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.
Increased white blood cells in the urine of a child
Leukocytes are cells that are in the bodyeach person. They are a protective barrier and increase in number for various diseases of an infectious or inflammatory nature. However, it is not worth worrying about before, because if a healthy child has leukocytes in the urine, then this may indicate a wrong collection of the biomaterial or that the baby, before defecating, for example, ate. </ P> The norm of leukocytes in the urine of the baby
If the crumb is not sick, then the analysis will show him less than 5 cells in the volume necessary for viewing in the laboratory under a microscope. Most girls have 3 units, and the boy has 2.
Conclusion that the child has an increasedThe content of leukocytes in the urine is made on the basis of the results of microscopy of the biomaterial. Very often in ill boys this indicator varies within 5-6 units, and in girls – 7-8.
What diseases lead to an increase in the number of white blood cells?
As a rule, simply so the doctor does not assign an analysisUrine crumbs (except for physical examinations). This is preceded by a series of symptoms indicating a child's malaise. The reasons for the increased leukocytes in a child in the urine can be such diseases as:
- Inflammatory processes in the kidneys;
- metabolic disease.
In addition to the above, the baby has a thoracicAge, elevated white blood cells in urine can cause diaper rash. It is diaper dermatitis very often observed in infants with an increased number of leukocytes, recommending him to fight drugs based on dexpanthenol or zinc oxide. All other diseases listed on the list are treated under the supervision of a doctor.
The results of urinalysis may be unreliable
If the bad boy has poor urine test results,Then, very often, the doctor prescribes a second examination. And this is due to the fact that the results can be influenced by a large number of factors, ranging from a strong physical load on the eve of analysis and ending with non-sterile capacity. That's why, if a child has leucocytes in his urine, parents are warned that it is necessary to follow clear rules: the crumb before the fence of the biomaterial must be washed away, wiped with a clean towel and collect the stool in a sterile container. In addition, the urine with elevated white blood cells can be analyzed by the child when he
Collected it inadequately orThe biomaterial was not delivered to the laboratory in a short time. The minimum volume required for the study is 30 ml, and the time allowed for the transfer of the container to the laboratory assistant can not exceed an hour and a half.</ P>
In conclusion, I want to note that the increaseOf leukocytes in the urine, if there are no complaints about health, most likely, speaks about the wrong collection of biomaterial. Do not be frightened and urgently run to the pharmacy for antibiotics, retake the analysis again to refute or confirm the results. And remember that an ailment that can cause an increase in white blood cells in the urine should be treated only under the supervision of a doctor.
Reasons for white blood cells in urine during pregnancy
In a blood test in pregnant women pay attention to the number of red blood cells only when there is evidence of erythrocytes during pregnancy are of great importance both for the mother, so and child . Red blood cells contain hemoglobin. Depend on its quantity and condition of the growth of the fetus of a pregnant woman. Erythrocytes, under no circumstances, should not leave the bloodstream, so the detection of red blood cells in the urine indicates pathology of pregnancy.
erythrocytes in the urine during pregnancy
When analysis reveals erythrocytes during pregnancy are urgently needed to clarify the nature of hematuria “expiration blood in the urine,” the Greek. . The cause of the red blood cells in the urine during pregnancy can be a serious kidney disease, or neoplastic process. Such information, references, recommended for students studying medical faculties of academies and nursing. In practice, the reasons for which the red blood cells during pregnancy appear in the urine, is much simpler and more prosaic.
Laboratory distinguish true and untrue hematuria. In the first case, researchers have clearly shown that red blood cells subjected to “treatment” in the renal tubules. If present in the analysis of whole erythrocytes -hematuria considered untrue, because the blood was mixed with urine in the process of elimination, but not education.
urolithiasis kidney stones or urinary move with current or being in a fixed state to form in the renal pelvis bedsores -ulcers, which can be isolated from blood cells, including red blood cells. The movement of sand along the urethra accompanied in injury and abrasions on the inner surface of the epithelium of the ureters, urethra. So appear in urine red blood cells during pregnancy, which came into it not because of kidney disease, but due to traumatic lesions of the urinary system .
When uterine bleeding in the urine red blood cells are also found. Not necessarily that urine turns the color of blood, enough 1-15 erythrocytes per field of view -a circle on a glass slide, bounded by the microscope tube. So it happens that in the planned verification urinalysis revealed the hidden signs of threatened abortion.
If a woman diagnosed with cervical erosion in the urine may also appear red blood cells, softens the cervix during pregnancy, the vessels dilate and passed blood cells.
Colpitis -inflammation of the lining of the vagina -occurs in pregnant women with features. Vaginal cells filled with glycogen, which is an excellent breeding ground for germs. They penetrate into the intercellular spaces and affect cell membranes. So smear and urine red blood cells during pregnancy appear to have no relation to renal function .
urine and pelvic examination used to elucidate the cause of hematuria untrue.
Additional research activities and the appearance of red blood cells in the urine during pregnancy:
- Inspection cervical colposcopy and mirrors;
- Laboratory examination of the vaginal smear;
- Sowing from the cervix and urethra for the presence of genital infections Trichomonas;
- renal ultrasonography;
- Urinalysis to nechyporenko.
erythrocytes during pregnancy
When it comes to blood tests, low red blood cell count indicates anemia. In such a situation tactic clear as doctors and pregnant woman. Should increase their number! To this end, prescribers that stimulate the production of red blood cells in red bone marrow. The most accessible means for such purposes serve food, specifically: pomegranate juice. It is only necessary to bear in mind that an increase in red blood cells during pregnancy will not earlier than after a long reception “medications” as erythrocyte life span of 120 days.
