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<text><![CDATA[Connected Hospital – Neonatology at Villefranche sur Sâone University Hospital<br />]]></text>
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<text><![CDATA[The unit opened in September 2008.<br />]]></text>
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<text><![CDATA[It is an intensive care unit<br />]]></text>
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<text><![CDATA[which takes care of premature babies<br />]]></text>
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<text><![CDATA[and babies weighing more than 1200 grammes.<br />]]></text>
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<text><![CDATA[First and foremost, we wanted<br />]]></text>
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<text><![CDATA[to place premature babies at the centre of the service,<br />]]></text>
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<text><![CDATA[to try to see their needs<br />]]></text>
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<text><![CDATA[- it was at this point that it seemed obvious -<br />]]></text>
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<text><![CDATA[and having discussed it, of course, with other teams,<br />]]></text>
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<text><![CDATA[that we had to accommodate these premature babies, as much as possible,<br />]]></text>
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<text><![CDATA[in mother & baby rooms.<br />]]></text>
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<text><![CDATA[These mother & baby rooms allow<br />]]></text>
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<text><![CDATA[proximity to the mother,  and<br />]]></text>
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<text><![CDATA[privacy for the relationship -<br />]]></text>
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<text><![CDATA[which encourages breastfeeding<br />]]></text>
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<text><![CDATA[as well as skin-to-skin contact -<br />]]></text>
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<text><![CDATA[otherwise known as kangaroo care.<br />]]></text>
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<text><![CDATA[Next, we were very attentive to the environment -<br />]]></text>
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<text><![CDATA[in each room<br />]]></text>
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<text><![CDATA[there is a camera which is focussed on the baby<br />]]></text>
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<text><![CDATA[so that the baby can be observed.<br />]]></text>
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<text><![CDATA[The fact that we have this video<br />]]></text>
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<text><![CDATA[is a great help to us. It makes<br />]]></text>
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<text><![CDATA[the setting up of the baby's care much easier.<br />]]></text>
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<text><![CDATA[I gave birth to a little boy on 2nd June<br />]]></text>
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<text><![CDATA[I had a Caesarean section<br />]]></text>
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<text><![CDATA[and I can’t see my son<br />]]></text>
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<text><![CDATA[but they’ve given me this computer system<br />]]></text>
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<text><![CDATA[so that I can see my baby via the internet<br />]]></text>
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<text><![CDATA[from my bedroom – I can see my son via the camera.<br />]]></text>
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<text><![CDATA[This means I don't have to go up all the time<br />]]></text>
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<text><![CDATA[to the floor where he is<br />]]></text>
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<text><![CDATA[since I can see him via the internet<br />]]></text>
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<text><![CDATA[Yes, it’s very, very convenient.<br />]]></text>
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<text><![CDATA[Here, we are at the<br />]]></text>
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<text><![CDATA[nursing station<br />]]></text>
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<text><![CDATA[in front of a bank of cameras,<br />]]></text>
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<text><![CDATA[which allows us to see the babies<br />]]></text>
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<text><![CDATA[so that we can monitor them visually.<br />]]></text>
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<text><![CDATA[In relation to how the unit operates -<br />]]></text>
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<text><![CDATA[I mean, we’re in a place<br />]]></text>
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<text><![CDATA[where each baby is in its own room,<br />]]></text>
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<text><![CDATA[this allows us, once the doors are closed,<br />]]></text>
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<text><![CDATA[to stay in touch with what is happening to the babies.<br />]]></text>
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<text><![CDATA[In fact it is the combination of several monitoring processes -<br />]]></text>
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<text><![CDATA[we’ve got the visual monitoring<br />]]></text>
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<text><![CDATA[we’ve got the monitor screens,<br />]]></text>
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<text><![CDATA[which are monitoring the babies’ hearts and breathing.<br />]]></text>
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<text><![CDATA[It’s true that if an alarm goes off<br />]]></text>
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<text><![CDATA[because a baby is moving<br />]]></text>
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<text><![CDATA[we can look through the camera<br />]]></text>
