Red blood cells in the urine during pregnancy: causes, the rate of

Urine test is one of the most important during pregnancy. That is why at every visit to the gynecologist pregnant woman receives a referral to an appropriate analysis. Changes in parameters may indicate various pathologies and complications during pregnancy, for example, inflammatory disease, kidney disease. Sometimes pregnant women in the urine is determined by blood. The presence of red blood cells in the urine during pregnancy, usually requires a differential diagnosis.

The objectives of the analysis of urine

During pregnancy a woman's body occur many changes that are necessary for the development and preservation of the growing organism. Despite the many different diagnostic tests that are carried out during pregnancy, the most important and effective are blood and urine tests.

Determination and correlation of the results with the norms can detect the disease in pregnant women. In particular, quantification of red blood cells. This red blood cells, carries oxygen and nutrients to organs of the female body.

The appearance of blood in the urine can indicate a variety of diseases in the body, which is especially dangerous during pregnancy. Timely detection of red blood cells in the urine sample to avoid various complications that negatively affect health during pregnancy.

Normally progressing pregnancy can not occur against the background of poor diagnostic results, in particular urine. Red blood cells should not be considered a variant of the norm. Consequently, their detection during pregnancy indicates the need for differential diagnosis.

Terms of collecting material

In order to eliminate erroneous results of urine analysis should follow certain rules when collecting material. In particular, the urine sample should be collected only in the morning after hygienic procedures. It is advisable to use special containers for the collection of urine, which can be purchased at the pharmacy.

The vagina is covered by clean gauze pad. Is the average portion of urine, with the first drops should not fall into the tank. Analysis should be delivered to the laboratory within two hours. Otherwise, the test results will be distorted.

If the retest urine also it shows the presence of red blood cells, is assigned diagnosis by Nechiporenko method. A positive result may indicate a renal lesion.

The role of red blood cells and indicators are normal

Hematuria means occurrence of erythrocyte in urine. Of considerable importance is the number of erythrocytes. Depending on the release of this indicator and gross hematuria microhematuria. If gross hematuria blood in the urine can be determined by color.

Red blood cells, red blood cells are present in the blood. They transport nutrients and oxygen to the tissues. It is known that erythrocyte synthesis is carried out by the bone marrow. erythrocytes term of life generally does not exceed 120 days. They then disposed of the spleen, liver.

Red blood cells during pregnancy are necessary for the proper functioning of the body. Nevertheless, the identification of blood in the urine during pregnancy is an alarming signal.

There are two types of red blood cells.

1. Unchanged. Due to the high content of hemoglobin has a bright red shade.
2. Changed. Characterized by a lack of hemoglobin. Due to long-term presence in the urine and subsequent filtration cellular elements lose their color, are increasing in volume. With concomitant presence of protein in urine of renal failure can be diagnosed.

The normal components of hematopoiesis with adequate urinary system work do not get in the biological fluid. A significant amount of red blood cells in the urine indicates insufficient functioning of the kidneys.

Normally, pregnant women in the urine should be no red blood cells. However, the rule also provides for the emergence of a single red blood cell is in sight. When the number of red blood cells from three and up, you should perform a urine test again.

A small amount of red blood cells is not the norm. This pathology is called microscopic haematuria. When the reddish hue of urine due to the large number of red blood cells, doctors speak of gross hematuria. These require pathology diagnostics to determine the cause.

Causes and types of gross hematuria

Hematuria in pregnancy is not the norm. Upon detection of red blood cells in the urine during pregnancy it is important to identify the cause. Sometimes the presence of blood is symptoms of various diseases. But we can not rule out errors in the collection of material.

There are two types of hematuria.

1. True. With this embodiment, the red blood cells penetrated into the urine of renal tubules. True hematuria implies loss of upper parts of the urinary system.
2. Untruth. In this case, determine the integrity of the body spotting. This indicates the defeat of the urethra and bladder.

The main causes of hematuria include:

• urolithiasis, accompanied by bleeding during the passage through the stone bladder and ureter;
• increased uterine pressure on the bladder and occurrence of stagnant processes;
• the presence of bleeding;
• genital infections;
• cystitis and pyelonephritis;
• erosion of the cervix;
• coleitis;
• of hormonal nature;
• diabetes;
• damage to the skin and mucous genitals;
• insufficient or excessive physical activity, stress.

Blood in the urine can be caused by various diseases. While squeezing the renal vein, necrotizing papillitis blood cells sometimes fall into the urine.

Increase of red blood cells in the urine during pregnancy is sometimes caused by:

• hypertension;
• anemia;
• vascular aneurysm;
• thrombosis.

To identify the exact cause of blood in the urine You can only use the survey.

Hormonal changes during pregnancy often causes blood in the urine. Typically, the amount of red blood cells in the urine slightly, indicating that there is no risk for women and the growing organism.

