International Congress on “Modern Concepts in Canine Health and Diseases of Human Concern” and IX Annual Convention of Indian Society for Advancement of Canine Practice 9th-11th February 2012 Bikaner Rajasthan India Compendium page 139-144
Management of post partum genital complications in the bitch
G N Purohit1, DK Bihani2 and AA Gauri3
1Department of Veterinary Gynecology and Obstetrics
2 Department of Veterinary Medicine College of Veterinary and Animal science Rajasthan University of Veterinary and Animal Science
Bikaner Rajasthan 334001
The post-partum period in the bitch is different from other domestic animals and so are the post-partum genital complications. The incidence of post- partum complications in the bitch appear to be low and two complications appear to be most frequent; the sub-involution of placental sites and metritis. Eclampsia is a metabolic disorder of the post partum period commonly affecting poorly managed bitches and is common in the Pomeranian breed. Placental retention, uterine prolapse/rupture and vaginitis are infrequent in the bitch and their clinical diagnosis is often complicated. Bitch owners and clinicians often prefer ovariohysterectomy when complications do not respond to usual therapy. The incidence, diagnosis and therapeutic approaches for the common genital post-partum complications of the bitch are described.
Key Words: Bitch, eclampsia, metritis, SIPS, uterine prolapse.
Canine post-partum problems are different from other domestic animals. The parturition is prolonged in the bitch (second stage of labor sometimes requiring up to 24 hours) hence the first thing a clinician must look for is the presence of any fetus. A novice owner may think that the whelping is completed when the bitch is taking rest after delivery of a few fetuses and would be worried when the bitch is again straining to deliver the remaining pups. Alternatively, a bitch may deliver a part of the litter and then show no signs of delivery although she may still have some pups retained. In canines, normal postpartum discharge is dark green or greenish black in colour for the first 1 to 2 days which then becomes bloody and persists for 1 or 2 weeks or even up to 1 month. There is usually a lot of discharge for the first 5 to 7 days. It should gradually decrease in volume and become thick and clear or grey by day 10. Abnormal, excessive or foul smelling vaginal discharge may indicate an infection. Discharge having an offensive odour, bright red colour, profuse or lasting longer than 3 weeks requires immediate attention. Post partum haemorrhage
Some degree of post-partum haemorrhage is inevitable but when the blood loss is profuse it is a matter of serious concern. True maternal blood loss should never exceed a slow drip from the vulva and any level greater than this should be investigated (Jackson, 2004). Uterine or vaginal injury resulting from the treatment of dystocia is the most likely source of blood loss. The anterior vagina can only be inspected if a long speculum or paediatric endoscope is available. The bleeding points in the vagina when accessible should be located and standard haemostatic procedures adopted. However, when this is not possible cotton wool soaked with adrenaline must be placed in the vagina. Blood loss when suspected to be of uterine origin, a dose of oxytocin would be helpful in reducing the size of the uterus and stopping the bleeding. Incidence
The incidence of the post partum complications in the bitch appears to be low. At our referral centre the number of bitches presented with some or other complications was merely 17 in a period of two years (Table 1). All except one bitch presented for therapy of eclampsia were of the Pomeranian breed. Retained foetal membrane
This is not a common condition in the bitch but may be difficult to diagnose. Placentae are usually passed within 15 min of a birth of a...
References: Al-Bassam MA, Thomson RG, O’Donnell L (1981a). Normal postpartum involution of the uterus in the dog Can J Comp Med 45:217.
Al-Bassam MA, Thomson RG, O’Donnell L (1981b). Involution abnormalities in the postpartum uterus of the bitch. Vet Pathol 18:208-18.
Al-Mehaisen L, Al-Kuran O, Amarin ZO, Beitawi S, Muhtaseb A (2008) Secondary postpartum hemorrhage following placental site vessel subinvolution: a case report. Arch Gynecol Obstet 278: 585-87.
Arbeiter K (1975). The use of progestins in the treatment of persistent uterine hemorrhage in the postpartum bitch and cow: a clinical report. Theriogenol 4:11-13.
Aroch I, Srebo H, Shpigel NY (1999). Serum electrolyte concentrations in bitches with eclampsia Vet Rec 145:318-20.
Austad R, Bjerkas E (1976) Eclampsia in the bitch. J Small Anim Pract 17:793-98.
Beck A M, Mc Entee K (1966). Subinvolution of placental sites in a postpartum bitch. A case report. Cornell Vet 56: 269-277.
Bencharif D, Amirat L, Annabelle G, Tainturier D (2010) Ovariohysterectomy in the bitch. Obst Gynecol Int 2010:542693.
Biddle D, Mcintire DK (2000) Obstetrical emergencies. Clin Tech Small Anim Pract 15:88-93.
Bjurstrom L (1993). Aerobic bacteria occurring in the vagina of bitches with reproductive disorders. Acta Vet Scand 34:29-34.
Bomzon L (1977). Rupture of the uterus following caesarean section in a bitch. Vet Rec 101:38.
Burke TJ (1977). Postparturient problems in the bitch. Vet Clin North Am 7:695.
Davidson AP, Baker TW (2009a) Reproductive ultrasound of the bitch and queen. Topics Companion Anim Med 24:55-63.
Davidson AP, Baker TW (2009b). Postpartum disorders in bitches, queens and neonates. Topics Companion Anim Med 24:105-63.
