What Is White Cells In Urine Mean – A urinalysis is part of routine prenatal tests to diagnose any medical condition during pregnancy, including kidney infections, preeclampsia, and XA, a pregnancy disorder characterized by high blood pressure, water retention, and protein in the urine. , and gestational diabetes is a condition characterized by elevated blood sugar levels due to hormonal and physical changes during pregnancy. . It also detects an increase in leukocytes in the urine during pregnancy, which can indicate the presence of any infection or inflammation of the genitals or urinary tract. You may also request a urine test to check maternal reproductive function (1) (2).

Read on to understand the causes, risk factors, symptoms, diagnosis, treatment management, and preventive measures for leukocytes or white blood cells (WBCs) in the urine during pregnancy.

What Is White Cells In Urine Mean

What Is White Cells In Urine Mean

Leukocytes, or white blood cells, are part of your immune system and include granulocytes (neutrophils, eosinophils, and basophils), monocytes, and lymphocytes (T cells and B cells). Together, these WBCs help the body fight infections and other diseases.

What Is Leukocyte Esterase Urine?

In general, measuring the white blood cell count is part of a complete blood cell count (CBC) (3). However, if a normal urinalysis or urinary tract infection is suspected, your healthcare provider may order a urine test to detect the presence of white blood cells (especially neutrophils). Normally, urine is sterile, so the normal leukocyte count in urine is low, up to 5 WBCs per high-powered field (WBC/HPF) (4).

According to Dr. Alan Lindemann, an obstetrician and clinical associate professor at the University of North Dakota, Grand Forks, “

The number of white blood cells in the blood and urine increases during pregnancy, but normal depends on where you start. If your non-pregnant WBC is 5000, then a WBC of 10,000 or 11,000 is normal for pregnancy, but if you start your pregnancy with a higher WBC, the normal for you may increase to 15,000.

A urine WBC may not indicate a bladder infection, but it can predict problems. An elevated WBC may indicate a group B strep infection, so a urine culture is needed because streptococcal kidney infection can lead to kidney infection and preterm labor or delivery.

Dysmorphic Red Blood Cell Formation

Also known as urinary retention, is the blockage of the flow of urine through the bladder or urethra. . Also, most of the immunological changes in the urinary tract peak at this stage (8).

The symptoms of WBCs or leukocytes in the urine samples of pregnant women can vary depending on the underlying cause. Some of these symptoms include (13) (14)

There are two ways to test leukocytes in the urine during pregnancy: a clean urine sample or a sterile catheterization. With more vaginal discharge in pregnancy, sterile catheterization is the most accurate test for leukocytes during pregnancy.

What Is White Cells In Urine Mean

Leukocyte esterase test results can affect how urine samples are stored. There is a possibility that positive samples are retained after 24 hours (19).

Leukocytospermia Or Pyospermia

The urine sample of fresh urine is centrifuged at 1500 to 3000 rpm for five minutes and resuspended in the remaining liquid for analysis. A drop is placed on a clean glass slide, covered with a coverslip and viewed under a microscope.

XAn automated screening device that analyzes urine to diagnose urinary tract infections (UTIs). . Therefore, urine samples from pregnant women can sometimes test positive for WBCs (20).

Treatment options may vary depending on the cause and the level of leukocytes in the urine. There are some standard treatments that can be incorporated into your prenatal care regimen to help balance or lower leukocyte levels in the urine during pregnancy.

Treatment should be started as soon as high levels of leukocytes are detected in urine samples to avoid adverse obstetric outcomes. Some of the problems of mothers include (10)

Rbc In Urine: What It Means, Ranges, And Test Results

Here are some tips that can help prevent high leukocytes in the urine and improve the health of the mother (13) (18):

Yes. Normally, you can have 0-5 WBC/HPF in your urine even during pregnancy. However, if the level is greater than 5 WBC/HPF, this may be a sign of infection or inflammation in the urinary tract and treatment is required (4).

Yes. In addition to UTI, an increase in leukocytes in the urine of a pregnant woman can be due to cystitis, pyelonephritis or various genital infections, which increases the risk of fatal complications in the fetus. However, fetal death in such cases is rare (10).

