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foreign [Music] and today we will be discussing the topic of cervical incompetence so you get pregnant and then your weight your pregnancy then we tell you we thank you so this is not holding the pregnancy or it may not hold your pregnancy to term so what does that mean and what do we do next its a very cool or cervical Stitch also known as a civil code is a procedure whereby we put uh basically what you do is put a stitch around the cervix and the aim of that is to strengthen the cervix so that it holds the pregnancy longer so basically what you are doing is the cervix is opening up but when you put that Stitch it put some pressure at the opening of the cervix so that it remains closed and once that happens then the chances of you carrying the pregnancy to Beyond 37 weeks is quite High [Music] theres different types of cervical stitches that can be put so it depends on the reason why the service is not holding the pregnancy so one we could put what you call a McDonald Stitch or what