Exam 2 (Cows) Flashcards
Gestation length in Cows
273-292d
Hormone Changes in Prep for Parturition in Cows
o Relaxin and estrogens cause relaxation of pelvic ligaments -> sinking of the tail head
o Relaxin & PGE cause Cervical softening/ripening
o Vulvar edema
o Prolactin, estrogens, glucocorticoids cause udder edema
Pathway that Starts Parturition in Cows
o Increase fetal cortisol ->
o Release PGF2alpha ->
o Luteolysis & relaxin causing pelvic ligament stress
ALSO
o Increase fetal cortisol ->
o Placental P4 ->
o E2 ->
o Lubrication of tract & myometrial contractions –>
o Increased pressure ->
o Cervical stimulation ->
o Oxytocin
Stage I of Labor in Cows; Duration, Clinical Signs, What is happening, Reasons to Intervene
o 2-6 hours(up to 8)
Clinical signs
Isolation from the herd
Discomfort
Kicking at the belly
Restlessness (heifers)
What happens?
Uterine contraction
Cervical dilation
Rupture of the chorioallantoic membrane
“Ferguson reflex”
Abdominal contractions
Reasons to Intervene
No progression to stage 2 after 4 hrs
Severe discomfort
Vaginal bleeding
Excessive straining, rectal prolapse, rectal bleeding
Downer
Stage II of Labor in Cows; Duration, What is happening, Reasons to Intervene
o 0.5-2 hours for cows
o 2-4 hours for heifers
o Cervix is fully dilated
o Appearance of the amniotic sac
o Many lie down
o contractions will increase and abdominal contractions are obvious.
o This stage ends with delivery of the calf
Reasons to Intervene
If amniotic sac is seen or ruptured + the following
No progression/no efforts for 2 hours
Too much effort for 30 minutes and no progression
Expulsive efforts halted for more than 20 minutes
Signs of distress or fatigue
rectal or vaginal bleeding
Severe vulvar swelling
Calf with swollen tongue, meconium staining
Stage III of Labor in Cows
o Uterine contractions
o Variation in blood pressure within the placentome
o Collagenase and Neutrophils activity
o The placenta should be delivered within 6 hours
o Retained placenta if 12 hours or more
Induction of Parturition in Cows; Indications, Prerequisites, Complications, Drugs
Indications
Convenience / management (Not common in the US)
Valuable offspring
Embryo transfer (in vitro fertilization, cloning)
Accident or debilitating disease in the dam
Prolonged pregnancy (fetus gains 0.45 to 0.68 kg/days in final weeks)
Prerequisites
Known breeding date
Need to know if fetus alive or dead
Complications
Retained fetal membranes
Drugs
Dexmethasone + PGF2-alpha
Takes 25-42hrs
Maternal Causes of Dystocia in Cows
o Beef > dairy
o Inbreeding
o Muscular hypertrophy
o Uterine torsion
o Primary uterine inertia due to Hypocalcemia etc
o Secondary uterine inertia due to Exhaustion of the myometrium
o Feto-maternal disproportion (small heifers)
o Abnormalities of the birth canal
o Overconditioning
o Long gestation
o Multiparous
o Hypoclacemia
o ketosis
Fetal Causes of Dystocia in Cows
o Malpositioning
o Monsters
o Oversized
o Twinning
o Male > female
o In vitro produced
Preventing Dystocia in Cows
o Monitor heifer growth
o Select size bulls
o Manage nutrition
o Select for pelvimetry
Rectal Exam for Dystocia in Cows; When? Objectives
Must be performed in all animals if the following
Straining and nothing is showing at the vulva
Only a foot is showing
Bloody discharge
Primary objectives
Rule in/out uterine torsion
Verify pregnancy status and stage
Check for abnormalities of the pelvis
Prep for Vaginal Exam During Dystocia in Cow
o Clean the vulva and perineal area and any protruding fetal parts with surgical soap and water
o Scrub hands and arms
o Use ample lubrication
