Monday, October 29, 2018

Metritis


Metritis refers to bacterial infection of all the layers of the uterus. It is always associated with systemic illness; although this can range from mild (reduction in appetite and milk yield) to very severe and potentially fatal. Severe or puerperal metritis typically occurs in the first few days after calving (within 2-4 days after parturition.)and is usually secondary to severe calving problems that have resulted in damage to the reproductive tract and introduction of bacteria during the assisted calving. It is often accompanied by retained fetal membranes, but can occur without; the presence of membranes is not the cause of the metritis.
Predisposing factors :
• Dystocia
• Twin births
• Retention of fetal membranes
• Prolonged traction and damage of birth canal
• Unsanitary calving condition
Under such conditions, the chances of invasion of the uterus and
multiplication of large number of pathogenic bacteria get increased
Etiology :
1. Corynebacterium pyogenes (Now, Actinomyces pyogenes) - Most
important bacteria.
2. Streptococci (group C).
3. Staphylococci (haemolytic).
4. Coliform bacteria: E. coli, Proteus and Enterabacter spp.
5. Gram-negative anaebrobes (Bacteriodes & fusobacterium spp.)
6. Gram-positive anaerobes (Clostridrium spp.) rarely.
These bacteria get colonised in the non-involuted uterus, some of
which are producing toxins which are absorbed and cause severe
symptoms
Pathogenesis :
Failure of normal involution combined with retention of the foeta l membranes and infection of the uterus with a mixed bacterial flora resulting in acute metritis and severe toxaemia. There is diffuse necrosis and oedema of the mucosa and wall of the uterus. There is marked accumulation of foul-smelling fluidin the uterus, and thereby enlargement of the uterus. Absorption of toxins cause in severe toxaemia.
Clinical Findings
Cows with puerperal metritis have a fetid vaginal discharge and a high temperature initially, which can rapidly drop away to become sub-normal. Less severe cases usually occur later in the first and second week after calving. These cows will show reduced appetite and milk yield,  may have a high temperature but will have a fetid, bloody vaginal discharge.
Symptoms:
The septic puerperal metritis exclusively occurs during puerperal period i.e. within 2-4 days after parturition.
• Affected animals show both local and general symptoms.
General symptoms:
Depression
• Anorexia
• Hyperthermia followed by hypothermia
• Tachycardia (96-120 beats/min)
• Respiration ra te high (60-72 times / min, normal 15-20 times / min)
• Cool skin and extremities
Foul-smelling diarrhoea
• Dehydration because the affected cow does not drink normally
• Anuria
• Congested mucosa with an increased capillary refill time
• Muscular weakness, leading to recumbency
• Marked drop in milk production
• Rumen contraction reduced or absent
• Septic shock and death
Localized symptoms:
• Large quantities of foul-smelling, dark brown to red fluid containing pieces of degenerating foetal membranes comes out from the uterus through the vagina.
• Frequent straining.
Puerperal metritis must be differentiated from pneumonia, traumatic
reticulitis, left side displacement of the abomasum because their
general symptoms are likely to match with the puerperal metritis
and they also occur during puerperial period.


Puerperal metritis must be differentiated from pneumonia, traumatic reticulitis, left side displacement of the abomasum because their general symptoms are likely to match with the puerperal metritis and they also occur during puerperial period. 


Treatment
1.. Non steroidal anti-inflammatory drugs FLUNIXIN  (1 ml to 25 kg body weight)or
Meloxicam : Dose 0.5 mg/kg b.w. at 24 hours interval.
2. (Prostaglandin F2-alpha )(3 ml)
3. Antimicrobial therapy (ceftiofur)
4. Antihistamines ego Chlorpheniramine maleate and pheniramine maleate. Pheniramine maleate (Avil) Dose 5-10 ml.
5. Glucocorticoid (Dexamethasone) should be used in severe case
to prevent septic shock. Dose -10-30 mg (total dose) or 5 ml. I/M or I/V every 24 hours.
6. Fluid and electrolytes :- The intravenous infusion of large quantities of fluids and electrolytes is essential in the management of septic puerperal metritis. Large volume of isotonic fluids have been standard practiced. Lactate Ringer's solution or a balanced electrolyte mixture must be given by IV infusion over several hours. Glucose should be included in the infusion fluids.
Benefits of Fluid and electrolytes
Correction of peripheral vasoconstriction.
• Restoration of an acceptable pulse quality
• Return of urinary output.
• Restoration of cardiac out put.
• Dilution of toxins.
(6) If the cow is continually straining, caudal epidural anaesthesia can be used; gives temporary relief for 1-2 hours and sometimes .It will break the cycle and stop the straining.

