Dystocia , pregnancy Flashcards
How can we diagnose pregnancy ?
-absence of oestrus
-detection of protein/endocrinological changes
-detection of foetus or foetal membranes
-physical changes - increased uterine artery
-secondary - cervical mucus , vaginal wall thinning
How can we detect pregnancy in the mare ?
-eCG from 40 days
-lack of declined progesterone
-placental oestrogen in blood, urine
-detection of foetus and foteal membrane - rectal palpation 21 days , ultrasound 14 days
How can we detect pregnancy in the bitch ?
-not by absence of oestrus or progesterone conc
-relaxin - increased with pregnancy at about 25 days
-abdominal palpation -28 days
-ultrasound - 28 days
What is the protocol for pregnancy diagnosis in the cow ?
ultrasound every 4 weeks post mating / ai
What is the protocol for pregnancy diagnosis in the mare ?
ultrasound 14, 21 and 35 weeks
Things to consider when determining pregnancy .
- need time for follicles to grow
-oestrus doesn’t mean ovulation occurring
-fertilisation period - hours ( days in bitch ) = when oocyte is available to be fertilised
-decrease in progesterone - oestrus soon ( however in bitch increase shows ovulation is ocuring )
-in mare follicular wall will thicken on ultrasound if ovulating
In the mare you do a rectal palpation and the cervix is broad and soft and the uterus is larger and oedematous . What hormone is dominating ?
oestrogen
In a mare you do a rectal palpation . The cervix feels hard and narrow and the uterus smaller with increased tone . What hormone is dominating ?
progesterone
In the cow you do a rectal palpation . The cervix feels narrow and tense and the uterus oedematous with increased tone . What hormone is dominating ?
oestrogen
In the cow you do a rectal palpation. The cervix feels flaccid and soft and the uterus flaccid with reduction in tone . What hormone is dominating ?
progesterone
How can you determine ovulation using ultrasound ?
-is there a CL - should be regressing if in oestrus
-size of follicle
- thickness of wall in mare
What size follicle shows a dominant follicle and so ovulation in the cow ?
16-20mm
What size follicle shows a dominant follcile and os ovulation in the mare
30-55mm
How can we determine ovulation and best time to ai/mate ?
-ultrasound
-progesterone conc
-vaginal cytology in dog
What drugs can be used to manipulate ovulation and what they do ?
-GnRH induced LH surge within hours and ovulation a day later
-HCG ( LH activity ) - directly induce ovulation
What is the ovsynch protocol ?
GnRH at day 0
Prostaglandin f2 alpha day 7
GnRH day 9
then AI at day 10
What is conception failure ?
when no fertilisation occurs
What is embryonic death ?
this is loss before organs form ( organogenesis)
Reasons for conception failure in cattle
-metabolic/ physical stress
-oestrus detection
-mistiming AI
state and briefly explain reasons for early pregnancy failure cattle.
-nutrition - negative energy balance cause low growth factor which helps support uterus and ovary
-high plasma non-esterified fatty acids / urea which can be toxic to oocyte/embryo
-impaired embryonic development - maternal recognition due to lack progesterone so less nutrition going to ebryo
-infection - campylobacter, BVD , herpes
-heat stress
-damage to endometrium
State and briefly describe reasons for embryonic death in sheep .
-multiple conception
-infection -toxoplasmosis ,schmallenberg , border disease
-nutrition - no red clover
-ram to ewe ratio
-early in breeding season
Reasons for failure of establishment of pregnancy in pig .
-decreased fertility in summer and autumn
-ovulation failure -cystic ovarian disease
-genetics - limited uterine capacity
-infections - porcine parovirus
-nutrition - feed restriction increase sub fertility
Reasons for pregnancy failure in mare.
-age - young ( stress , bad nutrition ) or old ( structural defects )
-haemorrhagic anovulatory follicles HAFs = follicles that don’t ovulate they become haemorrhaged
-infections
-lack of histotroph- placenta whole surface area of uterus
-maternal stress - transport or pain
TRUE/FALSE: Most cases of abortion are due to infectious agents .
false
What does resorption mean ?
death and resorption of embryo
Define fetal death .
death of the fetus that can lead to - expulsion , mummification, maceration
Define stillbirth
fetus reaches term but dies during the process of delivery
Define mummification
progesterone maintained
rapid absorption of fluid
no bacteria - so contents dehydrate and mummify
Define expulsion
abortion
decline progesterone
uterine contractions
fetus expelled
Define Maceration .
lysis of dead fetus that hasn’t been expulsed
non-infectious causes of pregnancy loss
-genetic abnormalities
-uterine disease - can’t form effective placenta
-stress - nutritional , heat
-maternal illness
-nutritional phytotoxins
Define embryo
embryonic mass can’t differentiate what species
Define fetus
embryonic mass that can now differentiate species and usually occurs around mineralisation
When does luteal placental shift occur in cattle ?
