After we take tests in the hospital, we are all interested in the result in order to understand the state of our body. When white blood cells in the urine are elevated, the reasons for women can be very different. They signal violations of the genital organs, pathologies or inflammatory processes (for example, cystitis).

Leukocytes in the urine - what does it mean?

Leukocytes are colorless (white) heterogeneous blood cells that differ from each other in actions and appearance. They play a very important role in the immune processes of every woman, because they perform the protective function of the body from bacteria, microbes and various foreign cells. Destroyed foreign viruses can accumulate and then be excreted through urine, sweat, and so on.

Leukocytes in the urine of women signal a disease or pregnancy. Their number in the body should be minimal. White blood cells allow doctors to identify inflammation. Thanks to a simple analysis, specialists can detect the problem in the early stages and have time to cure it with medication, without complications and surgical interventions.

Urinalysis leukocytes - normal

When taking tests, many are interested in the question of what rate of leukocytes in the urine women should have. It varies between indicators from 0 to 6. When their number in the field of view is insignificant (up to 20), then this condition is called leukocyturia. With higher results (up to 60), pyuria develops - pus in the kidneys. In this case, you need:

• check the work of the small pelvis and urinary tract;
• do an ultrasound examination of the kidneys;
• take an analysis according to Addis-Kakovsky or Nechiporenko;
• undergo additional examination by a specialist.

When leukocytes in the urine are elevated, the reasons for women may be in its improper collection. There are a few basic rules to follow in order to get a more accurate result:

1. Urine for analysis is collected in a clean container with a flat bottom, which is immediately closed with a lid.
2. Before collecting urine, the woman should thoroughly wash the external genitalia with soap and plenty of warm water. The vagina is covered with cotton wool so that mucus does not get in.
3. If after collecting urine, you do not immediately go to the laboratory, then put the container in a cold place.

Why are leukocytes increased in urine in women

Very often, patients ask the question of what are elevated leukocytes in the urine of women, the causes of their occurrence. They are formed when the body's resistance to various viral and bacterial infections is reduced. White blood cells can appear with pathologies such as:

• urinary diseases (vulvovaginitis, vaginitis and so on);
• viral infections (scarlet fever, rubella, hepatitis);
• the development of tumor benign or malignant formations;
• purulent infections (peritonitis or abscess);
• sexual (thrush) and sexually transmitted infections (trichomoniasis).

What diseases cause increased leukocytes in the urine?

Elevated leukocytes in the analysis of urine very often indicate the presence of various diseases. The most common of them are:

• - Caused by a bacterial infection in the urinary tract
• - inflammation of the pelvis of the kidneys, which develops in the bacterial flora with concomitant factors, for example, hypothermia;
• endocrine system disorders - a change in work in metabolic processes;
• - renal failure or the presence of stones;
• worms are a severe stage.

Leukocytes in the urine during pregnancy are increased - causes

Elevated leukocytes in the urine during pregnancy in the first weeks indicate a strong antigenic load (when the indicators slightly exceed the norm up to 9-12 units). With a sharp jump in white blood cells, one should talk about the development of serious diseases that can threaten the health of the baby and the expectant mother. During the bearing of a child in the female body, the kidneys often suffer, because they renew several liters of amniotic fluid per day.

If leukocytes in the urine are increased during pregnancy, then the reasons are as follows:

• lack of personal hygiene;
• untreated genital infections;
• development of pyelonephritis;
• the presence of candidiasis.

Leukocytes in the urine are increased after childbirth

After a baby appears in the family, a young mother plunges into caring for him and rarely finds time for herself and her health. After childbirth, an increased content of leukocytes in the urine of women indicates both the restoration of the body and any failures. For this reason, it is necessary to take tests regularly and monitor their performance so as not to miss the onset of the inflammatory process.

Elevated white blood cells in the urine in women can only be treated by a doctor after additional diagnostics. Specialists prescribe etiotropic therapy and prescribe antimicrobials and antibiotics:

• Clarithromycin;
• Amoxiclav or Amoxicillin;
• Cephalosporins III or IV generation.

