Pre-Partum Conditions & Normal Calving Flashcards
what are the risk factors for vaginal prolapse
Breed (Hereford)
Fat
BCS (fat)
Lax sacrotuberous ligaments/vulva
Previous perineal trauma (estrogenic pastures)
is vaginal prolapse repeatable
yes
cull
is vaginal prolapse more common in cattle or sheep
sheep with multiple fetuses
when are vaginal prolapses seen
last trimester
what grading system is used for vaginal prolapse
Grade 1: Intermittent only when cow lying down, vaginal tissue fine
Grade 2: Continuous prolapse, urinary bladder might be trapped
Grade 3: Continuous prolapse, urinary bladder trapped, tissue starts to be compromised
Grade 4: As above but include cervix, tissue infected, necrotic and sepsis/peritonitis possible
how do you fix a vaginal prolapse
caudal epidural
assess viability of tissue
clean and lubrication
replace (watch fingers – perforation risk)
buhner’s stich with uterine tape
2-3 fingers wide to pass urine
easy knot to undue
NSAID + broad spectrum antibiotics
how is a caudal epidural done
Manipulate tail — junction between last stationary vertebrae and first moving (sacrococcygeal space S5-C1)
Or first coccygeal space (C1-C2)
Clip and surgical scrub site
18g x 1.5 inch needle (pink) for adult cow
Insert needle 90 degree to skin
Hanging drop OR should inject with no resistance
1ml/100kg (increasing dose means nerve affected more cranial —> down animal)
what is the hanging drop
what are local anesthetics licensed in farm animals
what is a hydrops (hydrallantois/hydramnios)
Increased production/accumulation fluid
what is hydrallantois and when is it commonly seen
allantoic sac (outside)
associated with placental disase
3rd trimester, acute
what is the appearance of hydrallantois
Distended abdomen +/- systemic signs, down, prepubic tendon rupture
what would be felt on rectal with a hydrallantois
Rectal — no placentomes, uterus everywhere (US — need normal cow)
what is the treatment for hydrallantois
Elective C-section or induce
Steroids but if immunosuppressed might not be the best idea
PGF 2 alpha but can be unpredictable depending if progesterone is being produced by placenta
what is the prognosis of hydrallantois
poor
cull as can recur
what is hydramnois
amnionic sac
fetus often dead, chronic
feel placentomes
no reason to cull cow
describe the fetal membranes and which are affected in hydrops
what is early embryonic death
0-17 days
what is late embryonic death
17-42 days
what is abortion/fetal death
42-270 days