The use of oestrogen is contraindicated in cases of acute puerperal metritis because oestrogens increase the contraction and blood flow in the uterus thereby increasing the absorption of bacterial toxins and thus, the case becomes more severe.

Remove the retained foetal membranes by very gentle external traction, if possible otherwise leave it as it is.The hand should not be entered in the vagina and uterus to remove the placenta. Because the uterus in this condition is friable, it may result in severe damage and also predispose to the absorption of toxins and making the case more severe.

(8) Vitamin B-complex with liver extract : intramuscular for three days.
Prognosis:
 The prognosis for subsequent fertility should always be guarded, because cows that have suffered a severe puerperal metritis very often develop lesions such as ovario-bursal adhesions, uterine adhesions and occluded uterine tubes.




Equine Endometritis

Classical Treatment of Persistent Breeding Induced Endometritis:
1.Uterine lavage: (1:3 liter) sterile warmed lactated Ringer’s (better) or saline solution 1 hr. before and/or 6 hr. after breeding followed immediately by (I/M or I/V) administration of oxytocin (10: 20 i.u.) 
2.Administration of dexamethasone (50 mg, IV) once at the time of breeding
3.Only breeding the mare one time to limit re-inflammation (fresh semen is better than frozen).

write by 
Amr El-Shalofy 

the source
https://www.facebook.com/groups/fieldawy.animals/?fref=nf



Friday, October 19, 2018

Dry period length, fresh cow health and postpartum fertility in dairy cows

Skimming computer records in a dairy can give us a rough idea on the reproduction outcome just by looking at some average numbers. Unfortunately, average numbers are often times misleading when tracking specific fertility parameters that can be masked by other effects (season, breeding code, times bred, etc.). Likewise, average days dry, which may have tremendous impact on a series of metabolic events happening around calving, can have different interpretations depending on how deep we look and how we want to correlate them to fertility.
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When looking at computer records during my regular reproductive troubleshooting for Accelerated Genetics" customers, I always like to verify the distribution of days dry. It is interesting to see the variation in length of dry periods among dairies. However, we should not worry too much about the final average. Instead we should look at their distribution (i.e. 60 days dry) by lactation number. Then correlate this information with postpartum problems (proportion of displaced abomasum, retained placenta, milk fever, ketosis, metritis, conception at first A.I., etc)
For instance, we recently found a very strong relationship between days dry and milk fever in one of the dairies that we assist with reproductive evaluations through our ReproConnections program. We could not see this trend in regular postpartum health reports. Thus, in this article I'm going to explore the relationship among dry period length, feed intake, and some fertility parameters after calving.
IS THERE ANY RELATIONSHIP BETWEEN LENGTH OF DRY PERIOD AND FERTILITY IN DAIRY COWS?
There are very few randomized studies that tried to evaluate the effects of different dry period lengths on postpartum fertility. Gumen et al., 2005 used intensive ultrasound examinations and blood sampling to evaluate fertility of cows randomized and divided into one of three dry period groups:
  1. Traditional dry period ~ 56 days
  2. Shortened dry period ~ 28 days
  3. No planned dry period
They found that dry period length affected days to first postpartum ovulation and average days open, as illustrated in Figures 1 and 2. These advantages for the no planned dry period group may be explained by an earlier peak of FSH in this group, which in turn was consequence of a positive energy balance because of higher dry matter intake, compared to the other 2 treatments (check original article for more details and other results.)
Unfortunately, the limited number of experimental units in this research study does not allow us to draw final conclusions regarding conception rate results; however, this data gives us some insights that the length of dry period can definitely affect reproductive parameters.
Although short dry periods seem to be a promising strategy, most research indicates that short dry periods might reduce milk production in the new lactation, particularly in primiparous cows (Annen et al., 2004). Another research group (Gillund et al., 2001), using data from several dairy herds, studied the association of different body condition scores (BCS) near calving, the proportion of cows presenting ketosis, and some fertility parameters. These authors found that cows with BCS > 3.5 were nearly three times more likely to present postpartum ketosis than cows with lower BCS.
As evidenced in other studies, Gillund et al., 2001 also supported the concept that this is probably the result of lower dry matter intake (DMI) in animals with higher BCS near calving. In agreement with that, previous studies found that cows with greater BCS near calving have lower DMI and lost more body weight after calving than thinner cows (Garnsworthy and Topps, 1982).
