19.160> to<00:00:19.320> the 00:00:19.590 --> 00:00:19.600 align:start position:0% all those things I'll just come to the 00:00:19.600 --> 00:00:22.429 align:start position:0% all those things I'll just come to the point<00:00:20.279> uh<00:00:20.880> uh<00:00:21.039> pointwise<00:00:21.640> discussions<00:00:22.160> of 00:00:22.429 --> 00:00:22.439 align:start position:0% point uh uh pointwise discussions of 00:00:22.439 --> 00:00:24.710 align:start position:0% point uh uh pointwise discussions of what<00:00:23.080> things<00:00:23.400> we<00:00:23.640> get<00:00:23.800> into<00:00:24.119> our<00:00:24.320> practice 00:00:24.710 --> 00:00:24.720 align:start position:0% what things we get into our practice 00:00:24.720 --> 00:00:26.870 align:start position:0% what things we get into our practice which<00:00:24.880> starts<00:00:25.240> from<00:00:25.519> the<00:00:25.760> you<00:00:25.920> know<00:00:26.279> from<00:00:26.720> uh 00:00:26.870 --> 00:00:26.880 align:start position:0% which starts from the you know from uh 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um how the resuscitation should be basically<00:00:37.280> managed<00:00:37.800> when<00:00:38.079> a<00:00:38.280> covid-19 00:00:39.069 --> 00:00:39.079 align:start position:0% basically managed when a covid-19 00:00:39.079 --> 00:00:42.430 align:start position:0% basically managed when a covid-19 exposure<00:00:40.000> is<00:00:40.160> there<00:00:40.360> to<00:00:40.520> the<00:00:40.640> mother<00:00:41.600> and<00:00:42.079> uh 00:00:42.430 --> 00:00:42.440 align:start position:0% exposure is there to the mother and uh 00:00:42.440 --> 00:00:44.990 align:start position:0% exposure is there to the mother and uh then<00:00:42.640> going<00:00:42.920> forward<00:00:43.399> we'll<00:00:43.680> go<00:00:44.039> ahead<00:00:44.399> to<00:00:44.600> see 00:00:44.990 --> 00:00:45.000 align:start position:0% then going forward we'll go ahead to see 00:00:45.000 --> 00:00:47.510 align:start position:0% then going forward we'll go ahead to see what<00:00:45.120> are<00:00:45.320> the<00:00:45.440> resuscitation<00:00:46.520> protocols 00:00:47.510 --> 00:00:47.520 align:start position:0% what are the resuscitation protocols 00:00:47.520 --> 00:00:51.549 align:start position:0% what are the resuscitation protocols then<00:00:48.120> uh<00:00:48.760> if<00:00:49.160> um<00:00:50.120> the<00:00:50.440> main<00:00:50.719> things<00:00:51.039> which<00:00:51.239> we 00:00:51.549 --> 00:00:51.559 align:start position:0% then uh if um the main things which we 00:00:51.559 --> 00:00:54.590 align:start position:0% then uh if um the main things which we deal<00:00:52.120> these<00:00:52.359> days<00:00:52.600> in<00:00:52.719> the<00:00:52.879> clinical<00:00:53.600> practice 00:00:54.590 --> 00:00:54.600 align:start position:0% deal these days in the clinical practice 00:00:54.600 --> 00:00:56.910 align:start position:0% deal these days in the clinical practice uh<00:00:54.719> if<00:00:54.840> we<00:00:55.000> are<00:00:55.120> a<00:00:55.239> unitologist<00:00:56.199> is<00:00:56.600> uh<00:00:56.719> the 00:00:56.910 --> 00:00:56.920 align:start position:0% uh if we are a unitologist is uh the 00:00:56.920 --> 00:00:58.910 align:start position:0% uh if we are a unitologist is uh the concerns<00:00:57.600> with<00:00:57.760> the<00:00:57.920> parents<00:00:58.359> that<00:00:58.519> they<00:00:58.680> have 00:00:58.910 --> 00:00:58.920 align:start position:0% concerns with the parents that they have 00:00:58.920 --> 00:01:01.869 align:start position:0% concerns with the parents that they have that<00:00:59.160> okay<00:00:59.359> fine<00:00:59.600> my<00:00:59.719> baby<00:01:00.199> is<00:01:00.399> born<00:01:01.399> and 00:01:01.869 --> 00:01:01.879 align:start position:0% that okay fine my baby is born and 00:01:01.879 --> 00:01:04.990 align:start position:0% that okay fine my baby is born and should<00:01:02.199> I<00:01:02.440> be<00:01:03.160> uh<00:01:03.960> you<00:01:04.119> know<00:01:04.320> should<00:01:04.559> my<00:01:04.720> baby 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two uh what is the 00:01:12.640 --> 00:01:14.429 align:start position:0% point number two uh what is the breastfeeding<00:01:13.320> protocol<00:01:13.880> whether<00:01:14.119> we<00:01:14.200> should 00:01:14.429 --> 00:01:14.439 align:start position:0% breastfeeding protocol whether we should 00:01:14.439 --> 00:01:16.590 align:start position:0% breastfeeding protocol whether we should breastfeed<00:01:15.000> the<00:01:15.320> uh<00:01:15.439> baby<00:01:15.759> or<00:01:16.040> not<00:01:16.320> that<00:01:16.439> is 00:01:16.590 --> 00:01:16.600 align:start position:0% breastfeed the uh baby or not that is 00:01:16.600 --> 00:01:18.990 align:start position:0% breastfeed the uh baby or not that is number<00:01:16.880> two<00:01:17.159> point<00:01:17.960> number<00:01:18.280> three<00:01:18.600> is<00:01:18.880> there 00:01:18.990 --> 00:01:19.000 align:start position:0% number two point number three is there 00:01:19.000 --> 00:01:20.630 align:start position:0% number two point number three is there are<00:01:19.240> certain<00:01:19.600> questions<00:01:19.960> related<00:01:20.280> to<00:01:20.439> the 00:01:20.630 --> 00:01:20.640 align:start position:0% are certain questions related to the 00:01:20.640 --> 00:01:22.510 align:start position:0% are certain questions related to the vaccinations<00:01:21.479> whether<00:01:21.720> the<00:01:22.200> baby 00:01:22.510 --> 00:01:22.520 align:start position:0% vaccinations whether the baby 00:01:22.520 --> 00:01:24.990 align:start position:0% vaccinations whether the baby vaccinations<00:01:23.079> should<00:01:23.280> be<00:01:23.439> continued<00:01:23.960> or<00:01:24.119> not 00:01:24.990 --> 00:01:25.000 align:start position:0% vaccinations should be continued or not 00:01:25.000 --> 00:01:26.789 align:start position:0% vaccinations should be continued or not and<00:01:25.280> certain<00:01:25.640> other<00:01:25.880> questions<00:01:26.240> which<00:01:26.400> will 00:01:26.789 --> 00:01:26.799 align:start position:0% and certain other questions which will 00:01:26.799 --> 00:01:28.390 align:start position:0% and certain other questions which will go<00:01:26.920> ahead<00:01:27.159> with<00:01:27.320> it<00:01:27.479> so<00:01:27.720> let's<00:01:27.960> just<00:01:28.159> start 00:01:28.390 --> 00:01:28.400 align:start position:0% go ahead with it so let's just start 00:01:28.400 --> 00:01:31.270 align:start position:0% go ahead with it so let's just start with<00:01:28.520> the<00:01:28.680> first<00:01:28.880> slide<00:01:30.040> now<00:01:30.680> what<00:01:30.799> do<00:01:30.960> we<00:01:31.119> all 00:01:31.270 --> 00:01:31.280 align:start position:0% with the first slide now what do we all 00:01:31.280 --> 00:01:33.190 align:start position:0% with the first slide now what do we all know<00:01:31.520> till<00:01:31.759> now<00:01:32.000> about<00:01:32.280> covid-19<00:01:32.920> is 00:01:33.190 --> 00:01:33.200 align:start position:0% know till now about covid-19 is 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groups<00:01:39.479> which<00:01:39.640> they<00:01:39.799> were<00:01:40.000> studying<00:01:40.360> in<00:01:40.680> India 00:01:41.670 --> 00:01:41.680 align:start position:0% groups which they were studying in India 00:01:41.680 --> 00:01:43.149 align:start position:0% groups which they were studying in India uh<00:01:41.799> first<00:01:42.000> of<00:01:42.079> all<00:01:42.200> I'll<00:01:42.360> let<00:01:42.520> you<00:01:42.600> know<00:01:42.920> this 00:01:43.149 --> 00:01:43.159 align:start position:0% uh first of all I'll let you know this 00:01:43.159 --> 00:01:44.910 align:start position:0% uh first of all I'll let you know this presentation<00:01:43.680> will<00:01:43.880> have<00:01:44.079> some<00:01:44.280> slides<00:01:44.799> which 00:01:44.910 --> 00:01:44.920 align:start position:0% presentation will have some slides which 00:01:44.920 --> 00:01:47.350 align:start position:0% presentation will have some slides which has<00:01:45.119> basically<00:01:45.560> been<00:01:46.000> uh<00:01:46.159> recommended<00:01:46.759> slides 00:01:47.350 --> 00:01:47.360 align:start position:0% has basically been uh recommended slides 00:01:47.360 --> 00:01:50.950 align:start position:0% has basically been uh recommended slides from<00:01:47.920> uh<00:01:48.360> foxy<00:01:49.119> and<00:01:49.479> the<00:01:49.640> Nal<00:01:50.640> National 00:01:50.950 --> 00:01:50.960 align:start position:0% from uh foxy and the Nal National 00:01:50.960 --> 00:01:52.670 align:start position:0% from uh foxy and the Nal National neology<00:01:51.520> Forum 00:01:52.670 --> 00:01:52.680 align:start position:0% neology Forum 00:01:52.680 --> 00:01:55.910 align:start position:0% neology Forum 20221<00:01:53.680> so<00:01:54.280> I<00:01:54.399> know<00:01:54.600> most<00:01:54.799> of<00:01:55.000> them<00:01:55.439> most<00:01:55.600> of<00:01:55.759> you 00:01:55.910 --> 00:01:55.920 align:start position:0% 20221 so I know most of them most of you 00:01:55.920 --> 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you know learn more so uh there<00:02:03.079> were<00:02:03.280> no<00:02:03.479> significant<00:02:04.039> difference<00:02:04.439> in 00:02:04.670 --> 00:02:04.680 align:start position:0% there were no significant difference in 00:02:04.680 --> 00:02:06.270 align:start position:0% there were no significant difference in interor<00:02:05.079> trial<00:02:05.439> death<00:02:05.680> and<00:02:05.799> unital 00:02:06.270 --> 00:02:06.280 align:start position:0% interor trial death and unital 00:02:06.280 --> 00:02:08.150 align:start position:0% interor trial death and unital admissions<00:02:06.920> in<00:02:07.039> two<00:02:07.240> age<00:02:07.399> groups<00:02:07.680> so<00:02:07.799> the<00:02:07.920> age 00:02:08.150 --> 00:02:08.160 align:start position:0% admissions in two age groups so the age 00:02:08.160 --> 00:02:10.150 align:start position:0% admissions in two age groups so the age groups<00:02:08.479> which<00:02:09.239> the<00:02:09.360> two<00:02:09.520> groups<00:02:09.840> which<00:02:09.959> I'm 00:02:10.150 --> 00:02:10.160 align:start position:0% groups which the two groups which I'm 00:02:10.160 --> 00:02:12.949 align:start position:0% groups which the two groups which I'm talking<00:02:10.479> about<00:02:10.800> is<00:02:11.400> a<00:02:11.599> non-co<00:02:12.239> mother<00:02:12.560> and<00:02:12.680> a 00:02:12.949 --> 00:02:12.959 align:start position:0% talking about is a non-co mother and a 00:02:12.959 --> 00:02:15.990 align:start position:0% talking about is a non-co mother and a covid<00:02:13.640> uh<00:02:13.800> infected<00:02:14.239> mother<00:02:15.239> the<00:02:15.560> maternal 00:02:15.990 --> 00:02:16.000 align:start position:0% covid uh infected mother the maternal 00:02:16.000 --> 00:02:18.070 align:start position:0% covid uh infected mother the maternal and<00:02:16.160> the<00:02:16.560> uh<00:02:16.720> perinal<00:02:17.360> complications<00:02:17.879> are 00:02:18.070 --> 00:02:18.080 align:start position:0% and the uh perinal complications are 00:02:18.080 --> 00:02:19.630 align:start position:0% and the uh perinal complications are bound<00:02:18.319> to<00:02:18.400> be<00:02:18.560> higher<00:02:18.800> in<00:02:19.000> covid<00:02:19.319> positive 00:02:19.630 --> 00:02:19.640 align:start position:0% bound to be higher in covid positive 00:02:19.640 --> 00:02:21.430 align:start position:0% bound to be higher in covid positive pregnancies<00:02:20.239> with<00:02:20.400> severe<00:02:20.800> disease<00:02:21.160> such<00:02:21.319> as 00:02:21.430 --> 00:02:21.440 align:start position:0% pregnancies with severe disease such as 00:02:21.440 --> 00:02:24.550 align:start position:0% pregnancies with severe disease such as pneumonias<00:02:22.160> or<00:02:22.400> covid<00:02:22.720> disease<00:02:23.480> and<00:02:23.640> other 00:02:24.550 --> 00:02:24.560 align:start position:0% pneumonias or covid disease and other 00:02:24.560 --> 00:02:25.790 align:start position:0% pneumonias or covid disease and other complications<00:02:25.080> and 00:02:25.790 --> 00:02:25.800 align:start position:0% complications and 00:02:25.800 --> 00:02:29.030 align:start position:0% complications and comorbidities<00:02:26.800> uh<00:02:26.959> that<00:02:27.120> we<00:02:27.280> all<00:02:27.760> know<00:02:28.760> now 00:02:29.030 --> 00:02:29.040 align:start position:0% comorbidities uh that we all know now 00:02:29.040 --> 00:02:31.229 align:start position:0% comorbidities uh that we all know now what<00:02:29.160> are<00:02:29.319> the<00:02:29.440> per<00:02:30.040> and<00:02:30.120> unal<00:02:30.599> outcomes<00:02:31.080> now 00:02:31.229 --> 00:02:31.239 align:start position:0% what are the per and unal outcomes now 00:02:31.239 --> 00:02:33.949 align:start position:0% what are the per and unal outcomes now see<00:02:31.480> most<00:02:31.680> of<00:02:31.800> the<00:02:31.959> studies<00:02:32.959> of<00:02:33.200> covid-19 00:02:33.949 --> 00:02:33.959 align:start position:0% see most of the studies of covid-19 00:02:33.959 --> 00:02:35.790 align:start position:0% see most of the studies of covid-19 pregnancy<00:02:34.480> especially<00:02:34.959> without<00:02:35.280> a<00:02:35.440> severe 00:02:35.790 --> 00:02:35.800 align:start position:0% pregnancy especially without a severe 00:02:35.800 --> 00:02:37.710 align:start position:0% pregnancy especially without a severe disease<00:02:36.080> of<00:02:36.239> Co<00:02:36.560> have<00:02:36.680> shown<00:02:36.920> normal<00:02:37.280> perinal 00:02:37.710 --> 00:02:37.720 align:start position:0% disease of Co have shown normal perinal 00:02:37.720 --> 00:02:40.270 align:start position:0% disease of Co have shown normal perinal and<00:02:38.000> Nal<00:02:38.400> outcomes<00:02:39.280> see<00:02:39.599> there<00:02:39.760> were<00:02:40.080> uh<00:02:40.200> there 00:02:40.270 --> 00:02:40.280 align:start position:0% and Nal outcomes see there were uh there 00:02:40.280 --> 00:02:42.190 align:start position:0% and Nal outcomes see there were uh there were<00:02:40.480> studies<00:02:40.920> which<00:02:41.040> were<00:02:41.239> done<00:02:41.440> in<00:02:41.640> Bombay 00:02:42.190 --> 00:02:42.200 align:start position:0% were studies which were done in Bombay 00:02:42.200 --> 00:02:45.630 align:start position:0% were studies which were done in Bombay and<00:02:42.400> Delhi<00:02:43.040> where<00:02:43.480> we<00:02:43.640> had<00:02:43.879> lot<00:02:44.080> of<00:02:44.519> U<00:02:45.400> uh<00:02:45.519> you 00:02:45.630 --> 00:02:45.640 align:start position:0% and Delhi where we had lot of U uh you 00:02:45.640 --> 00:02:48.630 align:start position:0% and Delhi where we had lot of U uh you know<00:02:45.879> around<00:02:46.159> about<00:02:46.400> 800<00:02:46.920> to<00:02:47.120> 900<00:02:48.040> cases<00:02:48.480> I'm 00:02:48.630 --> 00:02:48.640 align:start position:0% know around about 800 to 900 cases I'm 00:02:48.640 --> 00:02:51.149 align:start position:0% know around about 800 to 900 cases I'm talking<00:02:48.920> about<00:02:49.159> when<00:02:49.480> we<00:02:49.760> had<00:02:50.440> lot<00:02:50.599> of<00:02:50.840> cases 00:02:51.149 --> 00:02:51.159 align:start position:0% talking about when we had lot of cases 00:02:51.159 --> 00:02:52.630 align:start position:0% talking about when we had lot of cases of<00:02:51.360> covid<00:02:51.680> coming<00:02:51.879> of<00:02:52.040> pregnant<00:02:52.319> mothers 00:02:52.630 --> 00:02:52.640 align:start position:0% of covid coming of pregnant mothers 00:02:52.640 --> 00:02:55.149 align:start position:0% of covid coming of pregnant mothers coming<00:02:52.920> up<00:02:53.480> so<00:02:53.680> out<00:02:53.920> of<00:02:54.159> that<00:02:54.680> uh<00:02:54.800> there<00:02:54.959> was<00:02:55.080> a 00:02:55.149 --> 00:02:55.159 align:start position:0% coming up so out of that uh there was a 00:02:55.159 --> 00:02:57.710 align:start position:0% coming up so out of that uh there was a small<00:02:55.480> study<00:02:56.000> in<00:02:56.319> Mumbai<00:02:56.760> during<00:02:57.080> the<00:02:57.319> initial 00:02:57.710 --> 00:02:57.720 align:start position:0% small study in Mumbai during the initial 00:02:57.720 --> 00:03:00.229 align:start position:0% small study in Mumbai during the initial phase<00:02:58.000> of<00:02:58.200> covid<00:02:58.519> with<00:02:59.120> 141<00:02:59.519> covid<00:02:59.920> positive 00:03:00.229 --> 00:03:00.239 align:start position:0% phase of covid with 141 covid positive 00:03:00.239 --> 00:03:02.350 align:start position:0% phase of covid with 141 covid positive pregnant<00:03:00.599> women<00:03:01.480> and<00:03:01.640> they<00:03:01.800> observed<00:03:02.200> that 00:03:02.350 --> 00:03:02.360 align:start position:0% pregnant women and they observed that 00:03:02.360 --> 00:03:05.270 align:start position:0% pregnant women and they observed that they<00:03:02.480> had<00:03:02.680> equal<00:03:03.000> ofgas<00:03:03.560> sces<00:03:04.200> with<00:03:04.840> which<00:03:05.040> was 00:03:05.270 --> 00:03:05.280 align:start position:0% they had equal ofgas sces with which was 00:03:05.280 --> 00:03:07.270 align:start position:0% they had equal ofgas sces with which was basically<00:03:05.760> compared<00:03:06.319> with<00:03:06.440> the<00:03:06.599> covid-19 00:03:07.270 --> 00:03:07.280 align:start position:0% basically compared with the covid-19 00:03:07.280 --> 00:03:09.390 align:start position:0% basically compared with the covid-19 positive<00:03:07.599> and<00:03:07.720> a<00:03:07.840> negative<00:03:08.200> deliveries<00:03:09.200> so 00:03:09.390 --> 00:03:09.400 align:start position:0% positive and a negative deliveries so 00:03:09.400 --> 00:03:12.149 align:start position:0% positive and a negative deliveries so there<00:03:09.480> was<00:03:09.720> not<00:03:10.000> very<00:03:10.799> marginal<00:03:11.799> difference 00:03:12.149 --> 00:03:12.159 align:start position:0% there was not very marginal difference 00:03:12.159 --> 00:03:14.430 align:start position:0% there was not very marginal difference in<00:03:12.400> those<00:03:12.560> things<00:03:13.000> the<00:03:13.120> low<00:03:13.360> of<00:03:13.519> gas<00:03:13.959> of<00:03:14.040> 0<00:03:14.280> to 00:03:14.430 --> 00:03:14.440 align:start position:0% in those things the low of gas of 0 to 00:03:14.440 --> 00:03:17.750 align:start position:0% in those things the low of gas of 0 to three<00:03:14.720> was<00:03:14.879> observed<00:03:15.239> in<00:03:15.440> 1.52%<00:03:16.440> of<00:03:16.640> units<00:03:17.519> in 00:03:17.750 --> 00:03:17.760 align:start position:0% three was observed in 1.52% of units in 00:03:17.760 --> 00:03:19.789 align:start position:0% three was observed in 1.52% of units in covid<00:03:18.360> positive<00:03:18.720> mothers<00:03:19.120> as<00:03:19.319> compared<00:03:19.640> to 00:03:19.789 --> 00:03:19.799 align:start position:0% covid positive mothers as compared to 00:03:19.799 --> 00:03:22.589 align:start position:0% covid positive mothers as compared to 1.9<00:03:20.560> negative<00:03:21.280> covid<00:03:21.560> negative 00:03:22.589 --> 00:03:22.599 align:start position:0% 1.9 negative covid negative 00:03:22.599 --> 00:03:25.309 align:start position:0% 1.9 negative covid negative mothers<00:03:23.599> now<00:03:23.959> this<00:03:24.080> is<00:03:24.200> a<00:03:24.360> big<00:03:24.560> issue<00:03:24.879> which<00:03:25.159> we 00:03:25.309 --> 00:03:25.319 align:start position:0% mothers now this is a big issue which we 00:03:25.319 --> 00:03:27.030 align:start position:0% mothers now this is a big issue which we have<00:03:25.480> been<00:03:25.640> talking<00:03:26.000> about<00:03:26.360> and<00:03:26.640> still<00:03:26.959> I 00:03:27.030 --> 00:03:27.040 align:start position:0% have been talking about and still I 00:03:27.040 --> 00:03:28.869 align:start position:0% have been talking about and still I would<00:03:27.239> say<00:03:27.480> it's<00:03:27.680> still<00:03:27.920> a<00:03:28.040> lot<00:03:28.200> of<00:03:28.360> confusion 00:03:28.869 --> 00:03:28.879 align:start position:0% would say it's still a lot of confusion 00:03:28.879 --> 00:03:31.429 align:start position:0% would say it's still a lot of confusion whether<00:03:29.599> the<00:03:29.920> covid-19<00:03:30.640> virus<00:03:31.080> basically 00:03:31.429 --> 00:03:31.439 align:start position:0% whether the covid-19 virus basically 00:03:31.439 --> 00:03:32.949 align:start position:0% whether the covid-19 virus basically there's<00:03:31.640> a<00:03:31.799> vertical<00:03:32.200> transmission<00:03:32.760> of 00:03:32.949 --> 00:03:32.959 align:start position:0% there's a vertical transmission of 00:03:32.959 --> 00:03:36.509 align:start position:0% there's a vertical transmission of covid-19<00:03:33.599> virus<00:03:34.080> or<00:03:34.319> not<00:03:35.200> but<00:03:35.480> if<00:03:35.599> you<00:03:36.159> really 00:03:36.509 --> 00:03:36.519 align:start position:0% covid-19 virus or not but if you really 00:03:36.519 --> 00:03:38.869 align:start position:0% covid-19 virus or not but if you really ask<00:03:36.799> me<00:03:37.040> after<00:03:37.280> a<00:03:37.360> lot<00:03:37.560> of<00:03:37.760> studies<00:03:38.439> and<00:03:38.640> head 00:03:38.869 --> 00:03:38.879 align:start position:0% ask me after a lot of studies and head 00:03:38.879 --> 00:03:41.830 align:start position:0% ask me after a lot of studies and head banging<00:03:39.400> it<00:03:39.519> has<00:03:39.720> come<00:03:39.920> out<00:03:40.080> to<00:03:40.239> a<00:03:40.400> point<00:03:40.840> that 00:03:41.830 --> 00:03:41.840 align:start position:0% banging it has come out to a point that 00:03:41.840 --> 00:03:44.750 align:start position:0% banging it has come out to a point that uh<00:03:42.480> the<00:03:42.879> the<00:03:43.280> the<00:03:43.840> uh<00:03:44.040> authors<00:03:44.439> they<00:03:44.599> have 00:03:44.750 --> 00:03:44.760 align:start position:0% uh the the the uh authors they have 00:03:44.760 --> 00:03:46.670 align:start position:0% uh the the the uh authors they have believed<00:03:45.239> and<00:03:45.439> all<00:03:45.599> the<00:03:45.840> Articles<00:03:46.360> which<00:03:46.560> I 00:03:46.670 --> 00:03:46.680 align:start position:0% believed and all the Articles which I 00:03:46.680 --> 00:03:49.509 align:start position:0% believed and all the Articles which I have<00:03:47.040> seen<00:03:47.400> and<00:03:47.920> we<00:03:48.159> also<00:03:48.439> follow<00:03:49.319> that 00:03:49.509 --> 00:03:49.519 align:start position:0% have seen and we also follow that 00:03:49.519 --> 00:03:51.710 align:start position:0% have seen and we also follow that vertical<00:03:50.000> transmission<00:03:50.560> is<00:03:50.840> very<00:03:51.120> rare<00:03:51.519> in 00:03:51.710 --> 00:03:51.720 align:start position:0% vertical transmission is very rare in 00:03:51.720 --> 00:03:54.710 align:start position:0% vertical transmission is very rare in covid-19<00:03:52.480> pregnancies<00:03:53.480> so<00:03:54.120> considering<00:03:54.519> the 00:03:54.710 --> 00:03:54.720 align:start position:0% covid-19 pregnancies so considering the 00:03:54.720 --> 00:03:57.110 align:start position:0% covid-19 pregnancies so considering the fact<00:03:54.920> that<00:03:55.159> every<00:03:55.480> mother<00:03:55.840> who<00:03:56.000> is<00:03:56.120> a<00:03:56.280> covid-19 00:03:57.110 --> 00:03:57.120 align:start position:0% fact that every mother who is a covid-19 00:03:57.120 --> 00:04:00.350 align:start position:0% fact that every mother who is a covid-19 positive<00:03:58.000> will<00:03:58.280> transmit<00:03:59.000> the<00:03:59.200> virus<00:03:59.799> to<00:03:59.920> the 00:04:00.350 --> 00:04:00.360 align:start position:0% positive will transmit the virus to the 00:04:00.360 --> 00:04:04.830 align:start position:0% positive will transmit the virus to the baby<00:04:01.360> is<00:04:01.680> absolutely<00:04:02.439> wrong<00:04:03.439> so<00:04:03.959> it<00:04:04.079> is<00:04:04.280> a<00:04:04.519> very 00:04:04.830 --> 00:04:04.840 align:start position:0% baby is absolutely wrong so it is a very 00:04:04.840 --> 00:04:07.190 align:start position:0% baby is absolutely wrong so it is a very rare<00:04:05.760> uh<00:04:05.920> chance<00:04:06.280> that<00:04:06.400> the<00:04:06.560> babies<00:04:06.920> May 00:04:07.190 --> 00:04:07.200 align:start position:0% rare uh chance that the babies May 00:04:07.200 --> 00:04:11.190 align:start position:0% rare uh chance that the babies May transmit<00:04:08.159> the<00:04:09.239> um<00:04:10.239> sorry<00:04:10.560> the<00:04:10.640> mothers<00:04:11.000> May 00:04:11.190 --> 00:04:11.200 align:start position:0% transmit the um sorry the mothers May 00:04:11.200 --> 00:04:13.390 align:start position:0% transmit the um sorry the mothers May transmit<00:04:11.760> the<00:04:12.239> uh 00:04:13.390 --> 00:04:13.400 align:start position:0% transmit the uh 00:04:13.400 --> 00:04:16.069 align:start position:0% transmit the uh covid-19<00:04:14.400> viruses<00:04:14.799> through<00:04:15.040> vertical 00:04:16.069 --> 00:04:16.079 align:start position:0% covid-19 viruses through vertical 00:04:16.079 --> 00:04:18.270 align:start position:0% covid-19 viruses through vertical transmission<00:04:17.079> now<00:04:17.519> let's<00:04:17.799> come<00:04:17.959> to<00:04:18.120> the 00:04:18.270 --> 00:04:18.280 align:start position:0% transmission now let's come to the 00:04:18.280 --> 00:04:20.909 align:start position:0% transmission now let's come to the questions<00:04:18.600> which<00:04:18.720> are<00:04:18.919> mainly<00:04:19.400> asked<00:04:20.160> uh<00:04:20.720> uh 00:04:20.909 --> 00:04:20.919 align:start position:0% questions which are mainly asked uh uh 00:04:20.919 --> 00:04:22.710 align:start position:0% questions which are mainly asked uh uh during<00:04:21.280> our<00:04:21.560> practice<00:04:22.079> the<00:04:22.240> number<00:04:22.479> one 00:04:22.710 --> 00:04:22.720 align:start position:0% during our practice the number one 00:04:22.720 --> 00:04:24.350 align:start position:0% during our practice the number one question<00:04:23.080> which<00:04:23.280> we<00:04:23.400> are<00:04:23.800> uh<00:04:24.000> basically 00:04:24.350 --> 00:04:24.360 align:start position:0% question which we are uh basically 00:04:24.360 --> 00:04:27.629 align:start position:0% question which we are uh basically dealing<00:04:24.759> with<00:04:25.080> is<00:04:26.040> what<00:04:26.320> precautions<00:04:27.080> should 00:04:27.629 --> 00:04:27.639 align:start position:0% dealing with is what precautions should 00:04:27.639 --> 00:04:30.270 align:start position:0% dealing with is what precautions should the<00:04:27.800> newal<00:04:28.360> resuscitation<00:04:29.160> team<00:04:29.800> take<00:04:30.039> when 00:04:30.270 --> 00:04:30.280 align:start position:0% the newal resuscitation team take when 00:04:30.280 --> 00:04:32.629 align:start position:0% the newal resuscitation team take when attending<00:04:30.639> a<00:04:30.800> delivery<00:04:31.280> of<00:04:31.400> a<00:04:31.560> woman<00:04:32.360> with 00:04:32.629 --> 00:04:32.639 align:start position:0% attending a delivery of a woman with 00:04:32.639 --> 00:04:34.510 align:start position:0% attending a delivery of a woman with suspected<00:04:33.199> or<00:04:33.440> confirmed<00:04:33.880> covid-19 00:04:34.510 --> 00:04:34.520 align:start position:0% suspected or confirmed covid-19 00:04:34.520 --> 00:04:36.510 align:start position:0% suspected or confirmed covid-19 infection<00:04:35.400> so<00:04:35.639> I'm<00:04:35.800> going<00:04:36.000> to<00:04:36.160> start<00:04:36.360> from 00:04:36.510 --> 00:04:36.520 align:start position:0% infection so I'm going to start from 00:04:36.520 --> 00:04:39.110 align:start position:0% infection so I'm going to start from theal<00:04:37.000> resuscitation<00:04:37.800> right<00:04:38.560> next<00:04:38.840> question 00:04:39.110 --> 00:04:39.120 align:start position:0% theal resuscitation right next question 00:04:39.120 --> 00:04:40.590 align:start position:0% theal resuscitation right next question which<00:04:39.280> comes<00:04:39.479> into<00:04:39.720> mind<00:04:39.960> is<00:04:40.199> what<00:04:40.320> should<00:04:40.479> be 00:04:40.590 --> 00:04:40.600 align:start position:0% which comes into mind is what should be 00:04:40.600 --> 00:04:42.790 align:start position:0% which comes into mind is what should be the<00:04:40.720> feeding<00:04:41.160> policy<00:04:41.479> for<00:04:41.639> a<00:04:41.759> stable<00:04:42.160> Nate 00:04:42.790 --> 00:04:42.800 align:start position:0% the feeding policy for a stable Nate 00:04:42.800 --> 00:04:45.430 align:start position:0% the feeding policy for a stable Nate born<00:04:43.080> to<00:04:43.280> a<00:04:43.440> covid-19<00:04:44.120> mother<00:04:45.000> okay<00:04:45.240> that's 00:04:45.430 --> 00:04:45.440 align:start position:0% born to a covid-19 mother okay that's 00:04:45.440 --> 00:04:47.430 align:start position:0% born to a covid-19 mother okay that's one<00:04:45.560> of<00:04:45.720> the<00:04:45.880> major<00:04:46.240> questions<00:04:47.120> which<00:04:47.280> the 00:04:47.430 --> 00:04:47.440 align:start position:0% one of the major questions which the 00:04:47.440 --> 00:04:49.749 align:start position:0% one of the major questions which the