SA - Canine Parturition, Pregnancy, and Dystocia Flashcards

1
Q

What are the nutrition recommendations of the first 1/2 of canine pregnancy?

A

Well balanced dog food, raw diets are NOT recommended, and no supplements are required

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2
Q

What are the nutrition recommendations of the second 1/2 of canine pregnancy?

A

Recommended high protein diet, double the amount fed by the time of whelping, and triple 2 weeks post-whelping, no supplements required, keep plenty of fresh water in a clean bowl

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3
Q

If you are going to vaccinate a dog that you want to breed, when should you vaccinate it?

A

At least 2 weeks prior to onset of proestrus

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4
Q

What intestinal parasites do you need to control for in pregnant canines?

A

hookworms and roundworms

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5
Q

What dewormer is safe for pregnant canines?

A

Panacur

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6
Q

What heartworm preventatives are safe for pregnant canines?

A

Heartgard, Ivomec, and Interceptor

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7
Q

What preventative is good for flea/tick/heartworm?

A

Revolution and Advantage Multi

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8
Q

What preventative is good for just flea/tick prevention?

A

Frontline

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9
Q

What should you have in your whelping kit?

A

Sterile lubricant, towels, warmth source, mucus trap/suction bulb, 1’ x 25 g needles, thin string/umbilical tape, small hemostats, scale, nursing bottles, and milk replacer

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10
Q

What hormone is required for maintenance of pregnancy in the dog?

A

progesterone

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11
Q

When does progesterone peak in canine pregnancy?

A

15-30 days after the LH surge

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12
Q

When is the rapid decline of progesterone in canine pregnancy?

A

24 hours prior to whelping

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13
Q

What is the only known specific pregnancy-associated protein in dogs?

A

Relaxin

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14
Q

What produces relaxin?

A

The placenta

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15
Q

When do relaxin levels begin to elevate and how long do they stay elevated?

A

Elevated from day 24 post LH surge until day 30 into lactation (post whelping)

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16
Q

When do the embryos enter the uterus?

A

Day 10

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17
Q

What happens prior to implantation of the embryos into the uterus in dogs?

A

They float freely within the uterine lumen and are nourished by uterine milk. Migration occurs between the uterine horns and blastocysts space themselves evenly between the horns

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18
Q

When does embryo migration end?

A

Day 16

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19
Q

When does embryonic implantation occur by?

A

Day 22

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20
Q

What type of placenta do dogs have?

A

Endotheliochorial, zonary (circumferential), and modified deciduate

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21
Q

What structures are formed at the edges of the zonary bands, what are they formed from, and what do they contain?

A

Marginal hematomas are formed from maternal blood and contain uteroverdin

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22
Q

During what period are fetuses highly sensitive to drugs and potential teratogens?

A

Embryogenesis

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23
Q

What are some possible teratogens?

A

Not a complete list: Aspirin, Chloramphenicol, Griseofulvin, Carbaryl, Dichlorvos, Corticosteroids, Anabolic steroids, Vitamin A and D, and Exogenous hormones

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24
Q

When can transabdominal palpation diagnose a pregnancy? What will you feel?

A

Day 25-40 from the LH surge is the best window for this and you will feel a string of large pearls

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25
Q

What blood test can you do to diagnose pregnancy?

A

relaxin test

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26
Q

When can a heartbeat be detected on transabdominal ultrasound? What else can be seen at this time?

A

Day 25-30 post LH surge

You can also see embryonic vesicles

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27
Q

When is the vesicle first detectable on ultrasound?

A

Days 19-23 post LH surge

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28
Q

If you don’t know when your patient ovulated, when is the recommended time to do transabdominal ultrasound?

A

4+ weeks following breeding and then recheck 7-10 days if negative ultrasound to confirm

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29
Q

What is occurring to the embryo at day 42 post LH surge that you can see on ultrasound?

A

The embryo is undergoing organogenesis

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30
Q

When is the most accurate time to estimate gestational age via ultrasound?

A

Days 30-40 - measurements should be performed on at least 2 fetuses

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31
Q

What measurements can be taken to estimate gestational age?

A

Crown rump length, head diameter, and body diameter

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32
Q

Note…. flip

A

The specific calculations for estimated gestational age are not in this flashcard set

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33
Q

What is the yellow line?

A

Biparietal head diameter (HD)

34
Q

What is the green line?

A

Crown rump length (CRL)

35
Q

What is the blue line?

A

body diameter (BD)

36
Q

At day 48 of canine pregnancy, what can you detect on a radiograph?

A

the skull and spine

37
Q

At days 60-61 of canine pregnancy, what can you detect on a radiograph?

A

teeth and digits

38
Q

When should you check for mastitis?

A

You should check daily 1-2 days prior to whelping and continuing through the first 3 weeks of lactation

39
Q

What clinical signs are associated with mastitis?

A

Firm, painful and/or reddened glands, and abnormal color or blood in the milk

40
Q

What is the mean parturition date?

A

day 65 from LH surge

41
Q

When is a female considered overdue for whelping?

A

72 or more days from her last breeding

65 or more days from day of ovulation

60 or more days from onset of diestrus

42
Q

Why is timing of pregnancy so critical?

A

A great deal of organ development occurs in the last few days of gestation.