Gillund et al. also found that cows presenting ketosis lost more weight after calving and ultimately had lower conception at first breeding and longer calving to conception intervals. Therefore, it is always recommendable to follow BCS throughout lactation. In fact, monitoring BCS throughout lactation is a very effective tool to measure body condition loss after calving
Several research groups have studied this topic in the last decade. In general, they found that shorter dry periods tend to reduce problems related with negative energy balance (NEB), but lower milk production might be a concern when using short days dry (30 to 35 days) in primiparous cows.
Pezeshki et al., 2007 evaluated the effects of different days dry on milk production, milk composition,  and energy balance of dairy cows. They used three dry period lengths 56 days, 42 days, and 35 days. Their data confirmed previous reports describing that cows in the short dry period had less problems with NEB. However, primiparous cows receiving the shorter dry period of 35 days produced less milk in the new lactation, in agreement with previous research (Annen et al., 2004).
Pezeshki's et al. data also argue that multiparous cows and cows with higher body condition scores (BCS) might benefit from shorter dry periods. Therefore, most of the research articles seem to recommend a 40 to 45 days dry for multiparous cows and 60 days for primiparous cows.
Less diet and pen changes around calving becomes one of the most important benefits of shorter dry periods. It is widely known that frequent diet changes may lead to lower DMI (Grummer and Rastani, 2004), and that cows with lower DMI near calving are more likely to have uterine problems after calving (Huzzey et al., 2007).
Huzzey et al., 2007 studied the relationship between feed and water intakes close to calving time and metritis rate in the postpartum period. These researchers used electronic equipment to measure feed and water intakes and cattle behavior in a group of 101 confined cows. All cows were evaluated from two weeks before calving until four weeks after calving.
Uterine infections were identified by inserting the arm with a palpation glove into the vagina, and uterine discharge was classified from 1 to 4. Rectal temperature was also checked in all cows. Therefore, cows were classified with severe metritis if uterine discharge was equal to 4 and temperature > 39.5'C. Cows classified as healthy presented clear mucus (score 1) and no fever. Cows with mild metritis presented intermediate parameters (please check original article for further details).
Results from this study indicated that cows with severe and mild metritis had lower milk production during the experimental period. However, the most interesting finding was that feed and water intakes were strongly related with metritis after calving. It was clear that animals with either severe or mild metritis had lower feed and water intakes – even before calving!
They also observed that the cow's behavior was associated with metritis. In other words, cows with uterine infections were less dominant than healthy cows. It seems that one of the most effective ways to avoid postpartum problems (metritis, retained placenta, etc.) is by ensuring high DMI in the transition period. Thus, dairy producers should implement some management strategies to increase feed intakes and lower postpartum diseases, such as:
  1. Keep first calving heifers separated from older cows in the pre- and postpartum pens.
  2. Maximize feed and water intakes in the pre- and post-partum. Keep food and water available at all times!
  3. Avoid overstocking in the dry and close-up pens. For instance, divide the number of cows in the pen by the feed bunk space and pen area; avoid less than 30 inches of feed bunk space per cow, (i.e. Picture 1). Keep at least 30 square feet of bedded pack per cow.
  4. In general, keep body condition scores at around 3.0 to 3.5 – no more or less than that.
  5. Avoid changing cows to different pens around calving. Newly introduced cows will drop their feed intake until its hierarchy is established in the new pen.
  6. Improve cow comfort as much as possible during dry period. Avoid heat stress and improve bedding condition. Calving area must be clean, dry and well ventilated, like in Picture 2.
  7. 7Set up a consistent SOP for health checks in the early postpartum.
REFERENCES:
Annen et al., 2004. Effects of modified dry period lengths and bovine somatotropin on yield and composition of milk from dairy cows. J Dairy Sci 87:3746-3761.
Gillund et al., 2001. Body condition related to ketosis and reproductive performance in Norwegian dairy cows. J Dairy Sci 84:1390-1396.
Grummer and Rastani, 2004. Why reevaluate dry period length? J Dairy Sci 87:E77-E85.
Gumen et al., 2005. Reduced dry periods and varying prepartum diets alter postpartum ovulation and reproductive measures. J Dairy Sci 88:2401-2411.
Huzzey et al., 2007. Prepartum Behaviour and Dry Matter Intake Identify Dairy Cows at Risk for Metritis. J Dairy Sci 90:3220-3233.
Pezeshki et al., 2007. Effects of short dry periods on performance and metabolic status in Holstein cows. J Dairy Sci 90:5531-5541.

