38 weeks pregnant stomach pain like menstrual period need to clarify the cause, aura of labor just need to pay attention to the fetal heart waiting for delivery, but if there is a contraindication to delivery, then need to perform a cesarean section.
There are many reasons for abdominal pain in late pregnancy, such as labor before the aura of labor, placenta previa and so on. Different causes of abdominal pain have different treatment principles.
1. Pre-eclampsia: Abdominal pain is a common manifestation of pre-eclampsia, caused by uterine contractions. Generally, if there are no contraindications to vaginal delivery such as shoulder dawning or placenta praevia, you only need to pay close attention to the progress of the labor process and the condition of the fetus, and wait for the delivery. However, if there are emergencies such as intrauterine distress in the course of labor, emergency surgery is often needed to terminate the pregnancy.
2. Placenta previa: Placenta previa is an obstetric emergency, often manifested by abdominal pain, vaginal bleeding, etc. Vaginal delivery is only applicable to 0~1 level of placenta previa, and the uterine mouth opens for a short period of time, such as delivery, while all other types require emergency surgery to terminate pregnancy.
Patients with abdominal pain should consult the doctor for ultrasound examination and follow the doctor’s instructions.