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Parturition related disorders
in sheep and goat
G.N.PUROHIT
Department of Animal Reproduction Gynaecology and Obstetrics
College of Veterinary and Animal Science, Bikaner Rajasthan
Parturition – Successful culmination
of pregnancy
 Ist stage of labor
lasts for 6 - 12 hr both in sheep and goat
The animal is restless and paws the ground.
2nd stage of labor lasts for 0.5 – 1 hr. The fetus is
delivered in this stage in anterior longitudnal
presentation sometimes in posterior presentation
 3rd stage of labor lasts for 3-4 hr after the
delivery of last lamb. The placenta is expelled
and the uterus starts involution.
vocalization shown by goat
birth canal of goat more fragile
Stages of labor
Disorders of Parturition-
Disorders of Parturition
During Pregnancy
(Pre-Partum)
At Parturition
(Parturient)
After Parturition
(Post-Partum)
During pregnancy the fetus grows in utero deriving nutrition
from its mother and constantly changing its position and
excreting end products into maternal circulation. The feto-
maternal interactions when obstructed or altered result into
disorders.
Pre-Partum Disorders
Commonly encountered disorders
 Abortion
 Pregnancy Toxaemia
 Vaginal prolapse
 Hydrometra
 Hydro-allantois
Abortion- Delivery of fetus before full term which is
incapable of independent life
Incidence: 3 – 11%
Causes of Abortion are multiferous
 Genetic disorders: Abortion is an inherited
disorder in older Angora goats.
 Nutritional factors: Deficiency of energy, protein,
iodine, copper, selenium etc..
 Toxic plants and pharmaceuticals: Ex. copper,
dexamethasone injections etc.
 Stress or trauma: predator attacks, heat stress.
 Infectious: Ex. Brucella ovis, akabane virus
Specimens to be submitted to
diagnostic laboratory
Fetus and placenta – chilled and in a clean container
Fresh chilled fetal heart blood,serum or thoracic fluid -
5mL
Frozen fetal abomasal contents
Blood samples from minimum 10% of aborting animals
Management of aborting flock
 Remove pregnant ewes/goats from aborting
animals to a clean area.
 Initiate specific control measures on the basis of
agents suspected
 Send animals that have aborted and proposed for
culling directly to slaughter only after discharge
from reproductive tract have ceased.
Hydrometra(Pseudopregnancy)or
cloud out-burst
Seen in goats
Incidence: 3-14%
Etiology :High prolactin levels
Persistence of CL subsequent to
fetal death and reabsorption
commonly accepted cause
Diagnosis :Clinical cases discharge of large
quantity of fluid without fetal delivery
Cases referred for PD diagnosis by
ultrasonography
Ultrasonography reveals anechoic
fluid, strands without fetal
cotyledons or fetus/es
In a study hydrometra was diagnosed in 21 does and
out of these it was diagnosed in 5 does by
ultrasonography while in 16 does it was diagnosed in
goats presented for examination with history of
discharge without fetal delivery (Purohit, 2006)
Therapy:
Prostaglandin injections
Inj.Lutalyse 1.5 – 2.0 mL IM
Inj. Prostodin 125 µg IM
Anti-prolactins
Bromocryptine 1 mg SC twice daily for 6-10 days
Hydroallantois:
Accumulation of excessive fluid in allantois,
seen both in sheep and goat
 Etiology: Legumes with high
estrogens
Hypothyroidism
Placental or uterine
disease
 Clinical signs: Sudden
excessive abdominal enlargement
Difficulty in respiration
 Diagnosis: Clinical signs,
ultrasonography
 Therapy: Pregnancy
termination with prostaglandins,
caesarean section
 Prognosis: Poor extreme care
necessary in therapy.
Pregnancy
Toxaemia/Hypocalcaemia
 Preg. Toxaemia
affects both sheep
and goats
 Occurs at final
month of gestation
 Deficiency of
glucose in multiple
fetus bearing
females the most
common cause
 Often associated
Clinical signs
Depression, recumbency,
tremors,circling, grinding of teeth, etc.
