Blood shows during pregnancy
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Red blood cells in the urine during pregnancy: rate, causes
Before each visit to the doctor pregnant pass laboratory tests. Select the red blood cells in the urine during pregnancy is normal. However, increased values in the mean results in malfunctions of the organism, that poses a serious threat to the child. Red blood cells in the urine occur as a result of disease or physiological features. For reliable results it is necessary to observe the rules of collection of material for a urine test.
Red blood cells in the urine during pregnancy: norm
Leukocytes and erythrocytes are excreted with the urine from each individual. Consequently, their normal performance in the field of the microscope: for men 3-5, women to 1. The norm for a pregnant woman the same. In the case where another laboratory testing revealed an increased number of red blood cells, the doctor prescribes a re-analysis using the catheter. If in this case, the analysis showed the level 5 and above, diagnosed with «gross hematuria», then additional research is underway to identify the root causes. The value of erythrocytes from 1 to 5 in the urine of the pregnant woman is called «microhematuria».
What are the reasons?
The appearance in the urine of red blood cells during pregnancy — a reason for careful inspection of the health of the expectant mother. Laboratory analysis of urine allows us to understand the kinds of hematuria: true or false. In the case of hematuria in a pregnant first type erythrocytes appear in the urine after passing through the kidneys. Another reason of true hematuria is constantly and rapidly growing uterus. In these cases, do not worry. Elevated red blood cells in the urine during pregnancy when about of hematuria be the result of:
- Find sand or stones in the kidneys (getting to the exit particles hurt and injure tissue)
- Beginning uterine bleeding (color of urine, thus, remains the same);
- Erosion of the cervix (the endometrium will relax and produce blood cells);
- Kidney disease (cystitis, glomerulonephritis);
Steps to determining root cause
To identify the root cause of the increase in the number of red blood cells in urine during pregnancy will help additional analysis and study. First of all, the gynecologist examine a woman on the gynecological chair with the help of mirrors. This way you can diagnose a cervical erosion. The following additional research will be colposcopy — examination using a special microscope, the images which are broadcasted on the computer screen. It is possible to take pictures of the uterus for further observation.
Pregnant women will also take material for cytograms and conduct a bacteriological culture of urine and mucous balloon of the uterus. If you suspect a child in danger will conduct the ultrasound, which does not take harm during pregnancy. In addition, information is obtained from repeated studies of blood and urine. Why it is necessary to conduct so many tests? Protein and red blood cells during pregnancy are a serious threat to the life and health of the child. To prevent complications and needed for many diagnostic procedures.
There are times when after all the additional research of the failures in the system, but RBCs are still present in the analysis. In this case, the reasons can be the higher air temperature on the street or in the room where the pregnant woman spends a lot of time. Enhanced physical exercise, meals with spices and alcohol, and stress can cause red blood cells in the urine.
Rules of urine collection for analysis
Urine analysis is significantly affected by how it was collected. For the most truthful data, you must follow the rules of collection of the investigated material. First of all, the analysis is carried out on morning urine. Before you begin gathering necessary to wash the vulva. Next, use a cotton swab to close the entrance to the vagina. This is done in order to avoid getting substances out of it. The process of collection is as follows: the first portion of urine (10 ml) is poured, medium is collected and again poured last. The collection of material for analysis is produced in a special container that you buy at the pharmacy. Also important is the time between collection and the start of the study. The norm is 1 hour. This period of time (prior to analysis) a container of material should be in a cool place. The implementation of the rules collection is to ensure correct performance.
The importance of urine analysis
The health of expectant mothers means a lot to them and for the child. Any disease pregnant can cause serious abnormalities in the fetus. With the purpose of timely prevention and detection of diseases is necessary to conduct regular laboratory testing of urine. The presence of protein and red blood cells in a result, doctors have more details to observe pregnant and spend the number of additional diagnostic procedures. In addition, a pathology can flow and develop without symptoms. Tests able to identify and resolve at an early stage. Otherwise, there is a likelihood of miscarriage or developmental abnormalities of the fetus. So important is strict adherence and implementation of all recommendations of the doctor.
Thick blood in pregnancy: what is dangerous and what to do?
Any pregnant woman is faced with the fact that during pregnancy, she will need a lot of surveys and laboratory tests to prevent the development of diseases. Some women often find that performance tests deviated from the norm. But that is no reason for the experience, as most of the changes characteristic of the pregnant woman.
