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The cervix also becomes thinner, changing from its usual thickness of about 3/4 inch to become as thin as a sheet of paper. This thinning is called effacement.
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The cervix become fully dilated to a size of 4 inches and the baby's head slips out of the uterus into the birth canal.
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The head has changed its shape to ease passage through the birth canal. It will later return to normal. After the head, the shoulders follow. Then the rest of the baby slips out easily.
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