During the period of treatment, a woman is obliged to sit on a special diet, which consists of boiled and steamed dishes. Everything spicy, smoked, salty and fatty is excluded, and water must be consumed at least 2 liters per day. If you want to reduce the number of white blood cells, then try using traditional medicine:

1. Drink a decoction of figs, bearberry leaves, stinging nettle.
2. Eat honey with viburnum berries.
3. Eat sea buckthorn fruits.
4. Make your own salads with nasturtium leaves or flowers.
5. Boiled and infused flax seeds will also help cleanse the kidneys.

Leukocytes are immune cells, white blood cells, which, when detected in the urine, clearly indicate inflammatory processes. Any diseases and inflammations in the expectant mother during pregnancy can be dangerous for the fetus. Therefore, it is important to understand what health problems indicate white blood cells in the urine during pregnancy and what actions should be taken.

What do white blood cells mean in OAM

Leukocytes are called white blood cells that are formed in the bone marrow and perform a protective function in the body. Circulating in the blood, they easily penetrate the walls of blood vessels and rush to the locations of foreign bodies and foci of inflammation. When there are more white blood cells during pregnancy, this indicates the presence of a focus of inflammation and the penetration of bacteria, viruses and other foreign agents.

If leukocytes appear in the urine of a pregnant woman, especially in large numbers, then this fact almost always indicates an inflammatory reaction or malfunction of the urinary organs.

The rate of leukocytes in the urine during pregnancy

The normal number of leukocytes in the general analysis of urine in pregnant women (as well as in non-pregnant women) is from 0 to 5 per field of view. Some experts allow their increase to 10, considering the indicator as a variant of the norm, taking into account the pronounced antigenic load on the immune system during pregnancy.

When an increase in leukocytes is observed, a pregnant woman is recommended to take a general urine test again. This will make sure that the result was not erroneous.

A clearer picture of the number of leukocytes is given by a study according to Nechiporenko. It consists in determining the qualitative and quantitative elements in the urine sediment obtained by centrifugation. The norm of leukocytes during pregnancy is no more than 2000 pieces per 1 ml.

A large number of white blood cells in the urine (leukocyturia), when their number is 40 or more in the standard definition during pregnancy, pyelonephritis, cystitis, or infection of the genital organs should be suspected. Such diseases can lead to irreparable consequences (cause a miscarriage, disrupt the formation of organs in the fetus).

How to prepare and pass the analysis

To obtain the correct result during pregnancy, preliminary preparation should be carried out and the following rules should be observed during the collection:

1. Purchase a sterile collection container from a laboratory or pharmacy.
2. Do not eat on the eve of foods that can change the color of urine (beets, carrots).
3. Do not take diuretics and other drugs during the day - they seriously affect the result.
4. Before manipulation, thoroughly wash the genitals.
5. Collect only the morning portion. The first 1-2 seconds you should urinate into the toilet, and then into a jar (a medium portion is needed). The last part is also not suitable for analysis.
6. After collecting, close the container with a lid.
7. Deliver the urine to the laboratory within two hours.

If the expectant mother takes drugs that are constantly needed, then before doing a urine test during pregnancy, she needs to consult a specialist about the advisability of temporary cancellation.

What causes an increase in performance and why is it dangerous

A change in the number of white blood cells in the results of the study does not always indicate a problem. Sometimes this is observed when hygienic and other rules are violated during collection, the use of dirty containers for storage, exceeding the delivery time to the laboratory. But most often the reason why leukocytes in the urine increase during pregnancy lies in deviations from the norm.

Inflammation of the bladder or kidneys

Violations of the urinary system during the period of gestation is often observed. A sign of inflammation in these diseases is not only an increased number of leukocytes in the urine and blood:

• A woman feels frequent urge to go to the toilet "in a small way", but after that there is a feeling of overflow of the bladder.
• Pain in the lumbar region begins to disturb, the temperature rises.
• Nausea, vomiting and lack of appetite are signs of intoxication from pyelonephritis during pregnancy. But often women attribute such symptoms to toxicosis.