parents<00:04:47.759> are<00:04:47.919> more<00:04:48.160> concerned<00:04:48.680> about<00:04:49.440> third 00:04:49.749 --> 00:04:49.759 align:start position:0% parents are more concerned about third 00:04:49.759 --> 00:04:51.350 align:start position:0% parents are more concerned about third is<00:04:49.960> is<00:04:50.080> it<00:04:50.280> necessary<00:04:50.680> to<00:04:50.840> separate<00:04:51.199> the 00:04:51.350 --> 00:04:51.360 align:start position:0% is is it necessary to separate the 00:04:51.360 --> 00:04:53.350 align:start position:0% is is it necessary to separate the mother<00:04:51.600> and<00:04:51.720> a<00:04:51.880> baby<00:04:52.199> if<00:04:52.320> the<00:04:52.479> baby<00:04:52.759> is<00:04:52.919> suspect 00:04:53.350 --> 00:04:53.360 align:start position:0% mother and a baby if the baby is suspect 00:04:53.360 --> 00:04:55.830 align:start position:0% mother and a baby if the baby is suspect if<00:04:53.479> the<00:04:53.680> mother<00:04:53.960> is<00:04:54.120> suspected<00:04:55.000> or<00:04:55.280> confirmed 00:04:55.830 --> 00:04:55.840 align:start position:0% if the mother is suspected or confirmed 00:04:55.840 --> 00:04:59.749 align:start position:0% if the mother is suspected or confirmed to<00:04:56.000> be<00:04:56.320> covid-19<00:04:57.560> positive<00:04:58.560> fourth<00:04:58.960> is<00:04:59.199> should 00:04:59.749 --> 00:04:59.759 align:start position:0% to be covid-19 positive fourth is should 00:04:59.759 --> 00:05:02.469 align:start position:0% to be covid-19 positive fourth is should symptomatic<00:05:00.440> units<00:05:01.039> need<00:05:01.600> intensive<00:05:02.240> or 00:05:02.469 --> 00:05:02.479 align:start position:0% symptomatic units need intensive or 00:05:02.479 --> 00:05:04.790 align:start position:0% symptomatic units need intensive or Special<00:05:02.840> Care<00:05:03.120> be<00:05:03.280> nursed<00:05:03.639> in<00:05:03.759> a<00:05:04.199> separate 00:05:04.790 --> 00:05:04.800 align:start position:0% Special Care be nursed in a separate 00:05:04.800 --> 00:05:07.469 align:start position:0% Special Care be nursed in a separate room<00:05:05.120> or<00:05:05.320> an<00:05:05.560> area<00:05:06.479> or<00:05:06.840> there<00:05:06.960> should<00:05:07.160> be<00:05:07.320> a 00:05:07.469 --> 00:05:07.479 align:start position:0% room or an area or there should be a 00:05:07.479 --> 00:05:12.110 align:start position:0% room or an area or there should be a designated<00:05:08.080> NICU<00:05:08.639> or<00:05:09.199> sncu<00:05:10.000> or<00:05:10.160> an<00:05:10.360> isolation 00:05:12.110 --> 00:05:12.120 align:start position:0% designated NICU or sncu or an isolation 00:05:12.120 --> 00:05:15.150 align:start position:0% designated NICU or sncu or an isolation facility<00:05:13.120> uh<00:05:13.320> next<00:05:13.600> is<00:05:13.840> what<00:05:13.960> are<00:05:14.120> the<00:05:14.280> special 00:05:15.150 --> 00:05:15.160 align:start position:0% facility uh next is what are the special 00:05:15.160 --> 00:05:17.310 align:start position:0% facility uh next is what are the special precautions<00:05:16.160> uh<00:05:16.440> to<00:05:16.600> be<00:05:16.800> taken<00:05:17.120> while 00:05:17.310 --> 00:05:17.320 align:start position:0% precautions uh to be taken while 00:05:17.320 --> 00:05:18.790 align:start position:0% precautions uh to be taken while providing<00:05:17.759> respiratory<00:05:18.280> support<00:05:18.560> to<00:05:18.680> the 00:05:18.790 --> 00:05:18.800 align:start position:0% providing respiratory support to the 00:05:18.800 --> 00:05:22.189 align:start position:0% providing respiratory support to the netes<00:05:19.319> exposed<00:05:19.759> to<00:05:20.080> covid-19<00:05:21.000> infections<00:05:22.000> in 00:05:22.189 --> 00:05:22.199 align:start position:0% netes exposed to covid-19 infections in 00:05:22.199 --> 00:05:23.950 align:start position:0% netes exposed to covid-19 infections in symptomatic<00:05:22.759> netes<00:05:23.280> what<00:05:23.360> is<00:05:23.479> the<00:05:23.560> role<00:05:23.800> of 00:05:23.950 --> 00:05:23.960 align:start position:0% symptomatic netes what is the role of 00:05:23.960 --> 00:05:26.189 align:start position:0% symptomatic netes what is the role of specific<00:05:24.319> treatment<00:05:24.720> in<00:05:24.919> case<00:05:25.160> of<00:05:25.639> peral 00:05:26.189 --> 00:05:26.199 align:start position:0% specific treatment in case of peral 00:05:26.199 --> 00:05:29.189 align:start position:0% specific treatment in case of peral exposures<00:05:26.639> to<00:05:26.800> the<00:05:26.919> covid-19<00:05:28.039> infections<00:05:29.039> now 00:05:29.189 --> 00:05:29.199 align:start position:0% exposures to the covid-19 infections now 00:05:29.199 --> 00:05:31.309 align:start position:0% exposures to the covid-19 infections now let's<00:05:29.400> come<00:05:29.560> to<00:05:29.720> to<00:05:29.840> the<00:05:29.960> first<00:05:30.199> point<00:05:30.919> uh<00:05:31.120> what 00:05:31.309 --> 00:05:31.319 align:start position:0% let's come to to the first point uh what 00:05:31.319 --> 00:05:33.189 align:start position:0% let's come to to the first point uh what precautions<00:05:31.759> should<00:05:31.960> a<00:05:32.120> Neal<00:05:32.560> resuscitation 00:05:33.189 --> 00:05:33.199 align:start position:0% precautions should a Neal resuscitation 00:05:33.199 --> 00:05:36.350 align:start position:0% precautions should a Neal resuscitation team<00:05:33.560> take<00:05:34.199> when<00:05:34.400> attending<00:05:34.759> a<00:05:35.120> delivery<00:05:36.120> of<00:05:36.280> a 00:05:36.350 --> 00:05:36.360 align:start position:0% team take when attending a delivery of a 00:05:36.360 --> 00:05:38.110 align:start position:0% team take when attending a delivery of a woman<00:05:36.600> who<00:05:36.759> suspected<00:05:37.160> or<00:05:37.280> confirmed<00:05:37.880> 19 00:05:38.110 --> 00:05:38.120 align:start position:0% woman who suspected or confirmed 19 00:05:38.120 --> 00:05:40.270 align:start position:0% woman who suspected or confirmed 19 cases<00:05:38.400> now<00:05:38.520> we<00:05:38.600> have<00:05:38.680> to<00:05:39.120> understand<00:05:39.960> one<00:05:40.120> of 00:05:40.270 --> 00:05:40.280 align:start position:0% cases now we have to understand one of 00:05:40.280 --> 00:05:42.070 align:start position:0% cases now we have to understand one of the<00:05:40.479> major<00:05:40.880> principles<00:05:41.360> of<00:05:41.600> Performing 00:05:42.070 --> 00:05:42.080 align:start position:0% the major principles of Performing 00:05:42.080 --> 00:05:45.309 align:start position:0% the major principles of Performing resuscitation<00:05:42.919> during<00:05:43.280> a<00:05:43.600> highly<00:05:44.440> transable 00:05:45.309 --> 00:05:45.319 align:start position:0% resuscitation during a highly transable 00:05:45.319 --> 00:05:48.909 align:start position:0% resuscitation during a highly transable infe<00:05:45.880> disease<00:05:46.240> outbreak<00:05:47.199> is<00:05:47.960> mainly<00:05:48.520> to 00:05:48.909 --> 00:05:48.919 align:start position:0% infe disease outbreak is mainly to 00:05:48.919 --> 00:05:52.830 align:start position:0% infe disease outbreak is mainly to minimize<00:05:49.560> the<00:05:49.800> health<00:05:50.240> care<00:05:51.039> worker<00:05:51.840> exposure 00:05:52.830 --> 00:05:52.840 align:start position:0% minimize the health care worker exposure 00:05:52.840 --> 00:05:56.710 align:start position:0% minimize the health care worker exposure by<00:05:53.039> utilizing<00:05:53.680> the<00:05:53.919> smallest<00:05:54.960> team<00:05:55.960> that<00:05:56.120> will 00:05:56.710 --> 00:05:56.720 align:start position:0% by utilizing the smallest team that will 00:05:56.720 --> 00:05:58.629 align:start position:0% by utilizing the smallest team that will safely<00:05:57.240> accomplish<00:05:57.800> the<00:05:58.199> effective 00:05:58.629 --> 00:05:58.639 align:start position:0% safely accomplish the effective 00:05:58.639 --> 00:06:00.629 align:start position:0% safely accomplish the effective resuscitation<00:05:59.639> so<00:05:59.800> you<00:05:59.919> don't<00:06:00.120> need<00:06:00.280> to<00:06:00.479> have 00:06:00.629 --> 00:06:00.639 align:start position:0% resuscitation so you don't need to have 00:06:00.639 --> 00:06:03.629 align:start position:0% resuscitation so you don't need to have four<00:06:00.960> five<00:06:01.120> people<00:06:01.319> for<00:06:01.840> resuscitation<00:06:02.840> or<00:06:03.479> uh 00:06:03.629 --> 00:06:03.639 align:start position:0% four five people for resuscitation or uh 00:06:03.639 --> 00:06:05.870 align:start position:0% four five people for resuscitation or uh you<00:06:03.759> don't<00:06:03.960> need<00:06:04.160> to<00:06:04.960> mainly<00:06:05.479> if<00:06:05.600> you<00:06:05.720> are 00:06:05.870 --> 00:06:05.880 align:start position:0% you don't need to mainly if you are 00:06:05.880 --> 00:06:08.029 align:start position:0% you don't need to mainly if you are finding<00:06:06.199> that<00:06:06.319> a<00:06:06.479> baby<00:06:06.720> is<00:06:06.800> a<00:06:06.960> pre-term<00:06:07.360> baby 00:06:08.029 --> 00:06:08.039 align:start position:0% finding that a baby is a pre-term baby 00:06:08.039 --> 00:06:10.550 align:start position:0% finding that a baby is a pre-term baby then<00:06:08.240> maybe<00:06:08.639> two<00:06:09.560> highly<00:06:09.960> experienced 00:06:10.550 --> 00:06:10.560 align:start position:0% then maybe two highly experienced 00:06:10.560 --> 00:06:14.550 align:start position:0% then maybe two highly experienced neologist<00:06:11.520> can<00:06:11.680> be<00:06:12.000> there<00:06:12.759> who<00:06:13.080> can<00:06:13.680> intubate 00:06:14.550 --> 00:06:14.560 align:start position:0% neologist can be there who can intubate 00:06:14.560 --> 00:06:17.909 align:start position:0% neologist can be there who can intubate the<00:06:14.800> baby<00:06:15.440> at<00:06:15.720> first<00:06:16.360> go<00:06:17.360> and<00:06:17.560> there<00:06:17.680> should 00:06:17.909 --> 00:06:17.919 align:start position:0% the baby at first go and there should 00:06:17.919 --> 00:06:20.070 align:start position:0% the baby at first go and there should not<00:06:18.160> be<00:06:18.520> regular<00:06:19.000> attempts<00:06:19.360> to<00:06:19.520> incubate<00:06:19.960> the 00:06:20.070 --> 00:06:20.080 align:start position:0% not be regular attempts to incubate the 00:06:20.080 --> 00:06:22.390 align:start position:0% not be regular attempts to incubate the babies<00:06:20.400> so<00:06:20.599> that<00:06:20.800> they<00:06:20.919> are<00:06:21.120> also<00:06:21.319> not<00:06:21.560> exposed 00:06:22.390 --> 00:06:22.400 align:start position:0% babies so that they are also not exposed 00:06:22.400 --> 00:06:23.550 align:start position:0% babies so that they are also not exposed to<00:06:22.800> the 00:06:23.550 --> 00:06:23.560 align:start position:0% to the 00:06:23.560 --> 00:06:26.830 align:start position:0% to the virus<00:06:24.560> so<00:06:24.800> now<00:06:25.120> this<00:06:25.240> is<00:06:25.919> a<00:06:26.120> small<00:06:26.479> picture 00:06:26.830 --> 00:06:26.840 align:start position:0% virus so now this is a small picture 00:06:26.840 --> 00:06:28.870 align:start position:0% virus so now this is a small picture which<00:06:26.960> you<00:06:27.080> can<00:06:27.240> see<00:06:27.520> approach<00:06:27.919> to<00:06:28.160> birth 00:06:28.870 --> 00:06:28.880 align:start position:0% which you can see approach to birth 00:06:28.880 --> 00:06:31.710 align:start position:0% which you can see approach to birth resuscitation<00:06:29.680> and<00:06:29.800> postal<00:06:30.360> care<00:06:31.000> so<00:06:31.319> how<00:06:31.560> we 00:06:31.710 --> 00:06:31.720 align:start position:0% resuscitation and postal care so how we 00:06:31.720 --> 00:06:33.309 align:start position:0% resuscitation and postal care so how we have<00:06:31.880> to<00:06:32.080> prepare<00:06:32.440> ourselves<00:06:32.960> now<00:06:33.080> in<00:06:33.199> a 00:06:33.309 --> 00:06:33.319 align:start position:0% have to prepare ourselves now in a 00:06:33.319 --> 00:06:34.950 align:start position:0% have to prepare ourselves now in a delivery<00:06:33.680> and<00:06:33.840> operating<00:06:34.280> room<00:06:34.639> there<00:06:34.759> should 00:06:34.950 --> 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position:0% we all know virtual interaction with the 00:06:43.039 --> 00:06:46.029 align:start position:0% we all know virtual interaction with the partner<00:06:43.360> because<00:06:43.599> we<00:06:43.720> don't<00:06:44.160> allow 00:06:46.029 --> 00:06:46.039 align:start position:0% partner because we don't allow 00:06:46.039 --> 00:06:49.029 align:start position:0% partner because we don't allow anyone<00:06:47.039> uh<00:06:47.199> the<00:06:47.400> father<00:06:47.720> or<00:06:47.919> anyone<00:06:48.639> to<00:06:48.840> be 00:06:49.029 --> 00:06:49.039 align:start position:0% anyone uh the father or anyone to be 00:06:49.039 --> 00:06:50.830 align:start position:0% anyone uh the father or anyone to be inside<00:06:49.440> the<00:06:49.560> labor<00:06:49.880> room<00:06:50.120> if<00:06:50.280> the<00:06:50.400> mother<00:06:50.639> is 00:06:50.830 --> 00:06:50.840 align:start position:0% inside the labor room if the mother is 00:06:50.840 --> 00:06:53.950 align:start position:0% inside the labor room if the mother is covid<00:06:51.319> positive<00:06:52.319> and<00:06:52.720> minimum<00:06:53.560> number<00:06:53.800> of 00:06:53.950 --> 00:06:53.960 align:start position:0% covid positive and minimum number of 00:06:53.960 --> 00:06:55.909 align:start position:0% covid positive and minimum number of providers<00:06:54.360> in<00:06:54.440> the<00:06:54.560> room<00:06:54.800> like<00:06:54.919> I<00:06:55.080> told<00:06:55.319> you 00:06:55.909 --> 00:06:55.919 align:start position:0% providers in the room like I told you 00:06:55.919 --> 00:06:57.629 align:start position:0% providers in the room like I told you delayed<00:06:56.360> Cod<00:06:56.639> clamping<00:06:57.000> we'll<00:06:57.199> come<00:06:57.319> to<00:06:57.479> all 00:06:57.629 --> 00:06:57.639 align:start position:0% delayed Cod clamping we'll come to all 00:06:57.639 --> 00:06:59.869 align:start position:0% delayed Cod clamping we'll come to all these<00:06:57.800> points<00:06:58.120> later<00:06:58.319> on<00:06:59.160> now<00:06:59.360> what<00:06:59.599> once<00:06:59.759> the 00:06:59.869 --> 00:06:59.879 align:start position:0% these points later on now what once the 00:06:59.879 --> 00:07:02.390 align:start position:0% these points later on now what once the baby<00:07:00.080> is<00:07:00.199> delivered<00:07:01.199> normally<00:07:01.680> what<00:07:01.800> we<00:07:01.960> do<00:07:02.199> is 00:07:02.390 --> 00:07:02.400 align:start position:0% baby is delivered normally what we do is 00:07:02.400 --> 00:07:04.629 align:start position:0% baby is delivered normally what we do is we<00:07:02.560> basically<00:07:03.080> shift<00:07:03.440> the<00:07:03.560> baby<00:07:03.800> to<00:07:03.919> the<00:07:04.039> NICU 00:07:04.629 --> 00:07:04.639 align:start position:0% we basically shift the baby to the NICU 00:07:04.639 --> 00:07:06.990 align:start position:0% we basically shift the baby to the NICU in<00:07:04.759> an<00:07:04.960> open<00:07:05.199> warmer<00:07:05.680> system<00:07:06.120> right<00:07:06.680> but<00:07:06.919> I 00:07:06.990 --> 00:07:07.000 align:start position:0% in an open warmer system right but I 00:07:07.000 --> 00:07:08.510 align:start position:0% in an open warmer system right but I would<00:07:07.240> suggest<00:07:07.639> that<00:07:07.800> the<00:07:07.919> baby<00:07:08.160> should<00:07:08.360> be 00:07:08.510 --> 00:07:08.520 align:start position:0% would suggest that the baby should be 00:07:08.520 --> 00:07:11.230 align:start position:0% would suggest that the baby should be transported<00:07:09.120> in<00:07:09.280> an<00:07:09.479> closed<00:07:10.080> incubator<00:07:11.080> with 00:07:11.230 --> 00:07:11.240 align:start position:0% transported in an closed incubator with 00:07:11.240 --> 00:07:13.710 align:start position:0% transported in an closed incubator with the<00:07:11.400> resuscitation<00:07:12.199> equipment<00:07:12.800> lying<00:07:13.560> at 00:07:13.710 --> 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should be a set of medical doctors or 00:07:21.800 --> 00:07:24.029 align:start position:0% should be a set of medical doctors or nurses<00:07:22.360> which<00:07:22.479> should<00:07:22.639> be<00:07:22.879> outside<00:07:23.319> the<00:07:23.560> room 00:07:24.029 --> 00:07:24.039 align:start position:0% nurses which should be outside the room 00:07:24.039 --> 00:07:25.950 align:start position:0% nurses which should be outside the room for<00:07:24.199> a<00:07:24.400> backup 00:07:25.950 --> 00:07:25.960 align:start position:0% for a backup 00:07:25.960 --> 00:07:27.790 align:start position:0% for a backup support<00:07:26.960> now<00:07:27.120> what<00:07:27.240> are<00:07:27.360> the<00:07:27.479> special 00:07:27.790 --> 00:07:27.800 align:start position:0% support now what are the special 00:07:27.800 --> 00:07:29.510 align:start position:0% support now what are the special precautions<00:07:28.240> to<00:07:28.360> be<00:07:28.520> taken<00:07:28.840> while<00:07:29.039> providing 00:07:29.510 --> 00:07:29.520 align:start position:0% precautions to be taken while providing 00:07:29.520 --> 00:07:31.629 align:start position:0% precautions to be taken while providing respiratory<00:07:30.080> support<00:07:30.520> to<00:07:30.680> the<00:07:30.800> neate<00:07:31.280> exposed 00:07:31.629 --> 00:07:31.639 align:start position:0% respiratory support to the neate exposed 00:07:31.639 --> 00:07:34.309 align:start position:0% respiratory support to the neate exposed to<00:07:31.759> a<00:07:31.879> covid-19<00:07:32.440> infection<00:07:32.919> now<00:07:33.080> we<00:07:33.240> all<00:07:33.440> know 00:07:34.309 --> 00:07:34.319 align:start position:0% to a covid-19 infection now we all know 00:07:34.319 --> 00:07:36.230 align:start position:0% to a covid-19 infection now we all know that<00:07:34.759> uh<00:07:35.080> first<00:07:35.319> of<00:07:35.440> all<00:07:35.599> the<00:07:35.720> mother<00:07:36.000> should 00:07:36.230 --> 00:07:36.240 align:start position:0% that uh first of all the mother should 00:07:36.240 --> 00:07:38.150 align:start position:0% that uh first of all the mother should perform<00:07:36.599> hand<00:07:36.840> hygiene<00:07:37.160> and<00:07:37.319> be<00:07:37.599> Triple<00:07:37.879> A 00:07:38.150 --> 00:07:38.160 align:start position:0% perform hand hygiene and be Triple A 00:07:38.160 --> 00:07:40.309 align:start position:0% perform hand hygiene and be Triple A mass<00:07:38.520> that<00:07:38.680> we<00:07:38.800> all<00:07:39.039> know<00:07:39.280> which<00:07:39.400> we<00:07:39.520> are<00:07:39.639> doing 00:07:40.309 --> 00:07:40.319 align:start position:0% mass that we all know which we are doing 00:07:40.319 --> 00:07:42.070 align:start position:0% mass that we all know which we are doing the<00:07:40.479> respiratory<00:07:41.039> support<00:07:41.319> for<00:07:41.520> units<00:07:41.919> with 00:07:42.070 --> 00:07:42.080 align:start position:0% the respiratory support for units with 00:07:42.080 --> 00:07:44.230 align:start position:0% the respiratory support for units with suspected<00:07:42.479> and<00:07:42.639> proven<00:07:43.080> covid-19<00:07:43.800> infection 00:07:44.230 --> 00:07:44.240 align:start position:0% suspected and proven covid-19 infection 00:07:44.240 --> 00:07:46.029 align:start position:0% suspected and proven covid-19 infection is<00:07:44.440> Guided<00:07:44.759> by<00:07:45.039> principles<00:07:45.560> of<00:07:45.720> lar 00:07:46.029 --> 00:07:46.039 align:start position:0% is Guided by principles of lar 00:07:46.039 --> 00:07:48.550 align:start position:0% is Guided by principles of lar protective<00:07:46.599> strategy<00:07:47.080> including<00:07:47.520> the<00:07:47.639> use<00:07:47.919> of 00:07:48.550 --> 00:07:48.560 align:start position:0% protective strategy including the use of 00:07:48.560 --> 00:07:51.710 align:start position:0% protective strategy including the use of non-invasive<00:07:49.759> ventilation<00:07:50.759> and 00:07:51.710 --> 00:07:51.720 align:start position:0% non-invasive ventilation and 00:07:51.720 --> 00:07:55.430 align:start position:0% non-invasive ventilation and NIV<00:07:52.720> and<00:07:53.000> high<00:07:53.240> flow<00:07:53.639> nisle<00:07:53.960> canulas<00:07:54.879> should 00:07:55.430 --> 00:07:55.440 align:start position:0% NIV and high flow nisle canulas should 00:07:55.440 --> 00:07:58.749 align:start position:0% NIV and high flow nisle canulas should be<00:07:56.000> avoided<00:07:56.919> because<00:07:57.479> of<00:07:57.879> the<00:07:58.159> droplet 00:07:58.749 --> 00:07:58.759 align:start position:0% be avoided because of the droplet 00:07:58.759 --> 00:08:01.149 align:start position:0% be avoided because of the droplet infection<00:07:59.919> Healthcare<00:08:00.440> Providers<00:08:00.879> should 00:08:01.149 --> 00:08:01.159 align:start position:0% infection Healthcare Providers should 00:08:01.159 --> 00:08:03.189 align:start position:0% infection Healthcare Providers should practice<00:08:01.560> contact<00:08:01.960> and<00:08:02.120> droplet<00:08:02.560> isolation 00:08:03.189 --> 00:08:03.199 align:start position:0% practice contact and droplet isolation 00:08:03.199 --> 00:08:06.149 align:start position:0% practice contact and droplet isolation and<00:08:03.400> we<00:08:03.680> n95<00:08:04.400> M<00:08:04.840> like<00:08:05.120> like<00:08:05.280> we<00:08:05.440> all<00:08:05.759> have<00:08:05.960> been 00:08:06.149 --> 00:08:06.159 align:start position:0% and we n95 M like like we all have been 00:08:06.159 --> 00:08:09.469 align:start position:0% and we n95 M like like we all have been doing<00:08:06.440> till<00:08:07.240> date<00:08:08.240> whenever<00:08:08.599> you're<00:08:08.840> using<00:08:09.199> an 00:08:09.469 --> 00:08:09.479 align:start position:0% doing till date whenever you're using an 00:08:09.479 --> 00:08:12.790 align:start position:0% doing till date whenever you're using an exhale<00:08:10.240> uh<00:08:10.440> gas<00:08:10.879> through<00:08:11.120> the<00:08:11.360> ventilator<00:08:12.120> or 00:08:12.790 --> 00:08:12.800 align:start position:0% exhale uh gas through the ventilator or 00:08:12.800 --> 00:08:15.309 align:start position:0% exhale uh gas through the ventilator or the<00:08:13.159> positive<00:08:13.520> pressure<00:08:13.840> ventilator<00:08:14.360> devices 00:08:15.309 --> 00:08:15.319 align:start position:0% the positive pressure ventilator devices 00:08:15.319 --> 00:08:17.309 align:start position:0% the positive pressure ventilator devices then<00:08:15.639> better<00:08:15.879> to<00:08:16.039> put<00:08:16.199> a<00:08:16.360> HEPA<00:08:16.680> filter<00:08:17.080> rather 00:08:17.309 --> 00:08:17.319 align:start position:0% then better to put a HEPA filter rather 00:08:17.319 --> 00:08:21.309 align:start position:0% then better to put a HEPA filter rather than<00:08:17.840> to<00:08:18.840> uh<00:08:19.360> be<00:08:19.599> like<00:08:19.840> it<00:08:20.599> now<00:08:20.759> the<00:08:20.919> area<00:08:21.199> which 00:08:21.309 --> 00:08:21.319 align:start position:0% than to uh be like it now the area which 00:08:21.319 --> 00:08:23.029 align:start position:0% than to uh be like it now the area which has<00:08:21.440> been<00:08:21.639> provided<00:08:22.039> at<00:08:22.240> respiratory<00:08:22.720> support 00:08:23.029 --> 00:08:23.039 align:start position:0% has been provided at respiratory support 00:08:23.039 --> 00:08:24.670 align:start position:0% has been provided at respiratory support should<00:08:23.199> be<00:08:23.319> having<00:08:23.599> a<00:08:23.720> negative<00:08:24.039> air<00:08:24.280> pressure 00:08:24.670 --> 00:08:24.680 align:start position:0% should be having a negative air pressure 00:08:24.680 --> 00:08:28.189 align:start position:0% should be having a negative air pressure area<00:08:25.680> if<00:08:26.120> by<00:08:26.360> chance<00:08:27.360> we<00:08:27.560> don't<00:08:27.879> have<00:08:28.000> a 00:08:28.189 --> 00:08:28.199 align:start position:0% area if by chance we don't have a 00:08:28.199 --> 00:08:30.430 align:start position:0% area if by chance we don't have a negative<00:08:28.560> air<00:08:28.840> pressure<00:08:29.159> area<00:08:29.919> then<00:08:30.280> there 00:08:30.430 --> 00:08:30.440 align:start position:0% negative air pressure area then there 00:08:30.440 --> 00:08:33.630 align:start position:0% negative air pressure area then there should<00:08:30.879> be<00:08:31.199> an<00:08:31.680> exhaust<00:08:32.680> in<00:08:32.880> the<00:08:33.120> area 00:08:33.630 --> 00:08:33.640 align:start position:0% should be an exhaust in the area 00:08:33.640 --> 00:08:36.909 align:start position:0% should be an exhaust in the area wherever<00:08:34.000> the<00:08:34.159> delivery<00:08:34.640> room<00:08:35.360> is<00:08:36.360> uh 00:08:36.909 --> 00:08:36.919 align:start position:0% wherever the delivery room is uh 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be<00:08:46.640> there<00:08:47.279> and<00:08:47.440> there<00:08:47.560> should<00:08:47.760> be<00:08:47.959> at 00:08:48.110 --> 00:08:48.120 align:start position:0% should be there and there should be at 00:08:48.120 --> 00:08:51.030 align:start position:0% should be there and there should be at least<00:08:48.360> a<00:08:48.519> 6<00:08:48.839> feet<00:08:49.080> or<00:08:49.360> 2<00:08:49.560> m<00:08:49.959> distance<00:08:50.560> from<00:08:50.880> the 00:08:51.030 --> 00:08:51.040 align:start position:0% least a 6 feet or 2 m distance from the 00:08:51.040 --> 00:08:53.870 align:start position:0% least a 6 feet or 2 m distance from the mother<00:08:51.360> with<00:08:51.519> a<00:08:51.680> barrier<00:08:52.560> curtain<00:08:53.000> in<00:08:53.160> between 00:08:53.870 --> 00:08:53.880 align:start position:0% mother with a barrier curtain in between 00:08:53.880 --> 00:08:57.670 align:start position:0% mother with a barrier curtain in between uh<00:08:54.000> which<00:08:54.120> is<00:08:54.279> more<00:08:54.680> important<00:08:55.680> and<00:08:56.240> the<00:08:56.839> or<00:08:57.240> if 00:08:57.670 --> 00:08:57.680 align:start position:0% uh which is more important and the or if 00:08:57.680 --> 00:08:59.670 align:start position:0% uh which is more important and the or if there<00:08:57.839> is<00:08:57.920> a<00:08:58.120> separate<00:08:58.560> room<00:08:58.880> then<00:08:59.279> yes<00:08:59.480> yes 00:08:59.670 --> 00:08:59.680 align:start position:0% there is a separate room then yes yes 00:08:59.680 --> 00:09:01.829 align:start position:0% there is a separate room then yes yes you<00:08:59.800> can<00:09:00.279> basically<00:09:00.839> resuscitate<00:09:01.360> the<00:09:01.560> baby 00:09:01.829 --> 00:09:01.839 align:start position:0% you can basically resuscitate the baby 00:09:01.839 --> 00:09:04.069 align:start position:0% you can basically resuscitate the baby in<00:09:01.920> a<00:09:02.079> different<00:09:02.440> room<00:09:03.200> now<00:09:03.399> like<00:09:03.519> I<00:09:03.680> told<00:09:03.880> you 00:09:04.069 --> 00:09:04.079 align:start position:0% in a different room now like I told you 00:09:04.079 --> 00:09:05.910 align:start position:0% in a different room now like I told you the<00:09:04.200> picture<00:09:04.680> itself<00:09:05.200> shows<00:09:05.640> that<00:09:05.800> there 00:09:05.910 --> 00:09:05.920 align:start position:0% the picture itself shows that there 00:09:05.920 --> 00:09:07.910 align:start position:0% the picture itself shows that there should<00:09:06.079> be<00:09:06.240> an<00:09:06.399> incubator<00:09:06.959> close<00:09:07.279> incubator 00:09:07.910 --> 00:09:07.920 align:start position:0% should be an incubator close incubator 00:09:07.920 --> 00:09:10.790 align:start position:0% should be an incubator close incubator where<00:09:08.120> you<00:09:08.279> can<00:09:09.279> uh<00:09:09.800> work<00:09:10.079> and<00:09:10.240> see<00:09:10.480> there<00:09:10.600> are 00:09:10.790 --> 00:09:10.800 align:start position:0% where you can uh work and see there are 00:09:10.800 --> 00:09:12.550 align:start position:0% where you can uh work and see there are only<00:09:11.040> two<00:09:11.240> or<00:09:11.399> three<00:09:11.640> people<00:09:12.000> maximum<00:09:12.440> which 00:09:12.550 --> 00:09:12.560 align:start position:0% only two or three people maximum which 00:09:12.560 --> 00:09:14.150 align:start position:0% only two or three people maximum which are<00:09:12.680> looking<00:09:12.959> after<00:09:13.240> the<00:09:13.399> resuscitation<00:09:14.040> of 00:09:14.150 --> 00:09:14.160 align:start position:0% are looking after the resuscitation of 00:09:14.160 --> 00:09:17.990 align:start position:0% are looking after the resuscitation of the<00:09:14.680> baby<00:09:15.680> uh<00:09:16.519> and<00:09:16.920> like<00:09:17.160> the<00:09:17.320> last<00:09:17.600> point<00:09:17.800> the 00:09:17.990 --> 00:09:18.000 align:start position:0% the baby uh and like the last point the 00:09:18.000 --> 00:09:19.990 align:start position:0% the baby uh and like the last point the most<00:09:18.360> experienced<00:09:18.880> resuscitator<00:09:19.560> should<00:09:19.760> be 