Failure of Pregnancy General Flashcards
three steps in the approach to FOP
- initial discussions; should we investigate
- clinical investigation
- treatment or recommendations
what do we have to think about in the initial discussion for FOP? (4)
-is there a public health problem
-is there really a problem
-cost benefit analysis (success rate, sporadic vs outbreak)
-discuss isolation
what 6 aspects are included in the clinical investigation of FOP
- clinical history and interview
- precautions to prevent zoonotic disease
- determine common causes
- examine mother, fetus and placenta
- diagnostic testing (infectious or not)
- final diagnosis
what is non infectious disease often related to
often management related and requires further investigation
five categories of causes of FOP
fetal, placental, maternal, paternal, and infectious vs non-infectious causes
what are the 6 stages of pregnancy failure
- embryonic mortality (conceptus, embryo)
- abortion (fetus)
- maceration
- mummification
- stillbirth
- perinatal mortality
what is perinatal mortality
death of an animal before, during or shortly after birth
what do we usually see with infectious causes of FOP
-usually see EARLY embryonic mortality
-specific pathogens
-non-specific pathogens; PP or post breeding endometritis
what do we usually see with non-infectious causes of FOP
-usually see LATE embryonic mortality
-chromosomal abnormalities
-genetic anomalies (living cattle have traits that are heterozygous only)
-twinning
-summer heat/seasonal infertility
-suboptimal progesterone (cow, dog, horse)
-alteration of immune profile
what species has the highest % of no diagnosis for cause of FOP
cows and sheep… 60% of cases have no diagnosis
three samples to take from an individual dam during the exam
vaginal cytology, vaginal culture, hematology and biochemistry
4 aspects of examination of the fetus
-has fetal growth and development been normal
-time of death prior to expulsion
-fetal distress
-dystocia; swelling of head
what do you see if time of death is 12 hours prior to expulsion
cloudy cornea
what do you see if time of death is 24-36 hours prior to expulsion
bloody fluid in cavities
what do you see if time of death is 72 hours prior to expulsion
dehydration begins