Management of parturition Flashcards

1
Q

What are the three stages of parturition?

A
  1. labour
  2. delivery of foal
  3. delivery of placenta
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2
Q

Explain the process of labour

A

○ Early uterine contractions
○ Positioning of foal: from posterior flexed to anterior extended
○ Cervical and pelvic relaxation
Increased vaginal secretions

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3
Q

What are the signs of labour?

A

○ Restlessness
○ Sweating
○ Frequent urination and/or defecation
Milk dripping

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4
Q

How long does labour last for?

A

50 mins (range from 30min to 6hr)

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5
Q

What ends labour/begins stage 2?

A

Rupture of the chorioallantois

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6
Q

State the process of foal delivery

A

foetal expulsion

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7
Q

What are the signs of foal delivery

A

○ Recumbency
○ Active abdominal contractions (voluntary & involuntary). Maximise volume of lungs, hold, and push down increasing pressure on diaphragm.
○ Rupture of foetal membranes at cervical star
○ Appearance of amnion
○ Appearance of fore feet
Delivery of foal

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8
Q

How long does foal delivery last?

A

20 min (range from 2-60 mins)

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9
Q

How is foal delivery managed - when to interfere?

A

○ Avoid unless absolutely necessary
○ If no progression 10-15 min after chorioallantois rupture
○ If the following is apparent:
▪ One foot only and head
▪ Two feet, no head
Only head

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10
Q

What action is required if you need to interfere with foal delivery?

A

Reposition
Use plenty of lube
Apply traction with contractions (if not sedated)
Traction directed towards mares hocks

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11
Q

What are two problems in foal delivery?

A
  1. placental separation
  2. meconium staining
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12
Q

How do you manage placental separation?

A

need to break and slice through membrane to part from foals nose and allow it to breathe.

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13
Q

What is meconium staining and how should it be managed?

A

amniotic fluid and/or foal stained yellow. First faeces produces in uterus. Indicates stress & complications. Need vet check immediately.

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14
Q

State the process of placental delivery

A

expulsion of the placenta

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15
Q

what are the signs of placental delivery?

A

○ Mild-strong abdominal discomfort/colic
○ Recumbency
○ Placenta hanging from vulval lips
Milk let-down

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16
Q

how long does placental delivery last?

A

60 min (range 15 min - 3hr)

17
Q

Explain the management processes of placental delivery

A

○ Leave the umbilical cord to break of own accord - to avoid blood loss to the foal (can be up to 1 1/2 litres)
○ Inspect the placenta
○ Use temporary Michel clips and perform caslicks a few days later if required
○ Dress foals naval - 0.5% chlorhexidine
○ Monitor at a distance for retained placenta
Leave well alone to allow bonding