00:09:19.990 --> 00:09:20.000 align:start position:0% most experienced resuscitator should be 00:09:20.000 --> 00:09:22.870 align:start position:0% most experienced resuscitator should be there<00:09:20.959> uh<00:09:21.079> who<00:09:21.240> will<00:09:21.399> be<00:09:21.720> doing<00:09:22.120> the<00:09:22.720> uh 00:09:22.870 --> 00:09:22.880 align:start position:0% there uh who will be doing the uh 00:09:22.880 --> 00:09:24.389 align:start position:0% there uh who will be doing the uh procedures<00:09:23.399> for<00:09:23.600> resuscitation<00:09:24.200> and 00:09:24.389 --> 00:09:24.399 align:start position:0% procedures for resuscitation and 00:09:24.399 --> 00:09:28.030 align:start position:0% procedures for resuscitation and intubation<00:09:25.360> at<00:09:25.640> one<00:09:25.959> goal<00:09:26.320> if<00:09:26.560> required 00:09:28.030 --> 00:09:28.040 align:start position:0% intubation at one goal if required 00:09:28.040 --> 00:09:31.150 align:start position:0% intubation at one goal if required so<00:09:29.040> uh<00:09:29.240> the<00:09:29.440> this<00:09:29.920> uh<00:09:30.399> this<00:09:30.480> is<00:09:30.600> a<00:09:30.760> picture 00:09:31.150 --> 00:09:31.160 align:start position:0% so uh the this uh this is a picture 00:09:31.160 --> 00:09:33.110 align:start position:0% so uh the this uh this is a picture which<00:09:31.279> will<00:09:31.519> basically<00:09:32.000> tell<00:09:32.200> you<00:09:32.480> a<00:09:32.640> small 00:09:33.110 --> 00:09:33.120 align:start position:0% which will basically tell you a small 00:09:33.120 --> 00:09:34.710 align:start position:0% which will basically tell you a small depiction<00:09:33.640> of<00:09:33.920> everything<00:09:34.360> from<00:09:34.560> the 00:09:34.710 --> 00:09:34.720 align:start position:0% depiction of everything from the 00:09:34.720 --> 00:09:37.230 align:start position:0% depiction of everything from the starting<00:09:35.079> of<00:09:35.240> a<00:09:35.440> mother<00:09:36.279> presenting<00:09:36.760> to<00:09:36.959> you 00:09:37.230 --> 00:09:37.240 align:start position:0% starting of a mother presenting to you 00:09:37.240 --> 00:09:39.430 align:start position:0% starting of a mother presenting to you in<00:09:37.440> know<00:09:37.640> influenza<00:09:38.200> like<00:09:38.399> illness<00:09:39.040> after<00:09:39.279> the 00:09:39.430 --> 00:09:39.440 align:start position:0% in know influenza like illness after the 00:09:39.440 --> 00:09:41.870 align:start position:0% in know influenza like illness after the test<00:09:39.800> what<00:09:40.000> has<00:09:40.120> to<00:09:40.279> be<00:09:40.440> done<00:09:41.160> what<00:09:41.360> not<00:09:41.560> to<00:09:41.680> be 00:09:41.870 --> 00:09:41.880 align:start position:0% test what has to be done what not to be 00:09:41.880 --> 00:09:43.750 align:start position:0% test what has to be done what not to be done<00:09:42.279> what<00:09:42.480> nutrition<00:09:43.079> breastfeeding<00:09:43.600> and 00:09:43.750 --> 00:09:43.760 align:start position:0% done what nutrition breastfeeding and 00:09:43.760 --> 00:09:45.750 align:start position:0% done what nutrition breastfeeding and also<00:09:44.079> maybe<00:09:44.600> I<00:09:44.680> will<00:09:44.880> present<00:09:45.160> it<00:09:45.360> later<00:09:45.640> if 00:09:45.750 --> 00:09:45.760 align:start position:0% also maybe I will present it later if 00:09:45.760 --> 00:09:46.949 align:start position:0% also maybe I will present it later if you<00:09:45.920> require 00:09:46.949 --> 00:09:46.959 align:start position:0% you require 00:09:46.959 --> 00:09:50.150 align:start position:0% you require so<00:09:47.959> now<00:09:48.160> the<00:09:48.279> Amal<00:09:48.800> cord<00:09:49.240> now<00:09:49.640> the<00:09:50.000> the 00:09:50.150 --> 00:09:50.160 align:start position:0% so now the Amal cord now the the 00:09:50.160 --> 00:09:52.389 align:start position:0% so now the Amal cord now the the question<00:09:50.480> is<00:09:50.680> whether<00:09:50.920> the<00:09:51.079> Amal<00:09:51.560> cord<00:09:51.839> in 00:09:52.389 --> 00:09:52.399 align:start position:0% question is whether the Amal cord in 00:09:52.399 --> 00:09:54.790 align:start position:0% question is whether the Amal cord in covid-19<00:09:53.399> infected<00:09:53.839> mother<00:09:54.279> when<00:09:54.440> the<00:09:54.560> baby 00:09:54.790 --> 00:09:54.800 align:start position:0% covid-19 infected mother when the baby 00:09:54.800 --> 00:09:57.230 align:start position:0% covid-19 infected mother when the baby is<00:09:54.959> born<00:09:55.800> whether<00:09:56.000> the<00:09:56.120> umal<00:09:56.600> cord<00:09:56.880> should<00:09:57.040> be 00:09:57.230 --> 00:09:57.240 align:start position:0% is born whether the umal cord should be 00:09:57.240 --> 00:09:59.430 align:start position:0% is born whether the umal cord should be cut<00:09:57.640> promptly<00:09:58.279> because<00:09:58.560> nowadays<00:09:59.040> we<00:09:59.160> are 00:09:59.430 --> 00:09:59.440 align:start position:0% cut promptly because nowadays we are 00:09:59.440 --> 00:10:01.790 align:start position:0% cut promptly because nowadays we are doing<00:09:59.680> a<00:09:59.839> practice<00:10:00.200> that<00:10:00.360> we<00:10:00.480> are<00:10:00.800> basically 00:10:01.790 --> 00:10:01.800 align:start position:0% doing a practice that we are basically 00:10:01.800 --> 00:10:05.990 align:start position:0% doing a practice that we are basically uh<00:10:01.920> going<00:10:02.240> for<00:10:03.000> a<00:10:03.120> delayed<00:10:03.560> cord<00:10:04.360> clamping<00:10:05.360> now 00:10:05.990 --> 00:10:06.000 align:start position:0% uh going for a delayed cord clamping now 00:10:06.000 --> 00:10:08.350 align:start position:0% uh going for a delayed cord clamping now an<00:10:06.200> ular<00:10:06.760> cord<00:10:07.040> should<00:10:07.200> be<00:10:07.399> clamed<00:10:07.839> promptly 00:10:08.350 --> 00:10:08.360 align:start position:0% an ular cord should be clamed promptly 00:10:08.360 --> 00:10:10.470 align:start position:0% an ular cord should be clamed promptly and<00:10:08.480> a<00:10:08.640> skinto<00:10:09.160> skin<00:10:09.600> contact<00:10:10.040> should<00:10:10.240> be 00:10:10.470 --> 00:10:10.480 align:start position:0% and a skinto skin contact should be 00:10:10.480 --> 00:10:13.269 align:start position:0% and a skinto skin contact should be avoided<00:10:10.959> if<00:10:11.120> the<00:10:11.279> mother<00:10:11.839> is<00:10:12.120> a<00:10:12.399> covid-19 00:10:13.269 --> 00:10:13.279 align:start position:0% avoided if the mother is a covid-19 00:10:13.279 --> 00:10:15.710 align:start position:0% avoided if the mother is a covid-19 positive<00:10:13.880> mother<00:10:14.880> now<00:10:15.040> delivery<00:10:15.519> team 00:10:15.710 --> 00:10:15.720 align:start position:0% positive mother now delivery team 00:10:15.720 --> 00:10:17.269 align:start position:0% positive mother now delivery team members<00:10:16.000> should<00:10:16.160> bring<00:10:16.399> over<00:10:16.560> the<00:10:16.680> N<00:10:17.040> to<00:10:17.120> the 00:10:17.269 --> 00:10:17.279 align:start position:0% members should bring over the N to the 00:10:17.279 --> 00:10:20.190 align:start position:0% members should bring over the N to the resuscitation<00:10:17.880> area<00:10:18.240> like<00:10:18.480> I<00:10:19.360> already 00:10:20.190 --> 00:10:20.200 align:start position:0% resuscitation area like I already 00:10:20.200 --> 00:10:22.750 align:start position:0% resuscitation area like I already discussed<00:10:21.200> the<00:10:21.279> Nal<00:10:21.800> resuscitation<00:10:22.480> should 00:10:22.750 --> 00:10:22.760 align:start position:0% discussed the Nal resuscitation should 00:10:22.760 --> 00:10:24.949 align:start position:0% discussed the Nal resuscitation should follow<00:10:23.120> the<00:10:23.399> standard<00:10:23.880> guidelines<00:10:24.560> as<00:10:24.720> for 00:10:24.949 --> 00:10:24.959 align:start position:0% follow the standard guidelines as for 00:10:24.959 --> 00:10:25.750 align:start position:0% follow the standard guidelines as for the 00:10:25.750 --> 00:10:25.760 align:start position:0% the 00:10:25.760 --> 00:10:28.230 align:start position:0% the NRP<00:10:26.760> if<00:10:27.000> positive<00:10:27.360> pressure<00:10:27.680> ventilation<00:10:28.120> is 00:10:28.230 --> 00:10:28.240 align:start position:0% NRP if positive pressure ventilation is 00:10:28.240 --> 00:10:31.269 align:start position:0% NRP if positive pressure ventilation is needed<00:10:28.560> a<00:10:28.680> self<00:10:28.920> infl<00:10:29.560> bag<00:10:29.880> or<00:10:30.000> a<00:10:30.160> mask<00:10:30.480> or<00:10:30.560> a<00:10:30.680> TP 00:10:31.269 --> 00:10:31.279 align:start position:0% needed a self infl bag or a mask or a TP 00:10:31.279 --> 00:10:33.870 align:start position:0% needed a self infl bag or a mask or a TP resuscitator<00:10:32.279> should<00:10:32.519> be<00:10:32.720> used<00:10:33.560> and<00:10:33.720> the 00:10:33.870 --> 00:10:33.880 align:start position:0% resuscitator should be used and the 00:10:33.880 --> 00:10:36.150 align:start position:0% resuscitator should be used and the Disposable<00:10:34.440> part<00:10:34.640> should<00:10:34.800> be<00:10:34.920> discarded<00:10:35.680> and 00:10:36.150 --> 00:10:36.160 align:start position:0% Disposable part should be discarded and 00:10:36.160 --> 00:10:39.790 align:start position:0% Disposable part should be discarded and if<00:10:36.519> you<00:10:36.760> have<00:10:37.040> not<00:10:37.600> used<00:10:38.519> any<00:10:38.800> of<00:10:39.120> these<00:10:39.440> things 00:10:39.790 --> 00:10:39.800 align:start position:0% if you have not used any of these things 00:10:39.800 --> 00:10:42.389 align:start position:0% if you have not used any of these things then<00:10:40.000> you<00:10:40.240> still<00:10:40.600> have<00:10:40.760> to<00:10:41.079> discard<00:10:41.839> or<00:10:42.240> at 00:10:42.389 --> 00:10:42.399 align:start position:0% then you still have to discard or at 00:10:42.399 --> 00:10:46.949 align:start position:0% then you still have to discard or at least<00:10:43.200> disinfect<00:10:44.079> after<00:10:44.440> every<00:10:45.320> delivery<00:10:46.320> now 00:10:46.949 --> 00:10:46.959 align:start position:0% least disinfect after every delivery now 00:10:46.959 --> 00:10:48.949 align:start position:0% least disinfect after every delivery now same<00:10:47.200> point<00:10:47.480> minimum<00:10:48.200> number<00:10:48.440> of<00:10:48.639> persons 00:10:48.949 --> 00:10:48.959 align:start position:0% same point minimum number of persons 00:10:48.959 --> 00:10:50.949 align:start position:0% same point minimum number of persons should<00:10:49.240> attend<00:10:49.760> one<00:10:50.040> person<00:10:50.279> in<00:10:50.440> low<00:10:50.720> risk 00:10:50.949 --> 00:10:50.959 align:start position:0% should attend one person in low risk 00:10:50.959 --> 00:10:53.389 align:start position:0% should attend one person in low risk area<00:10:51.240> should<00:10:51.399> be<00:10:51.600> there<00:10:52.320> two<00:10:52.600> in<00:10:52.880> high<00:10:53.120> risk 00:10:53.389 --> 00:10:53.399 align:start position:0% area should be there two in high risk 00:10:53.399 --> 00:10:57.030 align:start position:0% area should be there two in high risk area<00:10:53.760> where<00:10:53.959> extensive<00:10:54.399> resusitation<00:10:54.800> may<00:10:55.240> be 00:10:57.030 --> 00:10:57.040 align:start position:0% area where extensive resusitation may be 00:10:57.040 --> 00:10:59.310 align:start position:0% area where extensive resusitation may be anticipated<00:10:58.040> now<00:10:58.240> what<00:10:58.360> are<00:10:58.480> the<00:10:58.639> guidelines 00:10:59.310 --> 00:10:59.320 align:start position:0% anticipated now what are the guidelines 00:10:59.320 --> 00:11:01.550 align:start position:0% anticipated now what are the guidelines routine<00:10:59.680> suction<00:11:00.120> is<00:11:00.360> not<00:11:00.680> indicated<00:11:01.240> for 00:11:01.550 --> 00:11:01.560 align:start position:0% routine suction is not indicated for 00:11:01.560 --> 00:11:04.110 align:start position:0% routine suction is not indicated for clear<00:11:01.959> or<00:11:02.160> mucum<00:11:02.600> stained<00:11:02.920> amniotic<00:11:03.399> fluid 00:11:04.110 --> 00:11:04.120 align:start position:0% clear or mucum stained amniotic fluid 00:11:04.120 --> 00:11:05.629 align:start position:0% clear or mucum stained amniotic fluid andot<00:11:04.519> trecular<00:11:04.880> administration<00:11:05.480> of 00:11:05.629 --> 00:11:05.639 align:start position:0% andot trecular administration of 00:11:05.639 --> 00:11:08.470 align:start position:0% andot trecular administration of medications<00:11:06.480> should<00:11:06.920> be<00:11:07.480> avoided 00:11:08.470 --> 00:11:08.480 align:start position:0% medications should be avoided 00:11:08.480 --> 00:11:10.790 align:start position:0% medications should be avoided indications<00:11:09.120> for<00:11:09.360> intubations<00:11:10.200> will<00:11:10.440> not 00:11:10.790 --> 00:11:10.800 align:start position:0% indications for intubations will not 00:11:10.800 --> 00:11:14.590 align:start position:0% indications for intubations will not change<00:11:11.160> for<00:11:12.079> a<00:11:12.320> covid<00:11:13.079> uh<00:11:13.360> positive<00:11:14.079> maternal 00:11:14.590 --> 00:11:14.600 align:start position:0% change for a covid uh positive maternal 00:11:14.600 --> 00:11:16.949 align:start position:0% change for a covid uh positive maternal status<00:11:15.519> neural<00:11:16.040> resuscitation<00:11:16.720> should 00:11:16.949 --> 00:11:16.959 align:start position:0% status neural resuscitation should 00:11:16.959 --> 00:11:19.150 align:start position:0% status neural resuscitation should follow<00:11:17.320> like<00:11:17.480> I<00:11:17.600> told<00:11:17.839> you<00:11:18.000> earlier<00:11:18.399> also<00:11:18.639> a<00:11:18.760> TP 00:11:19.150 --> 00:11:19.160 align:start position:0% follow like I told you earlier also a TP 00:11:19.160 --> 00:11:21.829 align:start position:0% follow like I told you earlier also a TP resuscitator<00:11:20.000> or<00:11:20.519> a<00:11:20.720> self-inflating<00:11:21.320> back 00:11:21.829 --> 00:11:21.839 align:start position:0% resuscitator or a self-inflating back 00:11:21.839 --> 00:11:24.590 align:start position:0% resuscitator or a self-inflating back can<00:11:22.000> be<00:11:22.200> used<00:11:23.200> uh<00:11:23.600> disposable<00:11:24.200> Parts<00:11:24.440> should 00:11:24.590 --> 00:11:24.600 align:start position:0% can be used uh disposable Parts should 00:11:24.600 --> 00:11:26.910 align:start position:0% can be used uh disposable Parts should be<00:11:24.760> discarded<00:11:25.519> and<00:11:25.680> if<00:11:25.839> it<00:11:25.920> is<00:11:26.120> not<00:11:26.440> possible 00:11:26.910 --> 00:11:26.920 align:start position:0% be discarded and if it is not possible 00:11:26.920 --> 00:11:28.990 align:start position:0% be discarded and if it is not possible in<00:11:27.079> your<00:11:27.279> Nursery<00:11:27.760> then<00:11:28.000> at<00:11:28.200> least<00:11:28.720> it<00:11:28.839> should 00:11:28.990 --> 00:11:29.000 align:start position:0% in your Nursery then at least it should 00:11:29.000 --> 00:11:30.389 align:start position:0% in your Nursery then at least it should be 00:11:30.389 --> 00:11:30.399 align:start position:0% be 00:11:30.399 --> 00:11:32.350 align:start position:0% be disinfected<00:11:31.399> now<00:11:31.600> the<00:11:31.720> second<00:11:32.040> question 00:11:32.350 --> 00:11:32.360 align:start position:0% disinfected now the second question 00:11:32.360 --> 00:11:34.509 align:start position:0% disinfected now the second question which<00:11:32.519> I'm<00:11:32.720> going<00:11:32.880> to<00:11:33.079> talk<00:11:33.320> about<00:11:33.639> is<00:11:34.360> the 00:11:34.509 --> 00:11:34.519 align:start position:0% which I'm going to talk about is the 00:11:34.519 --> 00:11:38.030 align:start position:0% which I'm going to talk about is the baby<00:11:34.800> is<00:11:34.959> born<00:11:35.959> the<00:11:36.120> baby's<00:11:36.920> uh<00:11:37.720> say 00:11:38.030 --> 00:11:38.040 align:start position:0% baby is born the baby's uh say 00:11:38.040 --> 00:11:40.629 align:start position:0% baby is born the baby's uh say symptomatic<00:11:38.600> or<00:11:38.760> all<00:11:39.279> symptomatic<00:11:40.279> uh<00:11:40.519> the 00:11:40.629 --> 00:11:40.639 align:start position:0% symptomatic or all symptomatic uh the 00:11:40.639 --> 00:11:43.069 align:start position:0% symptomatic or all symptomatic uh the parents<00:11:41.040> ask<00:11:41.399> okay<00:11:41.639> fine<00:11:42.440> what<00:11:42.600> should<00:11:42.760> I<00:11:42.880> do 00:11:43.069 --> 00:11:43.079 align:start position:0% parents ask okay fine what should I do 00:11:43.079 --> 00:11:44.590 align:start position:0% parents ask okay fine what should I do about<00:11:43.279> my<00:11:43.399> breastfeeding<00:11:43.880> should<00:11:44.040> I<00:11:44.160> be<00:11:44.360> going 00:11:44.590 --> 00:11:44.600 align:start position:0% about my breastfeeding should I be going 00:11:44.600 --> 00:11:46.949 align:start position:0% about my breastfeeding should I be going ahead<00:11:44.839> or<00:11:45.000> not<00:11:45.920> now<00:11:46.079> you<00:11:46.200> have<00:11:46.320> to<00:11:46.760> understand 00:11:46.949 --> 00:11:46.959 align:start position:0% ahead or not now you have to understand 00:11:46.959 --> 00:11:49.350 align:start position:0% ahead or not now you have to understand there<00:11:47.079> are<00:11:47.240> very<00:11:47.519> simple<00:11:47.920> three<00:11:48.200> steps<00:11:49.000> women 00:11:49.350 --> 00:11:49.360 align:start position:0% there are very simple three steps women 00:11:49.360 --> 00:11:51.389 align:start position:0% there are very simple three steps women with<00:11:49.600> covid-19<00:11:50.240> can<00:11:50.440> breastfed<00:11:50.959> if<00:11:51.079> they<00:11:51.200> wish 00:11:51.389 --> 00:11:51.399 align:start position:0% with covid-19 can breastfed if they wish 00:11:51.399 --> 00:11:54.269 align:start position:0% with covid-19 can breastfed if they wish to<00:11:51.560> do<00:11:51.720> so<00:11:52.160> yes<00:11:52.839> they<00:11:53.040> will<00:11:53.360> breastfeed 00:11:54.269 --> 00:11:54.279 align:start position:0% to do so yes they will breastfeed 00:11:54.279 --> 00:11:56.030 align:start position:0% to do so yes they will breastfeed earlier<00:11:54.680> it<00:11:54.880> was<00:11:55.120> thought<00:11:55.440> that<00:11:55.880> the 00:11:56.030 --> 00:11:56.040 align:start position:0% earlier it was thought that the 00:11:56.040 --> 00:11:58.350 align:start position:0% earlier it was thought that the breastfeed<00:11:57.000> uh<00:11:57.440> uh<00:11:57.600> the<00:11:57.720> breast<00:11:58.000> milk 00:11:58.350 --> 00:11:58.360 align:start position:0% breastfeed uh uh the breast milk 00:11:58.360 --> 00:12:00.550 align:start position:0% breastfeed uh uh the breast milk basically<00:11:58.720> transmits<00:11:59.440> the<00:11:59.639> covid-19<00:12:00.279> virus 00:12:00.550 --> 00:12:00.560 align:start position:0% basically transmits the covid-19 virus 00:12:00.560 --> 00:12:02.990 align:start position:0% basically transmits the covid-19 virus into<00:12:00.800> the<00:12:00.920> babies<00:12:01.760> but<00:12:01.959> after<00:12:02.279> long<00:12:02.600> studies 00:12:02.990 --> 00:12:03.000 align:start position:0% into the babies but after long studies 00:12:03.000 --> 00:12:05.150 align:start position:0% into the babies but after long studies and<00:12:03.200> articles<00:12:03.639> and<00:12:03.800> all<00:12:04.000> those<00:12:04.200> things<00:12:04.480> the<00:12:04.600> wh 00:12:05.150 --> 00:12:05.160 align:start position:0% and articles and all those things the wh 00:12:05.160 --> 00:12:08.310 align:start position:0% and articles and all those things the wh has<00:12:05.320> come<00:12:05.480> out<00:12:05.639> to<00:12:05.800> a<00:12:06.000> point<00:12:06.399> that<00:12:07.000> the<00:12:07.320> babies 00:12:08.310 --> 00:12:08.320 align:start position:0% has come out to a point that the babies 00:12:08.320 --> 00:12:10.750 align:start position:0% has come out to a point that the babies should<00:12:08.600> be<00:12:08.880> breastfeed<00:12:09.639> even<00:12:09.880> if<00:12:10.040> the<00:12:10.240> mother 00:12:10.750 --> 00:12:10.760 align:start position:0% should be breastfeed even if the mother 00:12:10.760 --> 00:12:14.389 align:start position:0% should be breastfeed even if the mother is<00:12:11.040> a<00:12:11.240> covid-19<00:12:12.079> positive<00:12:13.040> mother<00:12:13.959> now<00:12:14.240> what 00:12:14.389 --> 00:12:14.399 align:start position:0% is a covid-19 positive mother now what 00:12:14.399 --> 00:12:15.910 align:start position:0% is a covid-19 positive mother now what she<00:12:14.600> has<00:12:14.720> to<00:12:14.839> do<00:12:15.000> before<00:12:15.320> that<00:12:15.519> practice 00:12:15.910 --> 00:12:15.920 align:start position:0% she has to do before that practice 00:12:15.920 --> 00:12:22.310 align:start position:0% she has to do before that practice respiratory<00:12:16.399> hygi<00:12:16.720> and<00:12:17.199> of 00:12:22.310 --> 00:12:22.320 align:start position:0% 00:12:22.320 --> 00:12:25.509 align:start position:0% mask<00:12:23.320> feed<00:12:23.560> cry<00:12:24.399> wash<00:12:24.720> hands<00:12:25.040> before<00:12:25.320> and 00:12:25.509 --> 00:12:25.519 align:start position:0% mask feed cry wash hands before and 00:12:25.519 --> 00:12:28.750 align:start position:0% mask feed cry wash hands before and after<00:12:25.760> touching<00:12:26.079> the<00:12:26.360> baby<00:12:27.360> and<00:12:28.120> uh<00:12:28.240> routinely 00:12:28.750 --> 00:12:28.760 align:start position:0% after touching the baby and uh routinely 00:12:28.760 --> 00:12:30.710 align:start position:0% after touching the baby and uh routinely clean<00:12:29.320> and<00:12:29.600> disinfect 00:12:30.710 --> 00:12:30.720 align:start position:0% clean and disinfect 00:12:30.720 --> 00:12:33.990 align:start position:0% clean and disinfect surfaces<00:12:31.720> now<00:12:32.680> we<00:12:32.959> let's<00:12:33.199> come<00:12:33.360> to<00:12:33.560> the<00:12:33.880> uh 00:12:33.990 --> 00:12:34.000 align:start position:0% surfaces now we let's come to the uh 00:12:34.000 --> 00:12:36.030 align:start position:0% surfaces now we let's come to the uh protocols<00:12:34.560> now<00:12:34.720> stable<00:12:35.079> units<00:12:35.519> exposed<00:12:35.920> to 00:12:36.030 --> 00:12:36.040 align:start position:0% protocols now stable units exposed to 00:12:36.040 --> 00:12:37.949 align:start position:0% protocols now stable units exposed to covid-19<00:12:36.600> infection<00:12:36.959> from<00:12:37.240> mothers<00:12:37.760> or 00:12:37.949 --> 00:12:37.959 align:start position:0% covid-19 infection from mothers or 00:12:37.959 --> 00:12:39.350 align:start position:0% covid-19 infection from mothers or relatives<00:12:38.360> should<00:12:38.519> be<00:12:38.639> roomed<00:12:38.959> in<00:12:39.160> with 00:12:39.350 --> 00:12:39.360 align:start position:0% relatives should be roomed in with 00:12:39.360 --> 00:12:41.629 align:start position:0% relatives should be roomed in with mothers<00:12:40.199> and<00:12:40.320> should<00:12:40.480> be<00:12:40.720> exclusively 00:12:41.629 --> 00:12:41.639 align:start position:0% mothers and should be exclusively 00:12:41.639 --> 00:12:44.069 align:start position:0% mothers and should be exclusively breastfeed<00:12:42.639> please<00:12:42.880> noted<00:12:43.199> a<00:12:43.360> point<00:12:43.639> the<00:12:43.760> baby 00:12:44.069 --> 00:12:44.079 align:start position:0% breastfeed please noted a point the baby 00:12:44.079 --> 00:12:47.350 align:start position:0% breastfeed please noted a point the baby should<00:12:44.279> be<00:12:44.600> exclusively<00:12:45.600> press<00:12:46.199> fed<00:12:46.959> now<00:12:47.120> for 00:12:47.350 --> 00:12:47.360 align:start position:0% should be exclusively press fed now for 00:12:47.360 --> 00:12:49.150 align:start position:0% should be exclusively press fed now for supporting<00:12:47.800> lactation<00:12:48.320> nursing<00:12:48.680> trained<00:12:49.000> in 00:12:49.150 --> 00:12:49.160 align:start position:0% supporting lactation nursing trained in 00:12:49.160 --> 00:12:51.230 align:start position:0% supporting lactation nursing trained in essential<00:12:49.519> newborn<00:12:49.959> care<00:12:50.240> can<00:12:50.480> be<00:12:50.720> there<00:12:51.040> and 00:12:51.230 --> 00:12:51.240 align:start position:0% essential newborn care can be there and 00:12:51.240 --> 00:12:53.910 align:start position:0% essential newborn care can be there and they<00:12:51.360> can<00:12:51.560> also<00:12:51.800> help<00:12:52.000> in<00:12:52.120> the<00:12:52.199> feeding<00:12:52.920> part 00:12:53.910 --> 00:12:53.920 align:start position:0% they can also help in the feeding part 00:12:53.920 --> 00:12:55.870 align:start position:0% they can also help in the feeding part um<00:12:54.240> healthy<00:12:54.600> and<00:12:54.760> willing<00:12:55.120> family<00:12:55.440> member<00:12:55.720> who 00:12:55.870 --> 00:12:55.880 align:start position:0% um healthy and willing family member who 00:12:55.880 --> 00:12:58.990 align:start position:0% um healthy and willing family member who is<00:12:56.199> not<00:12:56.600> positive<00:12:57.600> can<00:12:58.000> and<00:12:58.240> who<00:12:58.440> has<00:12:58.600> not<00:12:58.800> come 00:12:58.990 --> 00:12:59.000 align:start position:0% is not positive can and who has not come 00:12:59.000 --> 00:13:01.430 align:start position:0% is not positive can and who has not come in<00:12:59.399> direct<00:12:59.760> contact<00:13:00.600> with<00:13:00.720> a<00:13:00.880> suspected<00:13:01.279> or 00:13:01.430 --> 00:13:01.440 align:start position:0% in direct contact with a suspected or 00:13:01.440 --> 00:13:03.550 align:start position:0% in direct contact with a suspected or confirmed<00:13:01.920> covid<00:13:02.680> and<00:13:02.839> is 00:13:03.550 --> 00:13:03.560 align:start position:0% confirmed covid and is 00:13:03.560 --> 00:13:05.430 align:start position:0% confirmed covid and is asymptomatic<00:13:04.560> they<00:13:04.720> may<00:13:04.839> be<00:13:04.959> allowed<00:13:05.240> into 00:13:05.430 --> 00:13:05.440 align:start position:0% asymptomatic they may be allowed into 00:13:05.440 --> 00:13:06.990 align:start position:0% asymptomatic they may be allowed into the<00:13:05.560> room<00:13:05.760> to<00:13:05.959> provide<00:13:06.279> support<00:13:06.600> for 00:13:06.990 --> 00:13:07.000 align:start position:0% the room to provide support for 00:13:07.000 --> 00:13:09.470 align:start position:0% the room to provide support for breastfeeding<00:13:08.000> and<00:13:08.160> if<00:13:08.320> rooming<00:13:08.800> is<00:13:09.079> not 00:13:09.470 --> 00:13:09.480 align:start position:0% breastfeeding and if rooming is not 00:13:09.480 --> 00:13:11.150 align:start position:0% breastfeeding and if rooming is not possible<00:13:09.959> because<00:13:10.199> of<00:13:10.360> the<00:13:10.480> sickness<00:13:10.880> of<00:13:11.000> a 00:13:11.150 --> 00:13:11.160 align:start position:0% possible because of the sickness of a 00:13:11.160 --> 00:13:15.150 align:start position:0% possible because of the sickness of a unit<00:13:11.560> or<00:13:11.680> a<00:13:11.839> mother<00:13:12.760> there<00:13:13.000> can<00:13:13.279> be<00:13:14.279> uh<00:13:14.760> the<00:13:14.959> the 00:13:15.150 --> 00:13:15.160 align:start position:0% unit or a mother there can be uh the the 00:13:15.160 --> 00:13:17.350 align:start position:0% unit or a mother there can be uh the the babies<00:13:15.680> can<00:13:15.920> be<00:13:16.199> basically<00:13:16.600> fed<00:13:17.000> with<00:13:17.120> an 00:13:17.350 --> 00:13:17.360 align:start position:0% babies can be basically fed with an 00:13:17.360 --> 00:13:20.790 align:start position:0% babies can be basically fed with an expressed<00:13:18.120> breast<00:13:19.040> milk<00:13:20.040> by<00:13:20.240> a<00:13:20.360> trained 00:13:20.790 --> 00:13:20.800 align:start position:0% expressed breast milk by a trained 00:13:20.800 --> 00:13:22.990 align:start position:0% expressed breast milk by a trained family<00:13:21.120> member<00:13:21.639> or<00:13:21.880> a<00:13:22.040> nurse<00:13:22.399> who<00:13:22.519> is<00:13:22.680> there<00:13:22.839> in 00:13:22.990 --> 00:13:23.000 align:start position:0% family member or a nurse who is there in 00:13:23.000 --> 00:13:24.750 align:start position:0% family member or a nurse who is there in the<00:13:23.240> N 00:13:24.750 --> 00:13:24.760 align:start position:0% the N 00:13:24.760 --> 00:13:27.230 align:start position:0% the N ICU<00:13:25.760> now<00:13:26.000> what<00:13:26.120> are<00:13:26.279> the<00:13:26.600> conditions<00:13:26.959> that<00:13:27.120> has 00:13:27.230 --> 00:13:27.240 align:start position:0% ICU now what are the conditions that has 00:13:27.240 --> 00:13:29.110 align:start position:0% ICU now what are the conditions that has to<00:13:27.360> be<00:13:27.519> met<00:13:27.760> for<00:13:27.959> a<00:13:28.199> safe<00:13:28.720> uh<00:13:28.839> breast 00:13:29.110 --> 00:13:29.120 align:start position:0% to be met for a safe uh breast 00:13:29.120 --> 00:13:31.189 