The course of pregnancy depends on the timely detection of pyelonephritis and cystitis. If the diseases pass in a sluggish form and are not detected symptomatically, then in the urine tests during the period of exacerbation there will be changes, including elevated leukocytes. Diagnosis helps to prevent intoxication during pregnancy and the death of the child.

stasis of urine

A large number of leukocytes during pregnancy appears due to stagnation of urine. Stagnation occurs due to the relaxing effect on the smooth muscles of the hormones of pregnancy - progesterone and estradiol. Due to this, the tone of the uterus decreases, and the fetus can develop normally without the risk of miscarriage. But the same mechanism leads to a violation of the outflow of urine. Its stagnation threatens with infections, the formation of sand and stones.

Thrush

Another reason why elevated leukocytes are detected in a urine test during pregnancy is often thrush. It is caused by a fungal infection and occurs during gestation of the fetus is difficult against the background of a decrease in the overall resistance of the body. A woman has copious watery-white discharge, itching of the vulva and labia, swelling and redness. Candidiasis can manifest itself against the background of other diseases and taking a number of medications (hormones, antibiotics).

Thrush causes inflammation, and against this background, many leukocytes are detected in the urine in a urinalysis.

Urolithiasis disease

Stagnation contributes to the formation of sand and stones in the kidneys. Deposits are also formed as a result of:

• decrease in motor activity, which is typical for pregnant women;
• metabolic disorders.

Especially often this phenomenon is observed during pregnancy in women over 35 years old against the background of chronic inflammation of the genitourinary system. Signs can be an increased level of white blood cells in the urine during pregnancy, turbidity and sediment.

If the stone begins to move, renal colic develops. The attack of pain is so strong that it can provoke premature birth.

Colpitis, vaginitis

A common occurrence during pregnancy is inflammation of the vaginal mucosa. According to statistics, this deviation is observed in 75% of all women. Nonspecific inflammation of the vagina develops as a result of a deficiency of immunity and changes in the acid-base environment against the background of hormonal changes. Provoking factors:

• poor hygiene;
• allergies to detergents and pads;
• underwear made of synthetic fibers;
• stress.

With colpitis and vaginitis in pregnant women, there is a high level of leukocytes, a lot of mucus in the urine. The woman suffers from itching and discharge, a violation of the general condition.

During pregnancy, it is recommended to take tests regularly so that at the first signs of the disease, immediately take the necessary measures.

Sexual infections

Sexually transmitted infections are very dangerous for the expectant mother and fetus. These include: herpes, chlamydia, syphilis, HIV infection, cytomegalovirus. Infection can occur before or after conception. Often, the disease during pregnancy is unexpressed and manifests itself as the content of leukocytes in the urine in large quantities. Special methods of laboratory diagnostics help to recognize it - a blood test for PCR and ELISA.

Other reasons

There are other factors when leukocytes in the urine of a pregnant woman increase:

• tumors;
• glomerulonephritis;
• abscess, amyloidosis, kidney tuberculosis;
• inflammation or suppuration of the cyst;
• allergy;
• appendicitis;
• nephropathy in diabetics;
• systemic disease (lupus, rheumatoid arthritis);
• severe intoxication or dehydration.

But the most formidable deviation, which is detected in the second half of pregnancy, is preeclampsia, when there is a high probability of fetal death as a result of rejection. There is also a risk to the woman's life.

Acute intoxication is accompanied by the appearance of leukocyte protein in the urine and requires emergency care in a hospital setting.

What to do if leukocytes are elevated during pregnancy

With an increase in leukocytes, you should first do a second urine test and exclude a possible error. If leukocytosis persists for 2-3 times, and there are other signs of pathology, additional methods are used to make a diagnosis.

Additional examinations

To clarify the pathology of the urinary tract is carried out:

• analysis of urine according to Nechiporenko;
• three glass test;
• Ultrasound of the kidneys and urea;
• vaginal swab;
• general and biochemical blood tests;
• ultrasound diagnostics of the abdominal organs;
• tests for specific infections.

In some cases, it may be necessary to consult a general practitioner, allergist, surgeon, nephrologist, undergo additional tests and instrumental studies.

What treatment is needed

Treatment is aimed at eliminating the cause or reducing the provoking factor of the pathological condition:

1. Antibiotics are used for inflammation of the kidneys and bladder. They are prescribed only by a doctor.
2. To overcome the stagnation of urine, it is recommended to drink liquid (1.5 liters or more per day), if there is no tendency to edema.

