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Why do pregnant women have smelly urine?

2025-12-07 12:08:34 healthy

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)

Why do pregnant women have smelly urine?

Rankingtopicsearch volumeMain platform
1Diet taboos during pregnancy12 million+Weibo/Xiaohongshu
2Causes of smelly urine in pregnant women9.8 million+Baidu/Zhihu
3Gestational diabetes screening7.5 million+Douyin/Kuaishou
4Abnormal fetal movement signals6.8 million+WeChat/Bilibili
5sleep quality during pregnancy5.5 million+Douban/Tieba

2. Five main reasons for changes in the smell of urine in pregnant women

ReasonSpecific performanceoccurrence stagemedical explanation
Hormone changesAmmonia or metallic smellMainly in early pregnancyElevated HCG hormone changes metabolites
DehydrationStrong odorwhole pregnancyConcentration of urine leads to increased urea ratio
Dietary effectsspecific food odor2-4 hours after eatingAsparagus/coffee and other metabolites evaporate
urinary tract infectionrancid smellSuddenBacteria break down urea to produce ammonia
gestational diabetesSweet and cloyingsecond and third trimesterAbnormally 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:

Symptomspossible diseaseaccompanying features
Rotten fish smellbacterial vaginosisVulvar itching/increased discharge
rotten apple flavorketoacidosisThirst/fatigue/deep and fast breathing
Fecal odorVesicorectal fistulaUrine mixed with feces

4. 6 practical suggestions for improving urine odor

Based on the experience posts and doctor’s advice shared by Xiaohongshu moms:

methodSpecific operationsEffect cycle
Increase water intake2-2.5L per day, drink in divided dosesImmediate improvement
Adjust diet structureReduce strong flavors such as onions/garlicEffective within 3-5 days
Supplement vitamin B6Take 10-25mg daily as directed by your doctorAbout 1 week
Urinate regularlyEvery 2-3 hoursPrevent urinary retention
Choose cotton underwearChange 2-3 times a dayReduce odor residue
Drink cranberry juiceSugar-free type 200ml dailyPrevent 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 itemsnormal rangeabnormal risk
Urine routine white blood cells0-5/HP>10 prompts for infection
Urinary ketone bodiesnegativePositive needs to be diagnosed with diabetes
Urinary protein≤0.15g/24hBe 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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