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Effacement (thinning)
slide 1 of 2, Effacement (thinning),
As labor nears, the fetus's head drops down into the pelvis and pushes against the cervix. The cervix begins to thin (efface), sometimes over a few weeks.

Dilation (opening)
slide 2 of 2, Dilation (opening),
At the same time, the cervix also begins to open (dilate).