Deori S, Sarkar M, Debnath M (2009). Post parturient uterine prolapse in a bitch-A case report. Indian J Anim Reprod 30:78.
Dickie MB, Arbeiter K (1993). Diagnosis and therapy of the subinvolution of placental sites in the bitch. J Reprod Fertil Suppl 47:471-5.
Drobatz KJ, Casey KK (2000). Eclampsia in dogs: 31 cases (1995-1998). J Am Vet Med Assoc 217:216-9.
Dunn TJ, Foster RC (1977). Perforated uterus in a bitch. Mod Vet Pract 58:240-41.
Fernandez PE, Portiansky EL, Barbeito CG, Gimeno EJ (1998) Characterisation of cytotrophoblastic-like cells present in subinvolutioned placental sites of the bitch. Histol Histopathol 13:995-1000.
Grundy AM (1980). Partial uterine prolapse in a bitch. Vet Rec 106:420-21.
Hayes G (2004). Asymptomatic uterine rupture in a bitch. Vet Rec 154: 438-39.
Honparkhe M, Singla VK, Singh J, Bedi M, Sathya A (2006). Post parturient uterine prolapse in a bitch. Indian J Anim Reprod 27:91-92.
Humm KR, Adamantos SE, Benigni L, Armitage-Chan EA, Brockman DJ, Chan DL (2010) Uterine rupture and septic peritonitis following dystocia and assisted delivery in a Great Dane bitch. J Am Anim Hosp Assoc 46: 353-357.
Jackson PGG (2004). Ed. Postparturient problems in the dog and cat. Handbook of Veterinary Obstetrics. Saunders Elsevier. Pp 233.
Jirima K (1974). Therapy of canine eclampsia. Berl Tierarztl Wochenschr 87:15-16.
Johnson CA (1991). Diagnosis and treatment of chronic vaginitis in the bitch. Vet Clin North Am Small Anim Pract 21:523-31.
Kaufman J (1986). Eclampsia in the bitch. In: Morrow DA eds. Current Therapy in Theriogenology. Phildelphia, WB Saunders Co pp 511.
Lindsay FEF (1983) The normal endoscopic appearance of the caudal reproductive tract of the cyclic and non-cyclic bitch: post-uterine endoscopy. J Small Anim Pract 24: 1-15.
Magne ML (1986). Acute metritis in the bitch. In: Morrow DA eds. Current Therapy in Theriogenology. Phildelphia, WB Saunders Co pp 505.
Mshella GD, Chaudhari SUR (2001). Sub-involution of placental sites (SIPS): Possible predisposing factors and consequences on the fertility of bitch. Int J Agri Biol 3:263-65.
Mudaliar RAS, Hussain MM (1967). Peurperal tetany in a bitch. Indian Vet J 44:804-5.
Newell-Fugate A, Lane E (2009). Intrapartum uterine rupture with coincidental uterine adenomyosis in an African wild dog (Lycaon pictus). J Zoo Wildl Med 40:791-95.
Olson PN, Nett TM, Bowen RA, Thrall MA, Wykes PM, Husted PW, Sawyer HR (1984). Vaginal cytology II: Its use in diagnosing canine reproductive disorders. Comp Cont Edu 6:385-90.
Orfanou CD, Ververidis NH, Fthenakis CG (2008). Post-partum pathological conditions in the bitch-Part II. J Hellenic Vet Med Soc 59:126-138.
Pavan-Carreira R, Albuquerque C, Abreu H, Maltez I (2011) Uterine Prolapse with Associated Rupture in a Podengo Bitch. Reprod Domest Anim doi: 10.1111/j.1439-0531.2011.01944.x.
Priedkalns J (1981). Female reproductive system. In: Delman H, Brown EM eds. Textbook of Veterinary Histology 2nd ed. Philadelphia Lea & Febriger pp 309-36.
Reberg SR, Peter AT, Blevins WE (1992). Subinvolution of placental sites in dogs. Comp Cont Edu Pract Vet 14:789-93.
Schall WD, Duncan JR, Finco DR, Knecht CD (1971). Spontaneous recovery after subinvolution of placental sites in a bitch. J Am Vet Med Assoc 159:1780-2.
Slatter DH (1985). Ed Textbook of Small Animal Surgery Vol 2. Philadelphia WB Saunders Co. pp1665.
Smith FO (1986). Postpartum diseases Vet Clin North Am Small Anim Pract 16:521-4.
Sontas HB, Stelletta C, Milani C, Mollo A, Romagnoli S (2011) Full recovery of subinvolution of placental sites in an American Staffordshire terrier bitch. J Small Anim Pract 52:42-45.
Watts JR, Wright PJ (1995). Investigating uterine disease in the bitch: uterine cannulation for cytology, microbiology and hysteroscopy. J Small Anim Pract 36:201-06.
Watts JR, Wright PJ, Lee CS, Whithear KG (1997). New techniques using transcervical uterine cannulation for the diagnosis of uterine disorders in bitches. J Reprod Fert Suppl 51:283-93.
Wheeler SL (1986). Subinvolution of placental sites in the bitch. In: Morrow DA eds. Current Therapy in Theriogenology. Phildelphia, WB Saunders Co pp 513-15.
Woods DS (1986). Canine uterine prolapse. In:Morrow DA eds. Current Therapy in Theriogenology. Phildelphia, WB Saunders Co pp 510.
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