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
L Flank Laparotomy C-section in Cows; Basics, Sedation, Anesthesia
NOT recommended for cows that are likely to go down or extremely fractious
Sedation
* Ketamine 0.04mg/kgIM
* Butorphanol 0.01mg/kgIM
* Xylazine 0.02mg/kgIM
Anesthesia
* Caudal epidural (Lidocaine/Xylazine) w/ inverted “L” paralumbar block
* Sedation/analgesia (Xylazine/butorphanol)
C-Section in a Cow; Skin Incision, Basics, Approaches, Common Errors
Caudal third of the fossa to facilitate exteriorization of the uterus
35 to 40 cm long
Vertical
* Mid-paralumbar extending ventrally
* Size depends on size of the fetus
Slightly oblique
* 10 cm cranial and 8 to 10 cm ventral to the cranial aspect of the tuber coxae
* Extend cranioventrally at 45° angle ending 3 cm caudal to the last rib
Common errors
* Too high
* Too low
* Too small
* Jagged
C-Section in a Cow; Muscles to cut, Gridding Technique & Common Problems
Incise through the subcutaneous tissues & Internal and external abdominal oblique muscles
Tent the transversus abdominus muscle with forceps and incise with scissors
Use finger to check for any adhesions and direct incision with scissors
Modified gridding technique
* Limits the size of the incision
* Difficult exteriorization of the uterus
Common problems
* Excessive bleeding (insure hemostasis)
* Pain: Cutting through nerve branches
* Inability to identify the peritoneum
* Incision through to the rumen
C-Section in a Cow; Exploration of the Peritoneal Cavity
Use sterile wet sleeves
Determine the location, size and position of the fetus
Check for any uterine/cervical lacerations
Check for uterine torsion
Check tone/relaxation of the uterus
C-Section in a Cow; Exteriorization of the Uterus, How to & Common Problems
Locate the tip of the uterine horn
Grasp the leg of the fetus within the tip of the uterine horn
Bring the tip of the horn into the abdominal incision
Problems
* Very difficult if fetus is large or uterus is contracted (Epinephrine to relax uterus)
* Never grasp the uterine horn without fetal limb!
* Transverse presentations are very difficult
* If you cannot bring the uterus up make blind uterine incision using a sterilized letter opener
C-Section in a Cow; Uterine Incision & Problems
Incision should be made over the greater curvature
Start at the tip of the horn and extend caudally
Stab incision and extended with scissors
Incision should be long enough to accommodate fetal limbs and head (caudal presentation) or the hips (cranial presentation)
Do not hesitate to extend uterine incision during delivery
Problems
* Too small incision resulting in uterine rupture or tears
* Too close to the broad ligament
* Too close to the body and cervix
* Spillage of uterine fluid or lubricant into the abdominal cavity
* Excessive hemorrhage due incision of placentomes
C-Section in a Cow; Delivery of the Fetus in Cranial or Caudal Position
Cranial presentation
* Apply chains to both hind legs
* pull dorsal and lateral until the pelvic area is brought to the abdominal incision
Caudal presentation
* Apply chains to the forelegs
* Locate and align the head with incision then apply traction
* May need to use a head snare
C-Section in a Cow; Uterus Closure, Problems
Exteriorize as much of the uterus as possible
Hold uterus with uterine clamps
Check for lesions or abnormalities
Remove the placenta only if completely detached and comes out easily
Trim cord and placenta and replace in the abdominal cavity
Single layer Utrecht if healthy
double-layer closure Lembert then Utrecht if risk of leakage
Start at the caudal commissure
May administer oxytocin after closure
Check uterus for leakage, clean, and replace in normal position
Use a saline solution of heparin, penicillin K, or tetracycline
Problems
* Edges not inverting properly
* Knots not buried
* Uterine tears at the suture points (weak or damaged uterus)
* Jagged uterine incision
