The maternal causes of dystocia in cattle and buffaloes are analyzed. Uterine torsion appears to be the most frequent maternal cause of dys-tocia in buffaloes whereas improper cervical dilation appears to be more freq...The maternal causes of dystocia in cattle and buffaloes are analyzed. Uterine torsion appears to be the most frequent maternal cause of dys-tocia in buffaloes whereas improper cervical dilation appears to be more frequent maternal cause of dystocia in cattle. Failure of uterine expulsive forces (Uterine Inertia) and neo-plasm’s of vagina, vulva and uterus are com-monly seen in cows and buffaloes. The various maternal causes of dystocia in cattle and buf-faloes and their management are described.展开更多
Dystocia in the camelids is rare, however the exceptionally long neck and the fetal extremities predispose to flexion of these as a common cause of dystocia. A prolonged (<2 hr) second stage of labor, bloody vagina...Dystocia in the camelids is rare, however the exceptionally long neck and the fetal extremities predispose to flexion of these as a common cause of dystocia. A prolonged (<2 hr) second stage of labor, bloody vaginal discharge or colic is the frequent sign of dystocia. The maternal causes of dystocia for camelids include uterine torsion, pelvic immaturity, uterine inertia and cervical dilation failure, whereas the fetal causes described are fetal malpostures and rarely fetal monsters like Schistosoma reflexus and Pero-somus elumbis or fetal dropsical conditions such as hydrocephalus. Dromedary camels must be restrained in a sternal recumbency for examination and vicious animals must be given xylazine (0.25 - 2.2 mg/Kg IM or IV). South American camelids may be restrained by using either xylazine or butarphanol (0.5 - 0.1 mg/Kg IM). Uterine torsion is much more common in llamas and alpacas whereas it is infrequent in the dromedary camel. The methods of dystocia correction by using mutations, fetotomy and cesarean section are described.展开更多
Anecdotally, obstetricians have been known to sustain physical injuries whilst assisting deliveries but these are not always reported. This case describes how a mallet finger deformity was sustained by a consultant ob...Anecdotally, obstetricians have been known to sustain physical injuries whilst assisting deliveries but these are not always reported. This case describes how a mallet finger deformity was sustained by a consultant obstetrician whilst attempting to deliver a fetus with shoulder dystocia. Although this is a rare type of injury, it had significant impact on the consultant’s ability to provide clinical care for some time. Disruptions in service provision have direct financial consequences to the healthcare system. This case report highlights the importance of reporting these injuries at the workplace.展开更多
Purpose: The aim of this prospective study was to collect cases of dystocia in 4 rural veterinary practices in Switzerland over 12 months, focusing on calf vitality. Methods: During 12 months, data of 573 assisted par...Purpose: The aim of this prospective study was to collect cases of dystocia in 4 rural veterinary practices in Switzerland over 12 months, focusing on calf vitality. Methods: During 12 months, data of 573 assisted parturitions were collected. The age of the cows involved ranged from 2 to 17 years (median 5.2 yr) with a median gestation length of 288 days. Results: Overall, 651 calves were born (61.2% male). 481 were single and 85 were twin births. For 7 calves, no data were available. As to calf vitality: 66.1% of the calves were alive, 25.4% dead, 5.1% weak and 3.4% died during the assisted parturition process. The percentage of dead calves was higher in twins (43.5%) than in singletons (18.9%). The vitality was influenced by gestation length, parity and the time elapsed since the rupture of the amniotic sac. In this study, calf vitality was neither influenced by sex of the calf nor breed of the parents. A uterine torsion was found in 31.8% of the cases with the direction of the rotation anti-clockwise in 94%. Twins were twice as often in posterior presentation as single-born calves (31.4% versus 15.6%). Conclusion: Calf vitality was influenced by parity, gestation length and time from amniotic sac rupture to veterinary intervention.展开更多
Traditionally, brachial plexus damage was attributed to excessive traction applied on the fetal head at delivery. Recently, it was proposed that most injuries occur spontaneously in utero. The author has studied the m...Traditionally, brachial plexus damage was attributed to excessive traction applied on the fetal head at delivery. Recently, it was proposed that most injuries occur spontaneously in utero. The author has studied the mechanism of neurological birth injuries based on 338 actual cases with special attention to(1) fetal macrosomia;(2) maternal diabetes; and(3) methods of delivery. There was a high coincidence between use of traction and brachial plexus injuries. Instrumental extractions increased the risk exponentially. Erb's palsy following cesarean section was exceedingly rare. These facts imply that spontaneous neurological injury in utero is extremely rare phenomenon. Literary reports show that shoulder dystocia and its associated injuries increased in the United States several-fold since the introduction of active management of delivery in the 1970's. Such a dramatic change in a stable population is unlikely to be caused by incidental spontaneous events unrelated to external factors. The cited investigations indicate that brachial plexus damage typically is traction related. The traditional technique which precludes traction is the optimal method for avoiding arrest of the shoulders and its associated neurological birth injuries. Effective prevention also requires meticulous prenatal care and elective abdominal delivery of macrosomic fetuses in carefully selected cases.展开更多
文摘The maternal causes of dystocia in cattle and buffaloes are analyzed. Uterine torsion appears to be the most frequent maternal cause of dys-tocia in buffaloes whereas improper cervical dilation appears to be more frequent maternal cause of dystocia in cattle. Failure of uterine expulsive forces (Uterine Inertia) and neo-plasm’s of vagina, vulva and uterus are com-monly seen in cows and buffaloes. The various maternal causes of dystocia in cattle and buf-faloes and their management are described.
