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I was being watched because of my history so it was sort of expected. There usually isn't any physical sign that you can watch for. My doctor has been doing vaginal u/s (where they put a rod like thing up inside of me) since I was about 12 or 14 weeks. Then he did a pelvic exam about 2 weeks ago because my u/s showed my cervix being short. He said that I am 50% effaced (my cervix is thinning) and it shouldn't do that until towards the end of the pregnancy. So, that's how I was diagnosed. I would talk to your doctor and ask him/her if you are at risk.

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