Getting a urinalysis in pregnancy
A urinalysis is a routine test
that a doctor uses as part of prenatal care. While urinalysis is used for
pregnancy screening, this article discusses urinalysis as part of your routine
prenatal care.
How is a urine test done?
Your doctor will ask you to
collect a small, clean, medium-sized urine sample into a sterile plastic cup.
Chemically prepared test
strips are dipped into a urine sample to determine certain indicators.
Further analysis can be done
by testing a urine sample in a laboratory.
When are urine tests performed?
A urinalysis should be
scheduled at your first prenatal visit and then at least periodically at future
prenatal visits.
It would be normal for your
doctor to monitor your urine at every visit.
What does a urine test show?
- Urinalysis is used to evaluate for bladder or kidney infections, diabetes, dehydration, and preeclampsia by looking for high levels of sugars, proteins, ketones, and bacteria.
- High sugar levels may indicate gestational diabetes, which can develop around the 20th week of pregnancy.
- A higher protein level may indicate a possible urinary tract infection or kidney disease.
- Pre-eclampsia can be a concern if higher protein levels are found later in pregnancy, combined with high blood pressure.
What can the results of a urinalysis show?
Sugar: Having sugar in your
urine does not mean you have diabetes.
It is normal for your kidneys
to pass sugar from the bloodstream into the urine. This is especially to be
expected if you eat a lot or drink a very sweet drink.
You should be tested for
gestational diabetes if:
- Consistent levels of sugar (glucose) are detected and/or
- You feel tired or lethargic
- You are consistently thirsty
- You are losing weight
If protein is found in the
urine in late pregnancy, it may be a sign of preeclampsia.
Your doctor is testing you for
preeclampsia if:
- Consistent levels of sugar (glucose) are detected
- You have high blood pressure
- You have swelling in your face and hands
High ketone levels indicate
that you are not eating enough or that you may be dehydrated.
Your doctor may take a second urine sample collected through the catheter before determining the type of antibiotic needed.