210-250 days
If there is fetal death after luteal placental shift what is likely occur ?
expulsion because there is no CL and so abortion because its after organogenesis
If fetal death occurs before luteal placental shift what is likely to happen ?
-still CL so stay in and mummification til cl dies
-if bacteria/ inflammation release prostaglandin - uterine contraction - expulsed
What are the stages of parturition ?
-stage of preparation
-1st stage
-2nd stage
-third stage
What occurs in the stage of preparation ?
late term production of relaxin
fetal maturation - pituitary produce ACTH and fetal adrenal produce adrenaline
What occurs in the first stage of parturition ?
stimulated by the preparation stage
-increase PG
-decrease in progesterone
-increase relaxin - cervix can dilate
-causes myometrial contractions - uterine contractions and fetus gets into position for expulsion
What occurs in stage 2 of parturition ?
-uterine contractions push fetus into birth canal
-abdominal contractions are additive
-fergusons reflex produces additional uterine contractions
-fetus delivered
What is the fergusons reflex ?
when the force of the fetus against the cervix once abdominal and uterine contractions start causes
-neuro-hormonal reflex
-brain releases oxytocin
-causing myometrial contractions
What occurs in the third stage of parturition ?
-abdominal contractions cease
-myometrial contractions decrease in amplitude but become more frequent and regular
-placenta expelled
How long does the second stage of parturition take ? Mare
30 minutes
How long does the second stage of parturition take ? Cow
hour
How long does the second stage of parturition take ? ewe
hour
How long does the second stage of parturition take ? Queen
2 hours
How long does the second stage of parturition take ? sow
3 h
How long does the second stage of parturition take ? bitch
6 hours
Briefly describe the reasons for dystocia .
-feto-maternal disproportion - inadequate pelvis, fetus is oversized
-incomplete dilation or constriction of birth canal
-fetus in wrong position
( all above = obstructive dystocia )
-inadequate expulsive forces - uterine inertia ( exhausted , they start but don’t continue ) , weak abdominal straining ( age , pain )
Whats the most common type of dystocia in the cow ?
-fetal-maternal disproportion -as heifers bred at early age and beef sires often used producing large calf
-breed - holstein more likely for dystocia
What is the most common cause of dystocia in the bitch ?
primary uterine inertia
List some conditions that occur post partum ?
-haemorrhage
-trauma /lacerations/ contusions
-prolapse of something
-placental retention
-metritis
-recumbency/nerve damage
Explain post-partum haemorrhage
this means bleeding after birth it can occur due to
-breakage of umbilicus and blood leaking from placenta
-uterine or vaginal lacerations - vaginal artery
Explain trauma that can occur post-partum .
-bruising of wall of vestibule or vulva
-perineal laceration ( most commonly in first pregnancy and when forced traction ) - can get 1st-3rd degree ( 1st more superficial ) and recto-vaginal fistula
Explain prolapse/protrusion pos-partum .
-bladder -ewe and cow - bladder can prolapse through tear in vagina ,in mare bladder can evert through large urethra
-NO prolapse of vagina/cervix that usually occurs late pregnancy
-uterus - common in cow and ewe
What causes prolapse of the uterus in the cow and ewe and how treat?
-when have more than one fetus
-associated uterine inertia /poor involution of uterus
-epidural , put in frog position ( ventral recum ) and push back in , give oxytocin , calcium , parenteral antibiotics , NSAIDS after
In what animal is retained placenta common ?
cow
Why is retained placenta important ?
can cause metritis , endometritis , pyometra
Cause of retained fetal membranes
-abortion
-dystocia
-inertia
-hypocalcaemia
-caesarean
-twins
-in mare breed
How would you treat a retained placenta in cow ?
-gentle removal
-parenteral antibiotics if clinically ill
-ecbolics - little effect
What are ecbolic drusg ?
stimulate uterine contractions
How would you treat retained foetal membranes in mare ?
-careful traction to remove - can use twisting method
-sometimes use ecbolic agents
-careful examination of membranes
How would you treat a bitch/queen with retained placenta ?
ecbolic agents
NSAIDs, parenteral antibiotic, fluid therapy
Reasons for recumbency /nerve damage
-hypocalcaemia
-hypomagnesaemia
-metritis
-mastitis
-leg/pelvic/nerve injury ( obturator nerve )
-rumen acidosis
How would you treat recumbency/nerve damage in the cow ?
-NSAIDs
-Hobbling
-nursing and attention to mammary glands important
What happens if embryo dies before organogenesis ?
resorption or possible pyometra