Every woman who has learned the news about her pregnancy will have a lot of trouble when registering with a antenatal clinic. The body of the expectant mother needs constant vigilant monitoring in order to prevent or detect any diseases at an early stage. To do this, pregnant women regularly undergo various examinations: general urine and blood tests, tests for infections, ultrasound, etc. This all takes a lot of time, but it is a necessity, because it is in such a vulnerable period as bearing a child that a woman is more at risk of problems with health due to the increased load on the body.

The expectant mother will have to take a general urine test (OAM) often: once a month in the first trimester of pregnancy, 2 times in the second, and every week at the end of the term. This study is indicative of a number of problems that can be identified with its help. In this article we will talk about leukocytes in the urine during pregnancy, their norm and increase.

Leukocytes are white blood cells that perform a number of important functions. From the definition it is clear that they, in principle, should not be in the urine.. They can be observed in very small numbers in the analysis of any person - up to 3 in the field of view. Since in pregnant women the body is on “high alert”, the number of leukocytes in the OAM is slightly increased, the norm is considered to be from zero to five units. The table below shows the norms for urinalysis, including leukocytes, in a healthy pregnant woman.

There are many situations when, due to some kind of malfunction in the body, the number of leukocytes increases. This requires the mandatory identification of causes and appropriate treatment, because such an increase can indicate diseases of the kidneys, genitourinary system, etc.

To begin with, the doctor will prescribe a second OAM, as there are frequent cases of improper collection of urine, which leads to distorted results. When repeating a bad analysis, the doctor must find the cause, if necessary, prescribing additional examinations or consultations of specialized specialists, and select an effective treatment.

Elevated white blood cells in the urine during pregnancy

If too many white blood cells are found in a urine test during pregnancy, this indicates an inflammatory process in the body. Consider the most common reasons for this result.

• Pyelonephritis is an inflammation of the kidneys, which is often observed in pregnant women, and is directly related to their interesting situation: the kidneys experience an increased load, in addition, the uterus that has increased many times in volume can press on them. It can also cause urine to be refluxed. A woman may complain of pain in the lower back.
• Cystitis is an inflammatory process in the bladder. Usually accompanied by burning and soreness when urinating, possible admixture of blood in the urine.

• Candidiasis, or - a fungal disease of the genital organs, is a frequent unpleasant companion of expectant mothers due to changes in hormonal levels.
• Urolithiasis - the formation of stones in the kidneys and / or urinary tract, while it may be accompanied by stagnation of urine.
• Colpitis is an inflammation of the vaginal mucosa. A decrease in the body's defenses can lower the resistance to infections, which leads to such unpleasant processes.
• Infections of the reproductive system.
• Viral diseases.

These are the main possible causes that are most often diagnosed with an elevated white blood cell count. With such diseases, a woman may experience discomfort or pain, as well as independently notice changes in the appearance of urine: darkening, blood impurities, turbidity, sedimentation, flakes. If you notice such symptoms in yourself, be sure to consult a doctor for an unscheduled examination and treatment.

What to do if leukocytes are elevated?

If the OAM results show elevated white blood cells, do not panic. This situation is not uncommon among expectant mothers during pregnancy, which is caused by the specifics of their condition. Your doctor will find out the cause and prescribe you an adequate treatment that will help get rid of the problem.

Most often, antibiotics are prescribed, since only they can affect the focus of the disease. Do not be afraid: there are many modern antimicrobials that are safe during pregnancy. The doctor will surely correctly select an effective medicine for the treatment of the disease with a minimum of risks for the baby. In addition, they may prescribe other drugs, such as herbal preparations, which are also safe in your position.

Sometimes treatment can be carried out in a hospital to monitor the condition of the pregnant woman in order to prevent complications. You should not refuse hospitalization: usually it is not for long, and treatment in such conditions will be as effective as possible.

It will be useful to follow a diet: it is highly desirable to exclude salty, fried, spicy and smoked foods and dishes from the diet, drink plenty of liquids (water, fruit drinks, green and herbal teas), eat more fresh vegetables and fruits. Diuretic drinks will be extremely useful in such a situation in order to empty the bladder more often and help the kidneys.

