What does it mean when a pregnant woman has elevated non-squamous epithelial cells?

In general, elevated non-squamous epithelial cells in pregnant women may be caused by hormonal changes, urine contamination, bacterial vaginosis, urethritis, or cervical polyps. Pregnant women can improve the condition by adjusting their lifestyle or following medical advice based on individual circumstances. Specific analyses are as follows:

1. Hormonal changes: Increased estrogen levels during pregnancy stimulate the proliferation and shedding of cervical and vaginal epithelial cells, leading to an increased number of these cells in tests. Wearing clean cotton underwear frequently, keeping the vulva dry, and regular follow-up examinations are usually sufficient.

2. Urine contamination: Failure to clean the vulva before collecting a urine sample may result in vaginal secretions mixing with the urine, causing abnormal test results. Before retesting, wash the vulva with warm water and collect a midstream urine sample to avoid specimen contamination.

3. Bacterial vaginosis: Imbalance of vaginal flora, with excessive growth of bacteria such as *Gardnerella*, irritates epithelial cells and causes increased shedding. Under medical guidance, medications such as metronidazole suppositories, clindamycin phosphate suppositories, or nitrofurantoin-nystatin vaginal soft capsules may be used. Avoid sitz baths during treatment.

4. Urethritis: Pathogenic bacteria invade the urethral mucosa, triggering inflammation and increasing mucosal cell shedding, often accompanied by frequent urination and painful urination. Under medical supervision, oral medications such as amoxicillin capsules, cefuroxime axetil tablets, or nitrofurantoin enteric-coated tablets may be taken, along with drinking plenty of warm water to promote urination.

5. Cervical polyps: Localized overgrowth of cervical mucosa forms polyps, which are prone to cell shedding due to hormonal or inflammatory stimulation. Polypectomy can be performed during the second trimester. After surgery, adequate rest is required, and strenuous activities should be avoided.

Special attention should be paid to bodily signals during pregnancy. Maintain good vulvar hygiene, wear loose and breathable clothing, drink plenty of water, and avoid holding urine. Attend prenatal checkups regularly. If abnormal discharge or urinary discomfort occurs, seek timely medical care to protect both maternal and fetal health.