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How do they respond to labour-rights worries publicly without enraging either Beijing or Washington? And how do they ensure that overzealous scrutiny of their workplaces does not make life even worse for Uighurs?

These are moral, political and social questions that businesses feel they should not have to answer alone. Start with traceability.

Its extra-long staple variety is coveted; it produces fabric that is whiter and less knotty than other sorts, making it a favourite for dress shirts sold around the world.

Until recently, when those brands fretted about labour conditions in Xinjiang, they sent auditors to inspect the factories. Without audits, Xinjiang has become a black hole in the supply chain, making it almost impossible for Western firms to retain suppliers there.

Furthermore, even outside Xinjiang, its cotton is a staple ingredient of Chinese yarn, where it may be mixed with other varieties, including imported stuff, and exported all over the world.

The second big problem is geopolitical. Navigating the Sino-American stand-off is getting tougher. Big international firms say that even if they reduce their dependence on supply chains within mainland China, they have no desire to pull out completely.

But keeping Chinese factories, if only to supply domestic consumers, risks using tainted Xinjiang raw materials. And the Chinese government is so hostile to any criticism about human rights in Xinjiang, especially from outsiders, that Western firms must rely on Chinese suppliers to lobby on their behalf, a delicate endeavour.

In America, meanwhile, penalising the repression of Uighurs has bipartisan support that is unlikely to wane whoever wins the elections in November.

But American brands feel that politicians have put them on the front line to safeguard human rights in China, without backup from Uncle Sam.

They have little diplomatic support when negotiating with China, and the Twitter court of public opinion can be harsh.

The bar of guilt is incredibly low. The bar of innocence is extremely high. All of this leaves global firms feeling ultra-cautious—and poses a final dilemma.

Averting a backlash from activists and, potentially, consumers requires removing Uighur employees from supply chains simply because it is so hard to prove whether they were coerced or not.

Ultimately, it may necessitate breaking ties with Chinese suppliers with any links to Xinjiang—ie, most of them—even if a relationship of trust goes back decades.

Tubal ligation — also known as having your tubes tied or tubal sterilization — is a type of permanent birth control. During tubal ligation, the fallopian tubes are cut, tied or blocked to permanently prevent pregnancy.

Tubal ligation prevents an egg from traveling from the ovaries through the fallopian tubes and blocks sperm from traveling up the fallopian tubes to the egg.

The procedure doesn't affect your menstrual cycle. Tubal ligation can be done at any time, including after childbirth or in combination with another abdominal surgery, such as a C-section.

Most tubal ligation procedures cannot be reversed. If reversal is attempted, it requires major surgery and isn't always effective.

Tubal ligation is one of the most commonly used surgical sterilization procedures for women. Tubal ligation permanently prevents pregnancy, so you no longer need any type of birth control.

However, it does not protect against sexually transmitted infections. Tubal ligation may also decrease your risk of ovarian cancer, especially if the fallopian tubes are removed.

Tubal ligation isn't right for everyone, however. Your doctor or health care provider will make sure you fully understand the risks and benefits of the procedure.

Your doctor may also talk to you about other options, including long-acting reversible contraceptives such as an intrauterine device IUD or a birth control device that's implanted in your arm.

An alternative permanent option is hysteroscopic sterilization, in which your doctor places a small coil or other insert into the fallopian tubes.

The insert causes scar tissue to form and seal off the tubes. Tubal ligation is an operation that involves making incisions in your abdomen.

It requires anesthesia. Risks associated with tubal ligation include:. Before you have a tubal ligation, your health care provider will talk to you about your reasons for wanting sterilization.

Together, you'll discuss factors that could make you regret the decision, such as a young age or change in marital status. If you're not having a tubal ligation shortly after childbirth or during a C-section, consider using contraception for at least one month before the procedure and continue using a reliable form of contraception until your tubal ligation procedure is performed.

If you have an interval tubal ligation as an outpatient procedure, either a needle is inserted or an incision is made through your belly button so your abdomen can be inflated with gas carbon dioxide or nitrous oxide.

Then a laparoscope is inserted into your abdomen. In most cases, your doctor will make a second small incision to insert special instruments through the abdominal wall.

Your doctor uses these instruments to seal the fallopian tubes by destroying parts of the tubes or blocking them with plastic rings or clips.

If you have a tubal ligation after vaginal childbirth, your doctor will likely make a small incision under your belly button, providing easy access to your uterus and fallopian tubes.

If you have a tubal ligation during a C-section, your health care provider will use the incision that was made to deliver the baby. If gas was used during tubal ligation, it will be removed when the procedure is done.

You may be allowed to go home several hours after an interval tubal ligation. Having a tubal ligation immediately following childbirth doesn't usually involve a longer hospital stay.

Your health care provider will discuss management of any post-procedure pain with you, before you go home from the hospital. You may bathe 48 hours after the procedure, but avoid straining or rubbing the incision.

Carefully dry the incision after bathing. Avoid heavy lifting and sex until your health care provider informs you that it's safe to do so.

Resume your normal activities gradually as you begin to feel better. Your stitches will dissolve and won't require removal.

Check with your health care provider to see if you need a follow-up appointment.

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