Urinalysis Results and Hepatitis B Risks During Pregnancy

Urinalysis

1) The health check report indicates "presence of bacteria in urine, slightly elevated epithelial cells and white blood cells, suggesting a urinary tract infection," but since there are no symptoms, what does this mean?
2) Additionally, having no antibodies for hepatitis B, will this pose a risk during pregnancy? Should vaccination be completed before considering pregnancy?

CY, 20~29 year old female. Ask Date: 2005/05/31

Dr. Zhan Deqin reply Family Medicine

1.
This is quite common; what is referred to as asymptomatic bacteriuria can sometimes result from contamination during sampling.
2.
If there are no hepatitis B antibodies, it is advisable to receive the vaccine first.

Reply Date: 2005/05/31

More Info

When it comes to understanding urinalysis results and the risks associated with Hepatitis B during pregnancy, it's essential to break down your questions into manageable parts.

1) Urinalysis Results: The report indicating "bacteria in urine, slightly elevated epithelial cells, and white blood cells" suggests the possibility of a urinary tract infection (UTI). However, the absence of symptoms does not rule out an infection. Some individuals may be asymptomatic, meaning they do not exhibit the typical signs of a UTI, such as burning during urination, frequent urination, or lower abdominal pain. In pregnant women, UTIs can be particularly concerning because they may lead to complications if left untreated, including kidney infections or preterm labor. Therefore, it is advisable to consult with your healthcare provider for further evaluation and potential treatment, even if you feel fine.

2) Hepatitis B Risks During Pregnancy: Regarding your concern about Hepatitis B, if you have no antibodies against the virus, it means you have not been exposed to it or vaccinated against it. Hepatitis B can pose risks during pregnancy, particularly if the mother is infected. The primary concern is the potential for vertical transmission, where the virus can be passed from mother to child during childbirth. If a mother is a carrier of Hepatitis B, there is a significant risk of the newborn contracting the virus, which can lead to chronic infection and other complications later in life.

If you are planning to conceive and have no antibodies, it is highly recommended to get vaccinated against Hepatitis B before pregnancy. The vaccination series typically consists of three doses, and it is generally advised to complete the vaccination at least three months before attempting to conceive. This timeline allows your body to develop adequate immunity, thus reducing the risk of transmission during pregnancy and childbirth.

In summary, it is crucial to address both the potential urinary tract infection and the lack of Hepatitis B antibodies before proceeding with pregnancy. Regular prenatal care and open communication with your healthcare provider are vital in ensuring a healthy pregnancy and minimizing risks to both you and your future child. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and guidance.

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