Dystocia Flashcards
Gestation is ~ ____ days from first time the dog allow breeding
56-72 days
In cats, 52-74 days
Average is 65 days
> 70 days may indicate problem
A drop if body temp > ___ F is usually notes 24 hr prior to whelping in dogs an cats
2
Which cat breed commonly has dystocias?
Persians
Puppies will show up on XRAY after day ___
42
A breech position is normal . T/F
T
~40% puppies born this way
In cats, labour can take ____ hours to complete
24
________ is most common MATERNAL factor for dystocia
UTERINE INERTIA
________ is most common fetal factor causing Dystocia
MALPRESENTATION
2 things to tell to client when pets comes for Dystocia/ C- section?
- 2/3rd of cases who need medical help for Dystocia will need C-section
- C-section will cost and there is risk to dam and puppies
Main criteria for C-section : 1. 2. 3. 4. 5. 6.
- Signs of systemic illness or severe pain
- fetal oversize
- Lochia for >10 min before FIRST offspring
- ACTIVE straining for 30 min
- WEAK and INFREQUENT contractions for 2 hour
- > 4 hr since last puppy with no evidence of ongoing labor.
Lochia is normal if seen after 1st puppy?
Yes
If seen before the 1st puppy, then thats indication of C- Section
-
- XRAY
- glucose, Calcium (full labwork if dam if sick)
Why we take XRAY during assessment of a case of dystocia?
- to check fetal size
- to check fetal number
Count heads only; better to say ATLEAST X puppies
What to do if you check glucose and Ca and both are low. Dose of supplementation?
- 1-2 ml/kg of 50% Dextrose (diluted 1:1 with saline and given over 10 min)
- 0.5-1.5 ml/kg of 10% Calcium Gluconate SLOW IV while watching EKG
You may need to twist or rotate the fetus. T/F
T
Warn owners of the risk to fetus during removing it physically
In which direction do we pull the fetus?
DOWNWARD
-
- 1 drop DOXAPRAM on tongue or injected into tongue
- 25 ga needle → twirl it at on the nose
Otherwise, gently suction out the mouth with bulb syringe as a normal procedure for all
Oxytocin can be given if there is not fetus stuck or no fetal oversize. T/F
T
Total dose of Oxytocin in dogs & cats.
0.5-2 units total
What is the criteria for repeating Oxytocin?
- Repeat in 30 min, if no fetus passes
- if a fetus is passed, then it can be repeated EVERY 30 min as needed for expulsion of remaining fetuses
Do not swing puppies. T/F
T
If medical management has not worked for an hour or so, Author starts discussing C-section with owners. T/F
T
Once the dam is awake , observe for ___ hours and discharge if all looks good
4-8
Is vaginal discharge normal after whelping?
Yes, it may take 4-6 weeks to resolve
Should be a concern if it turns GREENISH, FOUL SMELLING or DAM IS SICK
Other fetus related indications for C-section?
- Fetal oversize or malformation
- Fetal putrefaction
- Fetal malpresentation which is not amenable to digital manipulation
- Evidence of fetal distress with poor response to medical intervention
Other Maternal indications for C-section?
- Uterine inertia (large numbers of fetus & response to drugs is unsatisfactory)
- Abnormalities of pelvis (fractures,masses)
- Maternal evidence of systemic illness
- Suspcision of uterine torsion, rupture, prolapse or herniation
