A lot to the countrys fortunes we bring you the stories and developments that are going to be changing the world we live in get breaks it down but it was a slogan that whatever the Prime Minister pours jokes and counting the cost on aljazeera. After the air can you know what she did she just. Got down to decisions and. Along with. The truth on this. Is a Nurse Practitioner and she. My biggest concern is the quality of the prenatal care the army will receive in this pregnancy especially with a lot of my appointments being cancelled or switched to tell medicine which is very limited and even if there werent more urgent appointment it is filled with a desire to because our support partners i mean he will be present with us theres also been a lot of grief a box pregnant woman with their baby showers being here is told i know it sounds trivial by a lot of who have been relying on these baby showers to provide essential for their baby and of course there are other concerns like contracting who it ourselves and possibly passing it on to our baby or being separated from our baby after delivery so its a stressful time for women to be pregnant but i hope everybody stays safe. In this may its stressful just listening to that do you have concerns to have questions do you have aunts would love jumping judge each. And you can be in these. 3 judges to help us out of this conversation hello dr karen introduce just south to our audience good morning my name is Karen Nielsen professor of pediatrics Infectious Diseases at u. C. L. A. In los angeles and i work with mother to child transmission of infections gives a really high doesnt then is the right to have each other over out into the stream tell anybody who you are and your qualifications not all of them because we only have a few seconds to do your introduction but whats meant to be relevant to this. I mean. My name is often read aloud or call. Im an obstetrician gynecologist correlate it into a room. And i was fine as i held unit by the department of sexual or productive how to. Organize as she. Up us live i use to see a patients i care for that would. Make it to happen thank you so much and welcome to the student turned really. Good morning so my name is let me see kind and i am an only g. Y. N. In training spent many years caring for one in the sense and then given a to focus more on fragilities and am a fertility doctor working in a private practice i may have Center New York city. Oregon outside Medical Center this topic is near and dear to my heart because i myself am actually 27 weeks pregnant right now. Congratulations lets start with you because what is new about your pregnancy related to transit 98 what is your biggest concern is what do you know about the dispenser. So definitely you know in the last few months weve learned a lot its been a very sharp learning her and i would say weeks ago i felt very apprehensive at the fact that this was a novel virus and the little dude that we had was coming from countries and regions in the world that were before us in late fall and winter so the lack of data area is very troubling to me i think now that we unfortunately new york city has become the epicenter of the infection in the United States weve gathered a lot already yes ive been talking a lot directly with my colleagues in maternal illness and who are on the street in new. Minute for labor delivery also happened to us and so i think weve learned a lot. Of questions could be best described as split into 2 categories on the maternal side you know i worried about how when there is a virus anything like influenza or other respiratory viruses which we know can hit women harder when theyre pregnant so fortunately we were see that the breakdown of miles to minorities is versus if your case is requiring x. You much air that breakdown tends to be very similar to what were seeing in the illusion i was particularly interested in the Maternal Health aspect because i also happen to have moderate to severe as and so i think anyone whos pregnant will undermine one condition is particularly apprehensive about you know action call which and you know being immunosuppressed in. And then on the field theres a lot of questions that we have. It was a financial what the dimensions of driving for pregnant women to do you have that you might not tell im french were going to take much of that 19th wash your hands the space between you and others avoid touching eyes nose and mouth. Are autistic its the same as when everybody else is doing theres no special way that you can just ask if youre expecting. Them subtly or right i mean what weve found is that the the behavior of the virus at the moment in terms of some months into mythology is not any different between the pregnant population and the number of the population so at the same time theyre way to prevent contract and a virus which is not any different those 4 things that you mentioned are key. And regularly use in core based rob or whatever and it has been saying listen just a copy doesnt mean it is saying basically is really stressed upon printing because weve been told about these basic Public Health protections the several months. As a reckoning was 8 anything extra that they need to do. Actually there is another extra at the moment. Those Public Health measures they do work. On i think what is a problem is that people are not able to implement them correctly one of those things that you showed on the screen how we just avoid touching your face is no necessary either of. Those legs under williams arms or it can and its quite effective i do what is one of the problematic is that a lot of people dont know how to wash their hands properly so there are videos there with the shooter washing hand for a minimum of you know 22nd at least initially that you watch or parts of the hands. Of nurses or do you does a meticulous mused you do exactly things the rest of the population so it doesnt matter the age its exact the thing is that you have to be even more. To term limits bring you in here because i have another doctor whose arm i was told. That we were doing this and the 2 just cells is there any evidence of you soon Matthew Mason to determine that 90 infection intrinsic. Images search my message. And has been. An indication that that may be a case can you look at a new gunsmith. Well there is so far no evidence to. Cope with it would be if the Novel Coronavirus would behave like any other very what we call teratogenic viruses that cause malformations to the fetus for example to seek that which was a catastrophe and cause all these very severe. Formations deformities and so forth but theres no evidence yet. At least from ultrasound if you know a lot of nations we have to remember this is an epidemic that started in january so we will have that many women who are infected in the 1st trimester giving birth that will happen later in the year so theres no real data yet but as far as we know from all the ultrasound data there has been evaluated this far there is no evidence of any congenital malformation the virus which is very