Light blood in urine during late pregnancy
Routine urine tests are part of prenatal visits to screen for infection or other conditions. Testing for the presence of protein in the urine (proteinuria) is necessary to determine if your kidney function is normal. Although proteins are normally absent in the urine, having a small amount of it during pregnancy is common. It can indicate kidney dysfunction, but it can also be related to infection, stress, or other conditions that need to be evaluated further.
Causes of Protein in Urine During Pregnancy
Women with this condition have high blood pressure during pregnancy, accompanied by water retention and protein in their urine. It can lead to complications, including babies with low birth weight. However, if diagnosed and treated early, affected women can deliver normal babies. Treatment includes consuming a healthy, low salt diet and engaging in regular exercise as recommended.
Watch a video for more on Preeclampsia:
2. Kidney Infection or Urinary Tract Infection (UTI)
UTI during pregnancy can cause protein to appear in the urine. If you feel the urge to urinate more frequently and suffer some discomfort during urination, you may have a UTI. If not treated promptly, this condition can cause kidney infection, which manifests as fever and chills, nausea, vomiting, and back pains. UTI may not adversely affect your baby, but a kidney infection can lead to premature labor and low birth weight babies.
3. Other Causes
Factors that can cause transient increases in urinary protein include emotional stress, fever, exposure to extreme temperatures, dehydration, medications and strenuous exercise. Some medical conditions, however, can cause proteinuria that needs further investigation, such as heart disease, diabetes, leukemia, rheumatoid arthritis, lupus, sickle cell anemia, and chronic kidney disease.
To know the exact cause of protein in urine during pregnancy, consult your doctor immediately to receive appropriate treatment and prevent complications.
How to Test If Protein in Urine During Pregnancy Is Normal or Serious?
Your doctor can diagnose if you have protein in urine during a regular prenatal test. Finding protein in urine may be a sign of urinary tract infection. Further laboratory analysis of the urine may be needed to determine what type of infection you have and the appropriate antibiotics to treat it.
Another urine test may be done during your next appointment to see if protein is still present in the urine or if it has increased in amount. Women who are in their second or third trimester may develop preeclampsia, a serious condition that can affect you and the baby.
Preeclampsia causes an increase in blood pressure and adversely affects kidney function, resulting in retention of waste products in the body. Proteins normally found in the blood leak from the kidneys into the urine, leading to proteinuria.
To diagnose preeclampsia, your blood pressure will be monitored and your urine examined for proteinuria. A 24-hour urine collection may be done to determine how much proteins are in your urine as well as blood tests to check on your blood count, blood clotting, liver, and kidney function.
When to See a Doctor
During mid-pregnancy and onwards, watch out for symptoms such as:
- blurring of vision
- flashing in your eyes
- pain in the upper right side of the abdomen
- a general feeling of being sick
These symptoms must prompt you to seek immediate treatment.
What Other Things Do Urine Tests During Pregnancy Detect?
Aside from protein, your doctor examines your urine during your prenatal visits to screen for other conditions, which may be indicated by the presence of:
Although small amounts of sugar in the urine is normal during pregnancy, elevated levels seen in consecutive prenatal visits or even one very high reading could mean you have a condition called gestational diabetes. The doctor may also ask you to take a glucose challenge between the 24th and 28th weeks to check for this common condition.
These are substances not normally produced by the body except when it starts breaking down fat, in the absence of carbohydrates, for energy. If found with sugar in the urine, diabetes is suspected. Symptoms of ketonuria (ketones in urine) include severe nausea, vomiting, weight loss, and dehydration.
3. Bacteria and Blood Cells
Symptoms of urinary tract infection may be further evaluated with a dipstick test to look for enzymes produced by blood cells or nitrites from bacteria. If found positive, a culture and sensitivity test will be conducted on the urine sample. This test confirms the presence of infection and suggests which antibiotics may be used to treat infection effectively.
Screening for UTI is important even in women who do not experience any symptoms. The risk of developing UTI late in pregnancy is relatively small if your urine test is found negative for UTI during your first prenatal consultation.
WHITE BLOOD CELLS IN URINE DURING PREGNANCY
WHITE BLOOD CELLS IN URINE DURING PREGNANCY
White Blood Cells In Urine During Pregnancy
“Please wait here,” said the liaisons, in unison. Turning to look at them, I caught the tails of sly smiles slithering from their twin faces – once again blank and impassive as our eyes met.
“How long?” I asked.
In a monotone duet they replied, “Long enough.”
I wasn’t buying their calculated coyness, nor the eerie twin act, and I let them know as much by crossing my arms and applying my trademark smirk (for all the good it did in that shadowed purgatory). “Tell His Holiness that I’ll see him now. I’ll be damned if I’m gonna’ spend any time in this pit.”
Behind me, from the thickest of shadows in that fetid cell a slow, almost inaudible hissing issued; and the louder sound of something large and. . . wet unfolding from the darkness. A moist plop reached my ears and what might be described as my hackles rose straight up. I didn’t look but concluded, “And I won’t be damned.”
