Pregnancy diagnosis Flashcards

1
Q

Why is early pregnancy diagnosis important?

A
  • Can identify problems in male and female fertility early
  • Assist with production system e.g. rebred/cull, management changes such as feeding
  • Satisfaction for breeder/keeper
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2
Q

What, other than pregnancy, may cause to a non-return to oestrus?

A
  • Mis-timing of observations
  • pathological conditions e.g. persistent CL, luteal cysts
  • Short oestrus intervals
  • Pregnancy loss after maternal recognition of pregnancy
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3
Q

How does pregnancy loss after maternal recognition of pregnancy lead to non-return to cyclicity?

A
  • Luteolysis prevented
  • No second luteolysis window/luteo-placental shift of progesterone production has occured
  • Progesterone will remain elevated
  • Often lasts longer than normal pregnancy as there is no stimulation of post-parturient lutolysis
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4
Q

Give some diferences in pseudopregnancies in different species

A
  • Can be normal after every luteal phase )e.g. itch)
  • Induced ovulators may occur in non-pregnant luteal phase (sterile mating)
  • In some only after pregnancy lost (e.g. mare)
  • In some spontaneously or following pregnancy loss
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5
Q

Describe pregnancy loss in the mare between days 1 and 5

A
  • Lost while still in oviduct

- Returns to normal oestrus cycle as thorugh never pregnant

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6
Q

Describe pregnancy loss in mare between days 5 and 15

A
  • No MRP

- Normal oestrus cycle resumes unless associated with uterine inflammation or short cycle

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7
Q

Describe type I pseudopregnancy in the mare

A
  • Between days 15 and 36
  • Maternal recognition has occured
  • No return to oestrus
  • Primary CL will persist for normal lifespan
  • CL lysed by administration of prostaglandin (before luteo-placental shift)
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8
Q

Describe type II pseudopregnancy in the mare

A
  • Failure between days 36 and 140
  • Endometrial cups formed, producing eCG, maintains secondary CL
  • No return to oestrus
  • Secondary CLs persist nfor normal lifespan (~150 days)
  • CL not lysed by administration of PG
  • Mare pseudopregnant until cups naturally regress
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9
Q

What features of pregnancy can be used for pregnancy diagnosis?

A
  • Protein/endocrinological changes in urine/blood
  • Foetus or foetal membranes directly or indirectly
  • Physical changes in dam associated with accomodation of foetus
  • Maternal changes secondary to endocrinological changes
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10
Q

What techniques can be used to identify foetus or foetal membranes directly or indirectly?

A
  • Ultrasound examination
  • Rectal palpation
  • Abdominal palpation
  • Radiographic examination
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11
Q

What are some physical change in the dam associated with accomodation of a foetus that can be used for pregnancy diagnosis?

A
  • Increased uterine size or uterine artery (fremitus)
  • Increased appetite
  • Weight gain
  • Abdominal enlargement
  • Relaxation of perineal tissue
  • Auscultation of foetal heart beats
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12
Q

Describe maternal changes that occur secondary to endocrinological changes that can be used for pregnancy diagnosis

A
  • Absence of oestrus
  • Change in cervical mucus (elevated progesterone becomes dry and tacky)
  • Vaginal wall thinning
  • Teat and mammary gland enlargement
  • Secretion of milk in late pregnancy
  • Waxing up in mare in late pregnancy
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13
Q

How can abdominal palpation be used for pregnancy diagnosis?

A
  • Detectio of enlargment of uterus
  • Ballotment of foetus
  • Abdominal distension
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14
Q

Describe the use of radiographic examination in pregnancy diagnosis

A
  • Detection of uterine enlargment
  • Mineralisation of foetal skeleton
  • Can be done later in pregnancy
  • Useful if obese as ultrasound can be difficult if transabdominal scanning
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15
Q

What can be used for early pregnancy diagnosis in the cow?

A
  • Early conception factor
  • Transrectal ultrasound for conceptus
  • Failure to return to oestrus
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16
Q

What is most commonly used for pregnancy diagnosis in the cow?

A
  • Transrectal ultrasound
  • Transrectal palpation
  • Transrectal detection of foetal membrane (membrane slip)
  • Transrectal ballotment of foetus
  • Transrectal palpationof caruncles/cotyledons
  • Transrectal uterine artery fremitus
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17
Q

What can be used later in pregnancy for diagnosis in the cow?

A
  • Oestrone sulphate in milk

- Transrectal palpation of foetus

18
Q

What is commonly used for early pregnancy diagnosis in ewes?

A
  • Failure to be raddled (i.e. non-return to oestrus, high fertility so good indicator of pregnancy)
  • Transabdominal ultrasound
19
Q

What other methods can be used for pregnancy diagnosis later inpregnancy in ewes?

