Complications of Late Pregnancy Flashcards
Broad potential problems during the last half of gestation:
1. 2. 3. 4. 5. 6.
- Placental / fetal issue
- Premature lactation
- Abdominal pain (colic)
- Abdominal distention
- Musculo-skeletal problems
- Prolonged gestation
Fetal mummification and maceration:
Whats the main difference?
Mummification fetal death in the absence of bacterial infection, maceration is dead fetus with bacterial contamination
Fetal mummification and maceration:
- Mare (is/is not) systemically ill?
- Tx?
- is not
2. Remove fetus, uterine therapy with lavage and antibiotics
Fetal evaluation: Fetal fluids:
- ____ and ____ depth can measured.
- Amniotic and allantoic
Fetal evaluation: Fetal fluids:
- Amniotic fluid depth should not exceed ___
- Allantoic fluid depth should not exceed ___
- 7.9 cm
2. 13.4 cm
Monitoring what variable on U/S is recommended in high risk pregnancies?
Utero-placental unit at the cervical pole (UPUCT)
Most reliable parameter to indicate fetal well-being?
How are these obtained?
Fetal Heart Rate / Fetal Heart Rate Reactivity
b mode or M-mode echocardiography
Signs of placentitis
1. 2. 3. 4. 5.
- Purulent vulval discharge (often not present)
- Udder development
- Premature lactation
- Cervical dilation
- None
Therapy methods for Ascending Placentitis:
1.
2.
3.
4.
- Antibiotics that cross the placenta (TMS, Gentocin)
- Anti-inflammatories (Banamine)
- Uterine relaxants
- +/- Uterine blood flow
Hydropic conditions:
- Most common one?
- Characterized by____
- Mare (is/is not) affected?
- Rectal exam?
- Tx?
- Hydo-allantois
- Sudden onset of abdominal distension
- is, can be slightly painful
- will be difficult to identify foal due to lots of fluid
- induce abortion
Three broad types of clic in the late term mare:
1.
2.
3.
- Gastrointestinal
- Fetal movements
- Uterine torsion
Describe the clinical presentation of the late term colic:
- GI?
moderate to severe pain, rectal exam difficult, fecal production.
Describe the clinical presentation of the late term colic:
Fetal movements?
Acute onset, temporary duration
Describe the clinical presentation of the late term colic:
Uterine torsion:
Low grade pain, prolonged duration, refractory to painkillers. Dx via rectal exam
GI colic in late pregnancy:
- Risk of postoperative abortion is (low/high)?
- (is/is not) related to stage of gestation and lesion?
- low
2. is not