reassuring. As you push back in my viking thinking we dont know that much of that known teen pregnancy i think we have all our information sorry i think we know wherever me and particularly friend the 3rd trimester because we have women in the United States that have delivered and theyre known to be called positive at the time of delivery in there have been some studies and columbia new york presbyterian are here with lower numbers just because were still in the learning. Where at least 43 women who deliver. They have the opportunity to. Do testing also test for the virus in the breast not. The ct. And they were unable to detect the virus so i have personally found that to be very reassuring study you know they get some of the smaller stones that. Earlier this year. When you meet other. Mums and they know what you do in their your speciality which they are not. A lot of the questions i get asked about are Family Planning related. You know treating infertility is a very time sensitive matter because of the fact that women are one with a limited number of eggs or time the quantity in our of eggs diminishes and so and the biggest source of apprehension was 2 months ago how are we you know we really have. To know where there is a smart idea to proceed with our and we didnt go or so eyelashes want to know how does this impact my fertility. What impact could this have on i mean is it wise to move forward at this time or preconception should i be to you know my hands those are the most common questions i get asked the doctor who was who was an ethical conversations and its like is it ok to have a baby now where in a yes strain on that there is Health Services around what is now if you cover a developed nation or developing nations how surfaces are under stress that question is absolutely even done it shows the world health organization. The military is looking at every perspective of the virus including ethical issues not just around the pregnancy but as it relates to other population management as well. But i think. You know sleep thinking whether or not they were a woman should consider the moment i mean this is a kind of something that has to be individualized and at the moment what with the you know sort of saying is that there are all of these things that michael expose about the fact that we do not have any evidence at the moment to indicate the virus got across from the mother to the baby this very assurance and it was instruction for must see new moons you need to try and gentler of whats. So important with a break as they were coming straight the john pacifists to michael and. What states retain. And he can eat what is unique to that Mountain House and. Well there have been some papers primarily coming out of china looking at what we call carry needle transmission how frequent the virus will pass from the mother just baby so in those papers its reassuring to find out that in most situations the baby does not seem to be infected at the time of birth but there have been babies who have contracted and come down with the infection within 24 hours 36 hours 72 hours of war and now its unclear whether they the virus was in the battle announced many of these babies actually were delivered by c. Section what is the moat very likely they could have been infected right at the time of birth they came into contact with the mother and the mother you know this is a highly infectious virus so theres no. Show the transmission occurs you know through the vessel canal or through the placenta or you know in enjoying pregnancy itself having said that there have been a few papers now that have found the virus in the placenta. You just dont even. See the. Most significant elisa stage of pregnancy he wants to take the lead to see to it its not just. Right now the information that we have is scanty most of the women have been studied who are those women that got infected and it or try leicester and as my colleagues of said there is no clear cut evidence at the moment that the virus gets transmitted to the baby and that time. If we feel but to what weve learned from science and im asking that in the previous epidemic there is no evidence to demonstrate that. There is a higher incidence of any pregnancy loss of this courage for women who are going to be infected with the grosses and in the in the trying missed us so my would say that for what we know now we feel pretty. Comfortable not super confident because that the terrorists will evolve in and well learn more as we gather more data. The moment i do not see any serious consent for women to be worried about mother to child transmission of the virus if injected into trimester. Just let me share with you a conversation that is going to forth with us on twitter so lets start with magic with this 219 concludes i think regulation in the arteries of the lungs the heart it needs in the brain and much in what would mean to a fetus its unconscionable to get pregnant now 1st to be freed soon in the morning after pill in multitasks we just dont want to change a thing in the knee and move. This must continue just like to the 19th and vaccine must that nature take its course and what is it. That the last around. 2 surely opinions and then let me just take you to the last. And honestly he was. Family and had 19 happened. And it gave her poorest as she struggled to count will do. This is what she told the strain the. Truth is that even at the best of times deciding to have children is very scary but i also saying that as long as we believe that life is worth living which means that even in the face of obstacles and challenges be they. Are Climate Change or politics or the economy as long as we think that in the face of all of these life is still something thats worth fighting for and i think that we shouldnt worry about whether or not its still good to bring new life into the war anymore and then we worry that its going to sustain our own. Does a chinaman really seeing that you what hes seeking a. Function in seeking because they knew they had an impact on the e. C. The same time to see around 1000. I dont believe so i think the situation was ego was really different because it was proven documented early on that it was causing futile malformations there were detected around 20 pregnancy by the time releasing the ultrasounds and see that there were very significant. Damage to the Central Nervous system its different with what would cause as injury to the lungs if it affects a pregnant mother of course the babies will depend on the Maternal Health so if a mother becomes very sick with hope that this will of course will have repercussions as with any other disease to the baby in terms of maybe it will be premature deliveries it could be complications when her mother pregnant woman has to go on the ventilator of course that would affect the outcome of the fetus as well having said that fortunately pregnant women are not at higher risk than the general population as as we are reviewed here. I want to bring in. As a new much berth in belgium in brussels just a few. Hours doing well