Definition of the presentation, position and posture of the fetus in cattle. Normal and abnormal presentations in cattle Flashcards

1
Q

Presentation, Position, Posture

A

(presentation = 3 of them)
They describe how the fetus lays in the pregnant uterus or within the birth canal.
Dorso Longitudinal presentation (1) ->
Abnormal (2) = Not in longitudinal plane ->

Definition: Relation of the long axis of the fetus to that of the dam

normal: Longitudinal presentations (anterior, posterior)

abnormal:
• Dorso-transverse presentation
• Ventro-transverse presentation
• (Oblique) dorso-vertical presentation
• (Oblique) ventro-vertical presentation
    o (”Harms dog-sitting position”)
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2
Q

Presentation, Position, Posture

Differentiation of normal (longitudinal) presentations -> IMPORTANT !

A

Anterior presentation
Posterior presentation
(Longitudinal) anterior and posterior presentations

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3
Q

Presentation, Position, Posture

Differentiation of normal (longitudinal) presentations -> IMPORTANT !

Anterior presentation

A
  1. Metacarpophalangeal joint (fetlock) and the first joint proximal to that joint (=carpus) are flexed to the same direction
  2. Bony knob (tuber olecrani) is present at the second joint proximal to the fetlock
  3. In dorsal position of the fetus the palmar sides of the forelimbs are facing ventrally
  4. Recognition of head, neck (mouth, nose, ears, trachea, mane)
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4
Q

Presentation, Position, Posture

Differentiation of normal (longitudinal) presentations -> IMPORTANT !

Posterior presentation

A
  1. Metatarsophalangeal joint (fetlock) and the first joint proximal to that joint (=tarsus) are flexed to the opposite direction
  2. Bony knob (tarsus) is present at the first joint proximal to the fetlock
  3. In dorsal position of the fetus the plantar sides of the hindlimbs are facing dorsally
  4. Recognition of tail, anus, umbilical cord, testis, scrotum
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5
Q

Presentation, Position, Posture

Differentiation of normal (longitudinal) presentations -> IMPORTANT !

(Longitudinal) anterior and posterior presentations

A

Check palmar surface of feet -> Downword -> Antertior presentation

Upward -> Posterior presentation

Check jts above the fetlock its: if 1 st jt above is flexing -> Should be same direction -> Carpus -> Anterior (pic)

If it’s 2nd jt to another direction (boni knob) -> Posterior presentation

Use any structure to help to differentiatge (neck, head)

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6
Q

Presentation, Position, Posture

Summary: normal presentations

A

During pregnancy:
• Longitudinal presentation (anterior or posterior),
• dorsal (upright) position (but ventral in the horse !)
• flexed posture

During delivery:
• Longitudinal presentation (anterior or posterior)
• dorsal position
• extended posture

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7
Q

Presentation, Position, Posture

Position

A

Definition: Relation of the vertebral column of the fetus to that of the dam

normal: Dorsal (Upright) position
abnormal:
• Ventral position (but: see the exception in the horse -> Normal !)
• Lateral position (left, right) -> incomplete turning in

(Longitudinal) posterior presentation, ventral position

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8
Q

Presentation, Position, Posture

Posture

Definition

A

Relation of the head, neck and legs of the fetus to its trunk

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9
Q

Presentation, Position, Posture

Posture

Normal

A
  • flexed (ONLY: during pregnancy)
  • extended (ONLY: during parturition)
Predisposing factors for abnormal postures:
• premature birth
• any types of uterine inertia
• twins
• reduction in the intrauterine space
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10
Q

Presentation, Position, Posture

Posture

Abnormal

A
head: 4 directions normally
    o Lateral deviation of the head
    o Downward displacement of the head (Vertex posture, Breast-head posture, nape
presentation
    o Upward displacement of the head
forelimbs:
    o Carpal-flexionposture
    o Incomplete extension of the elbow
    o Shoulder-flexion posture = Complete retention of the forelimb
    o Foot-napeposture
hindlimbs:
    o Hock-flexion posture
    o Hip-flexionposture
one sided, double sided -> abnormal postures
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11
Q

Normal and abnormal presentations

A

Relation of the long axis of the fetus to the long axis of the dam.

normal: Longitudinal presentations (anterior, posterior)
abnormal: Dorso-transverse presentation
1. Oblique dorso-vertical presentation
2. Oblique ventro-vertical presentation (‘Harms dog-sitting position’)
→Hard to resolve and recognize
3. Dorso-transverse presentation
4. Ventro-transverse presentation

ALL ARE INDICATED FOR CAEDARIAN SECTION !

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12
Q

(Oblique) dorso-vertical presentation

Occurrence

A
  • calves: more often, foals: seldom
  • preferably if fetus is dead
  • in inertia cases
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13
Q

(Oblique) dorso-vertical presentation

Diagnosis

A

dorsal part is available only

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14
Q

(Oblique) dorso-vertical presentation

Prognosis

A

in general: bad

good only, if the case is fresh and the fetus is small

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15
Q

(Oblique) dorso-vertical presentation

Treatment

A

1) Non-bloody method:
• target: to induce longitudinal presentation
• which part of the fetus is closer to us
• easier if we can induce posterior presentation
▪ manually (lifting the anus, the tail)
▪ Krey-Schöttler double hook,
▪ Kühn’s crutch

2) Bloody method:
• fetotomy (cut the body in 2 pieces) -> Most often !
• caesarean section

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16
Q

(Oblique) ventro-vertical presentation
(“Harms dog-sitting position”)

Occurrence

A
  • calves: seldom, foals: more often
  • preferably if fetus is dead
  • in inertia cases
17
Q

(Oblique) ventro-vertical presentation
(“Harms dog-sitting position”)

Diagnosis

A

abdominal site, legs are facing the birth canal - excluding twins

18
Q

(Oblique) ventro-vertical presentation
(“Harms dog-sitting position”)

Prognosis

A

Bad

19
Q

(Oblique) ventro-vertical presentation
(“Harms dog-sitting position”)

Treatment

A

1) Non-bloody method:
• target: to induce longitudinal presentation
• which part of the fetus is closer
• easier if we can induce posterior presentation
o manually (lifting the hind legs, pushing the cranial part back)
o Kühn’s crutch

2) Bloody method:
• fetotomy (cut the body in 2 pieces)
• caesarean section

2 options

  • Pull out FL and pushing back HL
  • Pull back HL and push back the whole body of foetus with the FL as well

Careful twins !

20
Q

Dorso-transverse presentation
(Spine vertical in birthcanal)

Occurrence

A
  • seldom (foals)
  • indicates two horn pregnancy
  • preferably if fetus is dead
  • in inertia cases
21
Q

Dorso-transverse presentation
(Spine vertical in birthcanal)

Diagnosis

A

the vertebral column is laying horizontally

22
Q

Dorso-transverse presentation
(Spine vertical in birthcanal)

Prognosis

A

bad

23
Q

Dorso-transverse presentation
(Spine vertical in birthcanal)

Treatment

A

1) Non-bloody method:
• target: to induce longitudinal presentation
• which part of the fetus is closer
• easier if we can induce posterior presentation
o manually (anus, tail pulling, while pushing the cranial part back)
o Krey-Schöttler double hook,
o Kühn’s crutch

2) Bloody method:
• fetotomy (cut the body in two pieces)
• almost absolute indication for caesarean section

24
Q

Ventro-transverse presentation

Occurrence

A

• mostly in foals

25
Q

Ventro-transverse presentation

Diagnosis

A
  • legs, abdominal part are facing to the birth canal

* exclude twins!

26
Q

Ventro-transverse presentation

Prognosis

A

bad