AMHP Pregnancy & Parturition Flashcards

1
Q

Pregnancy Diagnosis: Bitch (also cat)

A
  • Abdominal Palpation • 21-28 days
  • Small ‘golf balls’
  • Not very reliable – false positives and false negatives (fat or tense bitches)
  • Ultrasonography
  • Identify vesicles from 17 days
  • Generally done 21-30 days
  • Differentiate pregnancy from pyometra
  • Litter number less accurate with large litters and later in gestation
  • Radiography
  • Best from 47 days when foetal skeletons are obvious
  • Litter number less accurate with large litters and later in gestation
  • Relaxin assay
  • (NB not progesterone as that is high in all bitches post oestrus)
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2
Q

Pregnancy diagnosis in production animals

A

• Important for management of the flock/herd
• Detection and management of non-pregnant animals is particularly
important
• Minimise ‘empty days’ (pigs, cows), ‘yeld’ or barren ewes • Treatment
• Investigation • Culling

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3
Q

Pregnancy Diagnosis: Sheep (1) Service and non-return to oestrus

A
  • Use of raddle to detect non-return to oestrus
  • Benefits:
  • Early indication of fertility issues
  • Tup is working
  • Ewes are cycling
  • Group and manage according to expected lambing date
  • Either: harness and coloured crayon block • Check harness fit regularly
  • Change crayon colour every 17 days
  • start with light colour before darker ones
  • Or: smear on raddle powder mixed with veg oil • Re-apply every few days
• Ultrasound scanning
• Usually between 45-90 days
of pregnancy
• Benefits:
• Detect fertility problem early
• Identify and cull barren ewes
• Manage ewes based on foetal numbers • Nutrition
• Plan for artificial rearing if high % of multiple pregnancies
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4
Q

Pregnancy diagnosis: Pigs

A

• Return to oestrus (18-22 days) – not pregnant • Ultrasound scanning 21-25 days post oestrus

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5
Q

Pregnancy Diagnosis: Cattle (1)

A
Non-return to oestrus
• But ~20% of cows thought to be pregnant are actually not
• Observation of oestrus
• Cows in oestrus are frequently mounted
by other cows • Tail-paint
• Rubbed off when mounted by another cow
• e.g. KAMAR HeatmountTM Detector
• Internal chamber ruptured when mounted
• releases dye which shows as a colour change
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6
Q

Pregnancy Diagnosis: Cattle (2)

A

• Milk progesterone
• 24 days after service
• Single sample:
• Non-pregnancy: >95% of cows with low progesterone are not pregnant
• High sensitivity
• Pregnancy: 20-25% of high progesterone are actually not pregnant (false
positive) – similar to non-return rates • Low specificity
• Pregnancy-associatedglycoproteins
• From 28 days after service
• Detects foetal glycoproteins in blood or milk
• Accurate except when recent abortion or foetal loss • Relatively expensive (especially blood test)

  • Detect foetus, fluid and foetal membranes, and ovarian structures
  • Rectal palpation
  • From20daysbutgenerally35days
  • Noexpensiveequipmentorpowersupply
  • Quickandconvenientforsmallnumbers,andlatepregnancies
  • Ultrasound
  • From26days,butgenerallydoneat40days.
  • Expensiveequipment,andpowersupplyneeded • Set-uptimelonger,timetoexaminesimilar
  • Quicker for large numbers of cows
  • Calvescanbeagedmoreaccurately
  • Experienced vet: both methods diagnose >95% of empty and pregnant cows
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7
Q

Pregnancy Diagnosis: Horse (1)

A
Several methods used:
• Return to oestrus
• Palpation per rectum
• Ultrasound scanning per rectum (day 14)
• Repeated at later date
to check foetal loss not occurred

Hormonal blood tests:
• Progesterone (P4): 14 – 45 days
• eCG/PMSG:fromday45-100
• Oestrone sulphate: from day 90 until term presence of live foal, can test in mare urine
• Changes in weight / shape • particularly in last trimester

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8
Q

Pregnancy duration

A
Bitch 63 days (58-68)
• Cat 63-67 days (61-72)
• Sow  115 days
• Sheep 143-147 days (144-152)
• Cow 283 days (279-287)
• Mare  330-345 (320-362)
• Donkey 11-141⁄2 months
• Mouse 20 days
• Elephant 640-660 days (21 months)
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9
Q