Caudal epidural
1st intercoccygeal space desensitizes sacral nerves 3 - 5
Sacrococcygeal desensitize sacral nerves 2 – 5 but often calcified in older cows
2% lidocaine 1mL/100kg BW (no more than 5 mL)
Desensitizes tail, vagina, vulva, perineum
High dose: ataxia
What to Examine During Vaginal Exam During Dystocia in Cow
Examine birth canal for any lesions
Evaluate dilation and integrity of the vulva, vestibulo-vaginal sphincter and vagina
Evaluate cervical dilation
Do not rupture the amniotic sac if the cervix is not fully dilated
Determine fetal disposition (Presentation, Position and Posture)
Determine fetal viability
Options for Resolution of Dystocia in Cows
o Vaginal delivery after mutation
o Forced fetal extraction
o Fetotomy
o Cesarean section
o Pelvic symphysiotomy (not recommended)
o Euthanasia
Uterine Torsion in Cow; Diagnosis, Clinical Signs, Treatment
Diagnosis
Most torsion are to the left (counterclockwise)
Broad ligament displacement per rectum palpation
Spiral folds per vagina palpation
Clinical Signs
Tachypnea/tachycardia
Bleeding from rectum
Failure to progress
Raised tailhead
Restlessness
Straining
Anorexia
Death from hemorrhage
Treatment
Lay cow on side of torsion, stabilize fetus, & flip to other side (need 3-4 times)
C-section
Detorsion rod if cervix open & fetus accessible
Repulsion of a Cow Fetus
o “Pushing” the fetus away from the pelvis to make room for manipulations
Requirements
Relax uterus w/ Clenbuterol or Epinephrine
Caudal epidural
Lubrication (pump water soluble lubricant)
Can be done manually or use of the Kuhn’s crutch
Rotation of Cow Fetus
o Turning the fetus on its longitudinal axis
o Partial to take advantage of the largest diameter of the pelvis
o Complete to bring fetus from dorsoilial or dorsopubic to dorsosacral
o Can be done manually using the fetal limbs
o Can use a detorsion rod
Version of Cow Fetus
o Applied in transverse presentation
o Usually not possible in ventral transverse
When is Vaginal Delivery Possible w/ anterior/dorsosacral presentation of calf and posterior/lumbosacral presentation of calf?
Anterior or dorsosacral presentation
* If 1 person can pull fetlocks 10-15cm beyond vulva
* If point of shoulders at level of ilial shafts
Posterior or lumbosacral presentation
* If hock can be exteriorized
* Must rotate fetus 45-90 degrees
When is Vaginal Delivery Impossible During Cow Dystocia?
The head has not moved spontaneously into the pelvis
Fetus is positioned in the birth canal and the forelimbs are crossed
Hooves are rotated with solar surfaces facing medially (i.e. elbows are forced together)
Fetus is lodged and does not move when abdominal press occurs
Extraction of Cow Fetus
o Loop chain above fetlock & Half hitch around pastern
o Maximum 2 / 3 persons (600-800 lpi) or One person per leg
o one foot at the time
o Pull in arc direction
Fetotomy Indications & Requirements
Indications
Dead fetus
Traction is impossible
Cesarean not an option
Requirements
Fully dilated vulva, vagina and Cervix
Experience
Proper equipment
C-Section in a Cow; Indications
Elective / scheduled
Irreducible fetal maldispositions
Pelvic injury or abnormalities of the dam
Uterine torsion
Abnormal vagina: trauma, laceration, severe edema
Salvage of term live fetus
Should never be considered as last resort!
C-Section in a Cow; Surgical Approaches
Standing
* Left paralumbar
* Right paralumbar
Dorsal recumbency
* Right & Left ventral abdominal paramedian
* Ventral abdominal median
Lateral recumbency
* Right or left supramammary (oblique)
* Right or left ventral abdominal paramedian
* Ventral right or left paralumbar