One of the main diagnostic criteria for pregnancy is the analysis in the urine. The slightest deviation of indicators from the norm may indicate the health problems of the expectant mother, requiring more detailed diagnosis and prompt treatment. What does the appearance of turbidity and sediment in the urine of a pregnant woman? What measures to take to get rid of the pathology and prevent the occurrence of more serious problems? A small medical education program will help to understand the causes and consequences of such a deviation.
Norm or pathology?
During pregnancy, the female body undergoes significant changes – hormonal changes take place, and all internal organs begin to work in an intensive way to ensure not only the expectant mother but also the developing baby in the womb. Therefore, sediment in the urine may appear for various reasons, and not all of them will be pathological.
Normal urine has a light yellow tint without visible turbidity, but even with noticeable sediment it is impossible to immediately talk about the developing disease – although this criterion is not the norm, it can be caused by physiological changes not related to the pathology of the urinary system. Small sediment may include epithelial cells, mucus, saline flakes, protein, red blood cells or white blood cells – this will determine the reasons that caused it, and hence the need for further diagnosis and treatment. In which case is it worth sounding the alarm? Let’s consider the most common pathological and physiological causes of sediment in the urine during pregnancy and how to eliminate it.
Physiological causes of sediment in the urine
A single case of detected sediment with normal remaining urine indices and the absence of marked discomfort in a pregnant woman is not yet a cause for concern – most often this condition is caused by changes associated with carrying a child. A muddy portion of urine may be due to:
- Toxicosis. Nausea, vomiting, indigestion and other symptoms of toxemia usually appear in early or late pregnancy, but in some cases, they can accompany a woman all 9 months from the moment of conception to the very birth. The consequence of this condition can be a change in the water balance of the body with increased loss of moisture, which causes a change in the urine analysis. In this case, symptomatic treatment aimed at restoring the water-salt balance is prescribed – usually, after its elimination, the sediment in the urine disappears independently.
- Hormonal failure. Changes in the level of hormones affect the state of the urogenital system, causing various physiological abnormalities, including the appearance of a small white precipitate in the urine. If a pregnant woman is not worried about frequent urination or soreness, most likely, the problem will be resolved on its own as soon as the body adapts to its new state. Of course, you shouldn’t let things take their course. It is better to repeat the analysis several times to make sure that the appearance of flakes was isolated and does not indicate a possible pathology.
- Incorrect collection analysis. During pregnancy, a woman’s immunity is significantly reduced, so the number of vaginal secretions increases dramatically, and, in addition, thrush can increase. If, when collecting the test, it is not enough to cover the vagina with a swab, a part of the secret will enter the urine, causing turbidity and sedimentation after settling. If you suspect such a mistake, it is better to repeat the analysis the next day, carefully following all recommendations for collecting urine.
- Irrational food. Often, when a woman is pregnant, her dietary habits change, you want something salty, smoked and, of course, harmful. Of course, one should not completely deny oneself little pleasures, but one cannot go to each time about changing tastes – this cannot but affect the state of the organism as a whole and urine analysis in particular. So, if you abuse pickles, strong tea, caffeine-containing drinks, mineral water, you can encounter changes in the physicochemical composition of urine, including the appearance of flakes in the urine. However, such a change should not greatly frighten a pregnant woman – by settling the daily ration, you can easily get rid of the sediment in the analyzes.
Urinary turbidity diseases
If sediment in the urine during pregnancy is detected regularly or is accompanied by painful urination, discomfort in the lower back or bladder, this may indicate the development of an infectious process or other diseases of the urinary system. What features of urine analysis that occur along with the sediment, will be a clear sign of pathology?
The appearance of protein sediment in the urine is a warning sign, especially during pregnancy. Such a deviation may indicate problems in the work of the kidneys due to hypothermia or increased stress on the excretory system due to pregnancy. Often protein flakes occur against the background of infectious and inflammatory processes – glomerulonephritis or pyelonephritis. In this case, treatment should begin immediately – otherwise more serious complications may develop.
A significant increase in urine protein (above 0.33 g / l) in late periods is one of the symptoms of gestosis – a dangerous deviation that threatens the life and health of the baby and the expectant mother. Especially often this condition occurs in the second half of pregnancy. If at the same time a woman’s blood pressure rises dramatically, edemas appear, urgent hospitalization is required. In more severe cases, the doctor may decide on an emergency delivery.
Sediment in the urine containing red blood cells appears when pyelitis develops or sand accumulates in the renal tubules. If at the same time, urine acquires a pronounced reddish tint, the condition is considered urgent, since it indicates the development of bleeding in the urinary organs. As a rule, such an anomaly develops against the background of severe nephritis, nephrotic syndrome, or neglected gestosis, requiring urgent measures. In rare cases, the appearance of bloody flakes with a characteristic odor of urine can be a sign of a neoplasm in the kidneys. Either way, the erythrocyte sediment requires a serious differential diagnosis and urgent treatment.
The appearance of leukocytes with sediment in the urine is a clear symptom of an acute inflammatory process in the urinary system. During pregnancy, immunity decreases, so this condition is quite common. The severity of pathology directly depends on the level of leukocytes – the higher they are, the more dangerous the condition. If in the urine, in addition to sediment and leukocytes, impurities of pus are released, the condition is considered threatening and requires taking emergency measures.
Perhaps the appearance of bacteria in the urine is one of the most common problems that women face during pregnancy. The weakening of immunity, coupled with the anatomical proximity of the urethra and anus, can provoke the appearance of Escherichia coli and staphylococcus in analyzes, but this condition does not always require serious therapy. If the number of bacteria is small, and the accompanying symptoms of inflammation are absent, the doctor may recommend that the pregnant woman take maintenance drugs and diuretics that are permitted during pregnancy, as well as strict adherence to intimate hygiene rules. However, if the condition is aggravated, antibiotic therapy may be required; otherwise, the bacteria will provoke the development of an infectious process in the kidneys and bladder.
Urates, phosphates or oxalates usually precipitate after settling urine and are well noticeable even without a microscope. A large number of whitish flakes may appear on the background of non-compliance with recommendations on the nutrition of pregnant women and the use of large amounts of salty foods. If the situation repeats, the doctor may suspect the development of urolithiasis, which requires adherence to a special diet.
Knowing why sediment appeared in the urine, you can take appropriate measures in time. Such a deviation may be physiological, however, it should not be taken carelessly – it is better to consult with your doctor and undergo additional research to rule out the development of serious pathologies and, if necessary, initiate adequate therapy.