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<text><![CDATA[to see what the baby is doing.<br />]]></text>
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<text><![CDATA[We have the advantage of being able to zoom in<br />]]></text>
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<text><![CDATA[very close to the child<br />]]></text>
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<text><![CDATA[and so to be able to see – when the shutters are open -<br />]]></text>
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<text><![CDATA[we can see the skin tone -<br />]]></text>
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<text><![CDATA[whether the child is blue, or pink.<br />]]></text>
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<text><![CDATA[We can also zoom out<br />]]></text>
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<text><![CDATA[to see -<br />]]></text>
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<text><![CDATA[here, for example, we’ve got twins -<br />]]></text>
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<text><![CDATA[so this allows us to see<br />]]></text>
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<text><![CDATA[both cribs,<br />]]></text>
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<text><![CDATA[and then to move around the room.<br />]]></text>
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<text><![CDATA[Sometimes we even zoom right out<br />]]></text>
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<text><![CDATA[onto our machines, to see if their alarms are going off or not.<br />]]></text>
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<text><![CDATA[This is the first time this has been set up.<br />]]></text>
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<text><![CDATA[The system operates 7/7 and 24/24 -<br />]]></text>
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<text><![CDATA[and this means that we have a level of security<br />]]></text>
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<text><![CDATA[that is almost total -<br />]]></text>
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<text><![CDATA[the concept at Villefranche<br />]]></text>
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<text><![CDATA[is unique in France.<br />]]></text>
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<text><![CDATA[On the whole, medicine is increasingly about networks<br />]]></text>
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<text><![CDATA[and because of this, information<br />]]></text>
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<text><![CDATA[and communication technologies<br />]]></text>
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<text><![CDATA[are at the heart of the issues.<br />]]></text>
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<text><![CDATA[This is an innovative solution<br />]]></text>
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<text><![CDATA[insofar as,<br />]]></text>
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<text><![CDATA[for the first time,<br />]]></text>
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<text><![CDATA[we have set up a video-monitoring system<br />]]></text>
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<text><![CDATA[which allows us to both ensure the safety<br />]]></text>
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<text><![CDATA[of the newborn in the neonatology unit,<br />]]></text>
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<text><![CDATA[and which allows us to maintain the mother-baby relationship -<br />]]></text>
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<text><![CDATA[this is very important -<br />]]></text>
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<text><![CDATA[because thanks to the safety which is established<br />]]></text>
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<text><![CDATA[we can allow ourselves to set up these mother & baby rooms,<br />]]></text>
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<text><![CDATA[these near-individual rooms.<br />]]></text>
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<text><![CDATA[And then, the system is innovative because it also lends itself<br />]]></text>
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<text><![CDATA[to opening towards the world outside -<br />]]></text>
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<text><![CDATA[family and friends<br />]]></text>
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<text><![CDATA[can also log on remotely<br />]]></text>
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<text><![CDATA[to the newborn’s room.<br />]]></text>
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<text><![CDATA[Remote access is secure -<br />]]></text>
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<text><![CDATA[not just anybody<br />]]></text>
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<text><![CDATA[can log on remotely<br />]]></text>
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<text><![CDATA[to the newborn’s room.<br />]]></text>
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<text><![CDATA[A password<br />]]></text>
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<text><![CDATA[and access code are needed.<br />]]></text>
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<text><![CDATA[So the father,<br />]]></text>
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<text><![CDATA[and grandparents<br />]]></text>
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<text><![CDATA[can log on,<br />]]></text>
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<text><![CDATA[from their computers, for example -<br />]]></text>
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<text><![CDATA[to observe the baby<br />]]></text>
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<text><![CDATA[in his or her crib.<br />]]></text>
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<text><![CDATA[For those who don’t have access to a computer -<br />]]></text>
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<text><![CDATA[for example if the mother is in a room<br />]]></text>