Managing the postpartum cow to maximize pregnancy rates

Pregnancy rate is a key determinant of farm productivity and profitability High pregnancy rates depend on a rapid return of normal reproductive function after calving. Both energy status and blood calcium levels impact ovarian and uterine function
Proceedings 2004 Florida Dairy Reproduction Road Show 10

Introduction

The main objective of a dairy’s reproductive program should be to maximize pregnancy rate (PR) to first service. Pregnancy rate is the product of the heat detection and conception rate for the herd (PR = HDR x CR). Pregnancy rate represents the proportion of cows that become pregnant each estrous cycle, and determines the number of days that cows are open after the voluntary waiting period. When the PR increases because of a higher HDR, greater CR or both, days open decreases.
Ferguson and Galligan (13) have shown that PR to first insemination explained 79% of the variation in the calving interval. These authors concluded that maximizing the HDR and CR for first insemination is the most important determinant of calving interval. Therefore, dairy herds should allocate significant resources to maximize PR to first service.
To improve pregnancy rate to first service, estrous synchronization protocols such as the targeted breeding, modified targeted breeding or the OvSynch/timed AI programs are commonly used. By synchronizing a group of cows, estrus periods are concentrated within a 7-day period which helps to improve estrus detection rate or in the case of OvSynch/timed AI, cows can be inseminated without being detected in heat. These estrous synchronization or timed artificial insemination protocols increase PR because more cows are inseminated at the end of the voluntary waiting period.
However, to maximize first service PR from these protocols, dairy cows must have experienced multiple estrous cycles early postpartum. Cows expressing one or more estruses during the first 30 days postpartum had improved pregnancy rates to first service compared to cows with no estruses (41). The physiological and hormonal events associated with estrus are thought to help restore uterine and ovarian function to an optimal state for pregnancy establishment. The severity and duration of negative energy balance postpartum is a primary influence on ovarian activity and resumption of cyclicity postpartum in dairy cows (6,11).
Objectives of this presentation are 1) to describe the association between calcium status to periparturient disorders and its effect on postpartum energy status; 2) to relate the effect of postpartum energy status on reproductive performance; 3) to describe a protocol for management of the postpartum dairy cow with the ultimate aim of maximizing the pregnancy rate to first insemination.

