diff --git a/main.scss b/main.scss
index 874ce97..fca35d6 100644
--- a/main.scss
+++ b/main.scss
@@ -32,5 +32,17 @@ $o-video-is-silent: true !default;
 		height: 100%;
 	}
 
+	.o-video__live-region {
+		position: absolute;
+		clip: rect(0 0 0 0);
+		margin: -1px;
+		border: 0;
+		overflow: hidden;
+		padding: 0;
+		width: 1px;
+		height: 1px;
+		white-space: nowrap;
+	}
+
 	$o-video-is-silent: true !global;
 }
diff --git a/src/js/ads.js b/src/js/ads.js
index 006e11a..087b5df 100644
--- a/src/js/ads.js
+++ b/src/js/ads.js
@@ -290,6 +290,11 @@ class VideoAds {
 					// Currently not used, could be used in an interval
 					// const remainingTime = this.adsManager.getRemainingTime();
 				}
+
+				// Users with screen readers will lose control of video while advert is playing,
+				// so we explain why and encourage them to wait with this message.
+				this.video.liveRegionEl.innerHTML=`Video will play after ad in ${options.detail.adDuration} seconds`;
+
 				break;
 			}
 			case google.ima.AdEvent.Type.COMPLETE: {
@@ -301,6 +306,8 @@ class VideoAds {
 				if (ad.isLinear()) {
 					// Would be used to clear the interval
 				}
+
+				this.video.liveRegionEl.innerHTML='';
 				break;
 			}
 
diff --git a/src/js/video.js b/src/js/video.js
index d673b48..c04f5b8 100644
--- a/src/js/video.js
+++ b/src/js/video.js
@@ -212,6 +212,9 @@ class Video {
 	}
 
 	addVideo() {
+		this.liveRegionEl = document.createElement('div');
+		this.liveRegionEl.setAttribute('aria-live','assertive');
+		this.liveRegionEl.classList.add('o-video__live-region');
 		this.videoEl = document.createElement('video');
 		this.videoEl.controls = true;
 		this.videoEl.className = Array.isArray(this.opts.classes) ? this.opts.classes.join(' ') : this.opts.classes;
@@ -233,6 +236,7 @@ class Video {
 			this.videoEl.autoplay = this.videoEl.autostart = true;
 		}
 
+		this.containerEl.appendChild(this.liveRegionEl);
 		this.containerEl.appendChild(this.videoEl);
 
 		addEvents(this, ['playing', 'pause', 'ended', 'progress', 'seeked', 'error', 'stalled']);