For all the time of pregnancy a woman gives a huge number of tests. The most common tests are a general blood test, urinalysis and a swab from the vagina. During the period of gestation the woman undergoes a checkup every 4-6 weeks, as the doctor controls the health of the mother and her baby according to the results of the tests. In all the above analyzes, one of the main indicators is the level of leukocytes during pregnancy. The increased concentration of leukocytes in the results of urinalysis, a general blood test and a smear from the vagina testifies to the presence of the disease in the woman's body.
What are white blood cells?
Leukocytes are blood cells that play an important role in protecting the body from internal and external pathogens. Leukocytes are an integral part of the human immune system. If there is an acute or chronic inflammatory process in the body, the level of leukocytes in the test results will be high. For example, if in the course of pregnancy leukocytes in the urine are
It is also worth noting that the concentration of leukocytes is not constant. Temporarily, the level of leukocytes may increase after eating, stressful situations or intense physical activity. In a pregnant woman quite often the level of white blood cells is slightly higher than normal, since during the period of carrying out the child the protective forces of the organism are activated. But if the result of the analysis shows a significant increase in the concentration of leukocytes, this indicates the appearance of pathology during pregnancy or about the development of the disease in a woman. Therefore, the gynecologist regularly directs the future mother to take tests for the level of white blood cells in the blood, urine and vaginal smear.
Why is white blood cell count increased in pregnancy?
The normal level of leukocytes in the total blood test of a pregnant woman varies between 4-11x109 cells / liter. If the result of the analysis on white blood cells shows a significant excess of this indicator, the first thing the doctor will direct the expectant mother to retake it, since, perhaps, the woman did not comply with the rules of blood donation for analysis. Also, a strong emotional load or eating food before taking blood can distort the result of a blood test for leukocytes. Therefore, the gynecologist must necessarily inform the woman expecting the child that the blood sampling for the general analysis is performed early in the morning and on an empty stomach. Immediately before taking blood, she should sit quietly for 15 minutes.
If after re-analysis during pregnancy, white blood cells are elevated, this indicates that a woman bearing a baby can have the following:
- is an inflammatory process that was triggered by viruses or bacteria that got into the body;
- internal bleeding;
- acute renal failure or other kidney disease;
- purulent process in the body;
- allergic reaction;
- burn or injury.
To make an accurate diagnosis, the doctor will send the pregnant woman to take additional tests and get a check-up from the narrow specialists. The main thing is to quickly and correctly determine the cause of the increase in leukocytes in the blood during pregnancy, and also to prescribe an effective treatment so that the mother's disease does not adversely affect the development and health of the baby.
Reasons for an increase in white blood cells in the urine?
To determine the concentration of leukocytes in the urine, a clinical( general) urinalysis is performed. During pregnancy, the woman gives the urine for analysis before each visit to the gynecologist: in the first three months of bearing the baby - once a month;in the second three months - twice a month;in the last three months - weekly. The result of a general urinalysis of the woman waiting for the baby should be from 0 to 3 units in the field of view of the microscope. If the analysis shows that when pregnancy is increased white blood cells in the urine, the gynecologist will direct the expectant mother to retake the urine. Since the cause of excess of the white blood cell count may be in violation of the rules for collecting urine. The first portion of the morning urine is collected for the general analysis. The dishes in which the biomaterial is collected must be sterile. To do this, you can buy a special container in the pharmacy or thoroughly wash and boil the "home" jar. Immediately before collecting urine, you need to wash the external genitalia.
If repeated analysis shows that a woman has leukocytes in the urine during pregnancy, then this indicates a disease of the organs of the urinary system. For example, diseases such as cystitis( inflammation of the bladder) and pyelonephritis( inflammation of the kidneys caused by bacterial infection) can lead to a sharp increase in the level of leukocytes in the general analysis of urine. To make the correct diagnosis, the doctor will send a woman who is expecting a baby to an additional examination, which includes a urine analysis according to Zemnitskiy or Nechiporenko, ultrasound of the kidneys and bladder, a general blood test. After that, he will be able to prescribe a course of effective treatment. In most cases, 10 days after the start of taking medications, the level of white blood cells in the urine comes back to normal.
Why is leukocyte in a smear increased during pregnancy?
Smear from the vagina to the flora - a standard analysis during pregnancy. The result of the smear test allows the gynecologist to determine if the woman has genital diseases. During the bearing of the child, the woman is twice taken from the vagina for analysis: when she is registered for pregnancy and at the 30th week of an interesting situation. Normally, the concentration of leukocytes in the smear from the vagina ranges from 10 to 20 units in the field of view of the microscope.
If in pregnancy the white blood cells in the smear are raised, then this may indicate that the woman:
- vaginosis( vaginal dysbiosis);
- colpitis( inflammation of the mucous membrane of the vagina);
- candidiasis( thrush);
- presence of sexually transmitted infections( gonorrhea, syphilis, ureaplasmosis, mycoplasmosis, genital herpes).
In such cases, the gynecologist appoints additional studies, most often - a swab from the vagina to bacteriological culture, to pinpoint the causative agent of the disease and to prescribe an effective treatment.