OAM Collection Rules

In order for the OAM result to be accurate and truthful, certain collection rules must be observed. After all, vaginal discharge can get into the collected urine, or the collection container will not be clean enough, which will distort the result. So it may appear, or, which in fact do not exist. So take the process seriously:

• The container must be sterile. It is best to purchase special collection containers at the pharmacy: this way you will definitely be sure that there is nothing superfluous. If you use your own jars, they must be washed and rinsed with boiling water for sterilization (including the lid). Dry on a clean towel (paper or cloth).
• Such a container should be prepared in the evening, in order to immediately collect the urine in a clean, dried container in the morning.
• Urine for analysis should be morning, while you need to follow hygiene procedures: wash yourself, wipe yourself dry, close the vagina with a cotton swab, and only then urinate into a container.
• OAM must be submitted within one to one and a half hours after collection.

Video: urinalysis and infections

Informative video, which tells in detail about OAM, the rules for its delivery and possible urinary tract infections.

With the onset of pregnancy, a woman is bombarded with a huge amount of new information, including health information. Therefore, it is important to understand what is happening with the body, and when you need to see a doctor, and when you can breathe easy.

Tell us about your experience of treating urinary tract diseases during pregnancy, if you experienced an increase in white blood cells while expecting a baby.

The state of bearing a fetus is a complex process in which a woman's body undergoes serious changes. During the entire period, it is necessary to carry out medical control in specialized institutions, carefully analyzing the main indicators of the state of health. A popular medical method is the usual general urine test. It gives the specialist information on two dozen parameters, and shows the level of blood cells. The reasons for the sharp increase in leukocytes in the urine during pregnancy are different, and often they speak of deviations from the established norms. Being the main element of human immunity, groups of white bodies are the first to meet and attack alien microorganisms.

Treatment with an increased number of leukocytes is prescribed by a narrow-profile specialist.

A slight increase in leukocytes in the urine during pregnancy should not cause concern. During pregnancy, the body is rebuilt to carry a child, while blood cells can mistakenly take the emerging fetus for an alien formation. Leukocyturia (when white blood cells in the urine are elevated during pregnancy) is already a serious symptom. The main reasons for this phenomenon:

• urinary tract infections,
• urolithiasis disease,
• diabetes,
• diseases of the kidneys and the female reproductive system.

To make an accurate diagnosis, a general urinalysis is not enough. There are additional methods, for a complete diagnosis, a pregnant woman is sent to highly specialized specialists.

Normal values ​​of leukocytes in the urine of a pregnant woman

Medical acts precisely define the standards for use in laboratory processing. The norm of leukocytes in the urine of a pregnant woman:

An increase in leukocytes in the urine of a pregnant woman up to 50-60 may be the result of pyelonephritis, a serious disease in which urgent hospitalization and antibiotic therapy are indicated. The rate of leukocytes in the analysis of the urine of a pregnant woman varies in each trimester, depending on the characteristics of the body. Experienced doctors consider a leukocyte level up to 10 to be normal, caused by hormonal changes during the formation of the fetus.

Regular urinalysis during pregnancy once a month guarantees timely detection of problems, in the absence of pronounced symptoms of diseases.

The final result is influenced by the preparation for the procedure, including hygiene and preventive measures.

How to determine the level of leukocytes in the urine during pregnancy

These white blood cells, which react to the presence of inflammatory processes, enter the urine through the walls of blood vessels. Therefore, the number of leukocytes in the urine of a pregnant woman is insignificant. And the increase is a signal for a deeper examination.

The norm of leukocytes in urine in pregnant women is 0-5.

In the evening and after meals, the indicators increase. This is facilitated by:

• Physical activity;
• stressful situations;
• individual biological clock.

Therefore, a general urine test is taken on an empty stomach in the morning. Of great importance is the hygiene of intimate places and the preparation of a container for collecting fluid. Any foreign impurities contribute to the appearance in the urine of a large number of foreign particles.

Leukocytes in the urine of a pregnant woman, unlike other organoleptic parameters, are detected by microscopy of the sediment. The maximum shelf life of the prototype is 3-4 hours. The accuracy of determining the final result is influenced by a number of factors: the responsibility of the patient and physicians, careful adherence to the methodology, and changes in other parameters. Protein in the urine makes it possible to see the cause of leukocytosis with a high probability. Additional diagnostics may also be required, in cases where the norm is exceeded, a repeated general urinalysis is performed or a urine test is performed according to Nechiporenko.