align:start position:0% to be met for a safe uh breast breastfeeding<00:13:29.519> number<00:13:29.760> one<00:13:30.040> the<00:13:30.519> like<00:13:30.680> I<00:13:30.920> had 00:13:31.189 --> 00:13:31.199 align:start position:0% breastfeeding number one the like I had 00:13:31.199 --> 00:13:33.509 align:start position:0% breastfeeding number one the like I had depicted<00:13:31.600> in<00:13:31.720> the<00:13:31.880> last<00:13:32.120> picture<00:13:33.079> uh<00:13:33.240> hand 00:13:33.509 --> 00:13:33.519 align:start position:0% depicted in the last picture uh hand 00:13:33.519 --> 00:13:35.590 align:start position:0% depicted in the last picture uh hand hygiene<00:13:34.160> before<00:13:34.440> and<00:13:34.600> after<00:13:34.880> breastfeeding 00:13:35.590 --> 00:13:35.600 align:start position:0% hygiene before and after breastfeeding 00:13:35.600 --> 00:13:37.590 align:start position:0% hygiene before and after breastfeeding they<00:13:35.720> should<00:13:36.199> uh<00:13:36.639> practice<00:13:36.920> a<00:13:37.120> respiratory 00:13:37.590 --> 00:13:37.600 align:start position:0% they should uh practice a respiratory 00:13:37.600 --> 00:13:39.389 align:start position:0% they should uh practice a respiratory hygiene<00:13:37.920> and<00:13:38.040> if<00:13:38.199> we<00:13:38.399> a<00:13:38.560> mask<00:13:38.959> and<00:13:39.079> they<00:13:39.240> should 00:13:39.389 --> 00:13:39.399 align:start position:0% hygiene and if we a mask and they should 00:13:39.399 --> 00:13:41.069 align:start position:0% hygiene and if we a mask and they should routinely<00:13:39.839> clean<00:13:40.079> and<00:13:40.240> disinfect<00:13:40.720> the 00:13:41.069 --> 00:13:41.079 align:start position:0% routinely clean and disinfect the 00:13:41.079 --> 00:13:43.870 align:start position:0% routinely clean and disinfect the surfaces<00:13:42.079> uh<00:13:42.199> ebm<00:13:42.720> if<00:13:42.839> the<00:13:43.000> baby<00:13:43.279> is<00:13:43.399> a<00:13:43.560> sick 00:13:43.870 --> 00:13:43.880 align:start position:0% surfaces uh ebm if the baby is a sick 00:13:43.880 --> 00:13:46.470 align:start position:0% surfaces uh ebm if the baby is a sick baby<00:13:44.279> or<00:13:44.440> if<00:13:44.560> a<00:13:44.680> baby<00:13:44.880> is<00:13:45.000> a<00:13:45.160> preum<00:13:45.560> baby<00:13:46.199> then 00:13:46.470 --> 00:13:46.480 align:start position:0% baby or if a baby is a preum baby then 00:13:46.480 --> 00:13:48.750 align:start position:0% baby or if a baby is a preum baby then Express<00:13:46.880> breast<00:13:47.160> milk<00:13:47.440> can<00:13:47.600> be<00:13:47.760> started<00:13:48.440> after 00:13:48.750 --> 00:13:48.760 align:start position:0% Express breast milk can be started after 00:13:48.760 --> 00:13:50.550 align:start position:0% Express breast milk can be started after washing<00:13:49.079> hands<00:13:49.320> and<00:13:49.519> breasts<00:13:49.920> while<00:13:50.079> clearing 00:13:50.550 --> 00:13:50.560 align:start position:0% washing hands and breasts while clearing 00:13:50.560 --> 00:13:52.870 align:start position:0% washing hands and breasts while clearing the<00:13:51.199> uh<00:13:51.320> while<00:13:51.480> wearing<00:13:51.839> the<00:13:52.040> mask<00:13:52.560> and<00:13:52.759> the 00:13:52.870 --> 00:13:52.880 align:start position:0% the uh while wearing the mask and the 00:13:52.880 --> 00:13:55.790 align:start position:0% the uh while wearing the mask and the breast<00:13:53.199> BS<00:13:53.600> can<00:13:53.800> be<00:13:54.000> used<00:13:54.480> but<00:13:54.680> that<00:13:54.800> should<00:13:55.040> be 00:13:55.790 --> 00:13:55.800 align:start position:0% breast BS can be used but that should be 00:13:55.800 --> 00:13:57.590 align:start position:0% breast BS can be used but that should be uh<00:13:55.920> cleaned 00:13:57.590 --> 00:13:57.600 align:start position:0% uh cleaned 00:13:57.600 --> 00:13:59.949 align:start position:0% uh cleaned thoroughly<00:13:58.600> best<00:13:58.800> Fe<00:13:59.279> mother<00:13:59.600> what<00:13:59.680> are<00:13:59.800> the 00:13:59.949 --> 00:13:59.959 align:start position:0% thoroughly best Fe mother what are the 00:13:59.959 --> 00:14:02.030 align:start position:0% thoroughly best Fe mother what are the best<00:14:00.240> practices<00:14:00.839> is<00:14:01.120> this<00:14:01.480> the<00:14:01.560> breastfeeding 00:14:02.030 --> 00:14:02.040 align:start position:0% best practices is this the breastfeeding 00:14:02.040 --> 00:14:03.389 align:start position:0% best practices is this the breastfeeding mother<00:14:02.279> should<00:14:02.480> be<00:14:02.639> helped<00:14:02.880> to<00:14:03.000> clean<00:14:03.240> her 00:14:03.389 --> 00:14:03.399 align:start position:0% mother should be helped to clean her 00:14:03.399 --> 00:14:05.629 align:start position:0% mother should be helped to clean her chest<00:14:03.720> with<00:14:03.880> soap<00:14:04.160> and<00:14:04.399> water<00:14:05.160> if<00:14:05.279> she<00:14:05.480> has 00:14:05.629 --> 00:14:05.639 align:start position:0% chest with soap and water if she has 00:14:05.639 --> 00:14:08.150 align:start position:0% chest with soap and water if she has been<00:14:05.839> coughing<00:14:06.720> does<00:14:07.000> not<00:14:07.320> need<00:14:07.560> to<00:14:07.759> wash<00:14:07.959> her 00:14:08.150 --> 00:14:08.160 align:start position:0% been coughing does not need to wash her 00:14:08.160 --> 00:14:10.629 align:start position:0% been coughing does not need to wash her breast<00:14:08.480> before<00:14:08.839> every<00:14:09.120> feet<00:14:09.920> if<00:14:10.079> the<00:14:10.320> mother 00:14:10.629 --> 00:14:10.639 align:start position:0% breast before every feet if the mother 00:14:10.639 --> 00:14:12.670 align:start position:0% breast before every feet if the mother does<00:14:10.839> not<00:14:11.040> have<00:14:11.120> a<00:14:11.279> medical<00:14:11.720> mask<00:14:12.199> she<00:14:12.360> should 00:14:12.670 --> 00:14:12.680 align:start position:0% does not have a medical mask she should 00:14:12.680 --> 00:14:14.350 align:start position:0% does not have a medical mask she should still<00:14:12.920> be<00:14:13.120> encouraged<00:14:13.519> to<00:14:13.639> continue 00:14:14.350 --> 00:14:14.360 align:start position:0% still be encouraged to continue 00:14:14.360 --> 00:14:16.829 align:start position:0% still be encouraged to continue breastfeeding<00:14:15.360> like<00:14:15.800> she<00:14:15.959> can<00:14:16.160> just<00:14:16.399> put<00:14:16.600> up<00:14:16.720> a 00:14:16.829 --> 00:14:16.839 align:start position:0% breastfeeding like she can just put up a 00:14:16.839 --> 00:14:20.829 align:start position:0% breastfeeding like she can just put up a cloth<00:14:17.120> on<00:14:17.440> her<00:14:18.440> face<00:14:18.720> and<00:14:18.880> just<00:14:19.079> cover<00:14:19.680> her<00:14:20.680> uh 00:14:20.829 --> 00:14:20.839 align:start position:0% cloth on her face and just cover her uh 00:14:20.839 --> 00:14:22.949 align:start position:0% cloth on her face and just cover her uh face<00:14:21.079> so<00:14:21.320> that<00:14:21.600> the<00:14:21.920> mouth<00:14:22.240> and<00:14:22.360> the<00:14:22.480> nose<00:14:22.759> so 00:14:22.949 --> 00:14:22.959 align:start position:0% face so that the mouth and the nose so 00:14:22.959 --> 00:14:25.470 align:start position:0% face so that the mouth and the nose so as<00:14:23.480> the<00:14:23.600> secretions<00:14:24.160> don't<00:14:24.399> rule<00:14:24.720> down<00:14:25.079> and 00:14:25.470 --> 00:14:25.480 align:start position:0% as the secretions don't rule down and 00:14:25.480 --> 00:14:27.670 align:start position:0% as the secretions don't rule down and they<00:14:25.639> cannot<00:14:25.959> go<00:14:26.079> to<00:14:26.240> the<00:14:26.399> baby<00:14:27.279> they<00:14:27.399> should 00:14:27.670 --> 00:14:27.680 align:start position:0% they cannot go to the baby they should 00:14:27.680 --> 00:14:29.949 align:start position:0% they cannot go to the baby they should not<00:14:28.040> there<00:14:28.160> should<00:14:28.360> be<00:14:28.480> no<00:14:28.720> promot<00:14:29.360> of<00:14:29.560> bre 00:14:29.949 --> 00:14:29.959 align:start position:0% not there should be no promot of bre 00:14:29.959 --> 00:14:33.150 align:start position:0% not there should be no promot of bre dressed<00:14:30.360> milk<00:14:30.920> substitutes<00:14:31.920> if<00:14:32.120> the<00:14:32.480> baby<00:14:32.880> is 00:14:33.150 --> 00:14:33.160 align:start position:0% dressed milk substitutes if the baby is 00:14:33.160 --> 00:14:35.629 align:start position:0% dressed milk substitutes if the baby is fine<00:14:33.560> and<00:14:33.720> if<00:14:33.839> the<00:14:34.000> mother<00:14:34.279> is<00:14:34.480> able<00:14:34.839> to<00:14:35.279> get 00:14:35.629 --> 00:14:35.639 align:start position:0% fine and if the mother is able to get 00:14:35.639 --> 00:14:37.990 align:start position:0% fine and if the mother is able to get enough<00:14:36.000> amount<00:14:36.279> of<00:14:36.440> milk<00:14:36.680> for<00:14:36.880> the 00:14:37.990 --> 00:14:38.000 align:start position:0% enough amount of milk for the 00:14:38.000 --> 00:14:41.629 align:start position:0% enough amount of milk for the baby<00:14:39.000> now<00:14:39.600> uh<00:14:39.920> the<00:14:40.079> same<00:14:40.320> things<00:14:40.560> we<00:14:40.680> are<00:14:41.160> doing 00:14:41.629 --> 00:14:41.639 align:start position:0% baby now uh the same things we are doing 00:14:41.639 --> 00:14:45.550 align:start position:0% baby now uh the same things we are doing next<00:14:42.199> uh<00:14:43.120> now<00:14:43.839> next<00:14:44.079> step<00:14:44.399> comes<00:14:45.000> okay<00:14:45.240> fine 00:14:45.550 --> 00:14:45.560 align:start position:0% next uh now next step comes okay fine 00:14:45.560 --> 00:14:53.550 align:start position:0% next uh now next step comes okay fine baby<00:14:46.199> the<00:14:46.440> patient 00:14:53.550 --> 00:14:53.560 align:start position:0% 00:14:53.560 --> 00:14:56.069 align:start position:0% fine<00:14:54.560> whether<00:14:54.759> I<00:14:54.880> can<00:14:55.079> keep<00:14:55.279> my<00:14:55.440> baby<00:14:55.759> with<00:14:55.920> me 00:14:56.069 --> 00:14:56.079 align:start position:0% fine whether I can keep my baby with me 00:14:56.079 --> 00:14:59.230 align:start position:0% fine whether I can keep my baby with me or<00:14:56.279> not<00:14:56.920> so<00:14:57.160> whether<00:14:57.399> it's<00:14:57.519> a<00:14:57.800> yes<00:14:58.040> or<00:14:58.320> no<00:14:59.079> so 00:14:59.230 --> 00:14:59.240 align:start position:0% or not so whether it's a yes or no so 00:14:59.240 --> 00:15:00.949 align:start position:0% or not so whether it's a yes or no so mother<00:14:59.519> and<00:14:59.720> infant<00:15:00.079> should<00:15:00.279> be<00:15:00.480> kept 00:15:00.949 --> 00:15:00.959 align:start position:0% mother and infant should be kept 00:15:00.959 --> 00:15:03.829 align:start position:0% mother and infant should be kept together<00:15:01.320> at<00:15:01.680> Birth<00:15:02.360> regardless<00:15:02.959> of<00:15:03.199> covid-19 00:15:03.829 --> 00:15:03.839 align:start position:0% together at Birth regardless of covid-19 00:15:03.839 --> 00:15:07.110 align:start position:0% together at Birth regardless of covid-19 status<00:15:04.759> please<00:15:05.240> note<00:15:05.720> mother<00:15:06.120> and<00:15:06.399> infant 00:15:07.110 --> 00:15:07.120 align:start position:0% status please note mother and infant 00:15:07.120 --> 00:15:08.949 align:start position:0% status please note mother and infant should<00:15:07.320> be<00:15:07.519> kept<00:15:08.000> together<00:15:08.360> at<00:15:08.560> Birth 00:15:08.949 --> 00:15:08.959 align:start position:0% should be kept together at Birth 00:15:08.959 --> 00:15:11.629 align:start position:0% should be kept together at Birth regardless<00:15:09.440> of<00:15:09.639> covid-19<00:15:10.320> status<00:15:11.160> a<00:15:11.320> mother 00:15:11.629 --> 00:15:11.639 align:start position:0% regardless of covid-19 status a mother 00:15:11.639 --> 00:15:13.749 align:start position:0% regardless of covid-19 status a mother should<00:15:12.040> not<00:15:12.320> be<00:15:12.480> separated<00:15:12.959> from<00:15:13.160> an<00:15:13.320> infant 00:15:13.749 --> 00:15:13.759 align:start position:0% should not be separated from an infant 00:15:13.759 --> 00:15:16.310 align:start position:0% should not be separated from an infant unless<00:15:14.160> the<00:15:14.320> baby<00:15:14.600> is<00:15:14.759> too<00:15:15.040> sick<00:15:15.440> or<00:15:16.160> the 00:15:16.310 --> 00:15:16.320 align:start position:0% unless the baby is too sick or the 00:15:16.320 --> 00:15:18.350 align:start position:0% unless the baby is too sick or the mother<00:15:16.600> is<00:15:16.720> too<00:15:16.959> sick<00:15:17.160> to<00:15:17.399> care<00:15:17.600> of<00:15:18.000> to<00:15:18.160> take 00:15:18.350 --> 00:15:18.360 align:start position:0% mother is too sick to care of to take 00:15:18.360 --> 00:15:21.110 align:start position:0% mother is too sick to care of to take care<00:15:18.519> of<00:15:18.639> her<00:15:19.000> baby<00:15:19.959> now<00:15:20.240> if<00:15:20.440> the<00:15:20.600> mother<00:15:20.959> is 00:15:21.110 --> 00:15:21.120 align:start position:0% care of her baby now if the mother is 00:15:21.120 --> 00:15:22.829 align:start position:0% care of her baby now if the mother is unable<00:15:21.519> to<00:15:21.639> take<00:15:21.839> care<00:15:21.959> of<00:15:22.079> an<00:15:22.279> infant<00:15:22.680> and 00:15:22.829 --> 00:15:22.839 align:start position:0% unable to take care of an infant and 00:15:22.839 --> 00:15:25.030 align:start position:0% unable to take care of an infant and then<00:15:23.000> the<00:15:23.160> baby<00:15:23.440> is<00:15:23.639> fine<00:15:24.399> then<00:15:24.639> another 00:15:25.030 --> 00:15:25.040 align:start position:0% then the baby is fine then another 00:15:25.040 --> 00:15:27.389 align:start position:0% then the baby is fine then another family<00:15:25.360> member<00:15:25.800> who<00:15:25.959> is<00:15:26.199> covid<00:15:26.600> negative<00:15:27.240> and 00:15:27.389 --> 00:15:27.399 align:start position:0% family member who is covid negative and 00:15:27.399 --> 00:15:30.110 align:start position:0% family member who is covid negative and who<00:15:27.560> has<00:15:27.759> not<00:15:28.079> got<00:15:28.279> an<00:15:28.480> exposure<00:15:29.079> to<00:15:29.680> any<00:15:29.920> of 00:15:30.110 --> 00:15:30.120 align:start position:0% who has not got an exposure to any of 00:15:30.120 --> 00:15:32.230 align:start position:0% who has not got an exposure to any of the<00:15:30.279> covid<00:15:30.639> positive<00:15:31.040> patients<00:15:31.560> can<00:15:31.759> be 00:15:32.230 --> 00:15:32.240 align:start position:0% the covid positive patients can be 00:15:32.240 --> 00:15:34.069 align:start position:0% the covid positive patients can be taking<00:15:32.639> care<00:15:32.920> of<00:15:33.279> the 00:15:34.069 --> 00:15:34.079 align:start position:0% taking care of the 00:15:34.079 --> 00:15:37.030 align:start position:0% taking care of the baby<00:15:35.079> now<00:15:35.600> uh<00:15:35.800> mothers<00:15:36.120> and<00:15:36.319> infants<00:15:36.759> should 00:15:37.030 --> 00:15:37.040 align:start position:0% baby now uh mothers and infants should 00:15:37.040 --> 00:15:39.430 align:start position:0% baby now uh mothers and infants should be<00:15:37.199> enabled<00:15:37.639> to<00:15:37.920> practice<00:15:38.399> early<00:15:38.959> and 00:15:39.430 --> 00:15:39.440 align:start position:0% be enabled to practice early and 00:15:39.440 --> 00:15:42.230 align:start position:0% be enabled to practice early and uninterrupted<00:15:40.440> skinto<00:15:41.000> skinin<00:15:41.360> contact<00:15:41.880> soon 00:15:42.230 --> 00:15:42.240 align:start position:0% uninterrupted skinto skinin contact soon 00:15:42.240 --> 00:15:45.470 align:start position:0% uninterrupted skinto skinin contact soon after<00:15:42.639> birth<00:15:43.519> which<00:15:43.720> may<00:15:43.920> be<00:15:44.480> uh<00:15:44.600> inclusive<00:15:45.160> of 00:15:45.470 --> 00:15:45.480 align:start position:0% after birth which may be uh inclusive of 00:15:45.480 --> 00:15:47.550 align:start position:0% after birth which may be uh inclusive of all<00:15:45.800> pre-term<00:15:46.240> babies<00:15:46.519> and<00:15:46.680> low<00:15:47.000> birth<00:15:47.279> weight 00:15:47.550 --> 00:15:47.560 align:start position:0% all pre-term babies and low birth weight 00:15:47.560 --> 00:15:50.710 align:start position:0% all pre-term babies and low birth weight babies<00:15:48.560> and<00:15:48.959> uh<00:15:49.279> they<00:15:49.519> can<00:15:50.120> remain<00:15:50.360> in<00:15:50.480> the 00:15:50.710 --> 00:15:50.720 align:start position:0% babies and uh they can remain in the 00:15:50.720 --> 00:15:53.509 align:start position:0% babies and uh they can remain in the same<00:15:51.240> room<00:15:51.759> throughout<00:15:52.399> day<00:15:52.560> and<00:15:52.759> night 00:15:53.509 --> 00:15:53.519 align:start position:0% same room throughout day and night 00:15:53.519 --> 00:15:55.309 align:start position:0% same room throughout day and night immediately<00:15:54.079> after<00:15:54.319> the<00:15:54.480> birth<00:15:54.800> establish 00:15:55.309 --> 00:15:55.319 align:start position:0% immediately after the birth establish 00:15:55.319 --> 00:15:57.110 align:start position:0% immediately after the birth establish breastfeeding<00:15:56.000> and<00:15:56.199> practice<00:15:56.639> kangaru 00:15:57.110 --> 00:15:57.120 align:start position:0% breastfeeding and practice kangaru 00:15:57.120 --> 00:16:00.189 align:start position:0% breastfeeding and practice kangaru mother<00:15:57.399> care<00:15:57.639> if<00:15:57.839> the<00:15:58.040> baby<00:15:58.360> is<00:15:59.040> pre<00:15:59.319> term<00:15:59.600> or<00:15:59.759> a 00:16:00.189 --> 00:16:00.199 align:start position:0% mother care if the baby is pre term or a 00:16:00.199 --> 00:16:03.069 align:start position:0% mother care if the baby is pre term or a low<00:16:00.519> birth<00:16:00.759> weight<00:16:01.759> normally<00:16:02.240> the<00:16:02.399> earlier<00:16:02.800> on 00:16:03.069 --> 00:16:03.079 align:start position:0% low birth weight normally the earlier on 00:16:03.079 --> 00:16:05.269 align:start position:0% low birth weight normally the earlier on the<00:16:03.240> practices<00:16:03.839> was<00:16:04.440> that<00:16:04.639> the<00:16:04.759> baby<00:16:05.079> should 00:16:05.269 --> 00:16:05.279 align:start position:0% the practices was that the baby should 00:16:05.279 --> 00:16:07.389 align:start position:0% the practices was that the baby should be<00:16:05.440> kept<00:16:05.639> in<00:16:05.759> the<00:16:05.880> nursery<00:16:06.319> for<00:16:06.600> maybe<00:16:06.959> 2<00:16:07.120> three 00:16:07.389 --> 00:16:07.399 align:start position:0% be kept in the nursery for maybe 2 three 00:16:07.399 --> 00:16:10.550 align:start position:0% be kept in the nursery for maybe 2 three days<00:16:08.120> or<00:16:08.440> five<00:16:08.759> days<00:16:09.240> and<00:16:09.600> the<00:16:09.720> ebm<00:16:10.199> was<00:16:10.360> been 00:16:10.550 --> 00:16:10.560 align:start position:0% days or five days and the ebm was been 00:16:10.560 --> 00:16:14.110 align:start position:0% days or five days and the ebm was been supported<00:16:11.399> uh<00:16:11.680> or<00:16:11.920> given<00:16:12.199> to<00:16:12.360> the<00:16:12.639> NICU<00:16:13.639> or<00:16:13.959> it 00:16:14.110 --> 00:16:14.120 align:start position:0% supported uh or given to the NICU or it 00:16:14.120 --> 00:16:16.790 align:start position:0% supported uh or given to the NICU or it was<00:16:14.399> like<00:16:14.600> the<00:16:14.800> baby<00:16:15.480> the<00:16:15.600> mother<00:16:16.000> was<00:16:16.240> a<00:16:16.440> covid 00:16:16.790 --> 00:16:16.800 align:start position:0% was like the baby the mother was a covid 00:16:16.800 --> 00:16:19.430 align:start position:0% was like the baby the mother was a covid positive<00:16:17.160> and<00:16:17.279> the<00:16:17.399> baby<00:16:17.680> was<00:16:17.920> kept<00:16:18.720> uh<00:16:18.839> 6<00:16:19.160> feet 00:16:19.430 --> 00:16:19.440 align:start position:0% positive and the baby was kept uh 6 feet 00:16:19.440 --> 00:16:22.670 align:start position:0% positive and the baby was kept uh 6 feet away<00:16:19.639> or<00:16:19.759> 2<00:16:19.959> m<00:16:20.360> away<00:16:20.639> from<00:16:20.920> the<00:16:21.480> uh<00:16:21.680> mother<00:16:22.399> or 00:16:22.670 --> 00:16:22.680 align:start position:0% away or 2 m away from the uh mother or 00:16:22.680 --> 00:16:24.389 align:start position:0% away or 2 m away from the uh mother or they<00:16:22.839> would<00:16:23.079> have<00:16:23.240> been<00:16:23.399> a<00:16:23.600> partition<00:16:24.199> which 00:16:24.389 --> 00:16:24.399 align:start position:0% they would have been a partition which 00:16:24.399 --> 00:16:25.949 align:start position:0% they would have been a partition which was<00:16:24.680> there<00:16:24.880> in<00:16:25.000> between<00:16:25.319> the<00:16:25.480> mother<00:16:25.720> and<00:16:25.839> the 00:16:25.949 --> 00:16:25.959 align:start position:0% was there in between the mother and the 00:16:25.959 --> 00:16:28.350 align:start position:0% was there in between the mother and the baby<00:16:26.240> but<00:16:26.440> nowadays<00:16:27.319> the<00:16:27.519> studies<00:16:27.959> which<00:16:28.160> have 00:16:28.350 --> 00:16:28.360 align:start position:0% baby but nowadays the studies which have 00:16:28.360 --> 00:16:30.710 align:start position:0% baby but nowadays the studies which have come<00:16:28.519> out<00:16:28.720> and<00:16:29.240> the<00:16:29.440> guidelines<00:16:29.920> which<00:16:30.120> nnf 00:16:30.710 --> 00:16:30.720 align:start position:0% come out and the guidelines which nnf 00:16:30.720 --> 00:16:33.110 align:start position:0% come out and the guidelines which nnf and<00:16:31.000> the<00:16:31.160> foxy<00:16:31.519> are<00:16:31.720> giving<00:16:32.360> is<00:16:32.560> basically 00:16:33.110 --> 00:16:33.120 align:start position:0% and the foxy are giving is basically 00:16:33.120 --> 00:16:36.389 align:start position:0% and the foxy are giving is basically that<00:16:33.440> they<00:16:33.560> are<00:16:33.920> all<00:16:34.920> uh<00:16:35.040> not<00:16:35.240> to<00:16:35.399> be<00:16:35.600> practiced 00:16:36.389 --> 00:16:36.399 align:start position:0% that they are all uh not to be practiced 00:16:36.399 --> 00:16:38.309 align:start position:0% that they are all uh not to be practiced and<00:16:36.920> they<00:16:37.000> should<00:16:37.199> be<00:16:37.480> together<00:16:37.759> immediately 00:16:38.309 --> 00:16:38.319 align:start position:0% and they should be together immediately 00:16:38.319 --> 00:16:39.470 align:start position:0% and they should be together immediately after 00:16:39.470 --> 00:16:39.480 align:start position:0% after 00:16:39.480 --> 00:16:43.150 align:start position:0% after birth<00:16:40.480> now<00:16:41.040> should<00:16:41.880> next<00:16:42.160> question<00:16:42.600> if<00:16:42.880> my 00:16:43.150 --> 00:16:43.160 align:start position:0% birth now should next question if my 00:16:43.160 --> 00:16:46.749 align:start position:0% birth now should next question if my baby<00:16:43.639> is<00:16:44.160> uh<00:16:44.279> born<00:16:45.040> uh<00:16:45.240> say<00:16:45.680> sick<00:16:46.079> or<00:16:46.319> my<00:16:46.519> baby 00:16:46.749 --> 00:16:46.759 align:start position:0% baby is uh born uh say sick or my baby 00:16:46.759 --> 00:16:49.269 align:start position:0% baby is uh born uh say sick or my baby is<00:16:46.920> having<00:16:47.120> a<00:16:47.319> respiratory<00:16:47.880> distress<00:16:48.880> and<00:16:49.120> is 00:16:49.269 --> 00:16:49.279 align:start position:0% is having a respiratory distress and is 00:16:49.279 --> 00:16:51.470 align:start position:0% is having a respiratory distress and is he<00:16:49.759> he<00:16:49.920> requires<00:16:50.279> an<00:16:50.480> intensive<00:16:51.000> care<00:16:51.279> or 00:16:51.470 --> 00:16:51.480 align:start position:0% he he requires an intensive care or 00:16:51.480 --> 00:16:53.990 align:start position:0% he he requires an intensive care or special<00:16:51.839> care<00:16:52.079> so<00:16:52.279> should<00:16:53.120> there<00:16:53.319> the<00:16:53.480> my<00:16:53.680> baby 00:16:53.990 --> 00:16:54.000 align:start position:0% special care so should there the my baby 00:16:54.000 --> 00:16:57.069 align:start position:0% special care so should there the my baby be<00:16:54.519> nursed<00:16:54.920> in<00:16:55.040> a<00:16:55.279> regular<00:16:55.639> NICU<00:16:56.600> or<00:16:56.800> should 00:16:57.069 --> 00:16:57.079 align:start position:0% be nursed in a regular NICU or should 00:16:57.079 --> 00:16:59.749 align:start position:0% be nursed in a regular NICU or should there<00:16:57.279> be<00:16:57.480> a<00:16:58.279> uh<00:16:58.480> different<00:16:59.160> isolation 00:16:59.749 --> 00:16:59.759 align:start position:0% there be a uh different isolation 00:16:59.759 --> 00:17:01.629 align:start position:0% there be a uh different isolation facility<00:17:00.399> which<00:17:00.519> should<00:17:00.720> be<00:17:00.880> available<00:17:01.279> for<00:17:01.440> a 00:17:01.629 --> 00:17:01.639 align:start position:0% facility which should be available for a 00:17:01.639 --> 00:17:04.669 align:start position:0% facility which should be available for a baby<00:17:02.639> now<00:17:03.120> the<00:17:03.319> answer<00:17:03.639> is<00:17:03.839> newat<00:17:04.360> who<00:17:04.480> are 00:17:04.669 --> 00:17:04.679 align:start position:0% baby now the answer is newat who are 00:17:04.679 --> 00:17:06.590 align:start position:0% baby now the answer is newat who are symptomatic<00:17:05.280> and<00:17:05.480> sick<00:17:05.720> and<00:17:05.839> are<00:17:06.000> born<00:17:06.319> to<00:17:06.480> a 00:17:06.590 --> 00:17:06.600 align:start position:0% symptomatic and sick and are born to a 00:17:06.600 --> 00:17:09.390 align:start position:0% symptomatic and sick and are born to a mother<00:17:07.439> with<00:17:07.679> suspected<00:17:08.160> of<00:17:08.360> proven<00:17:08.799> covid-19 00:17:09.390 --> 00:17:09.400 align:start position:0% mother with suspected of proven covid-19 00:17:09.400 --> 00:17:11.630 align:start position:0% mother with suspected of proven covid-19 infection<00:17:10.280> should<00:17:10.480> be<00:17:10.640> managed<00:17:11.039> a<00:17:11.240> separate 00:17:11.630 --> 00:17:11.640 align:start position:0% infection should be managed a separate 00:17:11.640 --> 00:17:13.510 align:start position:0% infection should be managed a separate isolation<00:17:12.120> facility<00:17:12.640> now<00:17:12.760> the<00:17:12.880> reason<00:17:13.199> behind 00:17:13.510 --> 00:17:13.520 align:start position:0% isolation facility now the reason behind 00:17:13.520 --> 00:17:17.590 align:start position:0% isolation facility now the reason behind this<00:17:13.760> is<00:17:14.360> basically<00:17:15.480> uh<00:17:16.480> when<00:17:16.760> I<00:17:16.919> was<00:17:17.160> working 00:17:17.590 --> 00:17:17.600 align:start position:0% this is basically uh when I was working 00:17:17.600 --> 00:17:20.590 align:start position:0% this is basically uh when I was working with<00:17:18.000> uh<00:17:18.160> my<00:17:18.400> Hospital<00:17:19.199> uh<00:17:19.559> earlier<00:17:19.919> on<00:17:20.280> then 00:17:20.590 --> 00:17:20.600 align:start position:0% with uh my Hospital uh earlier on then 00:17:20.600 --> 00:17:23.069 align:start position:0% with uh my Hospital uh earlier on then when<00:17:20.959> when<00:17:21.079> the<00:17:21.240> covid<00:17:21.600> was<00:17:22.120> uh<00:17:22.520> absolutely<00:17:22.959> On 00:17:23.069 --> 00:17:23.079 align:start position:0% when when the covid was uh absolutely On 00:17:23.079 --> 00:17:26.990 align:start position:0% when when the covid was uh absolutely On The<00:17:23.199> Higher<00:17:23.640> Side<00:17:24.640> uh<00:17:24.919> we<00:17:25.199> did<00:17:25.919> uh<00:17:26.400> conduct<00:17:26.760> few 00:17:26.990 --> 00:17:27.000 align:start position:0% The Higher Side uh we did uh conduct few 00:17:27.000 --> 00:17:29.470 align:start position:0% The Higher Side uh we did uh conduct few deliveries<00:17:27.640> for<00:17:27.839> the<00:17:28.000> covid-19 00:17:29.470 --> 00:17:29.480 align:start position:0% deliveries for the covid-19 00:17:29.480 --> 00:17:32.230 align:start position:0% deliveries for the covid-19 positive<00:17:29.840> mothers<00:17:30.400> and<00:17:30.960> we<00:17:31.200> had<00:17:31.480> designated<00:17:32.039> a 00:17:32.230 --> 00:17:32.240 align:start position:0% positive mothers and we had designated a 00:17:32.240 --> 00:17:35.789 align:start position:0% positive mothers and we had designated a special<00:17:32.720> room<00:17:33.280> with<00:17:33.480> three<00:17:33.799> warmers<00:17:34.799> uh<00:17:35.360> with 00:17:35.789 --> 00:17:35.799 align:start position:0% special room with three warmers uh with 00:17:35.799 --> 00:17:38.950 align:start position:0% special room with three warmers uh with uh<00:17:35.919> a<00:17:36.120> negative<00:17:37.000> facility<00:17:37.840> negative<00:17:38.520> pressure 00:17:38.950 --> 00:17:38.960 align:start position:0% uh a negative