Stomach pain in late pregnancy feels like menstruation

Stomach pain in the third trimester of pregnancy that feels like menstruation may be a sign of false contractions or labor. It needs to be judged based on the accompanying symptoms. Common causes include physiological uterine contractions, threatened labor, placental abruption, etc. It is recommended to seek medical evaluation immediately.

In the third trimester of pregnancy, uterine muscle sensitivity increases, and irregular uterine contractions may occur, manifesting as paroxysmal dull pain or tightness in the lower abdomen, which is usually relieved after rest. If the pain lasts for more than 1 hour, and the interval gradually shortens to less than 10 minutes, or is accompanied by vaginal bleeding, water rupture, or lumbosacral pressure, you need to be alert to the onset of labor. The pain during placental abruption is persistent and severe, may be accompanied by the uterus being as hard as a board and reduced fetal movement, which is an obstetric emergency. Sudden abdominal pain in patients with hypertensive disorders during pregnancy should exclude complications of preeclampsia. Gastrointestinal disorders or urinary tract infections may also cause similar discomfort, but the pain is often accompanied by changes in bowel habits or frequent urination and urgency.

If abdominal pain occurs in the third trimester of pregnancy, you should avoid taking painkillers by yourself. It is recommended to rest in the left lateral decubitus position and record fetal movements. If the pain worsens or vaginal bleeding occurs, lie down immediately and call emergency services. Daily attention should be paid to replenishing water, avoiding standing for long periods of time, and regular prenatal check-ups to monitor blood pressure and urinary protein. It is recommended to prepare a labor bag and be familiar with the signs of labor, and to be hospitalized in time to wait for labor after regular contractions occur.