 Diagnosis:
 Ketone bodies in urine
Low blood glucose/ calcium
Therapy: Difficult pregnancy termination must be
considered
20-80 mL of 25 % glucose
0.5-2 mL of Insulin inj.
5-20 mL of calcium borogluconate
Rupture of the prepubic tendon/
ventral Hernia  Occurs in animals
with multiple
fetuses
 Pregnant females
with abdominal
trauma
THERAPY
 Application of
canvas girdle
 Reduction in salt
and trace minerals
in feed
PARTURIENT DISORDERS
Parturient disorders
Dystocia Prolonged gestation Fetal mummies
Dystocia: Difficult birth Incidence 3-32%
Factor Incidence Reference
Age Not related with age.
Common in 2 years old
ewes
George (1975), Kloss et al. (2002).
Majeed and Taha (1989b)
Majeed et al. (1993)
Sharma et al. (1999)
Sex of fetus More in ewes with
male fetuses
Majeed and Taha (1989b) Majeed et al.
(1993)
Parity More in first and
second parity
Echternkamp and Gregory (1999)
Number of
fetuses
Common in ewes with
single fetus
George (1976)
Silva and Noakes (1984)
Krueger and Wassmuth (1974)
Echternkamp and Gregory (1999)
Season of
lambing
Common in spring and
winter lambings
George (1975), George (1976)
Cecilia et al. (1996)
Breed Higher in Texel ewes
Higher in Cheviot ewes
Krueger and Wassmuth (1974)
Whitelaw and Watchorn (1975)
Length of
Gestation
Higher in prolonged
gestation
Dennis (1974)
Health of ewes Higher in weak ewes George (1975)
Causes of dystocia – Maternal and
fetal:
Sheep (Jackson, 2004) Goat (Purohit et al.,
2006) Dairy Goat J
84(2):24-33.
Fetal maldisposition 50% 48%
Fetopelvic disproportion 5% 15%
Fetal dropsical
conditions/ monsters
3% 6%
Obstruction of the birth
canal
35% 21%
Uterine inertia - 7%
Others (Uterine torsion,
uterine rupture etc..)
7% 3%
Common conditions causing dystocia
 Ring womb
Cervical dilation failure:
Etiology multiferous
Suggested therapies:
Isoxsuprine Hcl
Caesarean in non-
responding cases
Uterine inertia
Etiology Calcium deficiency
Fear
Young age
Therapy
Oxytocin
injections
calcium
dextrose
caesarean
Fetal maldisposition
Type of disposition Sheep (Jackson 2004 Purohit et al., (2006)
Lateral deviation of
head/neck
41% 44%
Shoulder flexion 6% 22%
Carpal flexion 10% 14%
Breech 8% 10%
Hock flexion 4% 06%
Others 31% 4%
Fetopelvic disproportion
 Fetal oversize
 Fetal monsters
 Fetal emphysema
Examination of animals for dystocia must not begin
before 30 min after beginning of contractions
Cleanliness, gentleness and lubrication in examination
and handling of dystocia are of utmost importance
 Handling of dystocia Manual correction Due
care necessary in vaginal manipulation
especially in the goat to avoid rupture
Fetotomy Only partial fetotomy of one limb or head possible.
Caesarean section
Sites Midline
Flank
Paramedian
Oblique venterolateral
Anesthesia Local infiltration with
sedation
Subsequent to delivery the uterus must be examined to
explore any remaining fetus
Abdominal ballotment may be confusing because of
presence of ruminal foreign bodies/ bezoars
 Prolonged
Gestation
Difficult to detect in animals
without breeding records
Cause
defects in hypothalamopituitarry
axis
Consumption of plant toxins
Viral diseases
Therapy
pregnancy termination using PG
+ dexa methasone
Caesarean section
Result Extra large fetuses
Fetal mummies
delivered with normal fetus or recognised on vaginal or
sonographic examination.