facility negative pressure 00:17:38.960 --> 00:17:41.870 align:start position:0% uh a negative facility negative pressure facility<00:17:39.559> where<00:17:39.799> we<00:17:39.960> nurse<00:17:40.440> these<00:17:40.760> babies<00:17:41.760> uh 00:17:41.870 --> 00:17:41.880 align:start position:0% facility where we nurse these babies uh 00:17:41.880 --> 00:17:43.430 align:start position:0% facility where we nurse these babies uh and<00:17:42.039> we<00:17:42.200> had<00:17:42.360> kept<00:17:42.640> these<00:17:42.840> babies<00:17:43.160> in<00:17:43.280> a 00:17:43.430 --> 00:17:43.440 align:start position:0% and we had kept these babies in a 00:17:43.440 --> 00:17:45.830 align:start position:0% and we had kept these babies in a separate<00:17:43.799> isolation<00:17:44.360> facility<00:17:45.360> and<00:17:45.679> the 00:17:45.830 --> 00:17:45.840 align:start position:0% separate isolation facility and the 00:17:45.840 --> 00:17:47.990 align:start position:0% separate isolation facility and the regular<00:17:46.440> non-co<00:17:47.039> deliveries<00:17:47.440> were<00:17:47.640> kept<00:17:47.840> in 00:17:47.990 --> 00:17:48.000 align:start position:0% regular non-co deliveries were kept in 00:17:48.000 --> 00:17:50.870 align:start position:0% regular non-co deliveries were kept in the<00:17:48.240> regular<00:17:48.640> n<00:17:48.840> IU<00:17:49.240> because<00:17:49.960> the<00:17:50.160> babies<00:17:50.760> the 00:17:50.870 --> 00:17:50.880 align:start position:0% the regular n IU because the babies the 00:17:50.880 --> 00:17:53.789 align:start position:0% the regular n IU because the babies the secretions<00:17:51.520> the<00:17:51.679> baby<00:17:52.120> the<00:17:52.440> motion<00:17:53.120> the 00:17:53.789 --> 00:17:53.799 align:start position:0% secretions the baby the motion the 00:17:53.799 --> 00:17:57.549 align:start position:0% secretions the baby the motion the stools<00:17:54.799> uh<00:17:55.000> the<00:17:55.760> catoris<00:17:56.480> the<00:17:56.720> pades<00:17:57.400> which 00:17:57.549 --> 00:17:57.559 align:start position:0% stools uh the catoris the pades which 00:17:57.559 --> 00:17:59.870 align:start position:0% stools uh the catoris the pades which the<00:17:57.720> babies<00:17:58.080> have<00:17:58.240> been<00:17:58.400> used<00:17:58.679> for<00:17:58.840> for<00:17:59.320> uh<00:17:59.679> the 00:17:59.870 --> 00:17:59.880 align:start position:0% the babies have been used for for uh the 00:17:59.880 --> 00:18:01.669 align:start position:0% the babies have been used for for uh the breastfeeding<00:18:00.559> they<00:18:00.720> are<00:18:01.000> basically<00:18:01.440> being 00:18:01.669 --> 00:18:01.679 align:start position:0% breastfeeding they are basically being 00:18:01.679 --> 00:18:04.070 align:start position:0% breastfeeding they are basically being shared<00:18:02.200> so<00:18:02.640> to<00:18:02.880> prevent<00:18:03.240> all<00:18:03.440> those<00:18:03.640> things 00:18:04.070 --> 00:18:04.080 align:start position:0% shared so to prevent all those things 00:18:04.080 --> 00:18:05.710 align:start position:0% shared so to prevent all those things these<00:18:04.520> uh<00:18:04.640> the<00:18:04.760> babies<00:18:05.080> are<00:18:05.200> managing<00:18:05.600> in 00:18:05.710 --> 00:18:05.720 align:start position:0% these uh the babies are managing in 00:18:05.720 --> 00:18:09.310 align:start position:0% these uh the babies are managing in separate<00:18:06.080> isolation<00:18:06.960> facility<00:18:07.960> now<00:18:08.960> uh<00:18:09.159> the 00:18:09.310 --> 00:18:09.320 align:start position:0% separate isolation facility now uh the 00:18:09.320 --> 00:18:10.870 align:start position:0% separate isolation facility now uh the area<00:18:09.600> should<00:18:09.799> be<00:18:09.919> separated<00:18:10.360> from<00:18:10.480> the<00:18:10.600> usual 00:18:10.870 --> 00:18:10.880 align:start position:0% area should be separated from the usual 00:18:10.880 --> 00:18:12.950 align:start position:0% area should be separated from the usual NICU<00:18:11.480> with<00:18:11.600> the<00:18:11.720> transitional<00:18:12.280> area<00:18:12.520> in 00:18:12.950 --> 00:18:12.960 align:start position:0% NICU with the transitional area in 00:18:12.960 --> 00:18:16.630 align:start position:0% NICU with the transitional area in between<00:18:13.960> uh<00:18:14.559> like<00:18:14.799> I<00:18:14.919> told<00:18:15.159> you<00:18:15.520> earlier<00:18:15.919> also 00:18:16.630 --> 00:18:16.640 align:start position:0% between uh like I told you earlier also 00:18:16.640 --> 00:18:18.710 align:start position:0% between uh like I told you earlier also when<00:18:16.799> the<00:18:16.960> baby<00:18:17.200> is<00:18:17.320> born<00:18:17.720> better<00:18:18.039> to<00:18:18.280> transfer 00:18:18.710 --> 00:18:18.720 align:start position:0% when the baby is born better to transfer 00:18:18.720 --> 00:18:22.270 align:start position:0% when the baby is born better to transfer the<00:18:18.880> baby<00:18:19.120> into<00:18:19.360> the<00:18:19.559> close<00:18:19.880> incubators<00:18:20.799> or<00:18:21.280> if 00:18:22.270 --> 00:18:22.280 align:start position:0% the baby into the close incubators or if 00:18:22.280 --> 00:18:25.230 align:start position:0% the baby into the close incubators or if uh<00:18:22.880> there<00:18:23.159> is<00:18:23.440> less<00:18:23.919> space<00:18:24.320> in<00:18:24.480> the<00:18:24.720> hospital 00:18:25.230 --> 00:18:25.240 align:start position:0% uh there is less space in the hospital 00:18:25.240 --> 00:18:27.390 align:start position:0% uh there is less space in the hospital where<00:18:25.440> you<00:18:25.640> can't<00:18:26.159> have<00:18:26.360> a<00:18:26.960> you<00:18:27.080> know<00:18:27.280> a 00:18:27.390 --> 00:18:27.400 align:start position:0% where you can't have a you know a 00:18:27.400 --> 00:18:29.830 align:start position:0% where you can't have a you know a makeshift<00:18:27.880> in<00:18:28.080> ICU<00:18:28.600> or<00:18:28.840> or<00:18:29.200> you<00:18:29.320> don't<00:18:29.559> have<00:18:29.679> a 00:18:29.830 --> 00:18:29.840 align:start position:0% makeshift in ICU or or you don't have a 00:18:29.840 --> 00:18:32.110 align:start position:0% makeshift in ICU or or you don't have a different<00:18:30.280> facility<00:18:31.280> then<00:18:31.480> what<00:18:31.640> you<00:18:31.760> can<00:18:31.919> do 00:18:32.110 --> 00:18:32.120 align:start position:0% different facility then what you can do 00:18:32.120 --> 00:18:33.990 align:start position:0% different facility then what you can do is<00:18:32.240> that<00:18:32.400> you<00:18:32.480> can<00:18:32.679> keep<00:18:32.919> your<00:18:33.159> babies 00:18:33.990 --> 00:18:34.000 align:start position:0% is that you can keep your babies 00:18:34.000 --> 00:18:36.070 align:start position:0% is that you can keep your babies segregated<00:18:35.000> by<00:18:35.159> putting<00:18:35.400> the<00:18:35.520> babies<00:18:35.799> in<00:18:35.919> the 00:18:36.070 --> 00:18:36.080 align:start position:0% segregated by putting the babies in the 00:18:36.080 --> 00:18:38.590 align:start position:0% segregated by putting the babies in the closed<00:18:36.600> incubators<00:18:37.600> which<00:18:37.720> is<00:18:37.840> the<00:18:38.120> most 00:18:38.590 --> 00:18:38.600 align:start position:0% closed incubators which is the most 00:18:38.600 --> 00:18:41.789 align:start position:0% closed incubators which is the most preferred<00:18:39.080> and<00:18:39.240> the<00:18:39.679> safest<00:18:40.679> uh<00:18:41.320> I<00:18:41.400> would<00:18:41.559> say 00:18:41.789 --> 00:18:41.799 align:start position:0% preferred and the safest uh I would say 00:18:41.799 --> 00:18:45.549 align:start position:0% preferred and the safest uh I would say an<00:18:42.000> isolation<00:18:42.640> form<00:18:43.000> or<00:18:43.159> a<00:18:43.360> W<00:18:43.720> for<00:18:44.600> uh<00:18:45.000> babies 00:18:45.549 --> 00:18:45.559 align:start position:0% an isolation form or a W for uh babies 00:18:45.559 --> 00:18:46.909 align:start position:0% an isolation form or a W for uh babies and<00:18:45.760> then<00:18:46.000> they<00:18:46.080> you<00:18:46.200> can<00:18:46.360> keep<00:18:46.640> those 00:18:46.909 --> 00:18:46.919 align:start position:0% and then they you can keep those 00:18:46.919 --> 00:18:49.029 align:start position:0% and then they you can keep those incubators<00:18:47.919> with<00:18:48.080> the<00:18:48.200> babies<00:18:48.640> into<00:18:48.880> a 00:18:49.029 --> 00:18:49.039 align:start position:0% incubators with the babies into a 00:18:49.039 --> 00:18:51.350 align:start position:0% incubators with the babies into a separate<00:18:49.440> single<00:18:49.840> room<00:18:50.520> where<00:18:50.760> the<00:18:50.919> sisters 00:18:51.350 --> 00:18:51.360 align:start position:0% separate single room where the sisters 00:18:51.360 --> 00:18:53.710 align:start position:0% separate single room where the sisters can<00:18:51.520> manage<00:18:51.919> accordingly<00:18:52.919> now<00:18:53.080> the<00:18:53.159> newal 00:18:53.710 --> 00:18:53.720 align:start position:0% can manage accordingly now the newal 00:18:53.720 --> 00:18:55.590 align:start position:0% can manage accordingly now the newal beds<00:18:54.080> should<00:18:54.320> be<00:18:54.480> at<00:18:54.559> a<00:18:54.720> distance<00:18:55.039> of<00:18:55.200> at<00:18:55.360> least 00:18:55.590 --> 00:18:55.600 align:start position:0% beds should be at a distance of at least 00:18:55.600 --> 00:18:58.190 align:start position:0% beds should be at a distance of at least 1<00:18:55.840> meter<00:18:56.200> from<00:18:56.400> one<00:18:56.760> another<00:18:57.760> and<00:18:58.039> the 00:18:58.190 --> 00:18:58.200 align:start position:0% 1 meter from one another and the 00:18:58.200 --> 00:19:00.510 align:start position:0% 1 meter from one another and the suspected<00:18:58.799> covid-19<00:18:59.440> cases<00:18:59.760> and<00:19:00.039> confirmed 00:19:00.510 --> 00:19:00.520 align:start position:0% suspected covid-19 cases and confirmed 00:19:00.520 --> 00:19:03.230 align:start position:0% suspected covid-19 cases and confirmed covid-19<00:19:01.159> cases<00:19:01.480> should<00:19:01.720> idly<00:19:02.159> be<00:19:02.679> managed<00:19:03.080> in 00:19:03.230 --> 00:19:03.240 align:start position:0% covid-19 cases should idly be managed in 00:19:03.240 --> 00:19:04.430 align:start position:0% covid-19 cases should idly be managed in separate 00:19:04.430 --> 00:19:04.440 align:start position:0% separate 00:19:04.440 --> 00:19:06.549 align:start position:0% separate isolations<00:19:05.440> like<00:19:05.600> I<00:19:05.720> told<00:19:05.919> you<00:19:06.039> earlier<00:19:06.360> also 00:19:06.549 --> 00:19:06.559 align:start position:0% isolations like I told you earlier also 00:19:06.559 --> 00:19:08.270 align:start position:0% isolations like I told you earlier also negative<00:19:06.919> Airborne<00:19:07.400> isolation<00:19:07.840> room<00:19:08.120> should 00:19:08.270 --> 00:19:08.280 align:start position:0% negative Airborne isolation room should 00:19:08.280 --> 00:19:10.830 align:start position:0% negative Airborne isolation room should be<00:19:08.520> there<00:19:09.400> uh<00:19:09.559> the<00:19:09.760> isolation<00:19:10.280> room<00:19:10.559> should 00:19:10.830 --> 00:19:10.840 align:start position:0% be there uh the isolation room should 00:19:10.840 --> 00:19:14.430 align:start position:0% be there uh the isolation room should have<00:19:11.000> an<00:19:11.280> adequate<00:19:12.039> ventilation<00:19:13.039> and<00:19:13.600> um<00:19:14.280> the 00:19:14.430 --> 00:19:14.440 align:start position:0% have an adequate ventilation and um the 00:19:14.440 --> 00:19:16.909 align:start position:0% have an adequate ventilation and um the room<00:19:14.679> is<00:19:14.880> a<00:19:15.240> condition<00:19:15.520> and<00:19:16.039> ensure<00:19:16.400> 12<00:19:16.720> air 00:19:16.909 --> 00:19:16.919 align:start position:0% room is a condition and ensure 12 air 00:19:16.919 --> 00:19:19.190 align:start position:0% room is a condition and ensure 12 air change<00:19:17.480> per<00:19:17.679> hour<00:19:17.919> of<00:19:18.080> filtering<00:19:18.440> of<00:19:18.640> exhaust 00:19:19.190 --> 00:19:19.200 align:start position:0% change per hour of filtering of exhaust 00:19:19.200 --> 00:19:21.870 align:start position:0% change per hour of filtering of exhaust air<00:19:20.200> uh<00:19:20.480> obviously<00:19:20.919> like<00:19:21.039> I<00:19:21.120> told<00:19:21.400> the<00:19:21.520> doctor 00:19:21.870 --> 00:19:21.880 align:start position:0% air uh obviously like I told the doctor 00:19:21.880 --> 00:19:23.350 align:start position:0% air uh obviously like I told the doctor nursing<00:19:22.200> and<00:19:22.320> other<00:19:22.480> support<00:19:22.880> staff<00:19:23.120> in<00:19:23.240> the 00:19:23.350 --> 00:19:23.360 align:start position:0% nursing and other support staff in the 00:19:23.360 --> 00:19:26.310 align:start position:0% nursing and other support staff in the as<00:19:23.880> group<00:19:24.159> should<00:19:24.320> be<00:19:24.600> separate<00:19:25.600> as<00:19:25.880> compared 00:19:26.310 --> 00:19:26.320 align:start position:0% as group should be separate as compared 00:19:26.320 --> 00:19:29.350 align:start position:0% as group should be separate as compared to<00:19:26.600> the<00:19:27.120> uh<00:19:27.440> who<00:19:27.559> are<00:19:27.720> working<00:19:28.080> in<00:19:28.280> the 00:19:29.350 --> 00:19:29.360 align:start position:0% to the uh who are working in the 00:19:29.360 --> 00:19:33.149 align:start position:0% to the uh who are working in the non<00:19:30.360> areas<00:19:31.360> and<00:19:31.679> the<00:19:32.280> uh<00:19:32.559> the<00:19:32.799> adequate 00:19:33.149 --> 00:19:33.159 align:start position:0% non areas and the uh the adequate 00:19:33.159 --> 00:19:36.270 align:start position:0% non areas and the uh the adequate supplies<00:19:33.559> of<00:19:33.679> BPS<00:19:34.240> which<00:19:35.159> unfortunately<00:19:36.159> uh 00:19:36.270 --> 00:19:36.280 align:start position:0% supplies of BPS which unfortunately uh 00:19:36.280 --> 00:19:38.510 align:start position:0% supplies of BPS which unfortunately uh in<00:19:36.400> the<00:19:36.520> beginning<00:19:36.919> of<00:19:37.120> the<00:19:37.679> uh<00:19:37.880> you<00:19:38.000> know 00:19:38.510 --> 00:19:38.520 align:start position:0% in the beginning of the uh you know 00:19:38.520 --> 00:19:40.510 align:start position:0% in the beginning of the uh you know pandemic<00:19:38.960> we<00:19:39.120> did<00:19:39.280> not 00:19:40.510 --> 00:19:40.520 align:start position:0% pandemic we did not 00:19:40.520 --> 00:19:45.669 align:start position:0% pandemic we did not have<00:19:41.520> now<00:19:42.480> uh<00:19:43.480> now<00:19:43.799> symptom<00:19:44.799> what<00:19:45.039> symptoms 00:19:45.669 --> 00:19:45.679 align:start position:0% have now uh now symptom what symptoms 00:19:45.679 --> 00:19:48.350 align:start position:0% have now uh now symptom what symptoms can<00:19:45.840> a<00:19:46.080> covid-19<00:19:46.760> unit<00:19:47.240> present<00:19:47.520> to<00:19:47.760> us<00:19:48.080> so 00:19:48.350 --> 00:19:48.360 align:start position:0% can a covid-19 unit present to us so 00:19:48.360 --> 00:19:52.350 align:start position:0% can a covid-19 unit present to us so once<00:19:48.559> the<00:19:48.760> baby<00:19:49.000> is<00:19:49.159> born<00:19:49.559> and<00:19:49.720> we<00:19:49.880> see<00:19:51.039> uh<00:19:52.039> how 00:19:52.350 --> 00:19:52.360 align:start position:0% once the baby is born and we see uh how 00:19:52.360 --> 00:19:54.149 align:start position:0% once the baby is born and we see uh how how<00:19:52.559> we<00:19:52.760> differentiate<00:19:53.320> whether<00:19:53.520> the<00:19:53.679> baby<00:19:54.000> is 00:19:54.149 --> 00:19:54.159 align:start position:0% how we differentiate whether the baby is 00:19:54.159 --> 00:19:57.789 align:start position:0% how we differentiate whether the baby is a<00:19:54.840> covid-19<00:19:55.840> uh<00:19:56.000> infected<00:19:56.480> baby<00:19:56.720> or<00:19:56.880> not<00:19:57.159> so 00:19:57.789 --> 00:19:57.799 align:start position:0% a covid-19 uh infected baby or not so 00:19:57.799 --> 00:19:59.430 align:start position:0% a covid-19 uh infected baby or not so what<00:19:57.960> we<00:19:58.080> have<00:19:58.200> to<00:19:58.320> do<00:19:58.480> is<00:19:58.840> we<00:19:59.039> basically 00:19:59.430 --> 00:19:59.440 align:start position:0% what we have to do is we basically 00:19:59.440 --> 00:20:02.430 align:start position:0% what we have to do is we basically divide<00:19:59.799> into<00:20:00.520> clinical<00:20:00.960> signs<00:20:01.280> and<00:20:01.480> symptoms 00:20:02.430 --> 00:20:02.440 align:start position:0% divide into clinical signs and symptoms 00:20:02.440 --> 00:20:04.190 align:start position:0% divide into clinical signs and symptoms along<00:20:02.760> with<00:20:02.880> the<00:20:03.039> laboratory<00:20:03.640> changes<00:20:03.960> in<00:20:04.080> the 00:20:04.190 --> 00:20:04.200 align:start position:0% along with the laboratory changes in the 00:20:04.200 --> 00:20:06.590 align:start position:0% along with the laboratory changes in the newborn<00:20:05.080> so<00:20:05.400> they<00:20:05.520> are<00:20:05.720> basically<00:20:06.159> classified 00:20:06.590 --> 00:20:06.600 align:start position:0% newborn so they are basically classified 00:20:06.600 --> 00:20:09.630 align:start position:0% newborn so they are basically classified into<00:20:06.880> early<00:20:07.159> onset<00:20:07.559> and<00:20:07.640> a<00:20:07.760> late<00:20:08.000> onset<00:20:08.799> uh 00:20:09.630 --> 00:20:09.640 align:start position:0% into early onset and a late onset uh 00:20:09.640 --> 00:20:11.669 align:start position:0% into early onset and a late onset uh because<00:20:10.200> all<00:20:10.440> babies<00:20:10.760> are<00:20:10.919> present<00:20:11.200> normally 00:20:11.669 --> 00:20:11.679 align:start position:0% because all babies are present normally 00:20:11.679 --> 00:20:15.430 align:start position:0% because all babies are present normally with<00:20:12.440> you<00:20:12.559> know<00:20:12.760> sepsis<00:20:13.280> only<00:20:14.240> so<00:20:14.760> U<00:20:15.159> we 00:20:15.430 --> 00:20:15.440 align:start position:0% with you know sepsis only so U we 00:20:15.440 --> 00:20:16.909 align:start position:0% with you know sepsis only so U we basically<00:20:15.880> see<00:20:16.159> that<00:20:16.280> the<00:20:16.400> baby<00:20:16.640> may<00:20:16.760> be 00:20:16.909 --> 00:20:16.919 align:start position:0% basically see that the baby may be 00:20:16.919 --> 00:20:20.190 align:start position:0% basically see that the baby may be lethargic<00:20:17.919> the<00:20:18.080> baby<00:20:18.360> may<00:20:18.600> present<00:20:19.240> as<00:20:19.400> a<00:20:19.720> poor 00:20:20.190 --> 00:20:20.200 align:start position:0% lethargic the baby may present as a poor 00:20:20.200 --> 00:20:23.909 align:start position:0% lethargic the baby may present as a poor tone<00:20:21.200> uh<00:20:21.360> poor<00:20:22.039> feeding<00:20:23.039> or<00:20:23.280> feeding 00:20:23.909 --> 00:20:23.919 align:start position:0% tone uh poor feeding or feeding 00:20:23.919 --> 00:20:26.669 align:start position:0% tone uh poor feeding or feeding intolerance<00:20:24.919> baby<00:20:25.200> May<00:20:25.400> develop<00:20:25.880> pneumonias 00:20:26.669 --> 00:20:26.679 align:start position:0% intolerance baby May develop pneumonias 00:20:26.679 --> 00:20:29.149 align:start position:0% intolerance baby May develop pneumonias maybe<00:20:26.960> 72<00:20:27.440> hours<00:20:27.760> after<00:20:28.000> the<00:20:28.200> exposure<00:20:29.000> and 00:20:29.149 --> 00:20:29.159 align:start position:0% maybe 72 hours after the exposure and 00:20:29.159 --> 00:20:32.070 align:start position:0% maybe 72 hours after the exposure and may<00:20:29.360> present<00:20:29.640> to<00:20:29.799> us<00:20:29.919> with<00:20:30.039> a<00:20:30.159> desp<00:20:31.080> distress 00:20:32.070 --> 00:20:32.080 align:start position:0% may present to us with a desp distress 00:20:32.080 --> 00:20:35.990 align:start position:0% may present to us with a desp distress uh<00:20:32.360> then<00:20:33.280> the<00:20:33.960> uh<00:20:34.960> what<00:20:35.320> things<00:20:35.600> we<00:20:35.720> have<00:20:35.880> to 00:20:35.990 --> 00:20:36.000 align:start position:0% uh then the uh what things we have to 00:20:36.000 --> 00:20:38.669 align:start position:0% uh then the uh what things we have to see<00:20:36.280> we<00:20:36.400> get<00:20:36.520> an<00:20:36.720> X-ray<00:20:37.159> done<00:20:37.960> uh<00:20:38.080> we<00:20:38.320> put<00:20:38.520> the 00:20:38.669 --> 00:20:38.679 align:start position:0% see we get an X-ray done uh we put the 00:20:38.679 --> 00:20:40.549 align:start position:0% see we get an X-ray done uh we put the babies<00:20:38.960> on<00:20:39.120> monitary<00:20:39.600> support<00:20:40.039> and<00:20:40.159> see<00:20:40.400> how 00:20:40.549 --> 00:20:40.559 align:start position:0% babies on monitary support and see how 00:20:40.559 --> 00:20:43.149 align:start position:0% babies on monitary support and see how the<00:20:40.720> things<00:20:40.919> are<00:20:41.799> uh<00:20:41.960> if<00:20:42.080> we<00:20:42.280> find<00:20:42.520> an<00:20:42.720> x-ray 00:20:43.149 --> 00:20:43.159 align:start position:0% the things are uh if we find an x-ray 00:20:43.159 --> 00:20:45.230 align:start position:0% the things are uh if we find an x-ray with<00:20:43.320> non-specific<00:20:44.080> opacities<00:20:44.760> then<00:20:44.919> we<00:20:45.080> have 00:20:45.230 --> 00:20:45.240 align:start position:0% with non-specific opacities then we have 00:20:45.240 --> 00:20:48.430 align:start position:0% with non-specific opacities then we have to<00:20:45.760> uh<00:20:46.200> check<00:20:46.480> whether<00:20:46.760> the<00:20:46.919> baby<00:20:47.280> is<00:20:48.000> infected 00:20:48.430 --> 00:20:48.440 align:start position:0% to uh check whether the baby is infected 00:20:48.440 --> 00:20:50.789 align:start position:0% to uh check whether the baby is infected with<00:20:48.600> the<00:20:48.760> covid-19<00:20:49.440> virus<00:20:49.960> or<00:20:50.240> basically<00:20:50.679> it 00:20:50.789 --> 00:20:50.799 align:start position:0% with the covid-19 virus or basically it 00:20:50.799 --> 00:20:53.870 align:start position:0% with the covid-19 virus or basically it is<00:20:50.919> an<00:20:51.120> hmd<00:20:51.640> or<00:20:51.799> transient<00:20:52.240> Tech<00:20:52.600> of<00:20:52.720> Fon<00:20:53.360> or<00:20:53.640> a 00:20:53.870 --> 00:20:53.880 align:start position:0% is an hmd or transient Tech of Fon or a 00:20:53.880 --> 00:20:56.830 align:start position:0% is an hmd or transient Tech of Fon or a Nal<00:20:54.360> pneumonia<00:20:55.360> or<00:20:55.600> conal<00:20:56.039> pneumonia<00:20:56.480> so<00:20:56.679> that 00:20:56.830 --> 00:20:56.840 align:start position:0% Nal pneumonia or conal pneumonia so that 00:20:56.840 --> 00:20:59.190 align:start position:0% Nal pneumonia or conal pneumonia so that has<00:20:56.960> to<00:20:57.120> be<00:20:57.240> taken<00:20:57.559> care<00:20:57.760> of<00:20:58.440> uh<00:20:58.760> uh<00:20:58.960> there<00:20:59.080> will 00:20:59.190 --> 00:20:59.200 align:start position:0% has to be taken care of uh uh there will 00:20:59.200 --> 00:21:01.549 align:start position:0% has to be taken care of uh uh there will be<00:20:59.360> lucco<00:20:59.840> yosis<00:21:00.520> on<00:21:00.760> Investigation<00:21:01.440> there 00:21:01.549 --> 00:21:01.559 align:start position:0% be lucco yosis on Investigation there 00:21:01.559 --> 00:21:03.710 align:start position:0% be lucco yosis on Investigation there will<00:21:01.679> be<00:21:01.799> lymphopenia<00:21:02.679> and<00:21:02.799> a 00:21:03.710 --> 00:21:03.720 align:start position:0% will be lymphopenia and a 00:21:03.720 --> 00:21:06.230 align:start position:0% will be lymphopenia and a thrombocytopenia<00:21:04.720> and<00:21:05.200> what<00:21:05.480> investigation 00:21:06.230 --> 00:21:06.240 align:start position:0% thrombocytopenia and what investigation 00:21:06.240 --> 00:21:07.870 align:start position:0% thrombocytopenia and what investigation how<00:21:06.400> can<00:21:06.600> we<00:21:06.720> investigate<00:21:07.280> to<00:21:07.400> rule<00:21:07.640> out 00:21:07.870 --> 00:21:07.880 align:start position:0% how can we investigate to rule out 00:21:07.880 --> 00:21:10.230 align:start position:0% how can we investigate to rule out whether<00:21:08.080> it<00:21:08.200> is<00:21:08.280> a<00:21:08.440> covid-19<00:21:09.039> or<00:21:09.240> not<00:21:09.840> even<00:21:10.080> in 00:21:10.230 --> 00:21:10.240 align:start position:0% whether it is a covid-19 or not even in 00:21:10.240 --> 00:21:12.110 align:start position:0% whether it is a covid-19 or not even in newborn<00:21:10.720> babies<00:21:11.159> we<00:21:11.279> can<00:21:11.440> go<00:21:11.600> ahead<00:21:11.840> with<00:21:11.960> an 00:21:12.110 --> 00:21:12.120 align:start position:0% newborn babies we can go ahead with an 00:21:12.120 --> 00:21:15.230 align:start position:0% newborn babies we can go ahead with an neopal<00:21:12.960> and<00:21:13.159> repal<00:21:13.559> slabs<00:21:14.279> for 00:21:15.230 --> 00:21:15.240 align:start position:0% neopal and repal slabs for 00:21:15.240 --> 00:21:21.310 align:start position:0% neopal and repal slabs for rtpcr<00:21:16.240> uh<00:21:17.120> sars2<00:21:18.080> virus<00:21:19.080> now<00:21:20.080> the<00:21:20.720> why<00:21:20.919> I<00:21:21.120> said 00:21:21.310 --> 00:21:21.320 align:start position:0% rtpcr uh sars2 virus now the why I said 00:21:21.320 --> 00:21:24.390 align:start position:0% rtpcr uh sars2 virus now the why I said early<00:21:21.600> on<00:21:21.840> S<00:21:22.000> and<00:21:22.120> late<00:21:22.279> on<00:21:22.559> sit<00:21:22.760> is<00:21:23.440> because<00:21:24.200> uh 00:21:24.390 --> 00:21:24.400 align:start position:0% early on S and late on sit is because uh 00:21:24.400 --> 00:21:27.909 align:start position:0% early on S and late on sit is because uh when<00:21:24.640> we<00:21:24.960> had<00:21:25.440> uh<00:21:25.720> cases<00:21:26.120> with<00:21:26.320> us<00:21:26.720> we<00:21:27.039> found<00:21:27.559> I 00:21:27.909 --> 00:21:27.919 align:start position:0% when we had uh cases with us we found I 00:21:27.919 --> 00:21:30.310 align:start position:0% when we had uh cases with us we found I especially<00:21:28.279> found<00:21:28.600> on<00:21:28.799> two<00:21:29.000> babies<00:21:29.880> who<00:21:30.039> were 00:21:30.310 --> 00:21:30.320 align:start position:0% especially found on two babies who were 00:21:30.320 --> 00:21:33.390 align:start position:0% especially found on two babies who were infected<00:21:30.799> within<00:21:31.080> the<00:21:31.360> first<00:21:32.360> uh<00:21:32.600> first<00:21:32.960> week 00:21:33.390 --> 00:21:33.400 align:start position:0% infected within the first uh first week 00:21:33.400 --> 00:21:35.510 align:start position:0% infected within the first uh first week of<00:21:33.760> birth<00:21:34.159> you<00:21:34.279> know<00:21:34.760> that<00:21:34.919> is<00:21:35.039> the<00:21:35.200> early 00:21:35.510 --> 00:21:35.520 align:start position:0% of birth you know that is the early 00:21:35.520 --> 00:21:38.430 align:start position:0% of birth you know that is the early onset<00:21:36.120> of<00:21:36.360> infection<00:21:36.880> which<00:21:37.039> we<00:21:37.200> get<00:21:37.840> and<00:21:38.039> late 00:21:38.430 --> 00:21:38.440 align:start position:0% onset of infection which we get and late 00:21:38.440 --> 00:21:40.630 align:start position:0% onset of infection which we get and late was<00:21:38.679> from<00:21:38.919> one<00:21:39.200> week<00:21:39.360> to<00:21:39.559> 3<00:21:39.799> weeks<00:21:40.159> after<00:21:40.480> the 00:21:40.630 --> 00:21:40.640 align:start position:0% was from one week to 3 weeks after the 00:21:40.640 --> 00:21:43.350 align:start position:0% was from one week to 3 weeks after the birth<00:21:41.440> so<00:21:41.880> what<00:21:42.120> I<00:21:42.240> mean<00:21:42.440> to<00:21:42.600> say<00:21:42.799> is<00:21:42.960> whenever 00:21:43.350 --> 00:21:43.360 align:start position:0% birth so what I mean to say is whenever 00:21:43.360 --> 00:21:45.390 align:start position:0% birth so what I mean to say is whenever we<00:21:43.480> are<00:21:43.679> dealing<00:21:44.080> with<00:21:44.240> a<00:21:44.400> baby<00:21:44.799> who<00:21:45.039> is 00:21:45.390 --> 00:21:45.400 align:start position:0% we are dealing with a baby who is 00:21:45.400 --> 00:21:48.510 align:start position:0% we are dealing with a baby who is delivered<00:21:45.840> to<00:21:46.000> a<00:21:46.159> covid-19<00:21:46.960> mother<00:21:47.960> we<00:21:48.120> should 00:21:48.510 --> 00:21:48.520 align:start position:0% delivered to a covid-19 mother we should 00:21:48.520 --> 00:21:51.070 align:start position:0% delivered to a covid-19 mother we should be<00:21:49.320> uh<00:21:49.799> taking<00:21:50.200> care<00:21:50.600> when<00:21:50.760> we<00:21:50.880> are 00:21:51.070 --> 00:21:51.080 align:start position:0% be uh taking care when we are 00:21:51.080 --> 00:21:53.750 align:start position:0% be uh taking care when we are