The liaisons, falling easily before my superior will did not hesitate. “Very well,” they intoned, “follow us.”
Stepping forward, I reached behind me, and keeping my gaze fixed straight ahead as the sound of a large, not unviscous mass shuffled loathsomely across the tiles, closed the door.
Stem Cells Harvesting @ SGH Hematology Centre
Red blood cells in the urine during pregnancy: rate, causes
Before each visit to the doctor pregnant pass laboratory tests. Select the red blood cells in the urine during pregnancy is normal. However, increased values in the mean results in malfunctions of the organism, that poses a serious threat to the child. Red blood cells in the urine occur as a result of disease or physiological features. For reliable results it is necessary to observe the rules of collection of material for a urine test.
Red blood cells in the urine during pregnancy: norm
Leukocytes and erythrocytes are excreted with the urine from each individual. Consequently, their normal performance in the field of the microscope: for men 3-5, women to 1. The norm for a pregnant woman the same. In the case where another laboratory testing revealed an increased number of red blood cells, the doctor prescribes a re-analysis using the catheter. If in this case, the analysis showed the level 5 and above, diagnosed with «gross hematuria», then additional research is underway to identify the root causes. The value of erythrocytes from 1 to 5 in the urine of the pregnant woman is called «microhematuria».
What are the reasons?
The appearance in the urine of red blood cells during pregnancy — a reason for careful inspection of the health of the expectant mother. Laboratory analysis of urine allows us to understand the kinds of hematuria: true or false. In the case of hematuria in a pregnant first type erythrocytes appear in the urine after passing through the kidneys. Another reason of true hematuria is constantly and rapidly growing uterus. In these cases, do not worry. Elevated red blood cells in the urine during pregnancy when about of hematuria be the result of:
- find sand or stones in the kidneys (getting to the exit particles hurt and injure tissue)
- beginning uterine bleeding (color of urine, thus, remains the same);
- erosion of the cervix (the endometrium will relax and produce blood cells);
- kidney disease (cystitis, glomerulonephritis);
Steps to determining root cause
To identify the root cause of the increase in the number of red blood cells in urine during pregnancy will help additional analysis and study. First of all, the gynecologist examine a woman on the gynecological chair with the help of mirrors. This way you can diagnose a cervical erosion. The following additional research will be colposcopy — examination using a special microscope, the images which are broadcasted on the computer screen. It is possible to take pictures of the uterus for further observation.
Pregnant women will also take material for cytograms and conduct a bacteriological culture of urine and mucous balloon of the uterus. If you suspect a child in danger will conduct the ultrasound, which does not take harm during pregnancy. In addition, information is obtained from repeated studies of blood and urine. Why it is necessary to conduct so many tests? Protein and red blood cells during pregnancy are a serious threat to the life and health of the child. To prevent complications and needed for many diagnostic procedures.
There are times when after all the additional research of the failures in the system, but RBCs are still present in the analysis. In this case, the reasons can be the higher air temperature on the street or in the room where the pregnant woman spends a lot of time. Enhanced physical exercise, meals with spices and alcohol, and stress can cause red blood cells in the urine.
Rules of urine collection for analysis
Urine analysis is significantly affected by how it was collected. For the most truthful data, you must follow the rules of collection of the investigated material. First of all, the analysis is carried out on morning urine. Before you begin gathering necessary to wash the vulva. Next, use a cotton swab to close the entrance to the vagina. This is done in order to avoid getting substances out of it. The process of collection is as follows: the first portion of urine (10 ml) is poured, medium is collected and again poured last. The collection of material for analysis is produced in a special container that you buy at the pharmacy. Also important is the time between collection and the start of the study. The norm is 1 hour. This period of time (prior to analysis) a container of material should be in a cool place. The implementation of the rules collection is to ensure correct performance.
The importance of urine analysis
The health of expectant mothers means a lot to them and for the child. Any disease pregnant can cause serious abnormalities in the fetus. With the purpose of timely prevention and detection of diseases is necessary to conduct regular laboratory testing of urine. The presence of protein and red blood cells in a result, doctors have more details to observe pregnant and spend the number of additional diagnostic procedures. In addition, a pathology can flow and develop without symptoms. Tests able to identify and resolve at an early stage. Otherwise, there is a likelihood of miscarriage or developmental abnormalities of the fetus. So important is strict adherence and implementation of all recommendations of the doctor.
3 Serious Causes Of Protein In Urine During Pregnancy
While you are pregnant, urine tests constitute a part of the regular prenatal visits to the doctor, to check for infections and different conditions. Proteinuria or presence of protein in urine during pregnancy must be determined in time to ensure your kidney functions are normal.
Presence of protein in urine in small amounts during pregnancy is normal. But sometimes protein in urine may suggest dysfunction of the kidney or can signify stress, infection and other conditions.