Most blood cells containing a small amount of hemoglobin, pale and difficult to identify. They can be mistaken for lymphocytes -also quite large cells whose nuclei are rarely visible when viewed in a conventional microscope. True decrease in red blood cells occurs in aplastic anemia -a form of
Most assays revealed elevated red blood cells during pregnancy to confuse them with other blood cells can not be . High number of red corpuscles elements per unit volume shows not about improving he alth, but on the concentration of the blood.
erythrocytes during pregnancy do not improve oxygen supply to the contrary, worsen it. Why is this happening?
Blood, compacted, stagnates and moves much slower. On the way from the lungs to the red blood cells in the blood of the placenta during pregnancy give a huge amount of oxygen, while the child gets the already oxidized products. This is the paradox of the situation -a lot of red blood cells, and the fetus suffers from a lack of oxygen.
Normal parameters erythrocyte count during pregnancy range from 3.8 to 5.5 10 12 /l. values above and below are considered pathological. The hematocrit value indicating blood red blood cells to the volume of blood and expressed as a percentage. If the hematocrit above 45%, pregnant require hospitalization for IV drip infusion therapy. Diluting the blood -cell nutrition of the fetus and women will improve.
normal pregnancy should not be accompanied by abnormal assays in determining an increased amount of red blood cells, especially their appearance in the urine.
New Health Advisor
Your white blood cell (WBC) count signifies the status of your immune system. A high white blood cell count usually indicates that you have a bacterial or viral infection. High white blood cell count often results from disorders of the immune system, autoimmune system and blood. Symptoms associated with high WBC count include dizziness, headache and localized inflammation. In some cases women may have high white blood cell count in pregnancy. Should it be worried?
Should You Worry About the High White Blood Cell Count During Pregnancy?
A high white blood cell count is no reason to panic unless it goes beyond the normal range. The unit of measure of white blood cell count is the number per microliter (mcL). The normal range is different in various laboratories. However, it often ranges between 4,500 and 10,000 per microliter. In the case of a pregnant woman in her third trimester, WBC of between 12,000 and 18,000 per mcL is still normal.
High white blood cell count in pregnancy is common as the body’s immune system adjusts to support the woman and her unborn baby. Production of white blood cells rises even more as the woman nears the time for childbirth. However, some specific conditions may cause a rise in white blood cells. In case you get other symptoms such as fever, pain, bleeding, fainting or weight loss, you need to consult a doctor without delay.
Note that conditions such as the following require attention:
Stress can cause a rise in white blood cells. In pregnancy, the body exposed to emotional stress or physical stress produces more white blood cells as a way to protect itself. Whenever possible, avoid such stressing conditions and manage any stress through meditation or physical exercise.
The body reacts to infections caused by bacteria and viruses by producing more WBC. This happens in case of chest infections, yeast infections, UTIs, and even the common cold. Tissue damage, including that resulting from a cut or burns will also make the body to increase white blood cell production. High white blood cell count during pregnancy comes in handy because the pregnant woman cannot safely take many types of medications.
Allergies and inflammatory diseases such as arthritis, asthma and dermatitis, cause inflammation which will usually raise white blood cell count. The leukocytes rush to the site of inflammation to combat the enemy. The increased flow of the blood cells to such areas is the cause of swelling and redness. Other diseases that can cause leukocytosis include whopping cough and measles.
4. Leukemia or Autoimmune Disease
While leukemia (cancer of the blood) and other autoimmune diseases are rare, they can occur. In leukemia, very large numbers of WBC are produced. These cells, however, don’t fight any intruders and are in fact non-functional. Leukocytosis can also be caused by autoimmune diseases such as Crohn’s disease and Graves’ disease.
The Normal WBC During Pregnancy
Here is the normal range of high white blood cell count during pregnancy. If your WBC is within the range, there is no need to panic. But if you are concerned about the elevated WBC, you can always consult your doctor.
Negative Pregnancy Adult
3.5 to 9.1 x 109/L
Pregnancy – 1 st trimester
5.7 to 13.6 x 109/L
Pregnancy – 2 nd trimester
5.6 to 14.8 x 109/L
Pregnancy – 3 rd trimester
5.6 to 16.9 x 109/L
You Are Not Alone
“This is my 28 th week and the doctor called me to discuss results of my pathology tests. He said all was well but the white blood cells count was too high. There was nothing about the way he said it to suggest this was problem, but informed me that he would forward my results to the clinic. Once I got home, I did my own Google search but I’m still confused. Is any of you in a similar situation? Do I need to call the clinic?”
“What causes high white blood cells count? I am in week 22 of my pregnancy and my white blood cell count has been rising month after month. I feel great, with no problems or infections. My urinary tract tests have been clean through five months. The gynecologist said not to worry and offered no explanation of the cause. Am I or my baby at risk? Any help is welcome.”
“I was pregnant 4 years ago and had elevated white blood cell count from week 28 when this was noticed. This caused concern to my gynecologist especially when the WBC continued to rise in following tests. I was referred to a hematologist who tested my WBC count every fortnight, and it kept rising. One week before due date it got to 20. The hematologist said it was necessary to do a bone marrow biopsy after delivery. This broke my heart. But within two weeks after the birth of my beautiful daughter, the white blood cell count was already coming down. It got back to normal within the next month. It was a great relief. I think it is normal for a woman to have high white blood cell count during pregnancy. I also vowed never to visit a hematologist when pregnant.”