ULTRASOUND PREDICTION OF PARTURITION IN QUEENS

Eight pregnancies in five queens were followed with serial ultrasound examinations. Measurements of head and body diameter were made throughout pregnancy. These measurements were used to produce individual growth curves for each pregnancy and average curves for both head and body diameter. Formulas based on the slope of the growth curves were derived. These formulas were then used to predict parturition dates based on single measurements of fetal head and/or body diameter in eight additional queens. Predicted date of parturition was then compared to actual queening dates. Ultrasound prediction of parturition date was accurate to within two days in seven of eight queens.     

Ultrasonography as an adjunct to pregnancy assessments in the mare

Ultrasonographic detection of pregnancy was performed in 952 Thoroughbred mares. Characteristic images were obtained between 12 and 55 days after breeding. Twins in the same uterine horn as well as twins in opposite horns were imaged, and for the first few months of gestation appeared similar to single pregnancies. Growth curves as a function of time were developed, utilizing horizontal diameters of the blastocysts versus breeding dates. Comparisons between horizontal and vertical diameters demonstrated no appreciable differences when observed as a group. Growth curves derived from twins did not differ significantly from those for single pregnancies during the period we observed them. Ultrasonographic evaluations were valuable in substantiating mechanical destruction of one of the twin blastocysts immediately following the maneuver. Uterine artifacts such as endometrial and lymphatic cysts also were visualized and portrayed. Although these structures represented a source of false-positive results, they usually could be properly identified on the basis of their morphometric and growth characteristics.     

Ultrasonographic fetal well-being assessment, neonatal and postpartum findings of cloned pregnancies in cattle: A preliminary study on 10 fetuses and calves

Cloned pregnancies in cattle are considered to be at risk due to a variety of fetal or adnexal abnormalities. Data is lacking concerning the possibility of transabdominal ultrasonography in the assessment of these high risk pregnancies. Transabdominal ultrasonography has rarely been reported in the assessment of bovine cloned pregnancies. Ten Holstein heifers carrying 8-month-old cloned fetuses were assessed by transabdominal ultrasonographic examination during the 3rd trimester of pregnancy. Fetal heart rates (FHR), movements, adnexal appearance, and placentome size were recorded. The outcome of the pregnancies was also noted and potential indicators of fetal demise recorded. Survival rate 1 week after birth was 30%. Mean FHR was 113 beats per minute (range: 92 to 128 bpm) during the fetal ultrasonography. No correlation between FHR and fetal activity was found. Fetal hyperactivity and imaging of hyperechoic particles in both allantoic and amniotic fluids were possible signs of fetal distress. Despite the size of the fetus and the deep bovine abdomen, fetal transabdominal ultrasonography can be performed in cattle. This preliminary study points to the necessity of further larger studies for defining normal and abnormal findings in bovine late pregnancy.     

Sonography during the pregnancy of sheep. I. Fetometry for the determination of the stage of gestation and prediction of the time of parturition]

Transrectal and transcutaneous ultrasonography was performed on 187 pregnant Merino ewes to measure the growth of fetal parameters (fetometry) such as the diameters of the eye, braincase and trunk, the width of one rib with its intercostal space and the crown-rump-length (CRL). In the ewes, cross and longitudinal diameters of the intrauterine lumen around the embryo and fetus were determined. Trunk diameter and crown-rump-length of embryos and fetuses were sonographically determined from Day 26 and size of eyes, braincase and ribs were measured from Day 52 to 66 of gestation. Embryonic resp. fetal parameters and uterine diameters showed almost linear growth rate. Relationship between the measured parameters and days of pregnancy is described by regressions and correlation coefficients. Correlation coefficient between gestational stage and the diameter of the trunk was very narrow (r = 0.98) and between gestational stage and the crown-rump-length resp. eye diameter equalled 89% (r = 0.89). These fetal parameters are appropriate to assess gestational age and growth of ovine fetuses. It can be concluded that sonographic fetometry in the ovine can be valuable for the evaluation of fetal development, the estimation of gestational age and the prediction of parturition dates.     

Prediction of gestational age by transrectal ultrasonographic measurements in the mouflon (Ovis gmelini musimon).