During pregnancy many expectant moms at a reception at the gynecologist hear about the change in his blood. It’s not always dangerous to the child and the pregnant woman. But sometimes to pass the examination necessary in order to avoid development of diseases and vices.
Typically, laboratory workers may notice such a deviation in the eyes when taking samples. Very often it occurs with additional symptoms: malaise, headaches, cold extremities, high blood pressure, dry mucous membranes, weakness and numbness of certain body parts. To emerge blood clots in different ways:
- The increase in red blood cells;
- Increase in hematocrit;
- The increase in hemoglobin levels.
To determine the density of blood is necessary to carry out the following tests:
All the tests you need to carry out on an empty stomach. It is recommended to conduct a survey called coagulation.
Causes and consequences
Change blood is observed in violation of one of the systems of coagulation. To understand whether it is dangerous for the body, you need to identify what system changes are observed, this will depend on the treatment.
Thick blood when pregnancy is a physiological process, often passing after birth. We often have to deal with the rejection that people with low levels of hemoglobin, a blood viscosity can be affected by drugs, complementary iron in the body.
Common causes thick blood include the following:
- Food poisoning;
- Cirrhosis of the liver;
- Antiphospholipid syndrome;
- The presence of thermal burns;
- Varicose veins;
- The use of certain herbs, like St. John’s wort, stinging nettle;
- High cholesterol;
- The lack of oxygen;
- The decline of the adrenal glands;
- The erythema;
- Disease Valdenstroma;
- A thrombophilia.
Upon detection of thick blood for a week before giving birth, pregnant should get tested for control parameters, which can change throughout the pregnancy. If the doctor has not taken any measures for treatment, so do not worry. But the guidance, which prescribes a gynecologist needs to follow in order not to harm the child.
Sometimes the consequences for the pregnant woman and the unborn child can be unpleasant. So, because of the thick blood, the following may occur:
- The formation of blood clots;
- The risk of miscarriage;
- The lack of oxygen to the fetus;
- The risk of heart attack or stroke.
What to do?
To thick blood during pregnancy does not harm neither pregnant nor future child, you need to use drugs. But the problem lies in the fact that pregnant women are allowed to take not all drugs. And so for women, being in position, the best measure is prevention.
Also the doctor may prescribe the use of certain products that contribute to the reduction of blood viscosity. First of all you need to provide the body drinking plenty of fluids, try not to use salt. Only need to drink purified water, at least 1.5 liters a day. But it is understood that more than 70 ml over time of fluid not absorbed by the body, and may have unfortunate consequences — swelling.
In General, the diet of a woman who bears a child should consist only of wholesome food. And if it has not been revised, it’s time to give up fatty, smoked, salted and spicy food. And the Foundation of the diet should be foods rich in vitamin C. these include the following:
But you have to be careful with berries, fruits and vegetables, which can cause allergies. Also, do not often indulge himself with mushrooms. When dieting it is better to abandon bananas, potatoes, soda, buckwheat and alcoholic beverages.
In addition, dieters need to take physical education, but the load should be low so as not to harm the development of the unborn child.
Such treatment is not always effective, and if there is a risk of an unborn child, it would have to be medication. It is worth noting that the treatment it is necessary to conduct courses, and two weeks before the birth is to cancel it. The doctor can prescribe taking these drugs:
Importantly, to adequately treat such as blood, because in most cases, blood clots do not cause harm. In addition, it is worth noting that this is a common phenomenon faced by every third pregnant, and the doctors familiar with the most modern and effective methods of treatment.
Blood Transfusions During Pregnancy
Home / Pregnancy Concerns / Blood Transfusions During Pregnancy
A Blood transfusion is a frequently performed procedure where you receive blood through an intravenous (IV) line into one of your blood vessels. Receiving a blood transfusion while pregnant is not something most women want to think about. However, there are two conditions that may warrant a blood transfusion during pregnancy.
What are the Reasons to Have a Blood Transfusion During Pregnancy?
There are two primary reasons you may need a blood transfusion while pregnant. These include the development of severe anemia close to your due date, or hemorrhaging at some point during your pregnancy.
You can find more information on both below:
Once a hemoglobin estimate has been performed, a medical professional can diagnose the extent of your anemia. For patients diagnosed with severe anemia, it is important to determine the causes and best course of treatment.