discharging<00:21:51.640> the<00:21:51.799> baby<00:21:52.080> if<00:21:52.200> the<00:21:52.360> baby<00:21:52.640> is<00:21:52.840> fine 00:21:53.750 --> 00:21:53.760 align:start position:0% discharging the baby if the baby is fine 00:21:53.760 --> 00:21:55.750 align:start position:0% discharging the baby if the baby is fine we<00:21:53.919> should<00:21:54.120> be<00:21:54.360> basically<00:21:54.760> keeping<00:21:55.080> a<00:21:55.279> close 00:21:55.750 --> 00:21:55.760 align:start position:0% we should be basically keeping a close 00:21:55.760 --> 00:21:57.950 align:start position:0% we should be basically keeping a close watch<00:21:56.039> on<00:21:56.240> the<00:21:56.440> baby's<00:21:57.200> condition<00:21:57.520> for<00:21:57.720> the 00:21:57.950 --> 00:21:57.960 align:start position:0% watch on the baby's condition for the 00:21:57.960 --> 00:22:00.870 align:start position:0% watch on the baby's condition for the first<00:21:58.720> four<00:21:59.039> weeks<00:22:00.000> now<00:22:00.159> it<00:22:00.279> doesn't<00:22:00.600> mean 00:22:00.870 --> 00:22:00.880 align:start position:0% first four weeks now it doesn't mean 00:22:00.880 --> 00:22:02.710 align:start position:0% first four weeks now it doesn't mean that<00:22:01.000> your<00:22:01.240> baby<00:22:01.600> has<00:22:01.720> to<00:22:01.840> be<00:22:02.000> called<00:22:02.360> every 00:22:02.710 --> 00:22:02.720 align:start position:0% that your baby has to be called every 00:22:02.720 --> 00:22:04.510 align:start position:0% that your baby has to be called every time<00:22:03.000> to<00:22:03.159> the<00:22:03.320> hospital<00:22:03.760> and<00:22:03.919> you<00:22:04.039> have<00:22:04.159> to<00:22:04.279> see 00:22:04.510 --> 00:22:04.520 align:start position:0% time to the hospital and you have to see 00:22:04.520 --> 00:22:06.789 align:start position:0% time to the hospital and you have to see the<00:22:04.679> baby<00:22:05.320> but<00:22:05.559> at<00:22:05.720> least<00:22:06.039> now<00:22:06.279> since<00:22:06.559> we<00:22:06.679> have 00:22:06.789 --> 00:22:06.799 align:start position:0% the baby but at least now since we have 00:22:06.799 --> 00:22:08.549 align:start position:0% the baby but at least now since we have the<00:22:06.960> facility<00:22:07.360> of<00:22:07.520> video<00:22:07.799> consultations<00:22:08.400> and 00:22:08.549 --> 00:22:08.559 align:start position:0% the facility of video consultations and 00:22:08.559 --> 00:22:10.269 align:start position:0% the facility of video consultations and all<00:22:09.120> you<00:22:09.240> can<00:22:09.440> obviously<00:22:09.799> talk<00:22:09.960> to<00:22:10.120> the 00:22:10.269 --> 00:22:10.279 align:start position:0% all you can obviously talk to the 00:22:10.279 --> 00:22:12.510 align:start position:0% all you can obviously talk to the parents<00:22:10.559> and<00:22:10.720> keep<00:22:10.880> a<00:22:11.039> close<00:22:11.400> watch<00:22:12.120> but<00:22:12.320> what 00:22:12.510 --> 00:22:12.520 align:start position:0% parents and keep a close watch but what 00:22:12.520 --> 00:22:13.950 align:start position:0% parents and keep a close watch but what things<00:22:12.720> you<00:22:12.840> have<00:22:12.960> to<00:22:13.080> tell<00:22:13.240> the<00:22:13.360> parents<00:22:13.799> if 00:22:13.950 --> 00:22:13.960 align:start position:0% things you have to tell the parents if 00:22:13.960 --> 00:22:16.430 align:start position:0% things you have to tell the parents if your<00:22:14.159> baby<00:22:14.559> is<00:22:14.760> not<00:22:14.960> feeding<00:22:15.400> well<00:22:16.120> if<00:22:16.279> the 00:22:16.430 --> 00:22:16.440 align:start position:0% your baby is not feeding well if the 00:22:16.440 --> 00:22:18.110 align:start position:0% your baby is not feeding well if the baby<00:22:16.679> is<00:22:16.880> having<00:22:17.080> feeding<00:22:17.440> intolerence<00:22:18.039> in 00:22:18.110 --> 00:22:18.120 align:start position:0% baby is having feeding intolerence in 00:22:18.120 --> 00:22:19.990 align:start position:0% baby is having feeding intolerence in the<00:22:18.279> sense<00:22:18.600> whatever<00:22:18.960> the<00:22:19.120> baby<00:22:19.440> is<00:22:19.679> taking 00:22:19.990 --> 00:22:20.000 align:start position:0% the sense whatever the baby is taking 00:22:20.000 --> 00:22:22.510 align:start position:0% the sense whatever the baby is taking he's<00:22:20.200> been<00:22:20.400> vomiting<00:22:21.039> all<00:22:21.799> if<00:22:21.919> the<00:22:22.080> baby<00:22:22.279> is 00:22:22.510 --> 00:22:22.520 align:start position:0% he's been vomiting all if the baby is 00:22:22.520 --> 00:22:26.070 align:start position:0% he's been vomiting all if the baby is leic<00:22:23.520> if<00:22:23.679> the<00:22:23.880> baby<00:22:24.200> is<00:22:24.880> uh<00:22:25.480> showing<00:22:25.880> some 00:22:26.070 --> 00:22:26.080 align:start position:0% leic if the baby is uh showing some 00:22:26.080 --> 00:22:27.630 align:start position:0% leic if the baby is uh showing some signs<00:22:26.320> of<00:22:26.520> respiratory<00:22:27.000> distress<00:22:27.400> in<00:22:27.480> the 00:22:27.630 --> 00:22:27.640 align:start position:0% signs of respiratory distress in the 00:22:27.640 --> 00:22:29.909 align:start position:0% signs of respiratory distress in the form<00:22:27.919> of<00:22:28.520> intercostal<00:22:29.039> and<00:22:29.159> subcostal 00:22:29.909 --> 00:22:29.919 align:start position:0% form of intercostal and subcostal 00:22:29.919 --> 00:22:32.710 align:start position:0% form of intercostal and subcostal retractions<00:22:30.919> then<00:22:31.200> please<00:22:31.600> report<00:22:32.120> the<00:22:32.320> baby 00:22:32.710 --> 00:22:32.720 align:start position:0% retractions then please report the baby 00:22:32.720 --> 00:22:36.630 align:start position:0% retractions then please report the baby immediately<00:22:33.320> to<00:22:33.600> the<00:22:34.000> nearest<00:22:34.720> hospital<00:22:35.080> and 00:22:36.630 --> 00:22:36.640 align:start position:0% immediately to the nearest hospital and 00:22:36.640 --> 00:22:39.070 align:start position:0% immediately to the nearest hospital and emergency<00:22:37.640> now<00:22:38.039> uh<00:22:38.200> let's<00:22:38.480> come<00:22:38.799> we<00:22:38.919> have 00:22:39.070 --> 00:22:39.080 align:start position:0% emergency now uh let's come we have 00:22:39.080 --> 00:22:40.870 align:start position:0% emergency now uh let's come we have diagnosed<00:22:39.559> clinically<00:22:40.039> how<00:22:40.200> the<00:22:40.400> baby 00:22:40.870 --> 00:22:40.880 align:start position:0% diagnosed clinically how the baby 00:22:40.880 --> 00:22:42.950 align:start position:0% diagnosed clinically how the baby presents<00:22:41.279> to<00:22:41.440> us<00:22:41.760> the<00:22:41.880> covid-19<00:22:42.480> infection 00:22:42.950 --> 00:22:42.960 align:start position:0% presents to us the covid-19 infection 00:22:42.960 --> 00:22:45.310 align:start position:0% presents to us the covid-19 infection now<00:22:43.120> what<00:22:43.200> are<00:22:43.320> the<00:22:43.480> testing<00:22:44.159> protocols<00:22:45.159> see 00:22:45.310 --> 00:22:45.320 align:start position:0% now what are the testing protocols see 00:22:45.320 --> 00:22:47.470 align:start position:0% now what are the testing protocols see this<00:22:45.400> is<00:22:45.520> a<00:22:45.679> big<00:22:45.880> slide<00:22:46.320> so<00:22:46.559> I<00:22:46.640> would<00:22:46.880> be<00:22:47.120> very 00:22:47.470 --> 00:22:47.480 align:start position:0% this is a big slide so I would be very 00:22:47.480 --> 00:22:50.029 align:start position:0% this is a big slide so I would be very simply<00:22:48.039> I<00:22:48.120> would<00:22:48.360> be<00:22:48.559> putting<00:22:48.960> it<00:22:49.640> if<00:22:49.760> you<00:22:49.919> have 00:22:50.029 --> 00:22:50.039 align:start position:0% simply I would be putting it if you have 00:22:50.039 --> 00:22:52.070 align:start position:0% simply I would be putting it if you have a<00:22:50.200> suspected<00:22:50.679> perinal<00:22:51.240> transmission<00:22:51.840> mother 00:22:52.070 --> 00:22:52.080 align:start position:0% a suspected perinal transmission mother 00:22:52.080 --> 00:22:56.510 align:start position:0% a suspected perinal transmission mother is<00:22:52.279> co9<00:22:52.880> infected<00:22:53.400> within<00:22:53.679> 14<00:22:54.159> days<00:22:55.200> before<00:22:56.200> or 00:22:56.510 --> 00:22:56.520 align:start position:0% is co9 infected within 14 days before or 00:22:56.520 --> 00:22:59.230 align:start position:0% is co9 infected within 14 days before or within<00:22:56.799> two<00:22:57.080> days<00:22:57.440> after<00:22:57.799> delivery 00:22:59.230 --> 00:22:59.240 align:start position:0% within two days after delivery 00:22:59.240 --> 00:23:00.630 align:start position:0% within two days after delivery so<00:22:59.480> what<00:22:59.600> is<00:22:59.679> the<00:22:59.840> timing<00:23:00.080> of<00:23:00.200> the<00:23:00.360> test<00:23:00.559> it 00:23:00.630 --> 00:23:00.640 align:start position:0% so what is the timing of the test it 00:23:00.640 --> 00:23:03.470 align:start position:0% so what is the timing of the test it should<00:23:00.799> be<00:23:00.960> done<00:23:01.320> at<00:23:01.840> Birth<00:23:02.600> or<00:23:02.919> as<00:23:03.039> soon<00:23:03.240> as 00:23:03.470 --> 00:23:03.480 align:start position:0% should be done at Birth or as soon as 00:23:03.480 --> 00:23:05.710 align:start position:0% should be done at Birth or as soon as possible<00:23:03.799> or<00:23:03.960> within<00:23:04.279> 12<00:23:04.679> hours<00:23:05.480> after 00:23:05.710 --> 00:23:05.720 align:start position:0% possible or within 12 hours after 00:23:05.720 --> 00:23:06.870 align:start position:0% possible or within 12 hours after rooming<00:23:06.080> in<00:23:06.240> the 00:23:06.870 --> 00:23:06.880 align:start position:0% rooming in the 00:23:06.880 --> 00:23:09.830 align:start position:0% rooming in the baby<00:23:07.880> now<00:23:08.120> if<00:23:08.279> the<00:23:08.480> first<00:23:08.799> test<00:23:09.039> is<00:23:09.240> negative<00:23:09.720> a 00:23:09.830 --> 00:23:09.840 align:start position:0% baby now if the first test is negative a 00:23:09.840 --> 00:23:12.909 align:start position:0% baby now if the first test is negative a repeat<00:23:10.279> test<00:23:10.600> should<00:23:10.799> be<00:23:11.039> done<00:23:11.760> 5<00:23:12.039> to<00:23:12.240> 10<00:23:12.559> days 00:23:12.909 --> 00:23:12.919 align:start position:0% repeat test should be done 5 to 10 days 00:23:12.919 --> 00:23:14.110 align:start position:0% repeat test should be done 5 to 10 days after 00:23:14.110 --> 00:23:14.120 align:start position:0% after 00:23:14.120 --> 00:23:17.110 align:start position:0% after birth<00:23:15.120> that<00:23:15.279> is<00:23:15.440> number<00:23:15.760> one<00:23:16.159> now<00:23:16.480> number<00:23:16.760> two 00:23:17.110 --> 00:23:17.120 align:start position:0% birth that is number one now number two 00:23:17.120 --> 00:23:18.870 align:start position:0% birth that is number one now number two if<00:23:17.279> there's<00:23:17.480> a<00:23:17.640> history<00:23:17.919> of<00:23:18.120> exposure<00:23:18.559> to<00:23:18.720> a 00:23:18.870 --> 00:23:18.880 align:start position:0% if there's a history of exposure to a 00:23:18.880 --> 00:23:20.789 align:start position:0% if there's a history of exposure to a covid-19<00:23:19.600> positive 00:23:20.789 --> 00:23:20.799 align:start position:0% covid-19 positive 00:23:20.799 --> 00:23:24.190 align:start position:0% covid-19 positive person<00:23:21.799> then<00:23:22.120> if<00:23:22.279> a<00:23:22.520> baby's<00:23:22.960> asymptomatic<00:23:23.919> and 00:23:24.190 --> 00:23:24.200 align:start position:0% person then if a baby's asymptomatic and 00:23:24.200 --> 00:23:26.870 align:start position:0% person then if a baby's asymptomatic and high<00:23:24.480> risk<00:23:24.799> contact<00:23:25.400> is<00:23:25.760> there<00:23:26.159> and<00:23:26.320> it<00:23:26.520> comes 00:23:26.870 --> 00:23:26.880 align:start position:0% high risk contact is there and it comes 00:23:26.880 --> 00:23:29.230 align:start position:0% high risk contact is there and it comes between<00:23:27.240> 5<00:23:27.480> to<00:23:27.640> 10<00:23:27.919> days<00:23:28.679> then<00:23:28.840> the<00:23:29.000> baby 00:23:29.230 --> 00:23:29.240 align:start position:0% between 5 to 10 days then the baby 00:23:29.240 --> 00:23:31.909 align:start position:0% between 5 to 10 days then the baby should<00:23:29.440> be<00:23:29.640> tested<00:23:30.480> immediately<00:23:31.480> now<00:23:31.720> if 00:23:31.909 --> 00:23:31.919 align:start position:0% should be tested immediately now if 00:23:31.919 --> 00:23:34.350 align:start position:0% should be tested immediately now if there<00:23:32.000> is<00:23:32.120> a<00:23:32.320> symptomatic<00:23:33.320> Nate<00:23:33.880> maybe<00:23:34.120> if<00:23:34.240> the 00:23:34.350 --> 00:23:34.360 align:start position:0% there is a symptomatic Nate maybe if the 00:23:34.360 --> 00:23:36.110 align:start position:0% there is a symptomatic Nate maybe if the baby<00:23:34.600> like<00:23:34.760> I<00:23:34.880> told<00:23:35.200> leag<00:23:35.640> and<00:23:35.760> all<00:23:35.919> those 00:23:36.110 --> 00:23:36.120 align:start position:0% baby like I told leag and all those 00:23:36.120 --> 00:23:38.390 align:start position:0% baby like I told leag and all those things<00:23:36.760> within<00:23:37.120> acute<00:23:37.440> respirat<00:23:37.919> distest 00:23:38.390 --> 00:23:38.400 align:start position:0% things within acute respirat distest 00:23:38.400 --> 00:23:40.070 align:start position:0% things within acute respirat distest apnea<00:23:38.840> and<00:23:38.960> all<00:23:39.120> those<00:23:39.320> things<00:23:39.600> then<00:23:39.960> it 00:23:40.070 --> 00:23:40.080 align:start position:0% apnea and all those things then it 00:23:40.080 --> 00:23:42.269 align:start position:0% apnea and all those things then it should<00:23:40.320> be<00:23:40.760> immediately<00:23:41.360> tested<00:23:41.760> at<00:23:41.919> the<00:23:42.080> time 00:23:42.269 --> 00:23:42.279 align:start position:0% should be immediately tested at the time 00:23:42.279 --> 00:23:45.350 align:start position:0% should be immediately tested at the time of<00:23:42.799> evaluation<00:23:43.799> if<00:23:44.039> the<00:23:44.200> report<00:23:44.960> maybe<00:23:45.240> the 00:23:45.350 --> 00:23:45.360 align:start position:0% of evaluation if the report maybe the 00:23:45.360 --> 00:23:47.350 align:start position:0% of evaluation if the report maybe the RTP<00:23:45.799> sh<00:23:46.080> comes<00:23:46.279> out<00:23:46.400> to<00:23:46.520> be<00:23:46.679> negative<00:23:47.120> then<00:23:47.240> you 00:23:47.350 --> 00:23:47.360 align:start position:0% RTP sh comes out to be negative then you 00:23:47.360 --> 00:23:49.750 align:start position:0% RTP sh comes out to be negative then you have<00:23:47.480> to<00:23:47.679> report<00:23:48.240> the<00:23:48.440> test<00:23:48.880> again<00:23:49.240> after<00:23:49.520> 20 00:23:49.750 --> 00:23:49.760 align:start position:0% have to report the test again after 20 00:23:49.760 --> 00:23:52.870 align:start position:0% have to report the test again after 20 to<00:23:49.919> 48<00:23:50.400> hours<00:23:51.400> if<00:23:51.720> the<00:23:51.960> induction<00:23:52.559> if<00:23:52.720> the 00:23:52.870 --> 00:23:52.880 align:start position:0% to 48 hours if the induction if the 00:23:52.880 --> 00:23:55.630 align:start position:0% to 48 hours if the induction if the suspicion<00:23:53.559> is<00:23:54.080> high<00:23:54.840> in<00:23:54.960> the<00:23:55.159> sense<00:23:55.440> if 00:23:55.630 --> 00:23:55.640 align:start position:0% suspicion is high in the sense if 00:23:55.640 --> 00:23:58.789 align:start position:0% suspicion is high in the sense if clinical<00:23:56.600> parameters<00:23:57.600> uh<00:23:57.760> don't<00:23:58.159> match<00:23:58.480> match 00:23:58.789 --> 00:23:58.799 align:start position:0% clinical parameters uh don't match match 00:23:58.799 --> 00:24:01.710 align:start position:0% clinical parameters uh don't match match with<00:23:59.000> your<00:23:59.360> pathological<00:24:00.200> parameters<00:24:01.200> uh<00:24:01.600> uh 00:24:01.710 --> 00:24:01.720 align:start position:0% with your pathological parameters uh uh 00:24:01.720 --> 00:24:03.990 align:start position:0% with your pathological parameters uh uh sorry<00:24:02.039> if<00:24:02.159> the<00:24:02.279> clinical<00:24:02.720> parameters<00:24:03.720> match 00:24:03.990 --> 00:24:04.000 align:start position:0% sorry if the clinical parameters match 00:24:04.000 --> 00:24:05.549 align:start position:0% sorry if the clinical parameters match with<00:24:04.159> your<00:24:04.320> pathological<00:24:04.880> parameters<00:24:05.360> and 00:24:05.549 --> 00:24:05.559 align:start position:0% with your pathological parameters and 00:24:05.559 --> 00:24:08.110 align:start position:0% with your pathological parameters and still<00:24:05.760> the<00:24:05.880> rtpc<00:24:06.559> is<00:24:06.720> negative<00:24:07.720> I<00:24:07.840> would 00:24:08.110 --> 00:24:08.120 align:start position:0% still the rtpc is negative I would 00:24:08.120 --> 00:24:11.029 align:start position:0% still the rtpc is negative I would really<00:24:08.400> suggest<00:24:08.799> to<00:24:09.440> repeat<00:24:09.840> the<00:24:09.960> rtpcr<00:24:10.919> at 00:24:11.029 --> 00:24:11.039 align:start position:0% really suggest to repeat the rtpcr at 00:24:11.039 --> 00:24:13.430 align:start position:0% really suggest to repeat the rtpcr at least<00:24:11.240> two<00:24:11.440> to<00:24:11.600> three<00:24:11.840> days<00:24:12.520> after<00:24:12.840> the<00:24:13.000> baby 00:24:13.430 --> 00:24:13.440 align:start position:0% least two to three days after the baby 00:24:13.440 --> 00:24:14.950 align:start position:0% least two to three days after the baby is 00:24:14.950 --> 00:24:14.960 align:start position:0% is 00:24:14.960 --> 00:24:17.950 align:start position:0% is born<00:24:15.960> now<00:24:16.360> which<00:24:16.520> are<00:24:16.679> the<00:24:16.840> units<00:24:17.480> like<00:24:17.640> I<00:24:17.760> told 00:24:17.950 --> 00:24:17.960 align:start position:0% born now which are the units like I told 00:24:17.960 --> 00:24:19.590 align:start position:0% born now which are the units like I told you<00:24:18.080> who<00:24:18.159> are<00:24:18.279> going<00:24:18.440> to<00:24:18.520> be<00:24:18.679> tested<00:24:19.279> history 00:24:19.590 --> 00:24:19.600 align:start position:0% you who are going to be tested history 00:24:19.600 --> 00:24:21.950 align:start position:0% you who are going to be tested history of<00:24:19.760> exposure<00:24:20.200> to<00:24:20.360> a<00:24:20.520> covid-19<00:24:21.200> positive<00:24:21.600> adult 00:24:21.950 --> 00:24:21.960 align:start position:0% of exposure to a covid-19 positive adult 00:24:21.960 --> 00:24:24.230 align:start position:0% of exposure to a covid-19 positive adult irrespective<00:24:22.559> of<00:24:22.720> symptoms<00:24:23.559> if<00:24:23.720> the<00:24:23.919> mother 00:24:24.230 --> 00:24:24.240 align:start position:0% irrespective of symptoms if the mother 00:24:24.240 --> 00:24:27.310 align:start position:0% irrespective of symptoms if the mother had<00:24:24.520> covid-19<00:24:25.200> infection<00:24:25.880> within<00:24:26.240> 40<00:24:26.840> days 00:24:27.310 --> 00:24:27.320 align:start position:0% had covid-19 infection within 40 days 00:24:27.320 --> 00:24:29.990 align:start position:0% had covid-19 infection within 40 days before<00:24:27.880> birth<00:24:28.679> or<00:24:28.919> a<00:24:29.080> history<00:24:29.399> of<00:24:29.600> contact 00:24:29.990 --> 00:24:30.000 align:start position:0% before birth or a history of contact 00:24:30.000 --> 00:24:32.190 align:start position:0% before birth or a history of contact with<00:24:30.120> a<00:24:30.360> covid<00:24:30.840> positive<00:24:31.279> person<00:24:31.720> any<00:24:31.880> of<00:24:32.039> the 00:24:32.190 --> 00:24:32.200 align:start position:0% with a covid positive person any of the 00:24:32.200 --> 00:24:34.630 align:start position:0% with a covid positive person any of the family<00:24:32.559> members<00:24:33.279> in<00:24:33.440> the<00:24:33.640> household<00:24:34.520> they 00:24:34.630 --> 00:24:34.640 align:start position:0% family members in the household they 00:24:34.640 --> 00:24:36.830 align:start position:0% family members in the household they should<00:24:34.880> be<00:24:35.080> getting<00:24:35.440> tested<00:24:36.399> they<00:24:36.520> should<00:24:36.720> get 00:24:36.830 --> 00:24:36.840 align:start position:0% should be getting tested they should get 00:24:36.840 --> 00:24:40.389 align:start position:0% should be getting tested they should get the<00:24:37.120> units<00:24:37.480> tested<00:24:37.960> for<00:24:38.799> a<00:24:39.120> covid-19<00:24:39.760> virus 00:24:40.389 --> 00:24:40.399 align:start position:0% the units tested for a covid-19 virus 00:24:40.399 --> 00:24:43.269 align:start position:0% the units tested for a covid-19 virus exposure<00:24:41.399> now<00:24:42.120> irrespective<00:24:42.799> of<00:24:42.880> the<00:24:43.000> history 00:24:43.269 --> 00:24:43.279 align:start position:0% exposure now irrespective of the history 00:24:43.279 --> 00:24:45.950 align:start position:0% exposure now irrespective of the history of<00:24:43.480> exposure<00:24:44.120> if<00:24:44.399> there<00:24:44.520> are<00:24:44.760> symptoms<00:24:45.720> if<00:24:45.840> the 00:24:45.950 --> 00:24:45.960 align:start position:0% of exposure if there are symptoms if the 00:24:45.960 --> 00:24:48.470 align:start position:0% of exposure if there are symptoms if the baby<00:24:46.240> is<00:24:46.399> born<00:24:47.120> the<00:24:47.279> baby<00:24:47.480> has<00:24:47.600> gor<00:24:48.000> home<00:24:48.360> and 00:24:48.470 --> 00:24:48.480 align:start position:0% baby is born the baby has gor home and 00:24:48.480 --> 00:24:50.029 align:start position:0% baby is born the baby has gor home and you<00:24:48.600> find<00:24:48.799> that<00:24:48.960> the<00:24:49.120> baby's<00:24:49.520> parents<00:24:49.880> are 00:24:50.029 --> 00:24:50.039 align:start position:0% you find that the baby's parents are 00:24:50.039 --> 00:25:00.830 align:start position:0% you find that the baby's parents are complaining 00:25:00.830 --> 00:25:00.840 align:start position:0% 00:25:00.840 --> 00:25:03.190 align:start position:0% then<00:25:01.080> immediately<00:25:02.000> get<00:25:02.159> the<00:25:02.360> baby 00:25:03.190 --> 00:25:03.200 align:start position:0% then immediately get the baby 00:25:03.200 --> 00:25:05.430 align:start position:0% then immediately get the baby tested<00:25:04.200> immediately<00:25:04.799> they<00:25:04.919> have<00:25:05.039> to<00:25:05.200> report 00:25:05.430 --> 00:25:05.440 align:start position:0% tested immediately they have to report 00:25:05.440 --> 00:25:07.269 align:start position:0% tested immediately they have to report to<00:25:05.600> the<00:25:05.720> hospital<00:25:06.120> get<00:25:06.240> the<00:25:06.440> tested<00:25:06.919> even<00:25:07.120> if 00:25:07.269 --> 00:25:07.279 align:start position:0% to the hospital get the tested even if 00:25:07.279 --> 00:25:09.950 align:start position:0% to the hospital get the tested even if it<00:25:07.360> is<00:25:07.520> 72<00:25:08.039> hours<00:25:08.399> or<00:25:08.600> maybe<00:25:08.880> 5<00:25:09.159> days<00:25:09.440> after<00:25:09.799> the 00:25:09.950 --> 00:25:09.960 align:start position:0% it is 72 hours or maybe 5 days after the 00:25:09.960 --> 00:25:11.470 align:start position:0% it is 72 hours or maybe 5 days after the baby<00:25:10.240> has<00:25:10.399> been 00:25:11.470 --> 00:25:11.480 align:start position:0% baby has been 00:25:11.480 --> 00:25:14.789 align:start position:0% baby has been discharged<00:25:12.799> now<00:25:13.799> same<00:25:14.039> thing<00:25:14.240> now<00:25:14.600> what 00:25:14.789 --> 00:25:14.799 align:start position:0% discharged now same thing now what 00:25:14.799 --> 00:25:16.510 align:start position:0% discharged now same thing now what sample<00:25:15.200> has<00:25:15.320> to<00:25:15.440> be<00:25:15.600> taken<00:25:15.919> I<00:25:16.039> had<00:25:16.200> already 00:25:16.510 --> 00:25:16.520 align:start position:0% sample has to be taken I had already 00:25:16.520 --> 00:25:17.950 align:start position:0% sample has to be taken I had already told<00:25:16.799> you<00:25:17.000> it<00:25:17.120> should<00:25:17.279> be<00:25:17.480> the<00:25:17.600> same<00:25:17.840> the 00:25:17.950 --> 00:25:17.960 align:start position:0% told you it should be the same the 00:25:17.960 --> 00:25:21.590 align:start position:0% told you it should be the same the nangal<00:25:18.760> swab<00:25:19.640> if<00:25:19.840> not<00:25:20.200> possible<00:25:20.880> uh<00:25:21.080> then<00:25:21.440> uh 00:25:21.590 --> 00:25:21.600 align:start position:0% nangal swab if not possible uh then uh 00:25:21.600 --> 00:25:24.350 align:start position:0% nangal swab if not possible uh then uh rectal<00:25:21.960> swab<00:25:22.360> can<00:25:22.520> also<00:25:22.720> be<00:25:22.880> taken<00:25:23.880> uh<00:25:24.039> if<00:25:24.200> a 00:25:24.350 --> 00:25:24.360 align:start position:0% rectal swab can also be taken uh if a 00:25:24.360 --> 00:25:26.110 align:start position:0% rectal swab can also be taken uh if a baby<00:25:24.600> is<00:25:24.760> mechanically<00:25:25.320> ventilated<00:25:25.880> then<00:25:26.000> you 00:25:26.110 --> 00:25:26.120 align:start position:0% baby is mechanically ventilated then you 00:25:26.120 --> 00:25:29.310 align:start position:0% baby is mechanically ventilated then you can<00:25:26.279> take<00:25:26.440> a<00:25:26.679> tracheal<00:25:27.159> aspirate<00:25:27.799> and<00:25:28.039> then<00:25:28.600> uh 00:25:29.310 --> 00:25:29.320 align:start position:0% can take a tracheal aspirate and then uh 00:25:29.320 --> 00:25:31.470 align:start position:0% can take a tracheal aspirate and then uh uh<00:25:29.480> basically<00:25:30.080> as<00:25:30.200> a<00:25:30.320> lower<00:25:30.640> respiratory 00:25:31.470 --> 00:25:31.480 align:start position:0% uh basically as a lower respiratory 00:25:31.480 --> 00:25:34.710 align:start position:0% uh basically as a lower respiratory specimen<00:25:31.960> can<00:25:32.120> be<00:25:32.279> taken<00:25:32.760> or<00:25:33.399> even<00:25:33.799> from<00:25:34.159> the 00:25:34.710 --> 00:25:34.720 align:start position:0% specimen can be taken or even from the 00:25:34.720 --> 00:25:36.750 align:start position:0% specimen can be taken or even from the uh<00:25:35.080> uh<00:25:35.279> if<00:25:35.440> the<00:25:35.600> baby's<00:25:35.960> intubated<00:25:36.520> from<00:25:36.640> the 00:25:36.750 --> 00:25:36.760 align:start position:0% uh uh if the baby's intubated from the 00:25:36.760 --> 00:25:38.789 align:start position:0% uh uh if the baby's intubated from the endoral<00:25:37.440> tube<00:25:37.720> the<00:25:37.840> secretions<00:25:38.440> that<00:25:38.559> they 00:25:38.789 --> 00:25:38.799 align:start position:0% endoral tube the secretions that they 00:25:38.799 --> 00:25:41.350 align:start position:0% endoral tube the secretions that they get<00:25:39.320> we<00:25:39.440> can<00:25:39.640> take<00:25:39.799> the<00:25:39.919> samples<00:25:40.320> from<00:25:40.559> that 00:25:41.350 --> 00:25:41.360 align:start position:0% get we can take the samples from that 00:25:41.360 --> 00:25:51.310 align:start position:0% get we can take the samples from that also<00:25:42.360> now<00:25:42.600> choice<00:25:42.880> of<00:25:43.080> test 00:25:51.310 --> 00:25:51.320 align:start position:0% 00:25:51.320 --> 00:26:02.750 align:start position:0% now<00:25:52.320> I<00:25:52.520> say<00:25:52.799> yes<00:25:53.120> they<00:25:53.279> do<00:25:53.399> a<00:25:53.600> test 00:26:02.750 --> 00:26:02.760 align:start position:0% 00:26:02.760 --> 00:26:06.029 align:start position:0% so<00:26:03.279> please<00:26:04.039> note<00:26:04.840> that<00:26:05.120> because<00:26:05.480> of<00:26:05.679> low 00:26:06.029 --> 00:26:06.039 align:start position:0% so please note that because of low 00:26:06.039 --> 00:26:09.549 align:start position:0% so please note that because of low sensitivity<00:26:07.039> a<00:26:07.480> negative<00:26:08.480> rapid<00:26:08.960> antigen 00:26:09.549 --> 00:26:09.559 align:start position:0% sensitivity a negative rapid antigen 00:26:09.559 --> 00:26:13.269 align:start position:0% sensitivity a negative rapid antigen test<00:26:10.480> needs<00:26:10.799> to<00:26:10.960> be<00:26:11.200> confirmed<00:26:11.960> with<00:26:12.120> an<00:26:12.279> rtpcr 00:26:13.269 --> 00:26:13.279 align:start position:0% test needs to be confirmed with an rtpcr 00:26:13.279 --> 00:26:15.950 align:start position:0% test needs to be confirmed with an rtpcr in<00:26:13.480> symptomatic<00:26:14.279> cases<00:26:15.200> and<00:26:15.520> if<00:26:15.799> the 00:26:15.950 --> 00:26:15.960 align:start position:0% in symptomatic cases and if the 00:26:15.960 --> 00:26:19.549 align:start position:0% in symptomatic cases and if the suspicion<00:26:16.520> is<00:26:16.760> high<00:26:17.480> so<00:26:17.880> the<00:26:18.120> prime<00:26:18.760> goal<00:26:19.200> for 00:26:19.549 --> 00:26:19.559 align:start position:0% suspicion is high so