Preparation for parturition

A
  • In late gestation, change to oestrogen being dominant hormone (not progesterone)
  • Promotesdevelopmentofcontractileproteinsinsmoothmusclecellsoftheuterus
  • Musclesandligamentsofthebirthcanalrelax
  • Vulva swells
  • Mucusdischargemaybepresent
  • Tailheadmusclesmayrelaxsotailappearslowerordepressed
  • Mammary glands enlarge and may secrete a milky material (‘waxing up’)
  • Animal may
  • becomerestless
  • seekseclusion
  • Urinatefrequently
  • Nestbuilding(sow,bitch,queen)
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10
Q

Triggers for normal parturition

A

• Initiation of parturition is under foetal control
• FoetaladrenalcortexbecomesmoresensitivetoACTHfromthefoetaladenohypophysis(anterior
pituitary gland)
• ↑ Foetal adrenal cortical glucocorticoids
• Affectplacentaandmaternaluterus
• + ↑ placenta oestrogen
• ↑PGF2a
• → luteolysis of corpus luteum (cow and sow)
• → stimulates contraction of uterine smooth muscle
• → moves foetus into birth canal
• → promotes relaxation/softening and dilation of cervix
• Foetusinbirthcanalstimulatesoxytocinreleasefromneurohypophysis(posteriorpituitarygland)
• ↑ oxytocin → enhances uterine contractions and promotes delivery

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11
Q

Physiology of Parturition

A

Increased in Cortisol, Oestrogen, PGF 2, Oxytocin

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12
Q

Three Stages of Labour

A
  • Stage 1 (described previously)
  • Uterine contractions gradually force the foetus and foetal membranes to the cervix
  • Cow and ewe2-6hrs; sow2-12hours, mare 1-4hours (but can be delayed if watched)

Stage 2 delivery of the foetus
• Passage of the foetus through the cervix along with rupture of the ‘water bags’
• Initiates abdominal straining/contractions
• Variable time(e.g.foal15-30minutes)

Stage 3 delivery of the placenta
• Within a few hours (delay requires intervention and treatment)

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13
Q

Foetal position

A
  • Single foetus:
  • Normal is anterior presentation (diving position)
  • In cattle, posterior presentation is common and also considered ‘normal’
  • Litters:
  • Pigs, bitches, cats:
  • Anteriorandposteriorareequallycommonandnotproblematic
  • Sheep:
  • Firstlambusuallyanteriorpresentation
  • Otherpositions,andsimultaneouspresentationofmorethanonelamb–problematic
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14
Q

Stage one of parturition in the horse

A
  • Uterine contractions
  • Dilation of cervix
  • Restless behaviour, panting, pacing, off feed • Lasts1–4hrs
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15
Q

Stage three of parturition in the horse

A
• Expulsion of placenta
• Completed within 3 hrs
of end of stage 2
• Retention of membranes
for more than 10 hrs requires veterinary attention
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16
Q

Foaling Problems

A
• Dystocia (difficult birth) can prolong or even halt parturition:
• Feto-maternaldisproportion 
• Malpresentation
• Fetal “monsters”
• Uterine inertia
• Uterine torsion 
• Uterine rupture
In the mare dystocia is very serious and life-threatening
  • Force of contractions means foal can die very soon if becomes stuck or is malpresented
  • Foals have long limbs – can be difficult to reposition
  • Can correct dystocia by:
  • Manual manipulation per vaginum
  • Caesarean section
  • Oxytocin (uterine inertia only)
  • Foal can cause perineal lacerations and rupture rectum
17
Q

Mare Post-partum Problems

A
• Common post-partum mare
problems:
• Perineal or vaginal lacerations
• Retained placenta
• Retained foetus
• Uterine prolapse
• Uterine haemorrhage 
• Metritis
• Mastitis
18
Q

Calving

A

• Similar to foaling, but more interventions required
• However, cow and calf are often more resilient to delay and dystocia
• After correcting malpresentation, and in cases of maternal fatigue or uterine inertia
• Common to use a calving jack to aid delivery
Calving Jack

19
Q

Farrowing

A
  • Pigs(andotherlitter-bearing animals) require fewer interventions than those species that give birth to one large offspring
  • Signs:
  • reduced appetite
  • Chewing on bedding
  • Failure to settle
  • Pigletsbornupto40-45minutes apart – if longer, may need intervention
20
Q

Pigs – farrowing problems

A
  • Farrowing problems • Uterine inertia
  • Large foetus blocking cervix
  • Small gilt
  • Malpresentation
  • Two foetuses presenting simultaneously • Dead foetus(es)
  • Indications for Caesarian Section
  • Uterine inertia
  • “Out of Reach”
  • Secondary to Dystocia, foetal oversize, malpresentation, etc
21
Q