A
  • Foetal pulse detector with doppler ultrasound
  • Palpation of caudal uterine artery
  • Detection of pregnancy cergical mucus
  • Enlargement of abdomen and udder
  • Transabdominal ballotment of foetus
20
Q

What method is most commonly used for pregnancy diagnosis in the sow?

A

Transabdominal B-mode utrasound at day 20 (fluid filled uterine horn, detection of embryo later)

21
Q

What method is most commonly used for pregnancy diagnosis in the mare?

A
Transrectal ultrasound (day 12-15) 
- Detection of migrating conceptuses and to ensure single pregnancy
22
Q

How is pregnancy diagnosis confirmed later in the mare?

A
  • Transrectal palpation (day 21)
  • Plasma eCG (day 60-120)
  • Transrectal foetal ballottement (day 80)
23
Q

What methods are most commonly used for pregnancy detection in the bitch?

A
  • Transabdominal ultrasound

- Plasma relaxin (only produced by placenta)

24
Q

What methods can be used for confirmation of pregnancy diagnosis in teh bitch?

A
  • Plasma acute phase proteins
  • Abdominal palpation for discrete swellings
  • Radiographic examination
  • Transabdominal foetal ballottement
25
What methods can be used for pregnancy diagnosis in the queen?
- Transabdominal ultrasound and plasma relaxins from day 25 - Abdominal palpation for discrete swellings from day 28 - Radiographic examination from day 45 - Transabdominal foetal ballottment from day 50
26
Give examples of protein/endocrinological changes associated with pregnancy in the urine/blood
- No decline in progesterone | - Species-specific pregnancy specific factors e.g. hCG, PAG, placetnal oestrogens, relaxin
27
Outline early conception factor detection in pregnancy diagnosis
- Produced within 48 hours of conception, immunosuppressive - Dipstick of serum/milk - Cattle and horse - Low accuracy - Indicates conception rathre than pregnancy establishment - High incidence of embryo mortality
28
Outline a non-decline in progesterone in pregnancy diagnosis
- Elevated progesteorne in blood/milk approx 22 days from mating - Can be false positives (persistent CL) - False negatives possible - Non-return to oestrus also means no decline in progesterone - Repeat sample to confirm result
29
Outline the use of maternal recognition of pregnancy factors in pregnancy diagnosis
- Specieis for species - Most cannot be detected - Either unknown or do not enter circulation so cannot be measured in blood - hCH can be measured in urine - eCG can be measured from day 35 onwards
30
Outline the use of foeto-placental oestrogens in pregnancy diagnosis
- Produces progesterone and oestrogens - Oestrogen found from mid-pregnancy onwards in plasma and urine (later detection) - Higher oestrogen in mid pregnancy than in oestrus - No false positives - Prengnacy specific oestrogens measured e.g. oestrone sulfate in cow
31
Outline the use of relaxin in pregnancy diagnosis
- Produced by CL in some species - Produced in placenta (e.g. bitch/mare) - Used for PD in bitch as only produced by placenta so definitive for pregnancy
32
Outline the use of palcental lactogens in pregnancy diagnosis
- e.g. PAG (pregnancy associated glycoprotein) - Produced by placenta in several species - Luteotrophic - Commercial tests available
33
What ultrasound types can be used for pregnancy diagnosis
- Simple doppler transabdominally | - B-mode real time (transrectal or transabdominal)
34
Describe the transducer postioning for transabdominal ultrasound
Just behind udder, pointing back towards pelvis
35
Describe the appearance of the early conceptus
- Anechoic (fluid-filled) structure | - Represents yolk sac
36
Explain the significance of the migration of the equine conceptus in pregnancy detection via ultrasound
- Careful examination to ensure detection of twins if present - Early detection important - Need to scan whole uterus, may be on opposite side to CL
37
What may be seen later on ultrasound for pregnancy diagnosis?
- Flickering heartbeat of embryo | - Foetal structure i.e. ribs, head, abdomen, spine
38
What maternal features can be identified on ultrasound that may aid pregnancy diagnosis?
CL - no CL means pregnancy is impossible to have occured
39
What is detected in rectal palpation for pregnancy diagnosis?
- Uterine enlargement (usually one horn will enlarge where pregnancy forms) - May be both horns if twins - Foetal membranes detected - Foetus itself - CL in ovary
40
What may also cause uterine enlargment other that prengnacy?
- Pyometra | - Endometritis
41
How are foetal membranes detected on rectal palpation
- Membrane slip - Can feel membranes move over each other - Roll fingers over endometrium and feel for foetal membranes slipping past
42
Describe transrectal ballottement of the foetus
- Easier in mid pregnancy | - Later starts to move further into abdomen