Why do pregnant women have smelly urine? Analyze the causes and countermeasures
Recently, the topic of pregnant women's health has sparked widespread discussion on social media, with "pregnant women's urine smelling" becoming one of the hot keywords. Many expectant mothers find their urine smells abnormal during pregnancy and feel confused or even worried about it. This article will combine the hot content of the entire network in the past 10 days, analyze the reasons for this phenomenon in the form of structured data, and provide scientific suggestions.
1. Top 5 hot health topics on the Internet (last 10 days)

| Ranking | topic | search volume | Main platform |
|---|---|---|---|
| 1 | Diet taboos during pregnancy | 12 million+ | Weibo/Xiaohongshu |
| 2 | Causes of smelly urine in pregnant women | 9.8 million+ | Baidu/Zhihu |
| 3 | Gestational diabetes screening | 7.5 million+ | Douyin/Kuaishou |
| 4 | Abnormal fetal movement signals | 6.8 million+ | WeChat/Bilibili |
| 5 | sleep quality during pregnancy | 5.5 million+ | Douban/Tieba |
2. Five main reasons for changes in the smell of urine in pregnant women
| Reason | Specific performance | occurrence stage | medical explanation |
|---|---|---|---|
| Hormone changes | Ammonia or metallic smell | Mainly in early pregnancy | Elevated HCG hormone changes metabolites |
| Dehydration | Strong odor | whole pregnancy | Concentration of urine leads to increased urea ratio |
| Dietary effects | specific food odor | 2-4 hours after eating | Asparagus/coffee and other metabolites evaporate |
| urinary tract infection | rancid smell | Sudden | Bacteria break down urea to produce ammonia |
| gestational diabetes | Sweet and cloying | second and third trimester | Abnormally elevated urine sugar levels |
3. 3 danger signs to be wary of
According to a popular science video posted by an obstetrician and gynecologist on the Douyin platform, the following situations require immediate medical attention:
| Symptoms | possible disease | accompanying features |
|---|---|---|
| Rotten fish smell | bacterial vaginosis | Vulvar itching/increased discharge |
| rotten apple flavor | ketoacidosis | Thirst/fatigue/deep and fast breathing |
| Fecal odor | Vesicorectal fistula | Urine mixed with feces |
4. 6 practical suggestions for improving urine odor
Based on the experience posts and doctor’s advice shared by Xiaohongshu moms:
| method | Specific operations | Effect cycle |
|---|---|---|
| Increase water intake | 2-2.5L per day, drink in divided doses | Immediate improvement |
| Adjust diet structure | Reduce strong flavors such as onions/garlic | Effective within 3-5 days |
| Supplement vitamin B6 | Take 10-25mg daily as directed by your doctor | About 1 week |
| Urinate regularly | Every 2-3 hours | Prevent urinary retention |
| Choose cotton underwear | Change 2-3 times a day | Reduce odor residue |
| Drink cranberry juice | Sugar-free type 200ml daily | Prevent urinary tract infections |
5. Special reminder from experts
The director of the obstetrics department of Peking Union Medical College Hospital emphasized in a recent health live broadcast:Changes in urine odor during pregnancy are not in themselves diagnostic criteria for disease, but the following inspection indicators need to be paid attention to:
| Check items | normal range | abnormal risk |
|---|---|---|
| Urine routine white blood cells | 0-5/HP | >10 prompts for infection |
| Urinary ketone bodies | negative | Positive needs to be diagnosed with diabetes |
| Urinary protein | ≤0.15g/24h | Be wary of pregnancy-induced hypertension if it exceeds the standard |
Finally, I would like to remind all expectant mothers that body changes during pregnancy are normal.Don’t be overly anxious, but we must also learn to distinguish physiological changes and pathological signals. It is recommended to have regular prenatal check-ups, communicate with the attending doctor promptly if you have any concerns, and avoid blindly trusting online folk remedies.
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