What does it mean when my stomach hurts like a menstrual cramp at 38 weeks of pregnancy?
Mar 05, 2024
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Pregnancy usually refers to gestation, "abdomen" generally means the belly, and "auntie's visit" is a colloquial term for menstruation. Abdominal pain resembling menstrual cramps at 38 weeks of pregnancy is typically caused by factors such as uterine enlargement, false labor contractions (Braxton Hicks), onset of labor, acute gastroenteritis, or placental abruption. Pregnant women should pay attention to getting adequate rest in late pregnancy, engage in appropriate physical activity, and maintain a healthy diet.
Pregnancy usually refers to gestation, "belly" generally means the abdomen, and "big sister's aunt" (a colloquial term) typically refers to menstruation. Abdominal pain resembling menstrual cramps at 38 weeks of pregnancy is usually caused by factors such as uterine enlargement, false labor contractions (Braxton Hicks contractions), onset of labor, acute gastroenteritis, or placental abruption. Prompt medical attention is required. Specific analyses are as follows:
1. Uterine enlargement: At 38 weeks of gestation, the fetus is nearly fully developed and the uterus is significantly enlarged, which may compress surrounding organs and tissues, causing discomfort or pain. This is usually a normal phenomenon and does not require specific treatment.
2. False labor contractions: Pregnant women at 38 weeks may experience false labor contractions, leading to sensations of abdominal pain. These contractions typically do not accompany other symptoms and can often be relieved through slow, deep breathing.
3. Onset of labor: If contractions become regular and are accompanied by light vaginal bleeding or leakage of amniotic fluid, these may be signs of active labor. The woman should go to the hospital immediately to prepare for delivery.
4. Acute gastroenteritis: Consuming excessive raw, cold, or spicy foods may lead to acute gastroenteritis in pregnant women, resulting in symptoms such as abdominal pain, diarrhea, nausea, and vomiting. It is recommended to follow medical advice and take medications such as Bifidobacterium quadruple live bacteria tablets, Bacillus licheniformis live bacterial granules, or Lactasin tablets for treatment.
5. Placental abruption: Placental abruption refers to the partial or complete detachment of a normally implanted placenta from the uterine wall before delivery, occurring after 20 weeks of gestation or during labor. Main symptoms include vaginal bleeding, abdominal pain, backache, and uterine contractions. Immediate hospitalization is necessary; vaginal delivery is preferred, but cesarean section may be required if needed.
Pregnant women in the late stages of pregnancy should ensure adequate rest, engage in appropriate physical activity, and maintain a healthy diet.