Lambing

A

• Ewes produce 1-4 lambs (varies with breed)
• Ewes may be lambed outdoors or indoors
• Most ewes deliver without assistance
• Some will require intervention by a
skilled stock-person
• Care before and after lambing is needed by all ewes and lambs
• Many sheep farms employ additional labour at lambing time
• Vet students are commonly employed in the Easter Vacation

22
Q

Normal lambing behaviour

A
  • First Stage Labour
  • Ewe in first stage labour separates from main group.
  • Abdominal contractions start, lasting 15-30 seconds
  • Initially at 15 minute intervals, increasing to 2-3 minutes apart
  • Straining becomes more frequent
  • String of mucus may be seen at vulva
  • Water bag (allanto-chorion) appears (if it bursts it may go unnoticed)
  • Faster process in older animals than first lambers • Disturbance may delay progress
23
Q

Normal lambing: Second stage labour

A

• Second stage typically takes about an hour
• Rupture of allanto-chorion • Rush of fluid
• Amnion and foetus are presented into the birth canal
• Powerful contractions every couple of minutes
• Parts of the lamb may be seen protruding from
the vulva
• Lamb usually delivered soon after
• After delivery, ewe should immediately lick and clean the lamb
• Multiple lambs: next follows within minutes or up to an hour later

24
Q

Normal lambing: Third Stage Labour

A
  • Expulsion of foetal membranes (Placenta)
  • Usually within 2-3 hours of delivery of the last lamb
  • If not delivered within three hours, should be investigated
25
Q

• Lambing problems

A
  • Multiple lambs presenting together
  • Feto-maternal disproportion – big single lamb
  • Malpresentation
  • Uterine inertia
  • Uterine torsion
  • Uterine rupture
  • Indications for Caesarian Section
  • Ringwomb
  • Irreducible malpresentation
  • Foetal oversize
  • Foetal monstrosities
  • Pregnancy toxaemia
26
Q

When to intervene lambing

A

• Ewe trying to lamb for more than one hour without lamb being delivered
• Interval between water-bag breaking and expulsion of foetus > 30mins
• No further progress 20 minutes after some of the lamb visible at the vulva
• Frequent powerful contractions but no progress in delivery of a lamb
• Ewe appeared to start to lamb, then stopped
• Lamb’s head visible, but no forelimbs seen at vulva
• Two forelimbs, but no head, visible
• Head and one limb visible
• Only a tail is emerging
• A large and obviously stuck lamb is seen, + swollen head or tongue
• Parts of two lambs seen at the same time at the vulva
• 30 minutes since birth of first lamb, but twins or triplets are expected
• An unpleasant brown or smelly discharge is noted (decomposing foetus)
• Vaginal prolapse or other problem identified.
• NB If lambing has been assisted, always check for another lamb still in
the uterus, even if you think you have delivered all you are expecting!

27
Q

Equipment list for lambing sheep (1)

A
  • Soap and water for hand washing
  • Antiseptic solution & bucket
  • Obstetric lubricant
  • Arm length disposable gloves
  • Lambing ropes, snares and other aids
  • Suction bulb for clearing airway
  • Strong iodine tincture for navels and a dip cup or spray to apply
  • Kettle for hot water
  • Heat lamp
  • Marker paint
  • Spare hurdles for making additional pens
  • Disinfectant for pens and floors
  • Clean buckets for food and water
  • Clean bedding material
  • Good lighting plus torch/head-torch
  • Notebook and pencil/pen
  • Warm, sleeveless clothing + waterproof trousers and wellies
28
Q

Lambing equipment (2): treating ewes

A
  • Antibiotics for treatment of mastitis and metritis
  • Injectable anti-inflammatory drugs
  • Sterile needles and syringes
  • Plastic retainers or harnesses, local anaesthetic, clean obstetric tape and needles for management of vaginal prolapse
  • Calcium borogluconate injection for treatment of hypocalcaemia
  • Propylene glycol or other concentrated energy supplements for treatment of pregnancy toxaemia
29
Q

Lambing equipment (3): treating lambs

A
  • Rehydration drench or formula for lambs
  • Stomach tubes
  • Clips or small syringes and needles for subconjunctival injections to correct entropion
  • Oral antibiotics for watery mouth prevention/ treatment if needed
  • Injectable antibiotics for treatment of neonatal bacteraemias if needed
  • Elastrator device and rubber rings for lambs if needed