Protein In Urine During Pregnancy: What Does It Mean:
Proteinuria is an excess amount of protein found in urine. It is usually identified through urinalysis, a test that analyzes urine constituents.
It is normal that some loss of protein occurs in urine. But if that loss is greater than 300mg (0.3gm), it is a sign of proteinuria. It is an indication of kidney disease resulting in improper blood filtration.
Proteinuria can be of two types – Chronic proteinuria and new onset proteinuria.
It is a condition that is present prior to your pregnancy. Proteinuria that is identified before 20 weeks of conception is also chronic proteinuria as it usually occurs due to a pre-existing kidney disease.
It comes up during pregnancy and is more likely due to a condition known as preeclampsia.
What Causes Protein In Urine During Pregnancy?
Kidneys usually filter waste products from blood and retain components that your body needs, including proteins. But due to certain health conditions, your body will let these proteins leak through the kidneys into the urine.
The syndrome is characterized by high blood pressure and protein loss in urine. Proteinuria along with hypertension usually occurs after 20 weeks of pregnancy. It does not show any other symptoms but if the condition is severe, you can experience headaches, swelling of the hands and face, nausea, vomiting, abdominal pain, decreased urination and blurring of vision.
A severe form of preeclampsia will lead to failure of multiple organs like kidneys, liver, brain, eye, heart and lungs.
Eclampsia is a condition where generalized seizures occur along with preeclampsia. The seizures or convulsions occur before, during or after labor. It is an obstetrical emergency that requires immediate intervention.
3. HELLP Syndrome:
HELLP syndrome, usually a variant of preeclampsia, is a life-threatening complication of pregnancy. It is known for its characteristics – H (hemolysis, the breakdown of RBCs), EL (elevated liver enzymes) and LP (low platelet count).
The initial symptoms may seem like preeclampsia. The common symptoms are nausea, vomiting, upper abdominal pain, headaches, feeling of illness and blurring of vision. HELLP syndrome can result in serious complications like liver and kidney damage, pulmonary edema, placental abruption and disseminated intravascular coagulation.
During pregnancy, preeclampsia syndrome increases the risk of eclampsia and HELLP. These conditions can cause adverse outcomes including low birth weight, premature birth, stillbirth, intrauterine growth restriction and death of the newborn.
4. Urinary Tract Infection Or Kidney Infection:
The presence of protein in urine while pregnant can also be because of urinary tract infections. Here is what you should check:
- Do you have a frequent urge to urinate?
- Do you experience discomfort while urinating?
- Urinary tract infections must be treated promptly to avoid conditions like kidney infections that may surface in the form of back pains, vomiting, nausea, and chills.
- Infection in the urinary tract may also affect your baby. It leads to premature delivery and low birth weights.
If you have a UTI, your doctor will prescribe an antibiotic that is safe to take during pregnancy.
5. Other Factors That Lead To Presence Of Protein In Urine:
Here are some other reasons for protein in urine during pregnancy:
- Excessive emotional stress
- Exposure to high temperature
- Strenuous exercises
- Leukemia, lupus, chronic kidney disease, arthritis, and diabetes may also cause presence of protein in urine.
Symptoms Of Protein in Urine During Pregnancy:
You can know if you have proteinuria through these symptoms:
From mid-pregnancy, you should check for signs of preeclampsia. The symptoms include:
- Blurring of vision
- Sudden swelling of hands, feet and face
- Constant headaches
- General feeling of illness
- Persistent heartburn
- Severe pain below the rib region
It is important to see a doctor when you experience the above symptoms. The symptoms come on quickly from the 27th week of pregnancy or in the initial weeks post delivery.
Tests And Diagnosis Of Protein in Urine During Pregnancy:
There are various methods to detect proteinuria. Prominent among them are:
1. The Dipstick Test:
Here, a urine sample is taken, and a chemically treated strip is inserted into the content. There are patches on the strip that change in color revealing the presence of protein in the urine. The dipstick also shows the presence of glucose levels and, therefore, can also be used for screening gestational diabetes.
The test shows the level of protein in urine, classified as + to ++++, +1 being low and +4 being high. A high protein in urine during pregnancy indicates preeclampsia condition or kidney damage. A low level indicates UTI.
2. 24-hour Urine Protein Test:
Serum proteins are extracted before they are released from the kidney. Because of the imperfect renal glomeruli, trace amounts of protein are found in the urine. If the amount of protein is large, it is known to be abnormal, reflecting a kidney condition.
A urine sample, i.e., spot urine or a 24-hour collection of the urine sample helps measure the protein. The latter is more accurate than the former.
The test can be performed at home or in the hospital. You should collect urine over a 24 hour period in containers. Usually, the first urine soon after you wake up in the morning is not counted. You need to collect from the next time for the next 24 hours. Store in a cool environment or on the ice. The samples are taken for analysis.
If the protein in urine is more than 300mg in a 24-hour period, it is a sign of preeclampsia.