If you are 40 weeks pregnant and have a painful stomach, you should judge the nature and rhythm of the pain and consider it to be a sign of labor or gastrointestinal disease, so you should go to the hospital in time to do relevant examinations and take targeted treatment measures. Common causes and treatment measures 1, signs of labor: manifested as regular abdominal pain, that is, the uterus contraction is regular, usually contraction once every few minutes, the interval time is gradually shortened, and abdominal pain is tight like a burst, the pain lengthens and increases, may be accompanied by vaginal bleeding, flowing water and other symptoms, at this time should be promptly admitted to the hospital for delivery; 2, gastrointestinal diseases: if there is no contraction pain, pain when If the pain is not accompanied by abdominal tightness, but pain in one part of the abdomen, it can be considered as pain caused by enteritis, intestinal spasm or intestinal obstruction, and should go to the hospital for examination in time to confirm the cause and carry out targeted treatment. Precautions 1, pregnant women should adjust their mindset, family members care more about accompanying pregnant women to avoid anxiety and anxiety; 2, prepare for delivery, pay attention to any accompanying symptoms, timely response; 3, after the contractions should pay attention to the pregnant woman’s blood pressure, if the pregnant woman’s blood pressure is too high need symptomatic treatment, so as not to affect the delivery.