Equine dystocia and abortion Flashcards

1
Q

Define dystocia in mares

A

Stage 2 of labour more than 30 minutes

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2
Q

4 procedures used to resolve a dystocia in the mare

A

Assisted Vaginal Delivery – in which the mare is conscious and manually assisted in vaginal delivery of a live foal
Controlled vaginal delivery – mare is anaesthetized and the clinician is in control of the vaginal delivery of an intact foal
C-section in which the foetus is removed through a uterine incision by celiotomy
Foetotomy – in which a dead foetus is reduced to two or more parts and removed vaginally in the awake or anaesthetized mare

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3
Q

Mare future reproduction after dystocia

A

Pregnancy rate – good in the absence of uterine/cervical trauma

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4
Q

Mare survival after dystocia

A

moderate to high

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5
Q

How heavy is the placenta

A

10-12% of the weight of the foal

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6
Q

What is the most common postpartum complication in mares

A

Retained foetal membranes (RFM)

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7
Q

RFM Treatment

A

Oxytocin every 4 to 6 hours (ecbolic drug)
Ca gluconate
Manual removal?- Controversial
Burns technique
Uterine lavageW
Broad spectrum antibiotics-Procaine penicillin and gentamicin
NSAIDS- Flunixin
Exercise and nursing

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8
Q

What is burns technique for treating RFM

A

Burns’ Technique is used only when the chorioallantois (the outer membrane) is already detached and visible in the vagina or vulva.

Fluid Introduction: Large volumes of a solution are injected into the allantoic cavity.

Retention: The fluid is kept inside the cavity by manually blocking the allantochorion (the membrane surrounding the fetus) for 10-15 minutes, or as long as the mare can tolerate.

Effects:
Uterine Distention: The fluid expands the uterus, which helps to open the endometrial crypts (small pockets in the uterine lining).
Assisting Delivery: The weight of the fluid-filled membranes helps pull the placenta’s microcotyledons (small projections that anchor the placenta) without causing trauma.
Stimulating Contractions: The procedure effectively stimulates uterine contractions, aiding in the delivery process.

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9
Q

When does Uterine or ovarian vessels rupture

A

At parturition
Occasionally pre-partum

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10
Q

Diagnosis of Uterine or ovarian vessels rupture

A

Postpartum mare
Palpation (+/-)
Haematoma in broad ligament
Transabdominal U/S
Abdominocentesis

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11
Q

Uterine or ovarian vessels rupture treatment

A

Keep her quiet and comfortable (darkened stall)
No excitement
Keep foal with mare unless grave danger
NSAID’s
Fluid therapy
Blood transfusion
Naloxone (8-20mg/IV)– narcotic antagonist
Aminocarproic acid – antifibrinolytic drug

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12
Q

What is foetal mummification

A

Foetal death in-utero without bacterial contamination
Causes
Twins

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13
Q

Non infectious causes of equine abortion

A

Twinning
Cord torsion
Endometrial insufficiency
Genetic abnormality

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14
Q

Infectious causes of equine abortion

A

Equine Herpes Virus
Equine Viral Arteritis

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15
Q

Transmission of equine herpes virus

A

Aerosol route
Direct or indirect contact nasal mucosa
Aborted foetuses
Transplacental

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16
Q

Signs of equine herpes virus

A

Abortion > 5 month (7 – 11months)
Fresh foal
4-14 weeks post infection
No premonitory signs

Infected foal
Born alive - Fatal viral pneumonitis

17
Q

Diagnosis of equine herpes vrus

A

Gross exam & histopathology of foetal tissues
Intranuclear inclusion bodies
Viral isolation or PCR
Fresh liver and lung tissue
Virus-neutralizing antibodies
Foetal blood

18
Q

Control of equine herpes virus

A

Vaccinate mare 5, 7 and 9 months of pregnancy
Separate pregnant mares from young stock
Quarantine new mares
Isolate mares who abort
Good hygiene - Abortion material, membranes & fluid very infectious

19
Q

Equine Viral Arteritis Transmission

A

Respiratory secretions
Semen
Transplacental
Carrier state (stallion)

20
Q

Equine Viral Arteritis Diagnosis

A

Virus isolation
Aborted foetus
Nasal discharge from mare
Semen from stallion

21
Q

How many twists in the cord to determine umbilical torsion

A

> 12 twists

22
Q

Most common cause of placentitis

A

Ascending bacteria from cervix

23
Q

Diagnosis of placentitis

A

Collect samples from vaginal or cervical discharge C&S
Transrectal Ultrasound
Measure Combined Thickness of Uterus and Placenta (CTUP)
Oedema of allantochorion
Placental separation

24
Q

Treatment of placentitis

A

Broad-spectrum antibiotics- Trimethoprim sulfadiazine/Gentamicin and Penicillin
NSAIDs- Decrease inflammatory mediators released during placentitis
Altrenogest (progestin)- Decrease myometrial activity
Pentoxifylline - Improve placental perfusion