文摘Dystocia in the camelids is rare, however the exceptionally long neck and the fetal extremities predispose to flexion of these as a common cause of dystocia. A prolonged (<2 hr) second stage of labor, bloody vaginal discharge or colic is the frequent sign of dystocia. The maternal causes of dystocia for camelids include uterine torsion, pelvic immaturity, uterine inertia and cervical dilation failure, whereas the fetal causes described are fetal malpostures and rarely fetal monsters like Schistosoma reflexus and Pero-somus elumbis or fetal dropsical conditions such as hydrocephalus. Dromedary camels must be restrained in a sternal recumbency for examination and vicious animals must be given xylazine (0.25 - 2.2 mg/Kg IM or IV). South American camelids may be restrained by using either xylazine or butarphanol (0.5 - 0.1 mg/Kg IM). Uterine torsion is much more common in llamas and alpacas whereas it is infrequent in the dromedary camel. The methods of dystocia correction by using mutations, fetotomy and cesarean section are described.
文摘Anecdotally, obstetricians have been known to sustain physical injuries whilst assisting deliveries but these are not always reported. This case describes how a mallet finger deformity was sustained by a consultant obstetrician whilst attempting to deliver a fetus with shoulder dystocia. Although this is a rare type of injury, it had significant impact on the consultant’s ability to provide clinical care for some time. Disruptions in service provision have direct financial consequences to the healthcare system. This case report highlights the importance of reporting these injuries at the workplace.
文摘Purpose: The aim of this prospective study was to collect cases of dystocia in 4 rural veterinary practices in Switzerland over 12 months, focusing on calf vitality. Methods: During 12 months, data of 573 assisted parturitions were collected. The age of the cows involved ranged from 2 to 17 years (median 5.2 yr) with a median gestation length of 288 days. Results: Overall, 651 calves were born (61.2% male). 481 were single and 85 were twin births. For 7 calves, no data were available. As to calf vitality: 66.1% of the calves were alive, 25.4% dead, 5.1% weak and 3.4% died during the assisted parturition process. The percentage of dead calves was higher in twins (43.5%) than in singletons (18.9%). The vitality was influenced by gestation length, parity and the time elapsed since the rupture of the amniotic sac. In this study, calf vitality was neither influenced by sex of the calf nor breed of the parents. A uterine torsion was found in 31.8% of the cases with the direction of the rotation anti-clockwise in 94%. Twins were twice as often in posterior presentation as single-born calves (31.4% versus 15.6%). Conclusion: Calf vitality was influenced by parity, gestation length and time from amniotic sac rupture to veterinary intervention.
文摘Traditionally, brachial plexus damage was attributed to excessive traction applied on the fetal head at delivery. Recently, it was proposed that most injuries occur spontaneously in utero. The author has studied the mechanism of neurological birth injuries based on 338 actual cases with special attention to(1) fetal macrosomia;(2) maternal diabetes; and(3) methods of delivery. There was a high coincidence between use of traction and brachial plexus injuries. Instrumental extractions increased the risk exponentially. Erb's palsy following cesarean section was exceedingly rare. These facts imply that spontaneous neurological injury in utero is extremely rare phenomenon. Literary reports show that shoulder dystocia and its associated injuries increased in the United States several-fold since the introduction of active management of delivery in the 1970's. Such a dramatic change in a stable population is unlikely to be caused by incidental spontaneous events unrelated to external factors. The cited investigations indicate that brachial plexus damage typically is traction related. The traditional technique which precludes traction is the optimal method for avoiding arrest of the shoulders and its associated neurological birth injuries. Effective prevention also requires meticulous prenatal care and elective abdominal delivery of macrosomic fetuses in carefully selected cases.