While it may be difficult to pinpoint exact causes of anemia, particularly if a combination of factors has resulted in anemia, sometimes the frequency of anemia in a given region may give a clue as to its cause. For instance, in areas where malaria is common, the course of treatment will be tailored to take into account the possibility of malaria. Your doctor will prescribe antimalarials possibly in combination with another treatment.
If you have a Hemoglobin count lower than 7 g/dl and are 34 weeks along in your pregnancy or more, the possibility of transfusion will be discussed. A Hemoglobin measure lower than 5 g/dl greatly increases your risk of mortality. It is crucial you receive a transfusion before very severe anemia develops. In addition, it is imperative that severe anemia is effectively treated before labor. Often, relatives who are willing to donate blood are asked to provide the transfusion.
Hemorrhaging is bleeding excessively in an urgent situation. This bleeding can lead to severe anemia. A transfusion is often required in order to counteract excessive blood loss. Hemorrhaging can occur at any time during pregnancy. If you experience a miscarriage or ectopic pregnancy, it can lead to hemorrhaging early in your pregnancy.
It is also possible to experience hemorrhaging after your 24th week of pregnancy. You are probably more familiar with the possibility of hemorrhaging during delivery and immediately following delivery, known as intrapartum hemorrhaging and postpartum hemorrhaging respectively. While doctors will try to prevent the need for a blood transfusion, under some conditions it is absolutely necessary to save you and your baby’s life.
Having a Blood Transfusion During Pregnancy
Most often, the transfusion required for pregnant and recently pregnant women only involves red blood cells. It is less likely platelets and plasma will be needed. In order to receive the transfusion, a small tube will be inserted into a vein in your hand or arm.
The transfusing blood will move through a drip into your body. Each bag contains approximately 1/3 of a liter of blood and takes an estimated 3 hours to fully transfuse. In some cases, this rate of transfusion can be expedited.
What are the Side Effects of a Blood Transfusion While Pregnant
You will be closely monitored during any blood transfusion while pregnant by a health care professional.
Minor side effects include:
These side effects can be alleviated by medication and typically get better in one day.
More serious complications include the following:
- Difficulty breathing
- Severe headache
- Abrupt drop in blood pressure that may be characterized as life-threatening
Once you experience side effects, the transfusion will be halted, and your current situation will be assessed before proceeding. Under conditions of massive transfusion or multiple transfusions, more severe pregnancy complications may arise.
These complications include:
- Hyperkalemia – electrolyte imbalance involving low potassium levels
- Hypocalcemia – low calcium levels
- Coagulopathy – clotting factors are diluted leading to weakened or impaired coagulation
- 2, 3-DPG depletion – depletion of a blood component that regulates how easily oxygen is moved from hemoglobin into tissue
- Transfusion Reactions
When these severe side effects are experienced, a medical team will intervene.
Blood Transfusions During Pregnancy: Final Notes
If you’re asked to undergo a blood transfusion, make sure to get a full understanding of all of the options available to you. If it is an emergency situation, a doctor will likely make an educated decision for you. You can decline a blood transfusion or change your mind about receiving one at any time, but be aware that under some circumstances a blood transfusion may be the only way to keep you alive. If you have any questions about your options or concerns about the safety of blood transfusions, you can ask your doctor or midwife.
Compiled from the following sources:
Cohen, Wayne R. (2000). Postpartum Hemorrhage and Hemorrhagic Shock in Cohen, Wayne R. (Ed.), Complications of Pregnancy, 5 th edition (812-3). Philadelphia, PA: Lippincott Williams & Wilkins.
MacDonald, R. (1977). Red cell 2,3-diphosphoglycerate and oxygen affinity. Anaesthesia, 32(6). Retrieved from: http://www. ncbi. nlm. nih. gov/pubmed/327846
Royal College of Obstetricians and Gynaecologists. (2009, Feb. 20). Blood transfusion, pregnancy and birth – information for you.
Royal College of Obstetricians and Gynaecologists. (2009, Feb.). Blood transfusion, pregnancy and birth – information for you.
Walraven G. Treatments for iron-deficiency anaemia in pregnancy: RHL practical aspects (last revised: 20 June 2007). The WHO Reproductive Health Library; Geneva: World Health Organization.
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