Additional methods for examining urine in a pregnant woman

Bad urine during pregnancy serves as a basis for the physician to repeat the general analysis procedure. This is an integral rule established by regulatory documents.

If a negative result is repeated, the doctor prescribes additional examinations: urinalysis according to Zimnitsky or bacteriological urine culture.

Their goal is to identify the disease and identify the exact extent of the problem. The Zimnitsky method consists in diagnosing diseases of the kidneys or heart by the density of urine. A high level of leukocytes in the urine changes physical indicators. Research requires strict adherence to a special diet, drinking regimen and time frame.

Samples are collected throughout the day every three hours, after which they are handed over to a specialist. According to the physical characteristics of the liquid and special tables, the final diagnosis is made. Urine culture is used to detect bacterial inflammation of the urinary organs. It is simple and very effective. Bacteria and white blood cells in the body increase in proportion to each other. The urine sample is placed in a container where a comfortable nutrient medium for reproduction is created. After 1-2 days, the doctor determines the type of pathogenic flora. Specialists empirically learn the resistance of microorganisms to antibacterial drugs, which is important when prescribing treatment during pregnancy.

Causes of increased white blood cells in the urine of a pregnant woman

The organs of the genitourinary system during pregnancy are highly vulnerable. An increase in the fetus causes a violation of the outflow and stagnation of fluid in the kidneys. A slight weakening of the immune system leads to the rapid multiplication of pathogenic flora. In the urine, indicators of: Escherichia coli, staphylococcus, and also gram-negative bacteria are increased. In the presence of an inflammatory process, characteristic signs appear, the number of protective blood cells increases. It is the most common infectious diseases of the urogenital area, cystitis, urethritis and pyelonephritis, in 70 percent of cases that are responsible for increasing the level of leukocytes in pregnant women. There is a threat to the fetus, so the treatment is carried out in hospitals under the constant supervision of specialists.

If leukocytes are elevated in the urine, but a bacterial culture of the urine gives a negative result, the cause is non-infectious pathologies: urolithiasis or glomerunitis. Bearing a fetus disrupts the hormonal balance of the body, which leads to difficulty in the removal of salts. As a result, stones are formed that interfere with the functioning of the organs of the excretory system, injure tissues and cause inflammation of the kidneys and urinary tract. The growth of white blood cells can be affected by glomerulonephritis, an autoimmune disease that leads to kidney failure.

Symptoms accompanying an increase in leukocytes in the urine

In addition to tests, the medical worker pays attention to the signs that accompany an increase in protective blood cells. With their help, an experienced specialist is able to make a correct diagnosis and determine the duration of treatment.

1. Inflammation of the bladder or cystitis is a common disease during pregnancy. Patients complain of frequent urge to go to the toilet, and there is a feeling of incomplete emptying of the organ. There are aching pains in the lower abdomen, as well as discomfort during urination. An increased number of leukocytes in the urine accompanies a subrefilal body temperature.
2. Pyelonephritis is a dangerous disease characteristic of pregnant women. If the outflow of urine is disturbed and a bacterial infection enters, the inflammatory process in the kidneys begins. The number of leukocytes reaches double-digit values. The acute course of the disease is manifested by high fever, back pain, a feeling of chills, a feeling of weakness, and a decrease in appetite.
3. Asymptomatic bacteriuria does not have external manifestations, however, when analyzing urine for microflora, an increase in leukocytes is diagnosed. Sometimes patients complain of blood in the urine, weakness and back pain. The disease negatively affects the health of the unborn child, and therefore requires urgent treatment.
4. Urethritis of pregnant women affects the excretory tract. The reproduction of viruses and bacteria leads to extremely painful sensations when urinating. The urethra itself is hyperemic, with the urge to go to the toilet there are purulent discharges. Pain in the lower back and lower abdomen is absent.
5. Vulvitis and vaginitis are gynecological pathologies that also cause leukocytosis. Bacterial or fungal infections affect the internal and external parts of the genitals. Vaginitis is characterized by unpleasant discharge of various colors, which depend on the type of pathogen. Pregnant women suffering from vulvitis experience itching and burning in the area of ​​the affected organ. In addition, pain can spread higher in the abdomen and lower back, the temperature rises, and the inguinal lymph nodes increase.
6. With adnexitis, pregnant patients suffer from pain in the lower abdomen. They can radiate to other parts of the body, such as the thighs or lower back. Often the temperature rises, appetite disappears, there is a general weakness. Sexual desire disappears, which distinguishes the disease from lesions of the urogenital area.
7. Bartholinitis is another pathology that often affects pregnant women, causing an acute inflammatory process of the vaginal glands. The labia swells strongly, the patients experience severe pain in the perineum, and the lymph nodes in the groin also increase. The acute course of the disease is characterized by fever, reaching extreme values ​​of 39.5-40 degrees.
8. Late toxicosis is characterized by swelling of tissues and organs, which leads to fatigue and a sharp deterioration in the health of a woman. Sudden jumps in blood pressure lead to headaches, dizziness and loss of coordination. In the later stages, with gestosis, the main systems of the body do not work adequately: the nervous, cardiovascular, gastrointestinal tract. The condition of the fetus is at risk.
9. Urolithiasis disrupts the usual course of pregnancy. Pain in the lower back, abdomen and groin. General weakness may be accompanied by fever. However, the presence of pathologies of the kidneys and urinary tract is not a reason for termination of pregnancy.