Therapy PG + dexamethasone or caesarean section.
Post- parturient disorders
Post-parturient
disorders
Retained placenta Metritis
Uterine prolapse
Uterine rupture
Retained Placenta
 Known to occur both in sheep
and goats
 More prevalent in young goats
ETIOLOGY
 Vitamin A deficiency
 Obesity, hypocalcaemia
 Infectious disease
THERAPY
 Manual removal
 Prostaglandin Injections
 Oxytocin
 Uterine echbolics
Post Parturient metritis
 Uncommon in sheep common in goats
 Cause: Poor hygiene at kidding/ lambing
 Therapy: Intrauterine/ Parentral antibiotics
Prostaglandin injections
Post parturient disorders(Purohit et al., 2006)
Retained placenta 51.5%
Post-parturient metritis 38.3%
Vaginal prolapse 4.4%
Uterine prolapse 2.9%
Uterine rupture 2.9%
Vaginal and Uterine prolapses
Cause Lack of exercise
High estrogenic feeds
Herreditary
 Prepartum vaginal
prolapse common in sheep
and a commercial
accessory is available for
therapy
 Post partum- replacement
calcium therapy
Uterine ruptures
 Common subsequent to dystocia handling
by breeders using undue force on a
maldisposed fetus. Rarely spontaneous
rupture is possible.
 Referred to vet when Intestinal loops
prolapse out
 Emergency laparotomy suggested
 Sometimes repair not possible
 Potent antibiotic therapy is suggested
 Prognosis is poor to fair
Pre and Post parturient care
 Ultrasonography is a good preparturient
diagnostic tool. Regular scanning is useful.
Scanning at 3-4 months appears important, it
can give clues to conditions like twin fetuses,
fetal mummification, pseudopregnancy.
Evaluation of fetal viability can lead to decision
on the manner of dystocia handling.
 Deworming and vaccinations are suggested 1
month before lambing
 Supplementary feeding with mineral vitamins can
avoid subsequent retained placenta etc.
 Close monitoring and timely help can prevent
dystocia
 Post partum hygiene is important in prevention of
many problems
Vet obst lecture 14 Postpartum complications in sheep and goats

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Vet obst lecture 14 Postpartum complications in sheep and goats

  • 1. Parturition related disorders in sheep and goat G.N.PUROHIT Department of Animal Reproduction Gynaecology and Obstetrics College of Veterinary and Animal Science, Bikaner Rajasthan
  • 2. Parturition – Successful culmination of pregnancy  Ist stage of labor lasts for 6 - 12 hr both in sheep and goat The animal is restless and paws the ground. 2nd stage of labor lasts for 0.5 – 1 hr. The fetus is delivered in this stage in anterior longitudnal presentation sometimes in posterior presentation  3rd stage of labor lasts for 3-4 hr after the delivery of last lamb. The placenta is expelled and the uterus starts involution. vocalization shown by goat birth canal of goat more fragile
  • 4.
  • 5. Disorders of Parturition- Disorders of Parturition During Pregnancy (Pre-Partum) At Parturition (Parturient) After Parturition (Post-Partum)
  • 6. During pregnancy the fetus grows in utero deriving nutrition from its mother and constantly changing its position and excreting end products into maternal circulation. The feto- maternal interactions when obstructed or altered result into disorders. Pre-Partum Disorders
  • 7. Commonly encountered disorders  Abortion  Pregnancy Toxaemia  Vaginal prolapse  Hydrometra  Hydro-allantois
  • 8. Abortion- Delivery of fetus before full term which is incapable of independent life Incidence: 3 – 11%
  • 9. Causes of Abortion are multiferous  Genetic disorders: Abortion is an inherited disorder in older Angora goats.  Nutritional factors: Deficiency of energy, protein, iodine, copper, selenium etc..  Toxic plants and pharmaceuticals: Ex. copper, dexamethasone injections etc.  Stress or trauma: predator attacks, heat stress.  Infectious: Ex. Brucella ovis, akabane virus
  • 10. Specimens to be submitted to diagnostic laboratory Fetus and placenta – chilled and in a clean container Fresh chilled fetal heart blood,serum or thoracic fluid - 5mL Frozen fetal abomasal contents Blood samples from minimum 10% of aborting animals Management of aborting flock  Remove pregnant ewes/goats from aborting animals to a clean area.  Initiate specific control measures on the basis of agents suspected  Send animals that have aborted and proposed for culling directly to slaughter only after discharge from reproductive tract have ceased.