the prime goal for 00:26:19.559 --> 00:26:23.310 align:start position:0% suspicion is high so the prime goal for us<00:26:19.919> is<00:26:20.200> that<00:26:20.360> the<00:26:20.600> rtpcr<00:26:21.600> is<00:26:21.799> the<00:26:22.000> main<00:26:22.480> test 00:26:23.310 --> 00:26:23.320 align:start position:0% us is that the rtpcr is the main test 00:26:23.320 --> 00:26:26.230 align:start position:0% us is that the rtpcr is the main test which<00:26:23.559> is<00:26:23.720> a<00:26:23.919> necessity<00:26:24.399> for<00:26:24.640> SARS<00:26:25.240> covid-19 00:26:26.230 --> 00:26:26.240 align:start position:0% which is a necessity for SARS covid-19 00:26:26.240 --> 00:26:28.630 align:start position:0% which is a necessity for SARS covid-19 then<00:26:26.399> you<00:26:26.520> can<00:26:26.720> go<00:26:26.880> in<00:26:27.000> a<00:26:27.200> true<00:26:27.480> net<00:26:27.679> or<00:26:27.760> a<00:26:27.880> CB<00:26:28.360> at 00:26:28.630 --> 00:26:28.640 align:start position:0% then you can go in a true net or a CB at 00:26:28.640 --> 00:26:32.789 align:start position:0% then you can go in a true net or a CB at which<00:26:28.799> is<00:26:29.240> basically<00:26:30.240> U<00:26:30.720> um<00:26:31.480> a<00:26:31.679> test<00:26:32.039> which<00:26:32.240> can 00:26:32.789 --> 00:26:32.799 align:start position:0% which is basically U um a test which can 00:26:32.799 --> 00:26:35.590 align:start position:0% which is basically U um a test which can uh<00:26:33.000> detect<00:26:33.480> the<00:26:33.880> uh<00:26:34.080> covid<00:26:34.600> uh<00:26:35.200> uh<00:26:35.320> maybe 00:26:35.590 --> 00:26:35.600 align:start position:0% uh detect the uh covid uh uh maybe 00:26:35.600 --> 00:26:38.430 align:start position:0% uh detect the uh covid uh uh maybe within<00:26:35.880> 6<00:26:36.279> hours<00:26:36.720> of<00:26:37.320> the 00:26:38.430 --> 00:26:38.440 align:start position:0% within 6 hours of the 00:26:38.440 --> 00:26:40.710 align:start position:0% within 6 hours of the infection<00:26:39.440> now<00:26:39.760> how<00:26:39.919> to<00:26:40.120> collect<00:26:40.440> I'm<00:26:40.559> not 00:26:40.710 --> 00:26:40.720 align:start position:0% infection now how to collect I'm not 00:26:40.720 --> 00:26:42.669 align:start position:0% infection now how to collect I'm not going<00:26:40.919> into<00:26:41.159> that<00:26:41.360> details<00:26:41.799> because<00:26:42.399> that<00:26:42.520> is 00:26:42.669 --> 00:26:42.679 align:start position:0% going into that details because that is 00:26:42.679 --> 00:26:44.750 align:start position:0% going into that details because that is not<00:26:42.880> our<00:26:43.159> job<00:26:43.399> but<00:26:43.640> yes<00:26:43.799> if<00:26:43.919> it<00:26:44.039> in<00:26:44.200> the<00:26:44.480> we<00:26:44.640> in 00:26:44.750 --> 00:26:44.760 align:start position:0% not our job but yes if it in the we in 00:26:44.760 --> 00:26:47.590 align:start position:0% not our job but yes if it in the we in the<00:26:45.120> NICU<00:26:46.120> uh<00:26:46.279> then<00:26:46.480> we<00:26:46.720> basically<00:26:47.200> have<00:26:47.360> to 00:26:47.590 --> 00:26:47.600 align:start position:0% the NICU uh then we basically have to 00:26:47.600 --> 00:26:50.669 align:start position:0% the NICU uh then we basically have to collect<00:26:47.919> the<00:26:48.039> swabs<00:26:48.600> with<00:26:49.159> the<00:26:49.279> whole<00:26:49.520> PP<00:26:50.000> kit 00:26:50.669 --> 00:26:50.679 align:start position:0% collect the swabs with the whole PP kit 00:26:50.679 --> 00:26:54.070 align:start position:0% collect the swabs with the whole PP kit disposable<00:26:51.240> single<00:26:51.919> use<00:26:52.360> glove<00:26:53.360> uh<00:26:53.600> and 00:26:54.070 --> 00:26:54.080 align:start position:0% disposable single use glove uh and 00:26:54.080 --> 00:26:55.750 align:start position:0% disposable single use glove uh and plastic<00:26:54.480> Aon<00:26:54.880> and<00:26:55.000> all<00:26:55.120> the<00:26:55.279> things<00:26:55.480> that<00:26:55.640> we 00:26:55.750 --> 00:26:55.760 align:start position:0% plastic Aon and all the things that we 00:26:55.760 --> 00:26:56.990 align:start position:0% plastic Aon and all the things that we all<00:26:55.919> know<00:26:56.080> so<00:26:56.240> I'm<00:26:56.360> not<00:26:56.520> going<00:26:56.640> to<00:26:56.760> go<00:26:56.880> in 00:26:56.990 --> 00:26:57.000 align:start position:0% all know so I'm not going to go in 00:26:57.000 --> 00:26:58.870 align:start position:0% all know so I'm not going to go in details<00:26:57.279> with<00:26:57.480> those<00:26:57.640> things<00:26:58.399> now<00:26:58.720> the 00:26:58.870 --> 00:26:58.880 align:start position:0% details with those things now the 00:26:58.880 --> 00:27:00.870 align:start position:0% details with those things now the biggest<00:26:59.240> topic<00:26:59.559> which<00:26:59.720> we<00:26:59.880> have<00:27:00.120> today<00:27:00.440> is<00:27:00.640> the 00:27:00.870 --> 00:27:00.880 align:start position:0% biggest topic which we have today is the 00:27:00.880 --> 00:27:12.950 align:start position:0% biggest topic which we have today is the vaccination 00:27:12.950 --> 00:27:12.960 align:start position:0% 00:27:12.960 --> 00:27:15.350 align:start position:0% 19<00:27:13.960> are<00:27:14.120> the<00:27:14.279> questions<00:27:14.640> which<00:27:14.799> the<00:27:14.919> parents 00:27:15.350 --> 00:27:15.360 align:start position:0% 19 are the questions which the parents 00:27:15.360 --> 00:27:17.990 align:start position:0% 19 are the questions which the parents ask<00:27:15.679> us<00:27:16.159> okay<00:27:16.399> fine<00:27:16.679> can<00:27:16.840> I<00:27:17.440> delay<00:27:17.799> my 00:27:17.990 --> 00:27:18.000 align:start position:0% ask us okay fine can I delay my 00:27:18.000 --> 00:27:19.750 align:start position:0% ask us okay fine can I delay my vaccination<00:27:18.559> and<00:27:18.760> we<00:27:18.880> have<00:27:19.080> found<00:27:19.520> our 00:27:19.750 --> 00:27:19.760 align:start position:0% vaccination and we have found our 00:27:19.760 --> 00:27:22.870 align:start position:0% vaccination and we have found our parents<00:27:20.200> they<00:27:20.320> are<00:27:20.440> coming<00:27:21.000> after<00:27:22.000> 6<00:27:22.320> weeks<00:27:22.600> 10 00:27:22.870 --> 00:27:22.880 align:start position:0% parents they are coming after 6 weeks 10 00:27:22.880 --> 00:27:25.470 align:start position:0% parents they are coming after 6 weeks 10 weeks<00:27:23.159> 14<00:27:23.480> weeks<00:27:23.880> the<00:27:24.159> vaccinations<00:27:25.159> they<00:27:25.279> are 00:27:25.470 --> 00:27:25.480 align:start position:0% weeks 14 weeks the vaccinations they are 00:27:25.480 --> 00:27:28.310 align:start position:0% weeks 14 weeks the vaccinations they are basically<00:27:25.919> coming<00:27:26.279> after<00:27:26.640> say<00:27:27.480> 4<00:27:27.799> months 00:27:28.310 --> 00:27:28.320 align:start position:0% basically coming after say 4 months 00:27:28.320 --> 00:27:32.389 align:start position:0% basically coming after say 4 months three 00:27:32.389 --> 00:27:32.399 align:start position:0% 00:27:32.399 --> 00:27:37.110 align:start position:0% months<00:27:33.399> so<00:27:33.640> please<00:27:34.240> be<00:27:34.760> very<00:27:35.520> clear<00:27:35.960> about<00:27:36.360> it 00:27:37.110 --> 00:27:37.120 align:start position:0% months so please be very clear about it 00:27:37.120 --> 00:27:41.230 align:start position:0% months so please be very clear about it that<00:27:37.640> vaccinations<00:27:38.640> as<00:27:38.960> per<00:27:39.840> any<00:27:40.240> guideline 00:27:41.230 --> 00:27:41.240 align:start position:0% that vaccinations as per any guideline 00:27:41.240 --> 00:27:44.310 align:start position:0% that vaccinations as per any guideline in<00:27:41.360> the<00:27:41.559> world<00:27:42.320> whether<00:27:42.600> it<00:27:42.960> wh<00:27:43.799> whether<00:27:44.000> it's 00:27:44.310 --> 00:27:44.320 align:start position:0% in the world whether it wh whether it's 00:27:44.320 --> 00:27:46.430 align:start position:0% in the world whether it wh whether it's CDs<00:27:44.840> guidelines<00:27:45.360> whether<00:27:45.600> it<00:27:45.720> is<00:27:45.960> nnf 00:27:46.430 --> 00:27:46.440 align:start position:0% CDs guidelines whether it is nnf 00:27:46.440 --> 00:27:48.269 align:start position:0% CDs guidelines whether it is nnf guidelines<00:27:47.399> whether<00:27:47.600> it<00:27:47.720> is<00:27:47.840> an<00:27:48.000> Indian 00:27:48.269 --> 00:27:48.279 align:start position:0% guidelines whether it is an Indian 00:27:48.279 --> 00:27:49.669 align:start position:0% guidelines whether it is an Indian Academy<00:27:48.600> of<00:27:48.679> pediatric<00:27:49.120> guidelines<00:27:49.519> the 00:27:49.669 --> 00:27:49.679 align:start position:0% Academy of pediatric guidelines the 00:27:49.679 --> 00:27:51.830 align:start position:0% Academy of pediatric guidelines the vaccinations<00:27:50.279> should<00:27:50.519> not<00:27:50.720> be<00:27:50.880> missed<00:27:51.559> and<00:27:51.720> it 00:27:51.830 --> 00:27:51.840 align:start position:0% vaccinations should not be missed and it 00:27:51.840 --> 00:27:56.149 align:start position:0% vaccinations should not be missed and it should<00:27:52.200> be<00:27:52.480> done<00:27:53.039> as<00:27:53.519> per<00:27:54.000> the<00:27:54.760> immunization 00:27:56.149 --> 00:27:56.159 align:start position:0% should be done as per the immunization 00:27:56.159 --> 00:27:58.669 align:start position:0% should be done as per the immunization schedule<00:27:57.159> that<00:27:57.279> is<00:27:57.480> number<00:27:57.799> one 00:27:58.669 --> 00:27:58.679 align:start position:0% schedule that is number one 00:27:58.679 --> 00:28:00.990 align:start position:0% schedule that is number one number<00:27:59.000> two<00:27:59.519> first<00:27:59.840> year<00:28:00.120> vaccination<00:28:00.840> that 00:28:00.990 --> 00:28:01.000 align:start position:0% number two first year vaccination that 00:28:01.000 --> 00:28:03.230 align:start position:0% number two first year vaccination that means<00:28:01.679> birth<00:28:02.360> till<00:28:02.640> first<00:28:02.919> year<00:28:03.080> of 00:28:03.230 --> 00:28:03.240 align:start position:0% means birth till first year of 00:28:03.240 --> 00:28:05.230 align:start position:0% means birth till first year of vaccination<00:28:04.039> should<00:28:04.320> be 00:28:05.230 --> 00:28:05.240 align:start position:0% vaccination should be 00:28:05.240 --> 00:28:07.870 align:start position:0% vaccination should be done<00:28:06.240> at<00:28:06.519> any<00:28:06.760> point<00:28:07.000> of<00:28:07.200> time<00:28:07.440> and<00:28:07.559> it<00:28:07.679> should 00:28:07.870 --> 00:28:07.880 align:start position:0% done at any point of time and it should 00:28:07.880 --> 00:28:11.149 align:start position:0% done at any point of time and it should not<00:28:08.080> be<00:28:08.240> missed<00:28:09.159> now<00:28:09.440> why<00:28:09.640> am<00:28:10.000> why<00:28:10.159> am<00:28:10.880> saying 00:28:11.149 --> 00:28:11.159 align:start position:0% not be missed now why am why am saying 00:28:11.159 --> 00:28:13.509 align:start position:0% not be missed now why am why am saying these<00:28:11.320> things<00:28:11.559> is<00:28:11.840> because<00:28:12.440> if<00:28:12.600> we<00:28:12.960> don't<00:28:13.320> give 00:28:13.509 --> 00:28:13.519 align:start position:0% these things is because if we don't give 00:28:13.519 --> 00:28:16.230 align:start position:0% these things is because if we don't give the<00:28:13.720> vaccinations<00:28:14.399> to<00:28:14.559> our<00:28:14.799> baby<00:28:15.679> we 00:28:16.230 --> 00:28:16.240 align:start position:0% the vaccinations to our baby we 00:28:16.240 --> 00:28:18.269 align:start position:0% the vaccinations to our baby we understand<00:28:16.480> that<00:28:16.679> we<00:28:16.799> are<00:28:17.120> exposing<00:28:17.640> our<00:28:17.960> kids 00:28:18.269 --> 00:28:18.279 align:start position:0% understand that we are exposing our kids 00:28:18.279 --> 00:28:21.070 align:start position:0% understand that we are exposing our kids our<00:28:18.519> babies<00:28:18.880> to<00:28:19.159> all<00:28:19.480> preventable<00:28:20.080> diseases 00:28:21.070 --> 00:28:21.080 align:start position:0% our babies to all preventable diseases 00:28:21.080 --> 00:28:22.870 align:start position:0% our babies to all preventable diseases you<00:28:21.200> know<00:28:21.360> preventable<00:28:21.840> infectious<00:28:22.360> diseases 00:28:22.870 --> 00:28:22.880 align:start position:0% you know preventable infectious diseases 00:28:22.880 --> 00:28:26.149 align:start position:0% you know preventable infectious diseases like<00:28:23.039> measles<00:28:23.640> dfia<00:28:24.519> you<00:28:24.640> know<00:28:25.200> bumps<00:28:25.640> rubella 00:28:26.149 --> 00:28:26.159 align:start position:0% like measles dfia you know bumps rubella 00:28:26.159 --> 00:28:28.310 align:start position:0% like measles dfia you know bumps rubella and<00:28:26.320> all<00:28:26.519> those<00:28:26.760> things<00:28:27.440> hepatitis<00:28:27.919> A<00:28:28.159> a 00:28:28.310 --> 00:28:28.320 align:start position:0% and all those things hepatitis A a 00:28:28.320 --> 00:28:31.110 align:start position:0% and all those things hepatitis A a hepatitis<00:28:28.799> B<00:28:29.159> so<00:28:29.840> please<00:28:30.360> we<00:28:30.480> should 00:28:31.110 --> 00:28:31.120 align:start position:0% hepatitis B so please we should 00:28:31.120 --> 00:28:32.990 align:start position:0% hepatitis B so please we should understand<00:28:31.320> and<00:28:31.519> make<00:28:31.760> our<00:28:32.039> parents<00:28:32.559> aware 00:28:32.990 --> 00:28:33.000 align:start position:0% understand and make our parents aware 00:28:33.000 --> 00:28:39.509 align:start position:0% understand and make our parents aware that<00:28:33.240> vaccinations<00:28:33.799> are<00:28:34.039> important 00:28:39.509 --> 00:28:39.519 align:start position:0% 00:28:39.519 --> 00:28:41.789 align:start position:0% otherwise<00:28:40.519> so<00:28:40.679> you<00:28:40.799> have<00:28:40.960> to<00:28:41.080> be<00:28:41.279> very<00:28:41.519> clear 00:28:41.789 --> 00:28:41.799 align:start position:0% otherwise so you have to be very clear 00:28:41.799 --> 00:28:43.950 align:start position:0% otherwise so you have to be very clear about<00:28:42.039> the<00:28:42.200> vaccinations<00:28:43.039> and<00:28:43.240> in<00:28:43.440> discharge 00:28:43.950 --> 00:28:43.960 align:start position:0% about the vaccinations and in discharge 00:28:43.960 --> 00:28:45.669 align:start position:0% about the vaccinations and in discharge policies<00:28:44.519> we<00:28:44.679> have<00:28:44.799> to<00:28:44.960> mention<00:28:45.320> them<00:28:45.519> very 00:28:45.669 --> 00:28:45.679 align:start position:0% policies we have to mention them very 00:28:45.679 --> 00:28:47.669 align:start position:0% policies we have to mention them very clearly<00:28:46.399> that<00:28:46.640> please<00:28:47.000> go<00:28:47.159> ahead<00:28:47.360> with<00:28:47.519> the 00:28:47.669 --> 00:28:47.679 align:start position:0% clearly that please go ahead with the 00:28:47.679 --> 00:28:50.070 align:start position:0% clearly that please go ahead with the vaccination<00:28:48.320> and<00:28:48.559> prevent<00:28:48.880> your<00:28:49.039> baby<00:28:49.760> from 00:28:50.070 --> 00:28:50.080 align:start position:0% vaccination and prevent your baby from 00:28:50.080 --> 00:28:51.549 align:start position:0% vaccination and prevent your baby from vaccine<00:28:50.440> preventable 00:28:51.549 --> 00:28:51.559 align:start position:0% vaccine preventable 00:28:51.559 --> 00:28:54.710 align:start position:0% vaccine preventable diseases<00:28:52.559> now<00:28:53.279> coming<00:28:53.519> to<00:28:53.679> the<00:28:53.840> last<00:28:54.039> slide<00:28:54.600> uh 00:28:54.710 --> 00:28:54.720 align:start position:0% diseases now coming to the last slide uh 00:28:54.720 --> 00:28:57.110 align:start position:0% diseases now coming to the last slide uh the<00:28:54.880> most<00:28:55.159> important<00:28:55.640> points<00:28:56.000> the<00:28:56.240> P<00:28:56.760> parents 00:28:57.110 --> 00:28:57.120 align:start position:0% the most important points the P parents 00:28:57.120 --> 00:29:00.389 align:start position:0% the most important points the P parents and<00:28:57.320> families<00:28:57.640> of<00:28:58.080> ID<00:28:58.320> 19<00:28:58.640> exposed<00:28:59.640> suspected 00:29:00.389 --> 00:29:00.399 align:start position:0% and families of ID 19 exposed suspected 00:29:00.399 --> 00:29:02.750 align:start position:0% and families of ID 19 exposed suspected and<00:29:00.640> infected<00:29:01.159> mothers<00:29:01.519> and<00:29:01.679> units<00:29:02.440> should 00:29:02.750 --> 00:29:02.760 align:start position:0% and infected mothers and units should 00:29:02.760 --> 00:29:05.430 align:start position:0% and infected mothers and units should receive<00:29:03.279> informed<00:29:04.120> Healthcare<00:29:05.120> they<00:29:05.240> should 00:29:05.430 --> 00:29:05.440 align:start position:0% receive informed Healthcare they should 00:29:05.440 --> 00:29:07.669 align:start position:0% receive informed Healthcare they should be<00:29:05.640> aware<00:29:06.080> of<00:29:06.279> and<00:29:06.760> understand<00:29:06.919> the<00:29:07.120> isolation 00:29:07.669 --> 00:29:07.679 align:start position:0% be aware of and understand the isolation 00:29:07.679 --> 00:29:09.470 align:start position:0% be aware of and understand the isolation monitoring<00:29:08.159> and<00:29:08.320> Diagnostic<00:29:08.880> and<00:29:09.000> treatment 00:29:09.470 --> 00:29:09.480 align:start position:0% monitoring and Diagnostic and treatment 00:29:09.480 --> 00:29:11.669 align:start position:0% monitoring and Diagnostic and treatment plans<00:29:09.960> of<00:29:10.120> the<00:29:10.240> mother<00:29:10.519> and<00:29:10.720> babies<00:29:11.559> and 00:29:11.669 --> 00:29:11.679 align:start position:0% plans of the mother and babies and 00:29:11.679 --> 00:29:13.630 align:start position:0% plans of the mother and babies and should<00:29:11.880> be<00:29:12.000> given<00:29:12.200> a<00:29:12.320> periodic<00:29:12.919> update<00:29:13.399> about 00:29:13.630 --> 00:29:13.640 align:start position:0% should be given a periodic update about 00:29:13.640 --> 00:29:15.990 align:start position:0% should be given a periodic update about the<00:29:13.760> health<00:29:14.200> condition<00:29:15.120> visitors<00:29:15.559> to<00:29:15.760> both 00:29:15.990 --> 00:29:16.000 align:start position:0% the health condition visitors to both 00:29:16.000 --> 00:29:17.950 align:start position:0% the health condition visitors to both routine<00:29:16.320> and<00:29:16.519> covid-19<00:29:17.159> specific<00:29:17.559> childhood 00:29:17.950 --> 00:29:17.960 align:start position:0% routine and covid-19 specific childhood 00:29:17.960 --> 00:29:20.029 align:start position:0% routine and covid-19 specific childhood Neal<00:29:18.360> care<00:29:18.559> areas<00:29:18.840> should<00:29:19.000> be<00:29:19.159> screened<00:29:19.799> for 00:29:20.029 --> 00:29:20.039 align:start position:0% Neal care areas should be screened for 00:29:20.039 --> 00:29:22.190 align:start position:0% Neal care areas should be screened for symptoms<00:29:20.600> and<00:29:21.200> people<00:29:21.480> should<00:29:21.720> not<00:29:21.880> be 00:29:22.190 --> 00:29:22.200 align:start position:0% symptoms and people should not be 00:29:22.200 --> 00:29:24.110 align:start position:0% symptoms and people should not be allowed<00:29:22.840> the<00:29:22.960> family<00:29:23.240> members<00:29:23.559> should<00:29:23.760> not<00:29:23.919> be 00:29:24.110 --> 00:29:24.120 align:start position:0% allowed the family members should not be 00:29:24.120 --> 00:29:26.710 align:start position:0% allowed the family members should not be just<00:29:24.279> allowed<00:29:24.679> inside<00:29:25.159> every<00:29:25.440> time<00:29:26.279> persons 00:29:26.710 --> 00:29:26.720 align:start position:0% just allowed inside every time persons 00:29:26.720 --> 00:29:28.470 align:start position:0% just allowed inside every time persons including<00:29:27.240> parents<00:29:27.640> with<00:29:27.760> suspect<00:29:28.080> Ed<00:29:28.360> or 00:29:28.470 --> 00:29:28.480 align:start position:0% including parents with suspect Ed or 00:29:28.480 --> 00:29:31.110 align:start position:0% including parents with suspect Ed or confirmed<00:29:28.919> covid-19<00:29:29.559> infection<00:29:30.399> should<00:29:30.880> not 00:29:31.110 --> 00:29:31.120 align:start position:0% confirmed covid-19 infection should not 00:29:31.120 --> 00:29:32.549 align:start position:0% confirmed covid-19 infection should not be<00:29:31.240> allowed<00:29:31.480> to<00:29:31.559> enter<00:29:31.799> into<00:29:31.960> the<00:29:32.080> child<00:29:32.279> bir 00:29:32.549 --> 00:29:32.559 align:start position:0% be allowed to enter into the child bir 00:29:32.559 --> 00:29:36.070 align:start position:0% be allowed to enter into the child bir Neal<00:29:32.960> care<00:29:33.559> areas<00:29:34.559> and<00:29:35.120> for<00:29:35.399> units<00:29:35.760> who<00:29:35.880> are 00:29:36.070 --> 00:29:36.080 align:start position:0% Neal care areas and for units who are 00:29:36.080 --> 00:29:38.149 align:start position:0% Neal care areas and for units who are roomed<00:29:36.480> in<00:29:36.799> with<00:29:36.960> mother<00:29:37.399> having<00:29:37.720> suspected 00:29:38.149 --> 00:29:38.159 align:start position:0% roomed in with mother having suspected 00:29:38.159 --> 00:29:40.509 align:start position:0% roomed in with mother having suspected or<00:29:38.360> confirmed<00:29:38.799> covid-19<00:29:39.399> infection<00:29:40.240> one 00:29:40.509 --> 00:29:40.519 align:start position:0% or confirmed covid-19 infection one 00:29:40.519 --> 00:29:42.789 align:start position:0% or confirmed covid-19 infection one healthy<00:29:40.880> family<00:29:41.200> member<00:29:41.679> like<00:29:41.840> I<00:29:42.000> told<00:29:42.240> you 00:29:42.789 --> 00:29:42.799 align:start position:0% healthy family member like I told you 00:29:42.799 --> 00:29:45.909 align:start position:0% healthy family member like I told you who<00:29:43.080> has<00:29:43.600> been<00:29:44.320> detected<00:29:44.840> as<00:29:45.080> covid<00:29:45.399> negative 00:29:45.909 --> 00:29:45.919 align:start position:0% who has been detected as covid negative 00:29:45.919 --> 00:29:48.549 align:start position:0% who has been detected as covid negative and<00:29:46.159> has<00:29:46.320> not<00:29:46.519> had<00:29:46.720> any<00:29:47.080> exposure<00:29:48.080> can<00:29:48.320> be 00:29:48.549 --> 00:29:48.559 align:start position:0% and has not had any exposure can be 00:29:48.559 --> 00:29:50.710 align:start position:0% and has not had any exposure can be there<00:29:48.760> to<00:29:49.080> help<00:29:49.360> the<00:29:49.480> mother<00:29:49.799> to<00:29:50.000> assist<00:29:50.360> it<00:29:50.559> in 00:29:50.710 --> 00:29:50.720 align:start position:0% there to help the mother to assist it in 00:29:50.720 --> 00:29:52.830 align:start position:0% there to help the mother to assist it in the<00:29:51.159> baby<00:29:51.480> care 00:29:52.830 --> 00:29:52.840 align:start position:0% the baby care 00:29:52.840 --> 00:29:55.789 align:start position:0% the baby care activities<00:29:53.840> now<00:29:54.080> see<00:29:54.360> this<00:29:54.480> is<00:29:54.720> basically<00:29:55.240> the 00:29:55.789 --> 00:29:55.799 align:start position:0% activities now see this is basically the 00:29:55.799 --> 00:29:57.750 align:start position:0% activities now see this is basically the options<00:29:56.240> which<00:29:56.399> I've<00:29:56.480> have<00:29:57.200> taken<00:29:57.440> out<00:29:57.640> from 00:29:57.750 --> 00:29:57.760 align:start position:0% options which I've have taken out from 00:29:57.760 --> 00:30:00.029 align:start position:0% options which I've have taken out from the<00:29:58.039> CDC<00:29:58.440> guidelines<00:29:59.200> so<00:29:59.360> I'm<00:29:59.519> not<00:29:59.720> going<00:29:59.880> to 00:30:00.029 --> 00:30:00.039 align:start position:0% the CDC guidelines so I'm not going to 00:30:00.039 --> 00:30:01.590 align:start position:0% the CDC guidelines so I'm not going to go<00:30:00.200> into<00:30:00.440> a<00:30:00.519> lot<00:30:00.679> of<00:30:00.840> details<00:30:01.159> because<00:30:01.399> it<00:30:01.480> is 00:30:01.590 --> 00:30:01.600 align:start position:0% go into a lot of details because it is 00:30:01.600 --> 00:30:03.710 align:start position:0% go into a lot of details because it is the<00:30:01.760> visitor<00:30:02.240> policy<00:30:03.120> the<00:30:03.240> newal 00:30:03.710 --> 00:30:03.720 align:start position:0% the visitor policy the newal 00:30:03.720 --> 00:30:06.630 align:start position:0% the visitor policy the newal resuscitation<00:30:04.640> the<00:30:04.760> delayed<00:30:05.120> cord<00:30:05.640> clamping 00:30:06.630 --> 00:30:06.640 align:start position:0% resuscitation the delayed cord clamping 00:30:06.640 --> 00:30:09.110 align:start position:0% resuscitation the delayed cord clamping uh<00:30:06.760> skin<00:30:07.080> to<00:30:07.279> skare<00:30:07.679> contact<00:30:08.399> so<00:30:08.760> which<00:30:08.919> I've 00:30:09.110 --> 00:30:09.120 align:start position:0% uh skin to skare contact so which I've 00:30:09.120 --> 00:30:11.950 align:start position:0% uh skin to skare contact so which I've already<00:30:09.480> discussed<00:30:10.279> so<00:30:10.519> this<00:30:10.640> is<00:30:10.919> what<00:30:11.679> has 00:30:11.950 --> 00:30:11.960 align:start position:0% already discussed so this is what has 00:30:11.960 --> 00:30:13.430 align:start position:0% already discussed so this is what has infant<00:30:12.360> placement<00:30:12.799> whether<00:30:13.000> it<00:30:13.080> should<00:30:13.240> be 00:30:13.430 --> 00:30:13.440 align:start position:0% infant placement whether it should be 00:30:13.440 --> 00:30:15.549 align:start position:0% infant placement whether it should be separate<00:30:14.279> negative<00:30:14.679> pressure<00:30:14.960> rooms<00:30:15.279> like<00:30:15.440> I 00:30:15.549 --> 00:30:15.559 align:start position:0% separate negative pressure rooms like I 00:30:15.559 --> 00:30:16.950 align:start position:0% separate negative pressure rooms like I told<00:30:15.799> you<00:30:15.960> if<00:30:16.080> they<00:30:16.200> have<00:30:16.320> to<00:30:16.399> be<00:30:16.519> in<00:30:16.600> the<00:30:16.760> same 00:30:16.950 --> 00:30:16.960 align:start position:0% told you if they have to be in the same 00:30:16.960 --> 00:30:18.870 align:start position:0% told you if they have to be in the same room<00:30:17.559> then<00:30:17.760> they<00:30:17.840> should<00:30:18.039> be<00:30:18.200> separated<00:30:18.640> at<00:30:18.760> a 00:30:18.870 --> 00:30:18.880 align:start position:0% room then they should be separated at a 00:30:18.880 --> 00:30:21.990 align:start position:0% room then they should be separated at a 6<00:30:19.080> ft<00:30:19.240> or<00:30:19.360> a<00:30:19.480> 2<00:30:19.640> m<00:30:19.960> distance<00:30:20.880> uh<00:30:21.039> newal<00:30:21.600> testing 00:30:21.990 --> 00:30:22.000 align:start position:0% 6 ft or a 2 m distance uh newal testing 00:30:22.000 --> 00:30:25.590 align:start position:0% 6 ft or a 2 m distance uh newal testing like<00:30:22.120> I<00:30:22.200> told<00:30:22.399> you<00:30:22.559> what<00:30:22.799> can<00:30:22.919> be<00:30:23.120> done<00:30:24.159> and<00:30:25.159> uh 00:30:25.590 --> 00:30:25.600 align:start position:0% like I told you what can be done and uh 00:30:25.600 --> 00:30:27.149 align:start position:0% like I told you what can be done and uh nutritional<00:30:26.200> support<00:30:26.559> like<00:30:26.679> I<00:30:26.799> told<00:30:27.000> you 00:30:27.149 --> 00:30:27.159 align:start position:0% nutritional support like I told you 00:30:27.159 --> 00:30:29.029 align:start position:0% nutritional support like I told you breastfeeding<00:30:28.000> should<00:30:28.120> be<00:30:28.240> the<00:30:28.360> priority<00:30:28.880> at 00:30:29.029 --> 00:30:29.039 align:start position:0% breastfeeding should be the priority at 00:30:29.039 --> 00:30:31.630 align:start position:0% breastfeeding should be the priority at any<00:30:29.279> point<00:30:29.440> of<00:30:29.679> time<00:30:30.440> and<00:30:30.840> uh<00:30:31.039> visitation 00:30:31.630 --> 00:30:31.640 align:start position:0% any point of time and uh visitation 00:30:31.640 --> 00:30:34.110 align:start position:0% any point of time and uh visitation policy<00:30:31.960> for<00:30:32.200> infant<00:30:32.679> like<00:30:32.840> I<00:30:32.960> told<00:30:33.159> you<00:30:33.399> only 00:30:34.110 --> 00:30:34.120 align:start position:0% policy for infant like I told you only 00:30:34.120 --> 00:30:36.350 align:start position:0% policy for infant like I told you only uh<00:30:34.600> video<00:30:34.960> consultations<00:30:35.600> should<00:30:35.799> be<00:30:36.039> offered 00:30:36.350 --> 00:30:36.360 align:start position:0% uh video consultations should be offered 00:30:36.360 --> 00:30:37.870 align:start position:0% uh video consultations should be offered to<00:30:36.519> the<00:30:36.640> parents<00:30:37.000> when<00:30:37.159> they<00:30:37.240> are<00:30:37.399> they<00:30:37.559> going 