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White Blood Cells in Urine - How do you handle this?

post #1 of 7
Thread Starter 
Please tell me if I shouldn't be posting here.....but I really want to know what you do with your clients.

At my 12 week, urine was negative. At 16, I was very positive for WBC's only. At 20 weeks, I had trace WBC's. : I have zero symptoms.

My midwife says that a lot of women throw WBC's and it's not a big deal. It would be a much bigger issue if I tested positive for nitrites and WBC's.

So, here's my question? Could I have an asymptomatic UTI that could negatively affect baby? Or am I having an unrational fear of a UTI causing infection or pre-term labor?

How do you handle this with your clients. TIA!
post #2 of 7
I'm with your MW on this. I consider WBCs only to be contamination. For trace I would do nothing, for a large amount I would want to double check with a repeat sample.
If a patient was very concerned I would offer to send a clean catch for culture to put her mind at ease.
post #3 of 7
Agreed. WBCs are normal in a regular urine specimen.
post #4 of 7
As above - I wouldn't consider it a sign of infection.

Another source of WBCs is vaginal secretions in the urine sample.

If you're really worried, you could ask to have a culture sample sent out.
post #5 of 7
Thread Starter 
Thanks for your opinions. It put my mind at ease.... I'll keep in mind that I do have the option to send to the lab if it were to come back with a large amount.
post #6 of 7
If you're really that concerned you need to be doing clean catches.
post #7 of 7
I would think it was a clean catch issue.
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Mothering › Mothering Forums › Archives › Pregnancy and Birth Archives › Birth Professionals (Archive) › White Blood Cells in Urine - How do you handle this?