  • 11. Hydrometra(Pseudopregnancy)or cloud out-burst Seen in goats Incidence: 3-14% Etiology :High prolactin levels Persistence of CL subsequent to fetal death and reabsorption commonly accepted cause Diagnosis :Clinical cases discharge of large quantity of fluid without fetal delivery Cases referred for PD diagnosis by ultrasonography
  • 12. Ultrasonography reveals anechoic fluid, strands without fetal cotyledons or fetus/es
  • 13. In a study hydrometra was diagnosed in 21 does and out of these it was diagnosed in 5 does by ultrasonography while in 16 does it was diagnosed in goats presented for examination with history of discharge without fetal delivery (Purohit, 2006) Therapy: Prostaglandin injections Inj.Lutalyse 1.5 – 2.0 mL IM Inj. Prostodin 125 µg IM Anti-prolactins Bromocryptine 1 mg SC twice daily for 6-10 days
  • 14. Hydroallantois: Accumulation of excessive fluid in allantois, seen both in sheep and goat  Etiology: Legumes with high estrogens Hypothyroidism Placental or uterine disease  Clinical signs: Sudden excessive abdominal enlargement Difficulty in respiration  Diagnosis: Clinical signs, ultrasonography  Therapy: Pregnancy termination with prostaglandins, caesarean section  Prognosis: Poor extreme care necessary in therapy.
  • 15. Pregnancy Toxaemia/Hypocalcaemia  Preg. Toxaemia affects both sheep and goats  Occurs at final month of gestation  Deficiency of glucose in multiple fetus bearing females the most common cause  Often associated
  • 16. Clinical signs Depression, recumbency, tremors,circling, grinding of teeth, etc.  Diagnosis:  Ketone bodies in urine Low blood glucose/ calcium Therapy: Difficult pregnancy termination must be considered 20-80 mL of 25 % glucose 0.5-2 mL of Insulin inj. 5-20 mL of calcium borogluconate
  • 17. Rupture of the prepubic tendon/ ventral Hernia  Occurs in animals with multiple fetuses  Pregnant females with abdominal trauma THERAPY  Application of canvas girdle  Reduction in salt and trace minerals in feed
  • 18. PARTURIENT DISORDERS Parturient disorders Dystocia Prolonged gestation Fetal mummies
  • 19. Dystocia: Difficult birth Incidence 3-32% Factor Incidence Reference Age Not related with age. Common in 2 years old ewes George (1975), Kloss et al. (2002). Majeed and Taha (1989b) Majeed et al. (1993) Sharma et al. (1999) Sex of fetus More in ewes with male fetuses Majeed and Taha (1989b) Majeed et al. (1993) Parity More in first and second parity Echternkamp and Gregory (1999) Number of fetuses Common in ewes with single fetus George (1976) Silva and Noakes (1984) Krueger and Wassmuth (1974) Echternkamp and Gregory (1999) Season of lambing Common in spring and winter lambings George (1975), George (1976) Cecilia et al. (1996) Breed Higher in Texel ewes Higher in Cheviot ewes Krueger and Wassmuth (1974) Whitelaw and Watchorn (1975) Length of Gestation Higher in prolonged gestation Dennis (1974) Health of ewes Higher in weak ewes George (1975)
  • 20. Causes of dystocia – Maternal and fetal: Sheep (Jackson, 2004) Goat (Purohit et al., 2006) Dairy Goat J 84(2):24-33. Fetal maldisposition 50% 48% Fetopelvic disproportion 5% 15% Fetal dropsical conditions/ monsters 3% 6% Obstruction of the birth canal 35% 21% Uterine inertia - 7% Others (Uterine torsion, uterine rupture etc..) 7% 3%
  • 21. Common conditions causing dystocia  Ring womb Cervical dilation failure: Etiology multiferous Suggested therapies: Isoxsuprine Hcl Caesarean in non- responding cases Uterine inertia Etiology Calcium deficiency Fear Young age Therapy Oxytocin injections calcium dextrose caesarean
  • 22. Fetal maldisposition Type of disposition Sheep (Jackson 2004 Purohit et al., (2006) Lateral deviation of head/neck 41% 44% Shoulder flexion 6% 22% Carpal flexion 10% 14% Breech 8% 10% Hock flexion 4% 06% Others 31% 4%
  • 23.