Therapy of conditions with leukocytes in the urine during pregnancy

Bringing leukocytes in the urine back to normal depends on the cause of the increase in the level of protective cells. At the initial stage, the doctor collects data for anamnesis and conducts laboratory examinations of urine during pregnancy. In the case of infectious diseases (urethritis, pyelonephritis, bacteriuria), antibiotic therapy is used, since poisoning the body with toxins and high body temperature can have a detrimental effect on the fetus, and also threaten the life of the mother. As a rule, drugs of the penicillin series and cephalosporins are prescribed. Their use requires mandatory control in a hospital setting.

Treatment with an increased number of leukocytes in the urine, in the case of a non-infectious nature, is prescribed by a narrow-profile specialist.

Contraindications for the use of drugs and the duration of pregnancy are taken into account. In the presence of kidney stones, the patient is prescribed a diet and herbal remedies. The necessary measures for fungal gynecological diseases are due to the use of local drugs that affect the source of the problem. With gestosis, urgent hospitalization is necessary, as well as a complex of special medical measures in the perinatal center.

Every pregnant woman who regularly visits the gynecologist during the entire period has to take a lot of tests, but not every doctor considers it necessary to explain to the patient the essence of the studies and decipher their results. You can often hear that leukocytes were found in the urine of a pregnant woman, but few women understand what exactly such information means.

Leukocytes are white blood cells responsible for the state of the protective function of the whole organism.

By themselves, leukocytes can be divided into several types, having not only a different structure, but also different functions, however, they work in a complex way, helping the immune system.

The number of leukocytes, determined during the tests, allows the doctor to assess the state of the human immune system and the level of his health.

During pregnancy, leukocytes in the urine are usually a sign of an inflammatory process, while the doctor must find out the place of its localization.

It is important to remember that cells can get into the urine not only from the bladder or kidneys, but also from the genital organs, for example, with inaccurate or improper washing before collecting urine for analysis.

For this reason, when leukocytes are detected in the urine against the background of a normal state of health, it is better to retake the analysis. If, when re-analyzing, the result remains the same, it should be taken as a symptom of the disease.

The purpose of leukocytes in the body is to absorb incoming harmful microorganisms, such as viruses, bacteria and various foreign substances, and an increase in their concentration is always perceived as an alarm signal.

Quite often, leukocytes enter the urine if a woman has any inflammation in the excretory system, for example, pyelonephritis or cystitis.

During pregnancy, a small amount of leukocytes in the urine is considered normal, since the woman's body perceives the fetus as a kind of foreign body, and increases all the body's defenses, given the existing load.

With a normal pregnancy, the detection of 1-3 leukocytes in the field of view in the study of urinalysis is considered the norm.

Elevated white blood cells in the urine during pregnancy

A sharp rise in the level of leukocytes in the urine of a woman carrying a baby may indicate a disease, and it is for this reason that the doctor so often prescribes tests.