Serial transrectal ultrasonographies were performed measuring different structures of mouflon (Ovis gmelini musimon) fetuses to establish their gestational age. Data were obtained from 14 mouflon ewes that became pregnant after estrous synchronization. From day 25 of gestation onward, the crown-rump length and the trunk diameter of the embryo were estimated. Later, when the fetal organs and structures could be distinguished, several measurements were done in the skull (occipito-snout length and biparietal and orbit diameters), the trunk (thoracic diameter and width of vertebrae), and the abdominal cavity (stomach and kidney longitudinal diameters); femur length was also determined. All fetal measurements were correlated with gestational age (P < 0.001), but the parameters showing the highest correlation with time (R2 up to 0.94) were the crown-rump and occipito-snout lengths and the thoracic and biparietal diameters. No significant differences were observed in pregnancies with one or two fetuses in the period studied.     

Measurement and clinical significance of equine fetal protein in pregnant mares serum

An assay for the determination of the concentration of an equine fetal protein (EQFP) in pregnant mares serum was developed and used to quantitate more than 2000 serum samples from Thoroughbred mares during pregnancy. The concentration of EQFP increased throughout pregnancy. Mares with unproblematic (normal) pregnancies were used to establish the reference values at given gestational ages (GA). Mares with pregnancy failures (n=58) were found to have EQFP concentrations outside the reference values established at given GA's; 10 were high and 48 were low. Twin pregnancies (n=21), placentitis and impending abortion (n=71) were associated with elevated concentration. Twin pregnancies were detected by elevated EQFP concentration, in one case as early as 12 days after breeding.     

Monitoring pregnancy in babirusa (Babyrousa babyrussa) with transabdominal ultrasonography.

This case report documents the application of transabdominal ultrasonography for detecting pregnancy and monitoring fetal development in an unanesthetized, unrestrained babirusa (Babyrousa babyrussa). A 4-yr-old multiparous female babirusa was trained to accept monitoring via transabdominal ultrasonography on a weekly basis postcoitus. Uterine changes associated with pregnancy were first detected at 30 days gestation. Three fetuses were first visualized on day 38, and two of the three fetuses were detectable until term. One fetus failed to develop and appeared to be resorbed between days 80 and 94 of the 161-day pregnancy. The growth of the remaining two fetuses was monitored via cranial measurements taken during the weekly scans throughout the pregnancy. By monitoring a subsequent pregnancy via ultrasound in the same female it was possible to confirm her tendency towards partial resorption, with earliest detection of uterine changes on day 32 and apparent resorption of one of three fetuses at approximately the midpoint of gestation. Two rectal scans of a different female under anesthesia at 28 and 50 days gestation showed stages of development comparable to those visualized transabdominally. However, the transabdominal scans produced better images of the reproductive tract, perhaps because of the close proximity of the pregnant uterus to the abdominal wall.     

Assessment of fetal well-being in cattle by ultrasonography in normal, high-risk, and cloned pregnancies

This study determined ultrasonographic parameters of fetuses and uterine adnexa in late pregnancy in normal, cloned, and high-risk pregnancies in relation to perinatal and neonatal outcome. Ten cows with normal pregnancies (CONTROL, mean pregnancy length 273 d), 10 sick cows with potentially compromised pregnancies (HIGH-RISK, mean pregnancy length 267 d), and 10 heifers with cloned pregnancies (CLONED, mean pregnancy length 274 d) were examined at more than 260 d of gestation. There was no difference in mean fetal heart rates among the groups. The cloned calves were heavier (57 ± 8 kg) than calves from CONTROL group (36 ± 7 kg), and calves from HIGH-RISK group (37 ± 13 kg) (P = 0.003). The diameter of the thoracic aorta was positively correlated (R = 0.62) with fetal birth weight in the CONTROL group (P = 0.01). Fetal activity was not associated with survival. The results suggest that transabdominal ultrasonographic assessment of the fetal well-being may serve as a potential tool for evaluation of the fetoplacental unit.     

Twin pregnancy diagnosis in Holstein cows: discriminatory powers and accuracy of diagnosis by transrectal palpation and outcome of twin pregnancies.

