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Rescue or emergency cerclage Cervical dilation or bulging membranes in the second trimester without contractions Contraindications Active vaginal bleeding Intrauterine infection Preterm labour Ruptured membranes Fetal anomalies incompatible with life Procedure Usually performed transvaginally under regional or general anesthesia Suture (e.g., Mersilene tape or Prolene) is placed around the cervix at the level of the internal os Removed at term (around 37 weeks) or earlier if labor starts Types of Cerclage McDonald cerclage simple purse-string suture

Ingredients: MCT Oil (from Coconut), Egg Yolks, Water, Distilled Vinegar, Salt, Less than 1% Mustard, Organic Olive Oil, Buttermilk, Apple Vinegar, Sea Salt, Garlic Powder, Onion Spices, Lemon Juice Concentrate, Xanthan Gum 0.3% (Thickener), Organic Rosemary Extract 0.1% (Preservative), Lactic Acid 0.1% (Acidity Regulator).