Erythrocytes in the urine during pregnancy

Among the numerous tests that are conducted during pregnancy, an important role is played by urinalysis. It is this study that helps to establish the deviations that occur in the work of the genitourinary system. As a rule, the appearance of erythrocytes in the urine with a normal pregnancy, indicates the presence of a violation. Let's talk in more detail about the situations in which erythrocytes in the urine can be raised with a seemingly normal pregnancy.

What causes erythrocytes to appear in the urine during the gestation of the baby?

This kind of phenomenon in medicine was called hematuria. Normally, erythrocytes in the urine are absent in pregnancy, but there may be single data of blood cells (up to 4 units).

Before to name the reasons of occurrence of erythrocytes in urine at proceeding without infringements of pregnancy, it is necessary to tell, that it is accepted to allocate 2 forms of the given disturbance: true and untrue (false) hematuria.

In the first case, a lab technician who examines a urine sample can find that the red blood cells present in the sample have been subjected to so-called "processing", i.e. fell into the urethra, passing through the tubules of the kidneys. In the case when whole erythrocytes are present in the analysis of urine given during pregnancy, they speak of untrue hematuria, i.e. the blood mixed with the excreted urine during the movement through the urethra. It is this form of hematuria that is common in the bearing of an infant.

The reasons for the development of untruth hematuria are usually:

• uterine bleeding;
• colpitis;
• erosion of the uterine neck;
• urolithiasis disease.

The above violations and explain the fact that in the urine of pregnant women, many erythrocytes are found.

So, with uterine bleeding, erythrocytes in urine are detected in a small amount (1-15 units). It is not necessary to color the urine red.

In the presence of cervical erosion, erythrocytes in the urine can also appear during the gestation of the baby. The thing is that the cervix, with an increase in the term, softens, which leads to the expansion of the blood vessels located in it, which also pass various uniform elements of the blood.

With urolithic illness, the walls of the urethra trauma the sand or concrements, which leads to the appearance of blood and, accordingly, erythrocytes in the urine.

How is the diagnosis of the cause of the appearance of red blood cells in the urine?

The increased content of erythrocytes in the urine, observed during pregnancy, requires the conduct of diagnostic activities such as:

• examination of the uterine neck in the mirrors;
• the study of a smear taken from the vagina;
• bakosev from the cervix and the cervical canal to determine genital infections;
• Kidney ultrasound.

What should be considered when collecting biomaterial (urine) for analysis?

Having understood what erythrocytes in the urine mean in pregnant women, it must be said that sometimes the error in the results of the analysis can be the result of an incorrect procedure for collecting material (urine) for the study.

Always urine for analysis must be collected in the morning. In this case, before this procedure, an obligatory condition is the holding of the toilet of external genital organs. To ensure that the microflora from the vagina does not get into the collected biomaterial, before the procedure, it is necessary to insert a tampon into the vagina. It is necessary to collect an average portion of urine.

Thus, such a phenomenon, when a lot of erythrocytes are found in the urine during pregnancy, requires an additional, thorough examination. In this case, the woman is first offered to pass the analysis again, and if the result has not changed, proceed with the diagnostic measures.