Associations of Hypocalcemia to Calving Related Problems

During calving or shortly thereafter, hypocalcemia, characterized by blood calcium concentration < 8.0 mg/dl, is inevitable in the dairy cow (16,17,18,30,31). Hypocalcemia develops from the sudden drain of calcium to colostrum at the onset of lactation, resulting in a tremendous challenge to the cow’s ability to maintain normal calcium levels in blood.
Milk fever is the clinical manifestation of hypocalcemia and the decreased plasma calcium content is accentuated in affected cows. Affected cows are recumbent, are unable to rise, and have a calcium deficit of 8 grams. A standard intravenous dose of 500 ml of a 23 per cent calcium gluconate solution provides 10.8 gms of calcium.
Hypocalcemia may affect smooth muscle function in organs such as the uterus, rumen and the abomasum (stomach). A significant association between parturient hypocalcemia, dystocia and retained fetal membranes (RFM) in dairy cows, has been reported (7,8,19). Cows with parturient hypocalcemia were 6.5 times more likely to have dystocia, 3.2 times more likely to have RFM and 3.4 times more likely to have a left displaced abomasum (13). Evaluation of records from more than 61,000 dairy cows in Finland showed that parturient hypocalcemia was a significant risk factor for dystocia, RFM and clinical ketosis (19). Clinical ketosis was, in turn, associated with silent heats, cystic ovaries and infertility.
Hypocalcemia, without clinical symptoms of milk fever, may affect normal function of the uterus, rumen and abomasum. This condition is commonly called subclinical hypocalcemia and has been associated with various periparturient disorders (19,37). In a California study, hypocalcemia without paresis was more common in cows affected with uterine prolapse than in unafflicted cows (37). The prolapsed uterus was related to uterine atony, a delay in cervical involution and continued abdominal presses soon after parturition. Parturient hypocalcemia has been shown to delay cervical involution and cause uterine inertia (29). However, in primiparous cows, there was no difference in serum calcium concentrations between 9 cows which had prolapsed and their unaffected contemporaries (37). This supports the clinical finding that primiparous cows seldom experience milk fever.
Hypocalcemia has been associated with displaced abomasum and reduced rumen contractions. Cows treated for abomasal displacement had abnormally low blood calcium content preceding displacement (22). Cows with subclinical hypocalcemia were 4.8 times more likely to develop left displacement of the abomasum (26). Research with sheep demonstrated a true cause and effect relationship between hypocalcemia and normal smooth muscle contractility in the ruminant stomach (21). In this study, ruminal contractions ceased long before signs of hypocalcemia were observed. Moreover, ruminal dysfunction may occur substantially before the clinical signs of hypocalcemia. A field study comparing total serum calcium concentrations of cows diagnosed with abomasal displacement or volvulus to those of unaffected cows from the same herds, found hypocalcemia occurred in over two-thirds of cows affected with displaced abomasum or volvulus (10). This body of research suggests calcium administration at the time of treatment for displaced abomasum may be beneficial.

Energy Status

Postpartum dairy cows undergo a marked change in energy status as they are returning to normal restoration of ovarian cycles. Dairy cattle undergo a period of negative energy status in early lactation because energy output for milk production exceeds feed energy intake. Any calving related disorder that causes the cow to go off feed will aggravate the negative energy status already present during post partum.
Prolonged hypocalcemia after calving may suppress feed intake; cows with milk fever have been reported to have a lower dry matter intake post partum than non paretic cows (25). Further, hypocalcemia prevents secretion of insulin, preventing tissue uptake of glucose which would enhance lipid mobilization and increasing the risk for ketosis (24). Cows with milk fever had slower rates of uterine involution, attributed to a more severe negative energy balance and a greater loss of BCS rather than hypocalcemia directly (37). Hypocalcemia may result in the “droopy cow” syndrome sometimes observed early postpartum, even in cows that did not show clinical milk fever at calving. Goff et al (16), have reported that 10 to 50% of cows remain subclinically hypocalcemic (plasma calcium < 7.5 mg/dl) up to 10 days postpartum. Calcium treatment early post partum, particularly cows affected with dystocia or RFM, can help restore blood calcium concentration and promote normal function of calcium-dependent organs. Calcium treatment may smooth the transition from the dry period to early lactation.
Energy status of dairy cows during the first 2 weeks postpartum was found to have a large effect on integrated ovarian activity. Both cows cycling after 40 DIM and non-cycling cows were in progressively negative energy states, that is, they continued to be in a more negative energy state in the second week compared with the first week. This was especially true for the anestrous (non-cylcing) cows. Intake of feed by anestrous cows continually lagged behind that of cycling cows. Not only did anestrous cows eat less at week 1 postpartum, but intake differences increased as time went on. On the other hand, cows returning to CL activity the earliest started their recovery to a positive energy state immediately after the first week. The marked deficit in early energy status for the anestrous cows in this study exerted a marked carryover effect on conception. Only 33% of anestrous cows eventually conceived compared to 84% and 93% for early (before 40 DIM) and late cycling (40-63 DIM) cows, respectively.