00:30:37.870 --> 00:30:37.880 align:start position:0% to the parents when they are they going 00:30:37.880 --> 00:30:40.669 align:start position:0% to the parents when they are they going home<00:30:38.679> and<00:30:39.200> vaccinations<00:30:39.760> should<00:30:39.960> be<00:30:40.120> done<00:30:40.480> as 00:30:40.669 --> 00:30:40.679 align:start position:0% home and vaccinations should be done as 00:30:40.679 --> 00:30:43.470 align:start position:0% home and vaccinations should be done as per<00:30:41.039> the<00:30:41.640> priority<00:30:42.320> as<00:30:42.480> per<00:30:42.679> the<00:30:42.840> vaccination 00:30:43.470 --> 00:30:43.480 align:start position:0% per the priority as per the vaccination 00:30:43.480 --> 00:30:45.710 align:start position:0% per the priority as per the vaccination schedules<00:30:44.480> advice<00:30:44.919> to 00:30:45.710 --> 00:30:45.720 align:start position:0% schedules advice to 00:30:45.720 --> 00:30:49.110 align:start position:0% schedules advice to you<00:30:46.720> now<00:30:47.080> uh<00:30:47.240> discharge<00:30:47.720> plans<00:30:48.159> this<00:30:48.240> is<00:30:48.480> small 00:30:49.110 --> 00:30:49.120 align:start position:0% you now uh discharge plans this is small 00:30:49.120 --> 00:30:50.389 align:start position:0% you now uh discharge plans this is small I<00:30:49.320> tell<00:30:49.480> you<00:30:49.640> the<00:30:49.720> newborn<00:30:50.120> should<00:30:50.279> be 00:30:50.389 --> 00:30:50.399 align:start position:0% I tell you the newborn should be 00:30:50.399 --> 00:30:52.110 align:start position:0% I tell you the newborn should be transferred<00:30:50.799> to<00:30:50.919> a<00:30:51.000> healthy<00:30:51.279> caregiver<00:30:51.799> until 00:30:52.110 --> 00:30:52.120 align:start position:0% transferred to a healthy caregiver until 00:30:52.120 --> 00:30:54.470 align:start position:0% transferred to a healthy caregiver until the<00:30:52.279> mother<00:30:52.519> is<00:30:52.679> off<00:30:52.880> file<00:30:53.799> with<00:30:54.039> Improvement 00:30:54.470 --> 00:30:54.480 align:start position:0% the mother is off file with Improvement 00:30:54.480 --> 00:30:58.070 align:start position:0% the mother is off file with Improvement of<00:30:55.360> symptoms<00:30:55.799> are<00:30:56.039> and<00:30:56.200> two<00:30:56.440> neopal<00:30:57.200> and<00:30:57.320> Oro 00:30:58.070 --> 00:30:58.080 align:start position:0% of symptoms are and two neopal and Oro 00:30:58.080 --> 00:31:01.669 align:start position:0% of symptoms are and two neopal and Oro St<00:30:58.679> testing<00:30:59.080> out<00:30:59.279> to<00:30:59.360> be<00:30:59.840> negative<00:31:00.840> uh<00:31:01.200> infant 00:31:01.669 --> 00:31:01.679 align:start position:0% St testing out to be negative uh infant 00:31:01.679 --> 00:31:03.190 align:start position:0% St testing out to be negative uh infant testing<00:31:01.960> and<00:31:02.159> follow<00:31:02.399> up<00:31:02.600> like<00:31:02.720> I<00:31:02.840> told<00:31:03.039> you 00:31:03.190 --> 00:31:03.200 align:start position:0% testing and follow up like I told you 00:31:03.200 --> 00:31:04.750 align:start position:0% testing and follow up like I told you you<00:31:03.279> should<00:31:03.480> be<00:31:03.600> following<00:31:04.039> up<00:31:04.200> with<00:31:04.320> the<00:31:04.480> baby 00:31:04.750 --> 00:31:04.760 align:start position:0% you should be following up with the baby 00:31:04.760 --> 00:31:07.470 align:start position:0% you should be following up with the baby till<00:31:05.080> at<00:31:05.240> least<00:31:05.639> 4<00:31:06.000> weeks<00:31:06.639> after<00:31:06.960> discharge 00:31:07.470 --> 00:31:07.480 align:start position:0% till at least 4 weeks after discharge 00:31:07.480 --> 00:31:09.990 align:start position:0% till at least 4 weeks after discharge and<00:31:07.679> video<00:31:08.399> visits<00:31:08.760> or<00:31:08.960> phone<00:31:09.240> calls<00:31:09.639> can<00:31:09.799> be 00:31:09.990 --> 00:31:10.000 align:start position:0% and video visits or phone calls can be 00:31:10.000 --> 00:31:12.310 align:start position:0% and video visits or phone calls can be done<00:31:10.279> with<00:31:10.440> the<00:31:10.600> parents<00:31:11.039> so<00:31:11.240> that<00:31:11.440> their<00:31:12.039> baby 00:31:12.310 --> 00:31:12.320 align:start position:0% done with the parents so that their baby 00:31:12.320 --> 00:31:14.750 align:start position:0% done with the parents so that their baby doesn't<00:31:12.639> get<00:31:12.880> exposed<00:31:13.360> to<00:31:13.559> any<00:31:13.799> of<00:31:14.039> the<00:31:14.200> areas 00:31:14.750 --> 00:31:14.760 align:start position:0% doesn't get exposed to any of the areas 00:31:14.760 --> 00:31:18.470 align:start position:0% doesn't get exposed to any of the areas which<00:31:14.880> are<00:31:15.399> inclined<00:31:15.840> to<00:31:16.639> show<00:31:16.960> covid-19 00:31:18.470 --> 00:31:18.480 align:start position:0% which are inclined to show covid-19 00:31:18.480 --> 00:31:21.230 align:start position:0% which are inclined to show covid-19 search<00:31:19.480> and<00:31:19.919> like<00:31:20.200> last<00:31:20.480> point<00:31:20.679> which<00:31:20.799> I<00:31:20.919> told 00:31:21.230 --> 00:31:21.240 align:start position:0% search and like last point which I told 00:31:21.240 --> 00:31:23.110 align:start position:0% search and like last point which I told potential<00:31:21.639> risk<00:31:21.880> of<00:31:22.080> transmission<00:31:22.519> to<00:31:22.760> unit 00:31:23.110 --> 00:31:23.120 align:start position:0% potential risk of transmission to unit 00:31:23.120 --> 00:31:26.149 align:start position:0% potential risk of transmission to unit is<00:31:23.360> very<00:31:23.600> low<00:31:24.600> and<00:31:25.240> the<00:31:25.399> parent<00:31:25.720> should<00:31:25.960> not 00:31:26.149 --> 00:31:26.159 align:start position:0% is very low and the parent should not 00:31:26.159 --> 00:31:27.669 align:start position:0% is very low and the parent should not worry<00:31:26.399> about<00:31:26.600> it<00:31:26.760> they<00:31:26.840> should<00:31:27.039> make<00:31:27.240> them 00:31:27.669 --> 00:31:27.679 align:start position:0% worry about it they should make them 00:31:27.679 --> 00:31:30.070 align:start position:0% worry about it they should make them understand<00:31:28.039> these<00:31:28.320> things<00:31:29.320> so<00:31:29.519> the<00:31:29.639> take<00:31:29.880> home 00:31:30.070 --> 00:31:30.080 align:start position:0% understand these things so the take home 00:31:30.080 --> 00:31:31.350 align:start position:0% understand these things so the take home message<00:31:30.440> the<00:31:30.600> risk<00:31:30.840> of<00:31:30.960> vertical 00:31:31.350 --> 00:31:31.360 align:start position:0% message the risk of vertical 00:31:31.360 --> 00:31:34.310 align:start position:0% message the risk of vertical transmission<00:31:31.880> is<00:31:32.080> unclear<00:31:32.679> optimal<00:31:33.320> P<00:31:33.679> PP<00:31:34.080> kit 00:31:34.310 --> 00:31:34.320 align:start position:0% transmission is unclear optimal P PP kit 00:31:34.320 --> 00:31:37.750 align:start position:0% transmission is unclear optimal P PP kit should<00:31:34.519> be<00:31:35.159> always<00:31:35.840> wor<00:31:36.840> and<00:31:37.000> is<00:31:37.159> crucial<00:31:37.600> to 00:31:37.750 --> 00:31:37.760 align:start position:0% should be always wor and is crucial to 00:31:37.760 --> 00:31:39.269 align:start position:0% should be always wor and is crucial to prevent<00:31:38.039> transmission<00:31:38.559> and<00:31:38.720> parents<00:31:39.080> should 00:31:39.269 --> 00:31:39.279 align:start position:0% prevent transmission and parents should 00:31:39.279 --> 00:31:42.669 align:start position:0% prevent transmission and parents should be<00:31:39.519> engaged<00:31:40.039> in<00:31:40.240> shared<00:31:41.240> decision<00:31:41.760> making 00:31:42.669 --> 00:31:42.679 align:start position:0% be engaged in shared decision making 00:31:42.679 --> 00:31:44.990 align:start position:0% be engaged in shared decision making with<00:31:43.000> options<00:31:43.720> given<00:31:44.080> to<00:31:44.279> them<00:31:44.440> for<00:31:44.600> rooming 00:31:44.990 --> 00:31:45.000 align:start position:0% with options given to them for rooming 00:31:45.000 --> 00:31:47.990 align:start position:0% with options given to them for rooming in<00:31:45.559> skinto<00:31:46.039> skin<00:31:46.320> contact<00:31:46.960> breastfeeding<00:31:47.720> and 00:31:47.990 --> 00:31:48.000 align:start position:0% in skinto skin contact breastfeeding and 00:31:48.000 --> 00:31:50.269 align:start position:0% in skinto skin contact breastfeeding and vaccinations<00:31:49.000> the<00:31:49.200> last<00:31:49.519> point<00:31:49.799> is<00:31:50.039> very 00:31:50.269 --> 00:31:50.279 align:start position:0% vaccinations the last point is very 00:31:50.279 --> 00:31:53.190 align:start position:0% vaccinations the last point is very important<00:31:51.200> make<00:31:51.559> parents<00:31:52.080> comfortable<00:31:52.919> tell 00:31:53.190 --> 00:31:53.200 align:start position:0% important make parents comfortable tell 00:31:53.200 --> 00:31:55.549 align:start position:0% important make parents comfortable tell them<00:31:53.440> about<00:31:53.720> the<00:31:53.880> whole<00:31:54.120> details<00:31:55.120> we<00:31:55.240> should 00:31:55.549 --> 00:31:55.559 align:start position:0% them about the whole details we should 00:31:55.559 --> 00:32:07.870 align:start position:0% them about the whole details we should not<00:31:56.120> uh<00:31:56.279> we<00:31:56.360> should<00:31:56.639> basically<00:31:57.080> try<00:31:57.279> to 00:32:07.870 --> 00:32:07.880 align:start position:0% 00:32:07.880 --> 00:32:11.669 align:start position:0% we<00:32:08.880> tell<00:32:09.200> them<00:32:09.600> that<00:32:09.760> we<00:32:09.840> should<00:32:10.120> take<00:32:10.320> care<00:32:10.679> of 00:32:11.669 --> 00:32:11.679 align:start position:0% we tell them that we should take care of 00:32:11.679 --> 00:32:14.230 align:start position:0% we tell them that we should take care of our<00:32:11.919> newborn<00:32:12.360> babies<00:32:13.039> and<00:32:13.399> uh<00:32:13.519> not<00:32:13.720> be<00:32:13.919> worried 00:32:14.230 --> 00:32:14.240 align:start position:0% our newborn babies and uh not be worried 00:32:14.240 --> 00:32:16.830 align:start position:0% our newborn babies and uh not be worried about<00:32:14.480> the<00:32:14.960> covid-19 00:32:16.830 --> 00:32:16.840 align:start position:0% about the covid-19 00:32:16.840 --> 00:32:19.029 align:start position:0% about the covid-19 infections<00:32:17.840> uh<00:32:18.000> thank<00:32:18.159> you<00:32:18.279> for<00:32:18.519> your<00:32:18.720> patient 00:32:19.029 --> 00:32:19.039 align:start position:0% infections uh thank you for your patient 00:32:19.039 --> 00:32:21.029 align:start position:0% infections uh thank you for your patient listing<00:32:19.559> anything<00:32:19.919> you<00:32:20.039> want<00:32:20.200> to<00:32:20.480> ask<00:32:20.760> in 00:32:21.029 --> 00:32:21.039 align:start position:0% listing anything you want to ask in 00:32:21.039 --> 00:32:23.389 align:start position:0% listing anything you want to ask in specific<00:32:22.039> I<00:32:22.120> will<00:32:22.279> be<00:32:22.440> very<00:32:22.639> happy<00:32:22.880> to<00:32:23.039> answer 00:32:23.389 --> 00:32:23.399 align:start position:0% specific I will be very happy to answer 00:32:23.399 --> 00:32:25.950 align:start position:0% specific I will be very happy to answer your<00:32:24.000> uh<00:32:25.000> uh 00:32:25.950 --> 00:32:25.960 align:start position:0% your uh uh 00:32:25.960 --> 00:32:29.830 align:start position:0% your uh uh queries<00:32:26.960> uh<00:32:27.159> thank<00:32:27.360> you<00:32:27.519> so<00:32:27.679> much<00:32:28.240> doctor<00:32:29.240> so 00:32:29.830 --> 00:32:29.840 align:start position:0% queries uh thank you so much doctor so 00:32:29.840 --> 00:32:32.870 align:start position:0% queries uh thank you so much doctor so the<00:32:30.039> takeaway<00:32:30.679> key<00:32:30.960> points<00:32:31.279> today<00:32:31.679> were 00:32:32.870 --> 00:32:32.880 align:start position:0% the takeaway key points today were 00:32:32.880 --> 00:32:36.190 align:start position:0% the takeaway key points today were vaccination<00:32:33.880> it<00:32:34.080> was<00:32:34.440> the<00:32:34.720> neonatal 00:32:36.190 --> 00:32:36.200 align:start position:0% vaccination it was the neonatal 00:32:36.200 --> 00:32:39.509 align:start position:0% vaccination it was the neonatal placement<00:32:37.200> it<00:32:37.360> was<00:32:37.600> the<00:32:37.840> best 00:32:39.509 --> 00:32:39.519 align:start position:0% placement it was the best 00:32:39.519 --> 00:32:43.110 align:start position:0% placement it was the best breastfeeding<00:32:40.519> and<00:32:41.200> uh<00:32:41.919> mostly<00:32:42.679> that 00:32:43.110 --> 00:32:43.120 align:start position:0% breastfeeding and uh mostly that 00:32:43.120 --> 00:32:45.350 align:start position:0% breastfeeding and uh mostly that vaccination<00:32:43.880> is<00:32:44.080> really<00:32:44.480> important<00:32:45.000> and<00:32:45.200> that 00:32:45.350 --> 00:32:45.360 align:start position:0% vaccination is really important and that 00:32:45.360 --> 00:32:48.830 align:start position:0% vaccination is really important and that should<00:32:45.639> not<00:32:45.919> be<00:32:46.120> skipped<00:32:46.519> for<00:32:46.679> a<00:32:47.120> newborn<00:32:48.120> so 00:32:48.830 --> 00:32:48.840 align:start position:0% should not be skipped for a newborn so 00:32:48.840 --> 00:32:50.990 align:start position:0% should not be skipped for a newborn so any<00:32:49.039> more<00:32:49.440> questions<00:32:49.919> or<00:32:50.200> anything<00:32:50.600> because<00:32:50.840> I 00:32:50.990 --> 00:32:51.000 align:start position:0% any more questions or anything because I 00:32:51.000 --> 00:32:53.190 align:start position:0% any more questions or anything because I think<00:32:51.159> you<00:32:51.279> have<00:32:51.480> covered<00:32:51.919> everything<00:32:52.440> doctor 00:32:53.190 --> 00:32:53.200 align:start position:0% think you have covered everything doctor 00:32:53.200 --> 00:32:56.990 align:start position:0% think you have covered everything doctor so<00:32:53.559> any<00:32:54.000> questions<00:32:54.679> or<00:32:54.880> any<00:32:55.639> I<00:32:55.799> know<00:32:56.600> it<00:32:56.720> was 00:32:56.990 --> 00:32:57.000 align:start position:0% so any questions or any I know it was 00:32:57.000 --> 00:33:00.190 align:start position:0% so any questions or any I know it was really<00:32:57.919> well<00:32:58.159> set<00:32:58.399> and<00:32:58.840> very<00:32:59.200> well<00:32:59.600> put<00:32:59.880> down 00:33:00.190 --> 00:33:00.200 align:start position:0% really well set and very well put down 00:33:00.200 --> 00:33:03.389 align:start position:0% really well set and very well put down there<00:33:00.760> so<00:33:01.039> anything<00:33:01.760> required<00:33:02.399> from<00:33:02.679> our<00:33:03.039> site 00:33:03.389 --> 00:33:03.399 align:start position:0% there so anything required from our site 00:33:03.399 --> 00:33:06.870 align:start position:0% there so anything required from our site please<00:33:03.639> let<00:33:03.840> us<00:33:04.039> know<00:33:04.679> uh<00:33:05.600> just<00:33:06.000> the<00:33:06.200> last<00:33:06.600> poll 00:33:06.870 --> 00:33:06.880 align:start position:0% please let us know uh just the last poll 00:33:06.880 --> 00:33:31.350 align:start position:0% please let us know uh just the last poll we'll<00:33:07.080> do<00:33:07.279> till<00:33:07.559> that<00:33:07.799> time<00:33:08.240> and<00:33:08.480> then<00:33:09.039> right 00:33:31.350 --> 00:33:31.360 align:start position:0% 00:33:31.360 --> 00:33:33.350 align:start position:0% so<00:33:31.639> what<00:33:31.760> do<00:33:31.840> you<00:33:32.039> think<00:33:32.320> about<00:33:32.679> the<00:33:32.960> fourth 00:33:33.350 --> 00:33:33.360 align:start position:0% so what do you think about the fourth 00:33:33.360 --> 00:33:36.430 align:start position:0% so what do you think about the fourth wave<00:33:33.720> so<00:33:33.960> that's<00:33:34.480> coming<00:33:35.480> like<00:33:35.960> that's<00:33:36.159> in<00:33:36.320> the 00:33:36.430 --> 00:33:36.440 align:start position:0% wave so that's coming like that's in the 00:33:36.440 --> 00:33:38.990 align:start position:0% wave so that's coming like that's in the news<00:33:37.399> you<00:33:37.519> know<00:33:37.760> it's<00:33:38.000> it's<00:33:38.120> a<00:33:38.279> plus<00:33:38.440> orus 00:33:38.990 --> 00:33:39.000 align:start position:0% news you know it's it's a plus orus 00:33:39.000 --> 00:33:41.190 align:start position:0% news you know it's it's a plus orus thing<00:33:39.240> right<00:33:39.399> now<00:33:40.159> you<00:33:40.279> know<00:33:40.519> it's<00:33:40.639> a<00:33:40.799> plus<00:33:41.000> or 00:33:41.190 --> 00:33:41.200 align:start position:0% thing right now you know it's a plus or 00:33:41.200 --> 00:33:44.110 align:start position:0% thing right now you know it's a plus or minus<00:33:41.519> thing<00:33:41.760> right<00:33:41.919> now<00:33:42.120> you<00:33:42.279> know<00:33:43.120> because 00:33:44.110 --> 00:33:44.120 align:start position:0% minus thing right now you know because 00:33:44.120 --> 00:33:46.590 align:start position:0% minus thing right now you know because now<00:33:44.960> nowadays<00:33:45.519> now<00:33:45.720> what<00:33:45.840> we<00:33:45.960> are<00:33:46.080> finding<00:33:46.399> is 00:33:46.590 --> 00:33:46.600 align:start position:0% now nowadays now what we are finding is 00:33:46.600 --> 00:33:48.110 align:start position:0% now nowadays now what we are finding is basically<00:33:46.960> the<00:33:47.080> Omron<00:33:47.559> and<00:33:47.679> the<00:33:47.840> Delta 00:33:48.110 --> 00:33:48.120 align:start position:0% basically the Omron and the Delta 00:33:48.120 --> 00:33:49.750 align:start position:0% basically the Omron and the Delta variant<00:33:48.480> which<00:33:48.600> are<00:33:48.720> coming<00:33:49.120> together<00:33:49.440> you 00:33:49.750 --> 00:33:49.760 align:start position:0% variant which are coming together you 00:33:49.760 --> 00:33:53.549 align:start position:0% variant which are coming together you know<00:33:50.760> that<00:33:51.519> that<00:33:52.159> see<00:33:52.440> normally<00:33:53.039> because<00:33:53.399> we 00:33:53.549 --> 00:33:53.559 align:start position:0% know that that see normally because we 00:33:53.559 --> 00:33:57.190 align:start position:0% know that that see normally because we are<00:33:54.039> all<00:33:54.360> vaccinated<00:33:54.960> thoroughly<00:33:55.480> now<00:33:56.440> and<00:33:56.919> uh 00:33:57.190 --> 00:33:57.200 align:start position:0% are all vaccinated thoroughly now and uh 00:33:57.200 --> 00:34:00.230 align:start position:0% are all vaccinated thoroughly now and uh we<00:33:57.360> know<00:33:57.559> that<00:33:57.960> at<00:33:58.120> least<00:33:58.760> many<00:33:59.200> persons<00:33:59.919> even 00:34:00.230 --> 00:34:00.240 align:start position:0% we know that at least many persons even 00:34:00.240 --> 00:34:03.230 align:start position:0% we know that at least many persons even the<00:34:00.360> elders<00:34:00.919> and<00:34:01.159> the<00:34:01.320> babies<00:34:02.000> sorry<00:34:02.639> the<00:34:02.919> kids 00:34:03.230 --> 00:34:03.240 align:start position:0% the elders and the babies sorry the kids 00:34:03.240 --> 00:34:04.950 align:start position:0% the elders and the babies sorry the kids about<00:34:03.519> 15<00:34:03.880> years<00:34:04.120> they<00:34:04.200> have<00:34:04.320> been<00:34:04.480> thoroughly 00:34:04.950 --> 00:34:04.960 align:start position:0% about 15 years they have been thoroughly 00:34:04.960 --> 00:34:06.909 align:start position:0% about 15 years they have been thoroughly vaccinated<00:34:05.960> and<00:34:06.120> now<00:34:06.320> the<00:34:06.480> good<00:34:06.639> thing<00:34:06.799> is 00:34:06.909 --> 00:34:06.919 align:start position:0% vaccinated and now the good thing is 00:34:06.919 --> 00:34:08.510 align:start position:0% vaccinated and now the good thing is that<00:34:07.039> you<00:34:07.120> have<00:34:07.279> vaccinated<00:34:07.799> kids<00:34:08.079> between<00:34:08.320> 12 00:34:08.510 --> 00:34:08.520 align:start position:0% that you have vaccinated kids between 12 00:34:08.520 --> 00:34:11.629 align:start position:0% that you have vaccinated kids between 12 to<00:34:08.720> 15<00:34:08.960> years<00:34:09.119> of<00:34:09.440> age<00:34:10.440> uh<00:34:10.599> so<00:34:10.879> we<00:34:11.079> hope<00:34:11.359> we<00:34:11.480> are 00:34:11.629 --> 00:34:11.639 align:start position:0% to 15 years of age uh so we hope we are 00:34:11.639 --> 00:34:13.470 align:start position:0% to 15 years of age uh so we hope we are crossing<00:34:11.960> our<00:34:12.159> fingers<00:34:12.599> that<00:34:12.800> everything 00:34:13.470 --> 00:34:13.480 align:start position:0% crossing our fingers that everything 00:34:13.480 --> 00:34:16.310 align:start position:0% crossing our fingers that everything goes<00:34:13.839> well<00:34:14.240> but<00:34:14.399> see<00:34:15.119> waves<00:34:15.399> are<00:34:15.599> going<00:34:15.760> to 00:34:16.310 --> 00:34:16.320 align:start position:0% goes well but see waves are going to 00:34:16.320 --> 00:34:18.909 align:start position:0% goes well but see waves are going to come<00:34:17.320> okay<00:34:17.839> so<00:34:18.040> we<00:34:18.119> should<00:34:18.320> not<00:34:18.480> be<00:34:18.599> worried 00:34:18.909 --> 00:34:18.919 align:start position:0% come okay so we should not be worried 00:34:18.919 --> 00:34:20.270 align:start position:0% come okay so we should not be worried about<00:34:19.159> the<00:34:19.320> waves<00:34:19.720> we<00:34:19.800> should<00:34:19.960> be<00:34:20.119> more 00:34:20.270 --> 00:34:20.280 align:start position:0% about the waves we should be more 00:34:20.280 --> 00:34:22.030 align:start position:0% about the waves we should be more worried<00:34:20.599> to<00:34:20.760> take<00:34:21.000> precautions<00:34:21.520> to<00:34:21.760> prevent 00:34:22.030 --> 00:34:22.040 align:start position:0% worried to take precautions to prevent 00:34:22.040 --> 00:34:23.589 align:start position:0% worried to take precautions to prevent ourselves<00:34:22.480> and<00:34:22.639> our<00:34:22.839> family<00:34:23.119> members<00:34:23.399> from 00:34:23.589 --> 00:34:23.599 align:start position:0% ourselves and our family members from 00:34:23.599 --> 00:34:27.109 align:start position:0% ourselves and our family members from these<00:34:23.919> days<00:34:24.839> so<00:34:25.599> uh<00:34:25.960> considering<00:34:26.520> that<00:34:26.720> thing 00:34:27.109 --> 00:34:27.119 align:start position:0% these days so uh considering that thing 00:34:27.119 --> 00:34:30.230 align:start position:0% these days so uh considering that thing the<00:34:27.359> M<00:34:28.119> hand<00:34:28.399> hygiene<00:34:29.399> your<00:34:29.639> respiratory 00:34:30.230 --> 00:34:30.240 align:start position:0% the M hand hygiene your respiratory 00:34:30.240 --> 00:34:31.950 align:start position:0% the M hand hygiene your respiratory atates<00:34:30.960> all<00:34:31.200> those<00:34:31.399> things<00:34:31.599> should<00:34:31.800> be 00:34:31.950 --> 00:34:31.960 align:start position:0% atates all those things should be 00:34:31.960 --> 00:34:35.470 align:start position:0% atates all those things should be maintained<00:34:32.560> even<00:34:33.480> we<00:34:33.679> find<00:34:34.159> only<00:34:35.159> maybe 00:34:35.470 --> 00:34:35.480 align:start position:0% maintained even we find only maybe 00:34:35.480 --> 00:34:37.349 align:start position:0% maintained even we find only maybe thousands<00:34:36.000> of<00:34:36.200> cases<00:34:36.560> only<00:34:36.839> thousand<00:34:37.200> and 00:34:37.349 --> 00:34:37.359 align:start position:0% thousands of cases only thousand and 00:34:37.359 --> 00:34:39.589 align:start position:0% thousands of cases only thousand and less<00:34:37.520> than<00:34:37.639> thousand<00:34:37.960> of<00:34:38.079> cases<00:34:38.320> in<00:34:38.480> India<00:34:39.280> so 00:34:39.589 --> 00:34:39.599 align:start position:0% less than thousand of cases in India so 00:34:39.599 --> 00:34:41.430 align:start position:0% less than thousand of cases in India so those<00:34:39.839> precautions<00:34:40.399> still<00:34:40.639> have<00:34:40.800> to<00:34:40.919> be<00:34:41.079> taken 00:34:41.430 --> 00:34:41.440 align:start position:0% those precautions still have to be taken 00:34:41.440 --> 00:34:43.829 align:start position:0% those precautions still have to be taken even<00:34:41.720> if<00:34:41.879> we<00:34:42.000> are<00:34:42.320> we<00:34:42.440> are<00:34:42.639> doctors<00:34:43.079> we<00:34:43.280> all 00:34:43.829 --> 00:34:43.839 align:start position:0% even if we are we are doctors we all 00:34:43.839 --> 00:34:45.430 align:start position:0% even if we are we are doctors we all understand<00:34:44.040> those<00:34:44.240> things<00:34:44.839> and<00:34:45.000> we<00:34:45.079> should<00:34:45.280> be 00:34:45.430 --> 00:34:45.440 align:start position:0% understand those things and we should be 00:34:45.440 --> 00:34:47.470 align:start position:0% understand those things and we should be telling<00:34:45.720> our<00:34:45.919> parents<00:34:46.399> also<00:34:46.720> and<00:34:47.079> who<00:34:47.240> are 00:34:47.470 --> 00:34:47.480 align:start position:0% telling our parents also and who are 00:34:47.480 --> 00:34:49.589 align:start position:0% telling our parents also and who are visiting<00:34:47.800> in<00:34:47.919> our<00:34:48.119> clinics<00:34:48.960> that<00:34:49.119> please<00:34:49.359> take 00:34:49.589 --> 00:34:49.599 align:start position:0% visiting in our clinics that please take 00:34:49.599 --> 00:34:51.869 align:start position:0% visiting in our clinics that please take those<00:34:49.960> precautions<00:34:50.960> no<00:34:51.200> worries<00:34:51.480> about<00:34:51.720> the 00:34:51.869 --> 00:34:51.879 align:start position:0% those precautions no worries about the 00:34:51.879 --> 00:34:54.149 align:start position:0% those precautions no worries about the vs<00:34:52.480> because<00:34:52.760> it's<00:34:52.960> going<00:34:53.159> to<00:34:53.520> not<00:34:53.800> it's<00:34:53.960> not 00:34:54.149 --> 00:34:54.159 align:start position:0% vs because it's going to not it's not 00:34:54.159 --> 00:34:56.349 align:start position:0% vs because it's going to not it's not going<00:34:54.320> to<00:34:54.480> end<00:34:55.480> but<00:34:55.639> it's<00:34:55.800> going<00:34:55.960> to<00:34:56.079> be<00:34:56.240> there 00:34:56.349 --> 00:34:56.359 align:start position:0% going to end but it's going to be there 00:34:56.359 --> 00:34:58.310 align:start position:0% going to end but it's going to be there for<00:34:56.480> a<00:34:56.599> longer<00:34:56.839> period<00:34:57.119> of<00:34:57.280> time 00:34:58.310 --> 00:34:58.320 align:start position:0% for a longer period of time 00:34:58.320 --> 00:35:01.589 align:start position:0% for a longer period of time yeah<00:34:59.320> okay<00:34:59.920> so<00:35:00.320> thank<00:35:00.520> you<00:35:00.760> so<00:35:00.960> much<00:35:01.200> doctor 00:35:01.589 --> 00:35:01.599 align:start position:0% yeah okay so thank you so much doctor 00:35:01.599 --> 00:35:03.190 align:start position:0% yeah okay so thank you so much doctor for<00:35:01.800> being<00:35:02.119> part<00:35:02.320> of<00:35:02.520> this<00:35:02.720> session<00:35:03.040> and 00:35:03.190 --> 00:35:03.200 align:start position:0% for being part of this session and 00:35:03.200 --> 00:35:05.870 align:start position:0% for being part of this session and taking<00:35:03.560> such<00:35:03.720> an<00:35:04.000> informative<00:35:04.839> session<00:35:05.680> hope 00:35:05.870 --> 00:35:05.880 align:start position:0% taking such an informative session hope 00:35:05.880 --> 00:35:08.349 align:start position:0% taking such an informative session hope to<00:35:06.079> have<00:35:06.240> a<00:35:06.640> session<00:35:07.119> again<00:35:07.560> with<00:35:07.760> you<00:35:08.119> very 00:35:08.349 --> 00:35:08.359 align:start position:0% to have a session again with you very 00:35:08.359 --> 00:35:11.550 align:start position:0% to have a session again with you very soon<00:35:09.359> and<00:35:09.960> thank<00:35:10.160> you<00:35:10.440> everybody<00:35:10.960> for<00:35:11.200> joining 00:35:11.550 --> 00:35:11.560 align:start position:0% soon and thank you everybody for joining 00:35:11.560 --> 00:35:13.990 align:start position:0% soon and thank you everybody for joining us<00:35:11.720> for<00:35:11.960> this<00:35:12.160> webinar<00:35:12.800> thank<00:35:12.960> you<00:35:13.079> so<00:35:13.240> much<00:35:13.440> Dr 00:35:13.990 --> 00:35:14.000 align:start position:0% us for this webinar thank you so much Dr 00:35:14.000 --> 00:35:15.829 align:start position:0% us for this webinar thank you so much Dr thank<00:35:14.119> you<00:35:14.560> thanks<00:35:14.760> a<00:35:14.880> lot<00:35:15.079> bye-bye<00:35:15.640> good 00:35:15.829 --> 00:35:15.839 align:start position:0% thank you thanks a lot bye-bye good 00:35:15.839 --> 00:35:18.839 align:start position:0% thank you thanks a lot bye-bye good night