The pulling pain in the lower abdomen at 38 weeks is not necessarily a sign of labor, but can also be caused by false labor and fetal movement. False labor usually occurs before the start of labor and is characterized by short contractions, which can last less than 30 seconds, with long gaps and no gradual increase in intensity. They occur at night and disappear in the morning. As a result of uterine contractions, pregnant women may experience pulling pain in the lower abdomen, which may be accompanied by abdominal tightness and hardness. Some pregnant women may see a small amount of redness and a cervical mucus plug. If you see red, it is often a sign that the actual labor is not far away, and it is recommended that the pregnant woman go to the hospital to wait for labor. Of course, a pulling pain in the lower abdomen at 38 weeks of pregnancy may also indicate that labor is imminent. The sign of labor is the appearance of regular and gradually increasing uterine contractions. The mother will feel a burst of abdominal pain at intervals of 5-6 minutes, and as time progresses, the intervals gradually shorten, while the duration and intensity of the pain gradually increase. It is recommended that pregnant women in their 38th week of pregnancy relax, and if they feel worried, they can go to the obstetrics and gynecology department of the hospital for a checkup, and should go to the hospital in time to wait for labor when symptoms of labor appear.