Body Condition

Both the magnitude and severity of negative energy balance determine body condition scores (BCS) postpartum. Cows that lose more than 0.5 BCS, during postpartum have been reported to have compromised reproductive performance (11). Furthermore, pregnancy rates to first service are lower in cows with a BCS < 2.5 during the first 100 days postpartum (3,4,27,28). Because nearly all cows lose body condition postpartum, cows should be in good body condition at calving. A score of 3.25 to 3.75 at calving is recommended. Cows that are over-conditioned at calving are also candidates for excess body condition loss postpartum. Over-conditioned cows are unable to increase their dry matter intake quickly postpartum. As a result, body reserves are relied upon heavily to help support milk production. Over-conditioned cows were 2 weeks later in achieving a positive energy status than cows in good body condition fed high energy diets (20). One BCS unit (converted to U.S. system) was lost in order to support milk production by the overconditioned cows compared to a slight gain in body condition for control cows over a 10 week period (23). The reproductive problems of fat cows may not be due solely to lowered feed intakes. Fatter non-lactating cows have been shown to be less able to maintain a persistent follicle in the absence of a CL when exposed to progesterone from an intravaginal controlled internal drug releasing device (CIDR), whereas thinner cows maintained a persistent follicle (3). This difference in ovarian follicular response could be due to greater clearance of supplemental progesterone from the blood stream by fat cows.
Changing body condition through dietary manipulations requires some strategic planning and careful consideration. Under-conditioned cows should put on condition during the late lactation period because they are more efficient at utilizing metabolizable energy during this time than during the dry period (75 vs. 60%). In addition, the dry period may be too short to fully recover condition needed prior to calving. Cows should not lose weight during the dry period as the cow must gain 1 to 1.5 lb/day simply to meet the needs of the rapidly developing fetus.
The probability of conception to occur at first insemination can be determined by the loss of BCS during the postpartum period. A large study on the relationship between changes in BCS during the dry period, early lactation and conception to first service concluded that: 1) cows that lost one point of BCS in the 1st month of lactation were 1.5 times less likely to conceive than were cows that did not lose one point of BCS and 2) energy balance during the dry period and early lactation, as monitored by BCS, was more important to conception to first service than were health disorders or other risk factors evaluated (11). In several Florida field trials, body condition during the first 100 days postpartum was related to conception rate (3,5). An experiment was designed that compared pregnancy rates to timed insemination using the Ovsynch protocol for the first service of lactating dairy cows. At 9 weeks postpartum, cows were grouped into either low BCS (<2.5 BCS) or control groups (> 2.5 BCS) using a 1 to 5 scale (27,28). Pregnancy rates were less for the Low BCS group compared to the Control group at day 27 (18% vs. 34%) and at day 45 (11% vs. 26%). Rates of cumulative pregnancies through either 120 or 365 days postpartum were lower for Low BCS cows (P<0.01). A dynamic programing model can be used to demonstrate that additional revenue will be generated as the percentage of the herd with low body condition score (<2.5) decreases (42).

