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Hi! If you were my patient, I would reassure you that you are going to notice things more with the second pregnancy, because you now know what they are. Because your symptoms sound a bit more severe than I would expect for 16 weeks though, I would want you to call me and I would probably want to evaluate your cervix with ultrasound to be sure it is not shortening or dilating due to the contractions. Hope this helps! Dr B
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