What Is White Cells In Urine Mean

The presence of excess leukocytes in the urine for a long time may indicate a serious underlying infection. Severe infections can also cause other symptoms. Therefore, timely treatment is important to avoid adverse effects on the health of the mother and the fetus.

Understanding The Presence Of Nitrite In Urine

A high level of leukocytes in the urine during pregnancy can occur due to various infections caused by bacteria or fungi. Symptoms of high white blood cell count depend on the underlying cause, but may include frequent urination, fever, and nausea. This condition is usually detected during a routine urine test during pregnancy, after which you may be prescribed antibiotics or home remedies depending on the cause and severity. Therefore, the condition is managed with timely and effective medical intervention. However, a delay in treatment can lead to a severe increase in leukocytes, which can cause complications.

The presence of an increase in leukocytes in the urine during pregnancy indicates an underlying infection. Identifying early symptoms and underlying causes is important for appropriate management. Let’s see the infographic below as it explains the various symptoms and causes of white blood cells in urine during pregnancy.

Possible consequences of the presence of WBCs in the urine during pregnancy and when to consult a doctor

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Urine For Pus Cells, Wbc, Eosinophils, Mononuclear Cells, Pyuria

Dr. Esha Chainani is an Obstetrician, Gynecologist and Laparoscopic Surgeon practicing in Mumbai. She has over four years of experience and specializes in pregnancy care, high risk pregnancy, fertility, vaginal bleeding, fibroid surgery, fertility surgery, PCOS and endometriosis. Dr. Chainani has published several research articles and health articles internationally. She is the founder of Premaa, a non-profit organization to reduce maternal… more

Reshmi Das has over four years of experience as a clinical coordinator, medical content writer and medical conference coordinator. His continued interest in medical journals and writing leads him to produce well-researched articles for . She writes health and wellness articles for children and pregnant and lactating women. Reshmi completed her graduate degree in Biotechnology from the MITS School of Biotechnology, … more

Rebecca is a pregnancy writer and editor with a passion for delivering researched and interesting content in the fields of fertility, pregnancy, birth and postpartum. She graduated in Biotechnology and Genetics from Osmania University Loyola Academy and received a certificate in Nutrition and Lifestyle in Pregnancy from Ludwig Maximilian University of Munich (LMU). He was into health and… more

What Is White Cells In Urine Mean

Aniesha holds a BSc in Biotechnology from USTM, Meghalaya and a MSc in Applied Microbiology from VIT, Vellore. With two years of experience, she has worked on various research projects in the field of food science. Additionally, he has an internship experience with Oil India Limited as an R&D Project Intern. As a writer at , Aniesha ensures… morePyuria is a condition in which the urine contains white cells or pus. It is defined as the presence of 6-10 or more neutrophils in a concentrated area of ​​urine stream, it can be a sign of bacterial infection of the urinary tract. Pyuria can occur in people with sepsis or in elderly people with pneumonia. Others additionally require a color, cloudiness, or change in the smell of the urine, so that pyuria is foremost. Without these additional features, it is called leukocyturia.

Types Of White Blood Cells And Their Functions

Is urine that contains white blood cells while appearing sterile by standard culture methods. It is often caused by sexually transmitted infections, such as gonorrhea, or viruses that do not grow in bacterial cultures. Sterile pyuria is listed as a side effect of some medications such as paracetamol (acetaminophen). Its occurrence is also associated with certain disease processes, such as Kawasaki disease and tuberculosis.

However, there are many known causes, including systemic or infectious diseases, structural and physiological causes, internal renal pathology or drugs.

Under normal conditions, less than two million leukocytes are excreted in the urine per day. A count of more than two million is called leukocyturia and can be determined by determining the Addis count.

However, this method requires collecting urine for 24 hours, so it is not practical. At the same time, the number of leukocytes is counted under a microscope, for which the morning urine is taken. It is arbitrarily assumed that the number of more than 4-5 leukocytes in the field of vision of the microscope indicates leukocyturia.

Microscopic Analysis Of Urine

Mothers also have rapid test strips that, after wetting a special diagnostic bar, allow to detect granulocytes in the urine, which is indicated by a change in the color of the test strip.

The principle of their work is based on the detection of esterases of granulocytes, including leukocytes. But this method is associated with a large number of false positive results (use of antibiotics,

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