Postpartum Mare Flashcards
1
Q
Immediate postpartum mare
A
- mare and foal interaction
- placental exam
- general health assessment
- housing management
- complications
2
Q
Retained placenta
A
> 3 hrs postpartum
- 2-10% of parturitions
- increased risk after dystocia and placentitis
- usually nongravid horn
- partial or complete, always examine!
3
Q
Retained placenta can lead to ______
A
- metritis
- septicemia
- laminitis
- death
4
Q
Retained placenta - treatment
A
- ecbolics (oxytocin)
- gentle traction
- burns technique: NG tube thru vulva into allantoic space
- meijer et al: stallion catheter in longitudinal incision in vein of umbilicus
5
Q
Post-expulsion treatment
A
- antibiotics if you do not know how long placenta was retained
- uterine lavage
- exercise
- laminitis treatment
6
Q
Uterine prolapse typically occurs ______
A
Immediately postpartum
- may see post abortion or with retained fetal membranes
7
Q
Uterine prolapse - treatment
A
- sedation/anesthesia
- lift uterus to pelvic level
- cleanse
- remove placental attachements
- ligate vessels
- suture uterine tears
- catheterize bladder
- replace uterus w/ garbage bags filled with warm water
- antibiotics, ecbolics, caslick
8
Q
Invagination of uterine horn
A
Unresponsive, mild colic postpartum
- associated with retained placental tag
- intrauterine exam (dome-shaped tip projecting into uterine lumen)
9
Q
Invagination of uterine horn - treatment
A
- sedation
- manual removal of placental tag
- replace uterine invagination
- warm water infusion
10
Q
Uterine rupture
A
Occurs during stage 2 labor
- may be from dystocia
- usually at tip of previously gravid horn due to straightening of hindlimbs
- occurs during labor/manipulation or postpartum treatment
- examine placenta
11
Q
Uterine rupture - clinical signs
A
- hemorrhagic vaginal discharge
- signs of circulatory shock
- colic
- depression
- fever
- peritonitis
12
Q
Uterine rupture - treatment
A
Treat for shock and dehydration!
- surgical repair
- abdominal cavity lavage
- anti-inflammatory
- uterine massage
13
Q
Internal hemorrhage
A
Rupture of utero-ovarian or uterine artery (in broad ligament)
- at parturition or shortly postpartum
- usually >10 years old
- along with uterine prolapse or torsion
14
Q
Internal hemorrhage - clinical signs
A
- colic
- hemorrhagic shock
- may show no signs (controlled bleed)
15
Q
Internal hemorrhage - treatment
A
- dark stall and leave alone!!
- banamine
- burtorphanol
- corticosteroids
- whole blood transfusions