but at some point you. Know. And these are so whats. The woman from going to have to say if you feel worse if it is so they did a pregnancy monitoring and told me they would also test me for cover 19 and i thought it would be negative the next day my gynecologist called me to tell me that it was positive we nearly fell off our chairs because this had a lot of consequences in met my husband could not be with me when i was giving birth and that i was going to be on my own it was a start of a completely different process so the 2 days ahead of the childbirth were much more stressful i was so afraid for her. Assume that he asked me duchess you specialize in childbirth or pregnancy on new one im going to get Community Speed around each other questions and you teach doctors youre going to give me answers which really never fresh at most. Women take extreme getting in the other is a nonstarter for me you take that one. Vitamin d. Especially in our current recommendations say is that there is no evidence to demonstrate that it improves outcome so. Our side think ional quality us it regularly what marty vitamins. Or whatever micro new trend. Those are things that the moment the villagers recommend in on the time he talks in the need for a living are more questions since you mentioned michel thank you so let me just say i present pregnant in the charity and dont like going out unless i have to you dont want to go through transit 19 and other in such and so does the lucky. Ones pregnant you know what about down our city were not going out to save numbers 19th you had. It is so i think everyone has to have an individualized plan that makes them comfortable i can speak from my own personal experience that i can truly trying to minimize all exposures possible. Of an abundance of caution and if that scenario is being overly paranoid that everything turns out ok and im happy with that i think what you do have to live your life so i think its fine to you know leave your house you need to go to the Grocery Store ive been taking actions Wearing Masks and exercising hand washing and doing it often throughout the day and minimizing my exposure to groups of people and from a very early stage just out of an abundance of caution in being overly vigilant i dont think pregnant women have to lock themselves up and i think its reassuring so far there are not seen that this is a virus that behaves. When theres a real known arrest but i also think its important to balance that lack of evidence of risk doesnt equal access and. Its lack of it and there are rightly. What is unused to santee dr lucky precent that was a sense for the women who were about to give birth how do you protect yourself and protect your. Son possibly. Well in some hospitals like the hospital i work in are the women who command to deliver theyre actually tested for 19 so theres a blanket testing of women so that you know theres not only protection to these women but also protection to the staff because theres of course concern of exposure so that is a decision that has been made in that sense certainly healthcare has to end pregnancies have to be handled the way they would be handled normally you know women have to come in after be checked they have to be evaluated we live in this area telemedicine i think you just have to follow through with what your doctor says be compliant be vigilant and and hopefully everything will be taken care of we should not avoid medical care. Im just looking at these are still in the dismissal of that is that you can see close on to us of that which is here in this ng and what she knew doctors need is 100 you could ask that the pregnant in the time of the term denecke or lockdown how do you recognize a sons uncited suppression and stress in oneself and others just what shes so impressive you are sitting in. Your advising other people and you are also its thats not waging a Global Pandemic how do you control that stress. As an expectant mom he. I think you have to end knowledge that its stressful and something that i learned very early on in going through this as both a professional and from a personal standpoint is that its important to not overestimate your ability to deal with the stress of the hour now on and i think mobilizing whatever resources you have around you i think its important to have an obstetrician that you feel really comfortable talking to and reaching out to especially during times like these. Its different for everyone maybe telemedicine isnt for every patient i definitely have in. The used gel medicine throughout iraq and since media are calmer and less anxious for some haitians it might make them feel more anxious and less connected to their doctor so i think you have to find a way to garner support for your personal circle but also our national that are taking care of you and i think there are there is a lot of nice and reaching out to Mental Health professionals as well you know what you are struggling with exactly overwhelmed. Thank you dr lucky that you got to power thank you doctor and the as well for putting your expertise to atl to go on for corona virus and pregnancy is so much more sense of why well the deal is a Novel Coronavirus when we leave here that there was that w. H. Y. Revising device for your you know if youre pregnant or not pregnant how do i protect myself against her that 19 he was sharons frequently in that space between yourself and others avoid touching your eyes nose and mouth that is a cough or sneeze into your pen. You know that you know thats a much a watch and accidents child thanks for watching. Frank assessment wise its only struggling to cope with the number of coronavirus failure to take really aggressive action with them behind her and indepth analysis of the days global headlines inside story on aljazeera. The venezuela colombia has become a Stomping Ground for trespasses. As desperate people transgress an illegal passage. To feed an emerging field trafficking markets. We follow that perilous journey unguarded through the line of fire. Risking it all the friend israel in colombia. On aljazeera. Throughout history humankind has prevailed in our darkest ringback all coming together to face the very thing that would extinguish our light. This is not one of those moments. At all. This is a moment for pretty much the opposite for hiding for laying low. Is also. Saving humankind by really really not getting near it. Were playing games staring at screens staring at any. All of the stuff of your hours. Every generation has its moments where individual sacrifice makes way for the good of those who will come after a higher purpose. This one is ours. This is al jazeera. Hello im rob matheson this is the news our live from doha coming up in the next 60 minutes time for the borders to open again thats the plan from the e. U. To revive the economy but not all leaders are quite so keen chinese city orders more than 4000000 people to stay home but Officials Say new infections are not the feared 2nd wave. Brazil and mexico recall
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