Before each visit to the obstetrician-gynecologist, the pregnant woman gives an urine test. Urinalysis is an important laboratory and diagnostic study that is assigned to monitor the health of a pregnant woman.
In the analysis, the doctor necessarily evaluates the presence of protein and the number of white blood cells. If a protein in the urine is detected, the pregnant woman is referred to the urologist to prevent possible complications.
If the analysis of the amount of protein in the urine is several times higher than the norm, then inpatient treatment may be required. Sometimes, with increased protein in the urine, pregnancy should be interrupted to save the woman's life. Today we will tell you how much protein in the urine of a pregnant woman is considered the norm, for what reasons protein in the urine during pregnancy rises.
Norm of protein in urine during pregnancy
A small amount of protein sometimes appears in the urine of a healthy person. Normal protein values temporarily increas
However, with pregnant women things are a little different. Even before the conception of the baby, the woman may have chronic kidney disease, but even if the test results were in accordance with the norm, the traces of protein in the urine during pregnancy are sometimes detected. This is facilitated by an increase in the burden on the genitourinary system and a violation of the normal outflow of urine with an increase in the uterus.
The norm of protein in the urine during pregnancy is no more than 0.02 g / l at the beginning of the term and up to 0.03 g / l in the last trimester. If this indicator goes off scale( more than 3 g / l), it can talk about serious diseases.
How to collect urine for analysis?
If a pregnant woman has traces of protein in her urine during pregnancy, the doctor will most likely advise you to retake the assay to obtain a reliable result. Indicators can be false if the urine is not properly collected, the urine collection dishes are poorly washed or the genitals are not clean enough.
To avoid false positives, the expectant mother should carefully wash the external genitalia and collect the morning urine( medium dose) immediately after awakening in a sterile container. On the eve of collection, you can not eat foods that color urine( beets, carrots).
Causes of protein in the urine during pregnancy
There are two main causes of increased protein in the urine during pregnancy - gestosis and kidney problems.
Gestosis occurs only when the baby is born. In this condition, the permeability of the vessels is impaired in the pregnant woman.
How to recognize gestosis? We list the main symptoms:
- Protein in urine. The protein molecules are large enough, and normally they can not seep through the vessel wall. With gestosis, the permeability of the renal tubules increases, and the protein enters the urine.
- Swelling on the face and legs is an unreliable symptom of gestosis, but if it is combined with an increased concentration of protein in the urine, then this disease can be suspected.
- Increased pressure - under the influence of different pathogenetic factors, the vessels narrow, which leads to a persistent increase in pressure accompanied by dizziness and headaches.
Doctors identify gestosis with the help of laboratory tests. Sometimes this pathology is difficult to distinguish from kidney disease, since then also there is an increased protein in the urine with pregnancy in the urine and swelling.
It is desirable that the causes of the appearance of protein in urine be clarified in the hospital, and not in the outpatient setting. The doctor's actions will depend on what diagnosis is made and how the disease progresses.
What if there is protein in the urine?
If, in the second analysis, the presence of protein in urine is confirmed, the woman should pay attention to her health. With properly selected treatment, the protein in the urine during pregnancy will gradually approach the norm.
If the indices are increased slightly, the woman should stay at home, but she should control blood pressure, general condition( absence or presence of headache, dizziness).
When swelling should be limited amount of fluid used, and also drink diuretic infusions or herbal preparations( Kanefron).It is desirable to reduce the amount of salt used, since it also retains liquid. You can brew leaves of cranberries, prepare berry juice - this will help to remove excess liquid from the body.
To eliminate edema, you need to add a sufficient amount of fruits and vegetables to the day's ration, to limit the consumption of protein foods, sugar. Pregnant should avoid colds, hypothermia, stressful situations. During pregnancy, you should not resort to heavy physical exertion. Enough exercise and short walks will be enough.
With the timely treatment of protein in the urine during pregnancy can be eliminated. The gynecologist most often prescribes antibacterial agents. This is necessary to eliminate pathogenic microorganisms and create conditions for normal kidney function.
Pregnant for the prevention of stagnation in the kidney should often rise in the knee-elbow position( for five to ten minutes two or three times a day).This position will improve the outflow of urine.
If the treatment is correct, but the indicators do not improve, then the cause of gestosis, and therefore, require more serious measures.
Curing gestosis is difficult enough, because this process is quite difficult to stop. The only effective method of treatment is abortion. To prevent the development of complications, one should not underestimate the importance of urinalysis. If the pregnant woman gives tests before each appearance to the gynecologist, then first of all she takes care of her health.