How to manage uterine prolapse

 

How to manage uterine prolapse

Overview.

Bovine prolapsed uterus refers to the abnormal positioning of the bovine uterus after calving.

It is most common in dairy cattle and can occur in beef cows occasionally with hypocalcaemia.

Uterine prolapse is considered a medical emergency which puts the cow at risk of shock or death by blood loss.

Factors that increase the risk of having a uterine prolapsed include:

1. calving complications that causes injury or irritation of the external birth canal,

2. severe straining during labour, or excessive pressure when pulling out a calf.

Non-calving factors include:

1.nutrition problems such as low calcium level in blood

2. magnesium,

3. protein, or generally poor body conditions.

Treatment.

You have two option

1. reduction or replacemt

2. amputation or cut off

If you decide to replace back follow these rules

Before treatment you have to focus and manage these three conditions

1. Placenta

2. Trauma

3. Gross haemorhage

Differential diagnosis.

Uterine prolapse can often be confused with vaginal prolapse.

A vaginal prolapse is a small pink or red ball of tissue ranging from the size of a grapefruit to a soccer ball.

It is expelled from the animal before calving, whereas a uterine prolapse takes place after calving.

Anesthesia.

1. Using lignocaine for epidural anesthesia to reduce straining.

Solution to use a clean

1. Iodine

2. Sugar

3. Warm water

4. Salt

How to manage uterine prolapse

1. Hold the animal to stop it running away. Keep dogs and chickens away from the animal.

2. Clean the uterus with water or with soap or antiseptic and water.

3. Keep the uterus off the ground and keep it wet with a large wet cloth.

4. Remove pieces of placenta stuck to the uterus gently by hand if possible.

5. Many people put about 1 kg sugar or molasses on to the uterus to make it smaller.

6. A cow or buffalo has a large uterus. It is heavy and difficult to push back

7. If possible lay the animal down on its chest and pull the back legs out. This makes it much easier to put the uterus back.

8. Get someone to sit on the animal's back and hold the tail up.

9. Make sure the uterus get back its possition by pushing on your arm or using base of the clean bottle

10. Put antibiotics on the uterus and also inject

11. Encourage the new-born animal to suck the mother as soon as possible. This makes the mother release a hormone (called oxytocin) into her blood that makes the uterus contract. Skilled workers can give oxytocin injections

to make the uterus contract

12. Some people stitch or clamp the vulva closed. This sometimes helps to stop the uterus coming out again. Remove the stitches or clamp after 4-5 days.