Puppies removed >24 days before natural whelping generally results in stillborn or ill-thriving puppies

Puppies > 48 hours overdue are usually non-viable

43
Q

A delay of ___ hours after onset of Stage II labor will result in loss of all puppies.

A

24

44
Q

What happens to the pregnant dogs temperature 24-48 hours prior to whelping?

A

It drops to 98 degrees - it is not always reliable

45
Q

If you see teeth and digits on radiographs, how soon will whelping occur?

A

< 3-8 days

46
Q

If you see peristalsis and kidney development on abdominal ultrasound, how soon will whelping occur?

A

< 3 days

47
Q

What is a good monitoring service that monitors for uterine contractions and has an uterine Doppler for use in your home?

A

WhelpWise

48
Q

What occurs during Stage I of parturition?

A

Vaginal relaxation and cervical dilation. It is the beginning of uterine contractions +/- abdominal straining

49
Q

How long is stage I of parturition?

A

6-24 hours

50
Q

What behavioral changes occur during stage I of parturition?

A

Agitated, restlessness, nesting, may refuse food and vomit

51
Q

How long is stage 2 of parturition in the dog?

A

6-12 hours, rarely 24 hours

52
Q

What occurs during stage 2 of parturition?

A

Puppies are delivered and abdominal contractions are visible

53
Q

When is the average delivery time for each puppy?

A

A delivery every 30-60 minutes

54
Q

Is posterior presentation abnormal in parturition?

A

No - 40% of fetuses are delivered this way

55
Q

True or False: If disturbed, dogs can voluntarily inhibit the 2nd stage of parturition.

A

True

56
Q

What is the normal behavior of the dam after each fetus is delivered?

A

To lick the neonate vigorously to clear the airways and stimulate respiration

57
Q

What occurs during stage 3 of parturition?

A

Delivery of the fetal membranes

58
Q

When are placentas typically discharged after each fetus is delivered?

A

Typically within 5-15 minutes after each pup

59
Q

When should the placenta be delivered from the time of the last fetus?

A

It should be passed within 4-6 hours from the delivery of the last fetus

60
Q

What immediate puppy care should be done once they are born?

A

Remove the membranes covering the face, rub with a dry towel to stimulate breathing, and tie or suture the umbilical cord 1 inch from the body

61
Q

What is considered abnormal during parturition?

A

Black or green discharge prior to delivery of the first puppy

20-30 minutes of strong contractions with no puppy being delivered

2-3 hours of weak, infrequent expulsive efforts failing to produce a puppy

2-3 hours between puppies

Obvious problem such as a puppy displaced within the birth canal

62
Q

What is the overall incidence of dystocia?

A

5%

63
Q

What are the maternal causes for dystocia?

A

Pelvic anomalies, uterine anomalies/inertia, vulvar anomalies, and vaginal anomalies

64
Q

What are the fetal causes for dystocia?

A

Single fetuses, uterine distension, fetal oversize, fetal monsters, fetal death, anasarca and abnormal presentation, posture, and position

65
Q

What is the most common maternal cause of dystocia?

A

Primary uterine inertia

66
Q

What is primary uterine inertia?

A

Failure to expel a normal-sized fetus(es) through a normal birth canal except for an incompletely dilated cervix or lack of uterine contractions

67
Q

What is complete primary uterine inertia?

A

Absence of signs of 2nd stage labor

68
Q

What is partial primary uterine inertia?

A

2nd stage labor stops before fetal expulsion occurs

69
Q

What are the maternal causes of primary uterine inertia?

A

Hypocalcemia and heritable tendency to primary inertia

70
Q

What are the fetal causes of primary uterine inertia?

A

single fetus and uterine distension

71
Q

What is secondary uterine inertia?

A

Prolonged uterine contractions fail to expel a fetus obstructing the birth canal or failure to expel the fetuses

72
Q

How is primary and secondary uterine inertia diagnosed?

A

Based on history - make sure to rule out nervous voluntary inhibition of labor

73
Q

What is anasarca?

A

Fetal edema; hydrops

74
Q

What is the diagnostic approach to managing dystocia?

A

Thorough history, general examination, obstetrical examination, and imaging

75
Q

Is surgery the only option for dystocia management?

A

No - first rule out premature labor (Ultrasound and Rads)

76
Q

Aside from surgery, what can be done to manage dystocia?

A

Manually correct a mal-positioned fetus, and medical management

77
Q

What are the indications for medical management in dystocia?

A

Dam is in good health, labor has not been excessive in length, cervix is dilated and fetal size/position permits vaginal birth

78
Q

Can tranquilizers be used as medical management of dystocia?

A

Yes, they can be used to overcome voluntary inhibition of parturition but it depresses the fetuses

79
Q

What medical management can be done for dystocia?

A

Correct the underlying medical problems and oxytocin and calcium gluconate administration

80
Q

How quickly should a pup be delivered if the mom is given oxytocin and calcium gluconate?

A

within 30 minutes of treatment

81
Q

What are the negative side effects associated with giving oxytocin and calcium gluconate administration?

A

Increased fetal stress and a higher stillborn rate

82
Q

When should an owner seek veterinary assistance post-whelping?

A

If the rectal temperature is greater than 102 F

If there is odorous or excessive vulvar discharge

If there is any trembling, twitching, rigidity, or excessive facial twitching

If there are any signs of depression or disinterest in puppies