Such a symptom must be identified in time, which will allow you to take the necessary measures and conduct timely treatment.

Of course, the reasons for the appearance of leukocytes in the urine during pregnancy may be different, therefore, the results of the tests should be evaluated taking into account the general condition and, if necessary, repeated or additional studies should be carried out.

A woman can also find out about a significant increase in the number of leukocytes in her urine by the state of her urine.

If a violation occurs, the urine acquires a dark color, becomes cloudy, and the presence of a loose sediment of the mucous structure can also be observed in it.

In this case, you should immediately consult a doctor and conduct a full examination to identify the source of infection and treat.

This condition cannot be left unattended, as this can be fraught with serious problems and the occurrence of leukocytosis, which is characterized by rapid development (in some cases, 2-3 hours is enough) and can cause severe bleeding.

A very unpleasant disease that can also cause an increase in the level of leukocytes is thrush (candidiasis). During pregnancy, when the woman's immune system is greatly weakened, thrush appears much more often than in the normal state of the body, especially in the last trimester.

An increase in white blood cells in the urine of a pregnant woman, confirmed by a repeated study, may indicate the presence of abnormalities in the functioning of the kidneys, which can be dangerous and lead to serious consequences.

Unfortunately, today more and more often pregnant women are diagnosed with pyelonephritis, the treatment of which must be approached with the utmost care and responsibility.

It is important to detect the disease at an early stage, so do not refuse to conduct a routine urinalysis for leukocytes in pregnant women. The sooner it is detected, the easier it will be to undergo treatment and the less complications there will be.

Of course, each case of the disease is exceptional and unique, therefore, treatment is always carried out with an individual selection of the therapy program, procedures and medications.

As a rule, the choice of treatment methods, as well as the drugs and procedures used, depends not only on the type of pathogen that caused the disease and its sensitivity to certain drugs, but also on the duration of pregnancy, as well as on the general health of the woman.

It also happens that the doctor fails to accurately determine the pathogen in order to prescribe the correct treatment, or so that the local therapy performed did not bring the expected result. In this case, the doctor is forced to prescribe a course of antibiotics to the pregnant woman, taken according to the standard scheme.

Some women refuse to undergo such therapy for fear of a negative impact on the developing baby, but this should not be done.

If the disease is not treated, the inflammatory process will progress, which will cause a lot of pregnancy complications and can lead not only to its interruption, but also to intrauterine death of the baby at any time.

Therefore, refusing treatment can cause much more damage to both the expectant mother and the baby than adequate and necessary therapy prescribed by a qualified doctor.

What to do if a large number of leukocytes are found in the urine

Having learned about such a result of the analysis, one should not immediately panic and get upset.

The first step is to ask the doctor to give a second referral for a urine test and thoroughly prepare for it so that the result is as reliable as possible. For this you need:

1. Prepare jar for analysis. It must be thoroughly washed, and then pour boiling water over not only the container itself, but also the lid. You can buy a special container for urine in a pharmacy.
2. The sterilized container must be dried by placing it upside down on a clean paper or cloth napkin. Therefore, the container should be prepared in the evening. Pharmaceutical containers are usually sold sterile in individual packaging and do not require pre-treatment.
3. Only morning urine should be collected for analysis, without using any other containers for collection. You need to urinate immediately into the prepared container.
4. Before collecting urine, wash thoroughly with soap or your usual hygiene product, then wipe the skin dry with a clean towel.

If the analysis is repeated due to the fact that during the first study, leukocytes were found in large numbers in the urine, then it is recommended to close the entrance to the vagina before washing it by inserting a sterile swab into it in order to avoid particles of vaginal discharge entering the collected urine.

A urine test for pregnant women is usually prescribed once a month, but if there are any problems or deviations from the norm, the frequency of testing can be increased.

Of course, if a high number of leukocytes is found in the urine, the doctor must conduct additional examinations by connecting various specialists to him in order to accurately determine the cause of the appearance of these cells and prescribe the necessary adequate treatment.

Most often, the basis of therapy in difficult cases or in the presence of serious diseases is antibiotic drugs, but during pregnancy they are prescribed only as a last resort, when the use of topical drugs did not give the desired result.