The objective of this prospective cohort study was to determine the sensitivity, specificity, accuracy, and predictive value of twin pregnancy diagnosis by rectal palpation and to examine fetal survival, culling rates, and gestational lengths of cows diagnosed with twins. In this prospective study, 5309 cows on 14 farms in California were followed from pregnancy diagnosis to subsequent abortion or calving. The average sensitivity, specificity, accuracy, and predictive value of twin pregnancy diagnosis were 49.3%, 99.4%, 96.0%, and 86.1%, respectively. The abortion rate for single pregnancies of 12.0% differed significantly from those for bicornual twin pregnancies and unicornual twin pregnancies of 26.2% and 32.4%, respectively (P < 0.05). The early calf mortality between cows calving with singles (3.2%) and twins (15.7%) were significantly different (P < 0.005). The difference in fetal survival between single pregnancies and all twin pregnancies resulted in 0.42 and 0.29 viable heifers per pregnancy, respectively. The average gestation for single, bicornual, and unicornual pregnancies that did not abort before drying-off was 278, 272, and 270 days, respectively. Results of this study show that there is an increased fetal wastage associated with twin pregnancies and suggest a need for further research exploring management strategies for cows carrying twins.     

Effect of nutrient intake during pregnancy on fetal and placental growth and vascular development

Remarkable diversity of size and health of offspring exists after normal pregnancies. When pregnancies are complicated by an extrinsic variable such as inappropriate maternal nutrition, birth weight and health of the neonate are substantially affected. The placenta is the organ through which respiratory gases, nutrients, and wastes are exchanged between the maternal and fetal systems. Thus, transplacental exchange provides for all the metabolic demands of fetal growth. Transplacental exchange is dependent upon uterine and umbilical blood flow, and blood flow rates are in turn dependent in large part upon vascularization of the placenta. Therefore, factors that influence placental vascular development will have a dramatic impact on fetal growth and development, and thereby on neonatal mortality and morbidity. Recent work from our laboratories has focused on the effects of nutrient intake during pregnancy on placental growth and vascular development. Both nutrient restriction of the adult dam and overnourishment of the adolescent dam during pregnancy suppress placental cell proliferation and vascularity. Furthermore, placental expression of angiogenic factors and their receptors, factors that are known to affect vascular growth, are perturbed by level of nutrition. Studies in this area will lead to improved methods to manage nutritionally-compromised pregnancies.     

Association between gestational age and bovine fetal characteristics measured by transcutaneous ultrasound over the right flank of the dairy cow

Objective   To determine bovine fetal characteristics significantly associated with increasing gestational age as measured via transcutaneous ultrasonography over the right flank.
Methods   The length of gestation at date of pregnancy diagnosis via transcutaneous and transrectal ultrasonography was determined for 224 dairy cattle by estimation from subsequent calving dates. A separate dataset was created for each measurable fetal characteristic (i.e. thoracic diameter, abdominal diameter, umbilical diameter, placentome length and placentome height) and risk factors significantly associated with gestational age at pregnancy diagnosis within each dataset, including the fetal characteristic, were identified.
Results   Abdominal diameter was the most frequently observed fetal characteristic and thoracic diameter was the least. Gestational age at pregnancy diagnosis (d) was significantly associated with fetal thoracic diameter (P < 0.01), abdominal diameter (P < 0.01) and umbilical diameter (P = 0.02) when measured via transcutaneous ultrasound. Within each model, sire breed, dam breed, dam age and/or calf sex were also significantly associated with gestational age. Gestational age at pregnancy diagnosis was not significantly associated with either placentome height or length (P > 0.05).
Conclusion   Fetal thoracic diameter, abdominal diameter and umbilical diameter were found to be significantly associated with gestational age between approximate days 73 to 190 of gestation. Transcutaneous ultrasonography may prove a useful method of estimating gestational age in the absence of accurate breeding records.     

Conceptus-related measurements during the first trimester of bovine pregnancy

In order to determine the variability inherent in conceptus-related measurements in first trimester bovine pregnancies, conceptus and fetometric parameters from beef cattle pregnancies (n=103) estimated to be between Days 36 and 103 of gestation were examined. During this period, the protein concentration of amniotic fluid ranged between 0.181 and 0.501mg/mL. The amniotic fluid volume gradually increased from <1mL at Day 36 to 950mL at Day 103 (R(2)=0.9275) and amniotic compartment dimensions (length, R(2)=0.9713; width, R(2)=0.9802) increased predictably with fetal growth. Conversely, allantoic fluid protein concentration and volume correlated weakly with fetal age. A significant linear correlation existed between fetal crown rump length (CRL) and crown nose length (R(2)=0.9899) confirming that either measurement can be employed in the ultrasonographic estimation of fetal age. The amniotic compartment and fetometric data presented here have both research and clinical value, particularly in relation to fetal development evaluation and pregnancy viability diagnosis.     