In moving the stones are often traumatized surrounding tissue, causing the appearance of blood. In this case, the presence of red blood cells is due to trauma mucous.

Uterine bleeding can manifest appearance of red blood cells in urine. In general, bleeding during pregnancy is considered a serious complication. That is why the detection of blood in urine should eliminate this pathology.

Erosion and pseudo often manifest contact discharge. When erosion during pregnancy, red blood cells can also be determined in urine.

Launched coleitis accompanied by looseness of tissues that are prone to injury. It can also be the cause of the blood, including in urine.

Depending on the cause of hematuria are the following pathologies:

• extrarenal, wherein the blood in the urine is not associated with injuries and diseases of the urinary system;
• renal, occurrence of erythrocyte in urine is associated with renal disease;
• postrenal, It noted the appearance of symptoms of diseases of the bladder and urethra.

Called hematuria species according to the degree of its development:

• terminal, at which the blood is determined in the last portion of urine;
• initially, erythrocytes can be found in the first portion of urine;
• total, observed urine staining in red color.

Red color of urine in pregnancy He points to gross hematuria.

Symptoms and possible complications

Normally, the number of red blood cells in the field of view should not exceed two. In determining hematuria also evaluated other options.

Typically, the presence of erythrocytes is not accompanied by specific symptoms. That is why during pregnancy it is important to regularly pass urine. This makes it possible to identify disease at early stages and begin treatment.

Kidney disease usually felt discomfort in the lumbar region. In addition, the following symptoms may be present:

• lack of appetite;
• nausea and vomiting;
• headache;
• deterioration of general health;
• lack of weight gain.

Urine color red may indicate the development of a malignant tumor at which the destruction of the vascular walls.

Hit the red blood cells is possible in several ways. Erythrocytes fall into the urine via several paths:

• damaged glomeruli and renal tubules in glomerulonephritis;
• tampering pelvis and ureter with inflammation or concrements pressure;
• loss of bladder and urethral inflammation or stones.

It is noteworthy that hematuria in pregnancy indirectly bears no risk to the fetus. With the development of disease, depending on the specific cause, may develop placental insufficiency and other conditions. If hematuria is caused by glomerulonephritis, a disease that is dangerous for both mother and fetus formation of preeclampsia and FPN. Inflammation of the urinary tract and related hematuria in pregnancy can lead to the spread of infection and fetal tissue lesion. In any case, the detection of blood cells should not panic. We need to be examined and determine the cause of the pathology.

Additional diagnostics

Typically, the detection of red blood cells in the urine during pregnancy, the doctor recommended to retake the test. Repeated blood revealing additional studies are conducted in the urine:

• colposcopy, which allows to consider the cervical mucous in detail;
• bakposev urine general smear from the genital tract and genital infections PCR;
• Pelvic ultrasound, kidney, bladder;
• Biochemical analysis of blood;
• Diagnosis urine Nechiporenko, Zimnitskiy.

After birth, the following diagnostic types:

• CT;
• excretory urography.

Methods for the stabilization and prevention

Upon detection of red blood cells in the urine during pregnancy is primarily carried out a survey to determine the cause of the pathology. Treatment is prescribed in accordance with the diagnostic results. The need for treatment is present at any stage of pregnancy. Ignoring the symptoms of anxiety can greatly worsen the course of pregnancy.

Typically, the treatment of inflammation includes reception antimicrobials permitted during pregnancy. Antibiotics are recommended for bacterial diseases. Upon detection of stones may require hospitalization and receiving antispasmodics. Autoimmune lesion glomeruli and tubules treated with hormonal and immunosuppressive agents, sometimes it is necessary to terminate a pregnancy for health reasons.

After consulting a doctor can use the funds from the botanicals. Good effect have teas, for example, from the leaves of cranberries or cranberry. You can also use special charges.

Increase the effectiveness of treatment can be, keeping to a diet. The consumption of fatty, spicy and fried foods, it is desirable to minimize.

Of considerable importance is the rejection of intense exercise during pregnancy, compliance with work and rest. Experts recommend spending a lot of time outdoors, avoid unnecessary worries and experiences.

Through specific exercises you can normalize blood circulation in the pelvic area and eliminate the excess load. Very useful Bozeman posture, which must be taken regularly from the first trimester of pregnancy.

In addition to medication, anti-inflammatory and diuretic drugs, you can use the following ways to prevent:

• to live an active lifestyle;
• drink plenty of pure water;
• eliminate the excessive use of salt;
• avoid hypothermia.

Doctors emphasize that the detection of blood in urine should not engage in self-treatment, particularly during pregnancy. If the red blood cells have been identified for the first time, an analysis should be re-take. Repeated positive result of the analysis requires a detailed diagnosis in order to avoid more serious pathologies that can be a threat to maternal and child health.