  • 24. Fetopelvic disproportion  Fetal oversize  Fetal monsters  Fetal emphysema
  • 25. Examination of animals for dystocia must not begin before 30 min after beginning of contractions Cleanliness, gentleness and lubrication in examination and handling of dystocia are of utmost importance  Handling of dystocia Manual correction Due care necessary in vaginal manipulation especially in the goat to avoid rupture
  • 26. Fetotomy Only partial fetotomy of one limb or head possible. Caesarean section Sites Midline Flank Paramedian Oblique venterolateral Anesthesia Local infiltration with sedation
  • 27. Subsequent to delivery the uterus must be examined to explore any remaining fetus Abdominal ballotment may be confusing because of presence of ruminal foreign bodies/ bezoars  Prolonged Gestation Difficult to detect in animals without breeding records Cause defects in hypothalamopituitarry axis Consumption of plant toxins Viral diseases Therapy pregnancy termination using PG + dexa methasone Caesarean section Result Extra large fetuses
  • 28. Fetal mummies delivered with normal fetus or recognised on vaginal or sonographic examination. Therapy PG + dexamethasone or caesarean section.
  • 29. Post- parturient disorders Post-parturient disorders Retained placenta Metritis Uterine prolapse Uterine rupture
  • 30. Retained Placenta  Known to occur both in sheep and goats  More prevalent in young goats ETIOLOGY  Vitamin A deficiency  Obesity, hypocalcaemia  Infectious disease THERAPY  Manual removal  Prostaglandin Injections  Oxytocin  Uterine echbolics
  • 31. Post Parturient metritis  Uncommon in sheep common in goats  Cause: Poor hygiene at kidding/ lambing  Therapy: Intrauterine/ Parentral antibiotics Prostaglandin injections Post parturient disorders(Purohit et al., 2006) Retained placenta 51.5% Post-parturient metritis 38.3% Vaginal prolapse 4.4% Uterine prolapse 2.9% Uterine rupture 2.9%
  • 32. Vaginal and Uterine prolapses
  • 33. Cause Lack of exercise High estrogenic feeds Herreditary  Prepartum vaginal prolapse common in sheep and a commercial accessory is available for therapy  Post partum- replacement calcium therapy
  • 34. Uterine ruptures  Common subsequent to dystocia handling by breeders using undue force on a maldisposed fetus. Rarely spontaneous rupture is possible.  Referred to vet when Intestinal loops prolapse out  Emergency laparotomy suggested  Sometimes repair not possible  Potent antibiotic therapy is suggested  Prognosis is poor to fair
  • 35. Pre and Post parturient care  Ultrasonography is a good preparturient diagnostic tool. Regular scanning is useful. Scanning at 3-4 months appears important, it can give clues to conditions like twin fetuses, fetal mummification, pseudopregnancy. Evaluation of fetal viability can lead to decision on the manner of dystocia handling.  Deworming and vaccinations are suggested 1 month before lambing  Supplementary feeding with mineral vitamins can avoid subsequent retained placenta etc.  Close monitoring and timely help can prevent dystocia  Post partum hygiene is important in prevention of many problems