Fetal loss in the dog and cat

Occurrence and type (resorption, abortion, stillbirth, mummification) of pregnancy loss in the dog and cat depend on the cause of the loss and the stage of gestation at which it occurs. General categories of known causes of embryonic or fetal death in the dog and cat include chromosome and developmental abnormalities of the fetus, infectious agents, maternal endocrine abnormalities, trauma, exogenous drugs, uterine torsion, and dystocia. Diagnosis of fetal loss and of cause of fetal loss relies on the history, physical examination, abdominal radiography and ultrasonography, serology, hormone assay, and on culture, pathology, and karyotype of fetal/placental tissue. Aggressive diagnostics at the time of fetal loss are essential to preventive strategies at subsequent pregnancies.     

Multiple Corpora Lutea in Dromedary Camels: Are They Associated with Multiple Pregnancies?

The aim of this study was to investigate whether multiple corpora lutea (CL) in dromedary camels were associated with multiple pregnancies. Three experiments were carried out. In the first experiment, reproductive tracts of 124 slaughtered female camels were examined for the incidence of multiple CL and the pregnancy status. In the second experiment, uteri and ovaries of 50 females were examined by ultrasound between the fourth and fifteenth weeks of pregnancy to estimate the number and location of the embryos/fetuses and the number of associated CL. In the third experiment, 20 females were mated and the pregnant animals were followed weekly to estimate the pattern of embryonic and fetal growth. At the slaughterhouse, multiple CL were detected in 44.4% of the pregnant animals. By ultrasonography, the incidence of twinning and triplets was 52%. The incidence significantly (P < 0.05) decreased from the fourth to the thirteenth week of pregnancy. Intrauterine growth retardation (IUGR) was observed in all animals of twins and triplets. Only one viable fetus could be detected after the ninth week of pregnancy in each pregnant animal. Both conceptuses died in one animal. In conclusion, multiple CL in dromedary camels are usually associated with multiple pregnancies. IUGR occurred in all animals of twins/triplets, with only one fetus surviving after the ninth week of pregnancy.     

Determination of gestational age in medium and small size bitches using ultrasonographic fetal measurements

A study was undertaken to estimate gestational age, in terms of days from parturition, in medium and small size dogs by ultrasonographic examination. Serial ultrasonographic examinations were performed in four medium size pregnant bitches throughout two consecutive pregnancies and three small size pregnant bitches throughout one pregnancy, in order to determine the range of variation in the size of selected fetal structures throughout gestation. Formulae were derived to estimate the expected delivery date for both groups of bitches by measuring anatomical fetal structures, so that this method could be applied to a large number of different breeds. The determination of gestational age could be achieved with reasonable precision by selecting fetal structures. Prediction of parturition date was accurate to within one day by ultrasonographic measurement of the diameter of the gestational sac in early pregnancy and the biparietal diameter in late pregnancy in both small size breeds and medium size breeds.     

Myoperitoneal Microvascular Free Flaps in Dogs: An Anatomical Study and a Clinical Case Report

The purpose of the anatomical study was to identify potential myoperitoneal microvascular free flaps, in dogs, that are based on a single artery and vein. The angiosomes of the right deep circumflex iliac artery and left phrenicoabdominal (cranial abdominal) artery were evaluated in six medium-sized canine cadavers. The right deep circumflex iliac artery and left phrenicoabdominal (cranial abdominal) artery were injected with a mixture of barium and latex (equal parts). The entire right and left transversus abdominis muscles were dissected from the abdominal wall and radiographed. The angiograms of the deep circumflex iliac artery showed poor arborization of the vessels within the transversus abdominis muscle in all six cadavers. The angiograms of the phrenicoabdominal (cranial abdominal) artery showed consistent filling of the vascular bed of the cranial half of the transversus abdominis muscle flap in all six dogs. The vascular pedicle lengths and the diameter of the arteries and veins of both the deep circumflex iliac and phrenicoabdominal (cranial abdominal) myoperitoneal free flaps were found to be acceptable for microvascular anastomosis. The deep circumflex iliac flap was unacceptable because of inadequate vascular perfusion. The cranial abdominal artery had a consistent, large branch that supplied the cranial half of the transversus abdominis muscle, thereby making a myoperitoneal flap supplied by this vessel a potentially useful free flap. An 8-year-old male, neutered, mixed-breed dog was evaluated for possible repair of a large defect of the hard palate. Previous operations, using local tissue flaps, had been unsuccessful. A myoperitoneal free flap, based on the right cranial abdominal artery, and consisting of the cranial portion of the transversus abdominis muscle, was used successfully to reconstruct the hard palate. Migrating epithelium from the edges of the wound covered the myoperitoneal flap by 10 weeks after surgery. Therefore, the cranial abdominal myoperitoneal free flap can be considered for reconstruction of intra-oral defects that cannot be repaired using conventional local flap techniques.     