C-Section in a Cow; Abdominal Closure
Abdominal lavage as indicated
Eliminate as much air from the abdomen as possible during suture**
Always start from the ventral commissure
Peritoneum, transverse and internal oblique muscles Simple continuous pattern
External oblique abdominal muscle and subcutaneous tissue in simple continuous pattern
Close skin w/ ford interlocking
C-Section in a Cow; Complications
o Emphysema
o Peritonitis (abdominal lavage)
o Endotoxemia, postoperative sepsis
o Abdominal adhesions
o Retained placenta, metritis
o Surgical site infections
o Reduced fertility
C-Section in a Cow; Umbilical Care
o Maternity pen hygiene
o Reduce calf residency time in calving pens
o Adequate early intake of good quality colostrum
o Immediate and repeated cord dipping with chlorhexidine
o “cloned” calves may need surgical resection of the umbilical stump
Colostrum Quality in Cows
o Mass of IgG available for absorption should be >100 g/L
o Colostrum high in red blood cells may exacerbate any diarrhea caused by gram (-) bacteria
o Routine pasteurization methods reduces IgG concentrations
o Heat treatment at 60°C for 30 min reduces bacterial count, preserves IgG concentration and increases the apparent efficiency of absorption of IgG
Colostrum Absorption in Cows
6hrs after birth
50%
8hrs
33%
After 24hrs
No absorption
Failure of passive transfer
Serum IgG <10mg/mL
If giving calf pasteurized colostrum, need to give all w/in 4hrs of birth
Septic Metritis in Cows; Clinical Signs, Usual Flora, Treatment
Clinical Signs
2-14 days postpartum
Anorexia
Drop in milk production
Pyrexia
Tachycardia
Tachypnea
Dehydration
Large fluid filled uterus
Dark brown to red foul smelling discharge
Diarrhea
Rumen atony
Toxemia
Usual Flora
Trueperella pyogenes
Fusobacterium necrophorum
Bacteroides spp.
E. coli
Treatment
Penicillin, ceftiofur, ampicillin, oxytetracycline
NSAIDs
Fluid therapy
Supportive therapies
Uterine Prolapse in Cows; Predisposing Factors, Treatment
o First 24 hours (maybe longer)
Predisposing factors
Hypocalcaemia
Tenesmus (vaginal injury, prolonged dystocia)
Excessive extraction force
Large fetus
Calving paresis
Treatment
Replacement
Hysterectomy
Slaughter salvage/ euthanasia
Uterine Prolapse in Cows; How to Replacement
Epidural ->
Standing or place in sternal position & extend legs out behind cow to allow uterus to be elevated above the perineum ->
Clean the uterus with warm water and mild antiseptic ->
Massage the uterus to reduce edema (use large wet towels) ->
Replace starting at the cervix ->
Use close fists to continue to push the uterine horns through the cervix ->
Make sure that the uterine horns are extended all the way to avoid necrosis of invaginated tips by filling uterus with large volume of warm water w/ mild antiseptic ->
Administer oxytocin ->
Treat hypocalcaemia if needed ->
Place Buhner suture if cow is weak and not ambulating ->
Systemic antibiotics and NSAIDs as needed ->
If all fails – Uterine amputation
Dairy; Age at first breeding, age at first calving, weight at 1st calving
Breeding
14-15mo
Age at Calving
24mo
Weight at Calving
1200lbs
Annual Repro Cycle in Dairy
o Pregnancy - 280 days
o Waiting Period – 60d
o 3-4 cycles to get cow pregnant again
o Days open - 85-110d
Dairy; Average Days Open
o Number of days from calving to date of insemination resulting in confirmed pregnancy
o 100 –110 days
o most commonly used parameter to evaluate reproductive efficiency
o does not include cows culled for reproductive problem and does not reflect the distribution
o There should be less than 10% of the cows open after 150d
Dairy; Heat Detection Efficiency & Heat Intervals
Heat Detection Efficiency
o % Cows pregnant at the first pregnancy diagnosis
o Should ~ 80-85%
Heat Intervals
o < 18days - error, cystic ovarian condition, PGF2α administration
o 18 to 24 days - normal
o > 24days – missed heats, early embryonic death