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<text><![CDATA[at a clinic or hospital<br />]]></text>
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<text><![CDATA[some distance from Villefranche,<br />]]></text>
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<text><![CDATA[and if she has one of these mobiles<br />]]></text>
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<text><![CDATA[like the iPhone,<br />]]></text>
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<text><![CDATA[she can easily connect to the internet<br />]]></text>
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<text><![CDATA[and see her baby.<br />]]></text>
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<text><![CDATA[Further developments<br />]]></text>
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<text><![CDATA[are in the pipeline<br />]]></text>
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<text><![CDATA[because Professor Rebaud<br />]]></text>
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<text><![CDATA[is full of ideas<br />]]></text>
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<text><![CDATA[- we’ve talked about the image, let's talk about sound -<br />]]></text>
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<text><![CDATA[the quality could be improved -<br />]]></text>
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<text><![CDATA[that’s one thing.<br />]]></text>
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<text><![CDATA[Another thing – I also talked about the multimedia terminal<br />]]></text>
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<text><![CDATA[which also has other potential functionalities,<br />]]></text>
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<text><![CDATA[for example, to offer the patient<br />]]></text>
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<text><![CDATA[better services in terms of comfort.<br />]]></text>
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<text><![CDATA[This multimedia terminal allows access<br />]]></text>
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<text><![CDATA[to television, the internet,<br />]]></text>
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<text><![CDATA[telephone services, video on demand<br />]]></text>
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<text><![CDATA[and online games -<br />]]></text>
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<text><![CDATA[a whole range of facilities<br />]]></text>
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<text><![CDATA[which will enable mothers to have the best possible stay<br />]]></text>
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<text><![CDATA[when they come to the maternity unit.<br />]]></text>
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<text><![CDATA[Here we’ve got Clémence, the first-born,<br />]]></text>
</item>
<item>
<tcIn>00:05:21</tcIn>
<tcOut>00:05:24</tcOut>
<text><![CDATA[Anna the second, his twin sister,<br />]]></text>
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<item>
<tcIn>00:05:24</tcIn>
<tcOut>00:05:26</tcOut>
<text><![CDATA[and Paul, the third -<br />]]></text>
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<item>
<tcIn>00:05:26</tcIn>
<tcOut>00:05:29</tcOut>
<text><![CDATA[the little boy who was tiniest<br />]]></text>
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<item>
<tcIn>00:05:29</tcIn>
<tcOut>00:05:31</tcOut>
<text><![CDATA[but who is now one kilo heavier than the others.<br />]]></text>
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<item>
<tcIn>00:05:32</tcIn>
<tcOut>00:05:35</tcOut>
<text><![CDATA[Yes, we had a private room alongside<br />]]></text>
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<item>
<tcIn>00:05:36</tcIn>
<tcOut>00:05:39</tcOut>
<text><![CDATA[Maybe it’s a bit awkward to say, but we were delighted.<br />]]></text>
</item>
<item>
<tcIn>00:05:39</tcIn>
<tcOut>00:05:41</tcOut>
<text><![CDATA[What is good, is that you have a place<br />]]></text>
</item>
<item>
<tcIn>00:05:41</tcIn>
<tcOut>00:05:43</tcOut>
<text><![CDATA[where parents can be with their babies in private,<br />]]></text>
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<item>
<tcIn>00:05:43</tcIn>
<tcOut>00:05:45</tcOut>
<text><![CDATA[individually, in a private room.<br />]]></text>
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<item>
<tcIn>00:05:45</tcIn>
<tcOut>00:05:47</tcOut>
<text><![CDATA[You are left in peace<br />]]></text>
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<item>
<tcIn>00:05:47</tcIn>
<tcOut>00:05:49</tcOut>
<text><![CDATA[and the care is fantastic.<br />]]></text>
</item>
<item>
<tcIn>00:05:49</tcIn>
<tcOut>00:05:51</tcOut>
<text><![CDATA[And they are brothers and sister,<br />]]></text>
</item>
<item>
<tcIn>00:05:51</tcIn>
<tcOut>00:05:53</tcOut>
<text><![CDATA[so three babies, to be able to have them all together,<br />]]></text>
</item>
<item>
<tcIn>00:05:53</tcIn>
<tcOut>00:05:55</tcOut>
<text><![CDATA[to observe them together -<br />]]></text>
</item>
<item>
<tcIn>00:05:55</tcIn>
<tcOut>00:05:57</tcOut>
<text><![CDATA[for us it was so much better than in other places<br />]]></text>
</item>
<item>
<tcIn>00:05:57</tcIn>
<tcOut>00:05:59</tcOut>
<text><![CDATA[where they would have been in a shared room.<br />]]></text>
</item>
<item>
<tcIn>00:05:59</tcIn>
<tcOut>00:06:01</tcOut>
<text><![CDATA[We ended up with 3 babies -<br />]]></text>
</item>
<item>
<tcIn>00:06:01</tcIn>
<tcOut>00:06:03</tcOut>
<text><![CDATA[it has to be said, it's a heavy load -<br />]]></text>
</item>
<item>
<tcIn>00:06:03</tcIn>
<tcOut>00:06:05</tcOut>
<text><![CDATA[but it’s a really beautiful gift of life<br />]]></text>
</item>
<item>
<tcIn>00:06:05</tcIn>
<tcOut>00:06:07</tcOut>
<text><![CDATA[and I encourage all those who are confronted with this<br />]]></text>
</item>
<item>
<tcIn>00:06:07</tcIn>
<tcOut>00:06:09</tcOut>
<text><![CDATA[to dare to do it, because although it fills<br />]]></text>
</item>
<item>
<tcIn>00:06:09</tcIn>
<tcOut>00:06:11</tcOut>
<text><![CDATA[night and days, it also fills the heart -<br />]]></text>
</item>
<item>
<tcIn>00:06:11</tcIn>
<tcOut>00:06:13</tcOut>
<text><![CDATA[and that is really great !<br />]]></text>
</item>
</mySub>