Doppler evaluation of maternal and fetal vessels during normal gestation in the bitch

The aim of this work is to evaluate the haemodynamic characteristics of maternal and fetal vessels during normal pregnancy in bitches, using Colour and Pulsed wave Doppler ultrasonography, in order to obtain more information about maternal and fetal circulation. The blood waveforms of the uteroplacental arteries, aorta, caudal cava vein and umbilical cord of the fetuses were recorded weekly in 16 pregnant bitches. Also, the measurements of Peak Systolic, End Diastolic Velocities, Resistance and Pulsatility Indices were carried out. Uteroplacental blood flow was biphasic while the ones of the umbilical artery and aorta were first systolic and then diastolic. The cava showed a typical waveform of venous vessels. During gestation the EDV and PSV of fetal vessels increased (alpha<0.05) while the PI and RI of all vessels examined decreased (alpha<0.05) except for the IP of the Aorta. The Doppler ultrasonography was used to study the characteristics of maternal and fetal vessel flow and their progressive changes during pregnancy. This study can be considered a further contribution in diagnosing and monitoring high-risk pregnancies in Veterinary Medicine.     

Electrocardiographic confirmation of a twin pregnancy in a mare at 8 months of gestation

A 15-year-old Warmblood mare, at 8 months of gestation, was presented to the Ghent University Faculty of Veterinary Medicine for evaluation of suspected stage one labor. Transrectal ultrasonography revealed no clear signs of placentitis or stage one labor. The combined thickness of uterus and placenta was 11 mm and the cervix was closed. Twin pregnancy was suspected by transabdominal ultrasonography but could not be confirmed with certainty. An electrocardiogram (ECG) was recorded from the mare's abdominal wall to register a fetal ECG. To confirm twin pregnancy, registration of both fetal ECGs simultaneously on the same ECG trace was attempted. Twelve different electrode configurations were used. In 11 recordings, one fetal ECG was visible. Only one specific right-sided electrode configuration showed both fetal ECGs at the same time, which confirmed twin pregnancy. Although electrocardiographic diagnosis of a twin pregnancy in a mare is possible, this case highlights the need for multiple electrode configurations and the high likelihood of false negatives.     

Accuracy of early fetal sex determination by ultrasonic assessment in goats

The objective of this study was to determine the accuracy of early fetal sex determination by ultrasonic assessment of the relative location of the genital tubercle (GT) in goats at different stages of pregnancy as well as by the identification of fetal external genitalia. Pregnant animals were divided into three experimental groups (EI: n=21, EII: n=28, EIII: n=33). In EI, fetuses (n=27) were transrectally monitored daily from days 40 to 60 of pregnancy with a linear transducer (6.0 and 8.0MHz). In EII, fetuses (n=40) were examined once between days 45 and 70 of pregnancy by transrectal ultrasonography. In EIII fetuses (n=52) between days 100 and 120 of pregnancy, were submitted to a single transabdominal ultrasonography using a convex transducer (5.0 and 7.5MHz). Regardless of fetal sex diagnosis, 15/15 (EI), 13/16 (EII) and 9/14 (EIII) of single pregnancies and 10/12 (EI), 20/24 (EII) and 21/38 (EIII) of twin pregnancies were correctly identified. The accuracy of sex identification among EI (92.6%), EII (82.5%) and EIII (57.7%) was not statistically different (P>0.05). Identification of the GT in male fetuses was possible from day 45 onward. Changes in the GT position were not observed between days 53 and 60 of pregnancy. Accuracy of fetal sexing under field conditions is high in goats when ultrasound imaging is properly timed during pregnancy and when it is performed with proper equipment by experienced operators.