How to Know When Something Is Wrong With Your Pregnant Mare or Foal
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Wendy Vaala, VMD, DACVIM
Intervet Pharmaceuticals

RED ALERTS DURING PREGNANCY AND DELIVERY

By Dr. Wendy Vaala

 

ABNORMAL  EVENT

CAUSES

ACTIONS TO TAKE

Premature udder development and lactation

Wrong breeding dates, placentitis, twinning

Check due date. Call vet. Rectal palpation, ultrasound exam, vaginal exam, check relaxin levels

Vaginal discharge

Placentitis, impending abortion

Call vet.  Rectal palpation, vaginal exam, ultrasound, cultures

No udder development, agalactia

Wrong due date, fescue toxicosis, endocrine abnormality (abnormal estrogen:progestagen ratio, hypothyroid), poor nutrition

Check pasture and forage, evaluate hormone levels, check nutrition. Late pregnant mare should be on 14% protein and ½ to ¾ lb grain / 100 lbs BWt / day and good quality hay, preferably alfalfa

Sudden, excessive abdominal enlargement

Abdominal hernia / prepubic tendon rupture, twinning, excessive volume of fetal fluids (Hydrops)

Call vet. Rectal palpation, ultrasound exam. Some mares may just look very large due to change in fetal position

Premature delivery (<325 days)

Infection, twinning, unknown causes

Call vet. Early foal examination. Monitor temperature and effort of breathing closely. Ensure adequate antibody absorption

Prolonged gestation length (>360days)

Fescue toxicosis, pituitary tumor in older mares, hypothyroid, wrong due date

Check breeding dates. Call vet. Rectal palpation, ultrasound exam, measure hormone levels

Prolonged Stage II labor

Dystocia, low blood calcium levels

Call vet. Vaginal exam to evaluate fetal position and assist delivery.  Walk mare until vet arrives to reduce straining and rolling

Premature placental separation (Red bag delivery): velvety red membrane appears at vulva instead of white, translucent amnion.

Premature detachment of placenta from uterus resulting in fetal asphyxia; cause often unknown, but has been associated with placentitis

Call vet.  Rupture red membrane using blunt ended scissors. Extract foal encased in amnion.  Rupture amnion. Deliver as quickly as possible. Perform APGAR score and administer oxygen. CPR if not breathing

Meconium staining of placenta, fetal fluids, foal

Fetus passes meconium in utero in response to asphyxia or other birth stress

Call vet. Clean away meconium from nose and mouth. Perform APGAR score. Provide oxygen, monitor rate and effort of breathing

Colic in dam after foaling

Colon torsion, impaction, trauma to uterus or bowel during foaling resulting in peritonitis, uterine artery rupture

Call vet. If mare is violent give Banamine and move foal to save place. Mare requires complete exam including rectal palpation and possible peritoneal tap.

Retained placenta (>3 hours)

Cause unknown

Call vet.  Tie up placenta by knotting it on itself or using baling twine to keep mare from stepping on placenta.  Treat with Banamine, oxytocin, antibiotics

Heavy placenta (>10% foal’s wt), areas of placenta discolored

Suspect infection

Call vet for early examination of foal. Check foal’s white blood cell count and start on antibiotics

Umbilical cord hemorrhage

Premature or traumatic cord rupture

Clamp umbilicus or ligate with umbilical tape soaked in disinfectant.  Dip umbilicus. Remove clamp or ligature when bleeding has stopped.

Foal does not follow developmental time line: slow to suckle, stand and / or nurse

Weakness due to infection, asphyxia, or immaturity

Call vet for early foal exam.  Be sure foal receives adequate colostrum or IgG substitute within the first 2 – 6 hours of life

Colic in the foal

Meconium impaction most likely

Give warm, soapy, water enema.  If no meconium passes and / or foal remains colicky call vet. Prevent self-trauma while foal is colicky

Yellow mucous membranes in foal

Jaundice due to herpes virus infection or hemolysis due to incompatible blood types between mare and foal

Call vet. If foal is yellow and anemic then cause is hemolysis.  If foal is not anemic and is showing labored breathing, suspect herpes virus infection

Foal’s serum IgG is less than 400 – 800 mg/dl = Failure of Passive Transfer (FPT)

FPT due to poor quality colostrum, failure to nurse enough colostrum soon enough, or inability to absorb antibodies

If foal is < 12 – 18 hours old give more colostrum or oral IgG substitute; If foal is > 18 – 24 ours old, give plasma transfusion

Mare rejection of foal

Maiden mares often afraid. Some mares are outwardly aggressive towards foals. More common in Arabians.   

Sedate mare. Keep stall traffic to a minimum.  Show mare foal’s rear end rather than face. Can use hobbles. Measure progesterone levels

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