Dog Therio (From Parturition) Flashcards
normal mothering behaviour includes:
- attentiveness
- helping nurse
- stimulating urination and defecation
- grooming
- protecting pupts
what are 3 main causes of abnormal mothering
- stress
- pain
- too much human interference
what are normal bitch mammary glands
- non-painful
- symmetrical
- firm or softer
- warm
when does mastitis typically occur in bitches
6-10 days post-whelping (or at early weaning)
the only signs of mild mastitis in bitches might be
more firm mammary gland, uncomfortable bitch
what are clinical signs of more severe mastitis
- fever
- hard, hot, painful, discolored mammary gland
- milk MAY be purulent or different colour
- bitch lethargic, anorexic, painful, anxious, poor mom
- may be septic (gangrenous or abscessed)
what might you see on bloodwork and on cytology of a bitch with mastitis
bloodwork: leukocytosis with left shift; may be septic
cytology: degenerative neutrophils, bacteria, macrophages
when should the puppies stop nursing from a bitch with mastitis
if gangrenous or abscessed
what are analgesia options for a bitch with mastitis
tramadol and opioids
when is surgical debridement and honey bandaging of mastitis needed
gangrenous or abscessed
what is a natural option to help mastitis (3)
cabbage leaf bandages, hot packing, cold packing
agalactia is more common in _________ bitches
primiparous
if pups are not gaining weight, what should you suspect
agalactia
what are some causes of agalactia
asynchrony between whelping and milk production; mastitis; metritis; endotoxemia; nutritional deficiency; stress; premature whelping
what drug can we use to treat agalactia
dopamine receptor antagonist (inhibits prolactin, so if we block it we get increased prolactin)
we treat agalactia with _____________ but galactostasis with _______________
dopamine receptor antagonists; oxytocin
T/F lochia should resolve in bitches within 3 weeks postpartum
T
besides dopamine receptor antagonists, how do we treat agalactia
find and treat underlying cause; supplement pups
when does metritis typically occur
1 week postpartum
what causes metritis
reprodutive track bacteria invade the uterus through the cervix
how does vaginal discharge from metritis look
thick, creamy, reddish-brown, stinky, sometimes copious
what are clinical signs of metritis
- discharge (copious, creamy, smelly, thick, reddish-brown)
- anorexia
- poor mothering
- decreased lactation
- fever
- lethargy
what is most commonly cultured from the uterus of a dog with metritis
E. coli
how can we diagnose metritis
- culture of fluid
- radiographs (distended soft tissue structure, may see retained fetus)
- ultrasound (uterus dilated; RFM)
- CBC (leukocytosis w left shift)
- cytology (neutrophils, engulfed bacteria, RBC)
what is NOT likely to work to fix metritis
oxytocin (receptors are not there reliably after 24h postpartum)
what are treatment options for metritis
- fluids
- antibiotics
- prostaglandins
- spay if severe
RFM are more common in what types of dogs
toy breeds
if discharge is black/green longer than 12 hours, we should suspect
metritis
how can we prevent RFM in dogs
oxytocin within first 24h post-partum
what are risk factors for hypocalcemia
- first litter
- large litter
- small or medium breed
- diet supplemented with calcium during gestation
- 2-4 weeks postpartum
when diagnosing hypocalcemia, it is important to measure (3)
ionized calcium, protein levels, acid-base status
how do we treat hypocalcemia
IV administration of 10% calcium gluconate slowly; give oral elemental calcium (tums)
T/F to prevent hypocalcemia in bitches you can supplement during gestation but should not supplement during whelping
F; other way around
what is SIP
subinvolution of placental sites
when do we consider SIPS
when there is serosanguinous discharge > 6 weeks post-partum