After a pregnant woman becomes registered with a gynecologist, she will have to visit him once every two weeks. One of the mandatory studies that are carried out during such an examination is a urinalysis . It is taken at the registration of a pregnant woman, and then twice a month before childbirth. If there are deviations in the analysis of urine in the pregnant woman, the analysis will need to be taken during the course of treatment and the control after it.
Why submit urine test to pregnant women?
From the first days, the metabolism changes in the pregnant woman, and the woman's kidneys are no exception, because they will increase the load: it is necessary to remove toxic products of metabolism not only of the mother, but also of the fetus. In the early stages, changes in the analyzes are more associated with the restructuring of the body. In the second half, not only does the load on the kidneys increase noticeably, but the uterus with the fetus is often squeezed by the ureters, especially the right one. Urine is poorly excreted, stretches the kidneys and stagnates, and the attachment of infection leads to severe inflammation of the kidneys. And the first signs of a disturbance in the normal functioning of the kidneys are visible just in the results of the analysis.
How correctly to hand over the analysis of urine?
The accuracy of the indicators depends even on preparation for analysis: on the eve it is necessary to avoid physical exertion, not to use protein, acid, spicy food, alcohol. The dishes for analysis are taken clean, and preferably sterile (the canister can be boiled on the eve). Before the analysis, it is necessary to thoroughly wash the genitals - this will determine whether the norm of white blood cells in the urine, red blood cells, bacteria and epithelial cells. For analysis, the first morning urine collected from the middle portion is best suited. And take it to the laboratory will have to within 2 hours, avoiding shaking and unnecessary shaking.
Urinalysis in pregnant women is normal
Normally, in the general analysis of urine determine:
- color of urine (yellow, straw-yellow);
- transparency;
- specific weight (from 1.010 to 1.025);
- acidity (pH from 5 to 7);
- protein, sugar - normally absent;
- leukocytes (0-5 in the field of view);
- erythrocytes (0-2 in the field of view);
- epithelial cells (0-5 in the field of vision);
- Salts, bacteria, fungi or parasites should be absent.
In pregnancy, the indices should not change, but the increase in the number of leukocytes is possible (up to 6 in the field of vision). And if you are told to additionally pass a urinalysis by Nechiporenko, then the norm of leukocytes in the analysis of urine is 2000 in 1 ml.
Why can the content of leukocytes in urine in pregnant women increase?
Leukocytes are blood cells, they are the first to attack intruding microorganisms, absorb them as much as they can, and thus protect the body, and when they can no longer absorb germs, they die. Leukocytes in the urine during pregnancy increase with infection, because these cells try to absorb as many microorganisms as possible. And the more leukocytes in the analysis the more, the more active the inflammatory process. Leukocytes in the urine of pregnant women increase regardless of where the inflammation - in the kidneys or bladder. But sometimes it happens: the level of leukocytes in the urine is normal, and there is inflammation in the kidney, the reason is that the growing uterus blocked the diseased kidney and urine enters the bladder only with a healthy one. Then the symptoms of inflammation of the kidney (pains in the area of the diseased kidney, often bursting or aching, poor health, fever) help to detect the problem, and they are confirmed by additional research methods that are prescribed by the doctor.
What to do if the number of white blood cells in the urine is increased?
If in the analysis the level of leukocytes is from 0 to 10, then the content of leukocytes in urine -