Relationship Between Elevated Crude Protein Intake and Energy Status

Changes in protein nutrition influences physiological changes associated with reproduction. If more crude protein (CP) is fed than can be utilized by the cow, urea concentrations in body tissues can be elevated. Feeding of diets containing 19 to 21% CP result in elevated BUN concentrations and frequently in lowered conception rates compared with cows fed 15 to 16% CP diets. Older cows are more likely to be affected negatively by elevated dietary CP than younger cows. Dietary concentration of degradable intake protein (DIP) is important, as well. Replacing soybean meal with a less ruminally degradable protein feedstuff such as fish meal, corn gluten meal, etc. often alleviates some reproductive inefficiency, including delayed first ovulation, lowered conception rates, and elevated embryonic deaths.
High protein feeding may reduce reproductive performance by increasing energy use for detoxification of ammonia, resulting in a "weakening" of the cow's energy state. The need to detoxify ammonia by animal tissues can be energetically costly. Feeding 100 g of unutilized CP will result in a loss of 0.2 Mcal of energy (43). If 500 to 1000 g of excess protein is consumed (2.2-4.4 percentage units of protein in the diet), energy costs could be substantial: 2 Mcal/d which equates to up to 7% of NEL requirement for maintenance and production of 30 kg of milk. With energy status averaging about -11 Mcal/d during the first three weeks postpartum (40), an additional 1 to 2 Mcal/d cost is not small. This energy cost is likely to push early postpartum cows even further into negative or less positive energy states, thus delaying return to normal ovarian activity.
Postpartum ovarian activity can be suppressed indirectly by feeding a high DIP diet (15.7% of DM), but this adverse effect can be alleviated partially by increasing dietary energy content (14,15). Pregnancy rate by 120 days postpartum was increased from 52.3% to 86.4% when dietary energy was increased with calcium salts of long chain fatty acids. The fact that elevated protein intakes may depress reproduction through increased energy costs to the animal is also supported by the work of Elrod and Butler (12). Feeding excess CP (21 vs. 15% of diet) lowered conception rates of heifers from 82 to 61% when heifers were fed an energy deficient diet (70% of ME requirements).

Conclusion

Successful management of lactating dairy cows needs to integrate the disciplines of reproduction and nutrition with standard postpartum herd health programs to optimize both milk and reproductive performance. In addition to milk fever, hypocalcemia appears to be a risk factor for dystocia, uterine prolapse, RFM and displaced abomasum, disorders which can negatively affect postpartum health and reproductive performance. Consequently, nutritional management strategies should be implemented during the last 3 to 4 weeks prepartum in order to promote a rapid return to normocalcemia early postpartum. The achievement of high energy intake, to bring cows out of a decreasing negative energy status as early as possible postpartum, is critical for both productivity responses. In the majority of lactating dairy cows, development of dominant follicles on the ovary occurs very early in the postpartum period. Low body condition scores at the time of insemination are associated with lower pregnancy rates to a detected or timed insemination. Feeding high levels of degradable protein results in greater loss of body weight and body condition which is associated with a decrease in ovarian activity. In contrast feeding of supplemental fat in the highly degradable protein diet can restore ovarian activity.
A time line protocol for the strategic management of postpartum dairy cows to ultimately maximize pregnancy rate to first insemination is outlined below. Consult your veterinarian on how to implement this protocol.

1. Transition cow nutrition:

Appropriate nutritional management of the prepartum transition dairy cow with the objective of reducing the incidence of hypocalcemia and energy related disorders (milk fever, dystocia, retained placenta, ketosis and metritis).
The following checklist is recommended to determine whether or not the nutritional management of the transition cows is appropriate to prevent these problems.
  1. The transition ration must be properly balanced for dietary-cation-anionic difference (DCAD), energy, fiber, vitamins and minerals content
  2. Are the cows eating 24 to 26 lbs of dry matter per day?
  3. Is there enough feedbunk space (at least 2 feet per cow)?
  4. Is there adequate shade in warm environments (50 square feet per cow)?
  5. Do you provide clean, well - designed calving facilities?
  6. Do you evaluate body condition score during the dry period?
  7. Do you determine urine pH and ketone bodies periodically to ascertain the DCAD and energy content of the ration?

2. Calving management:

Sound treatment and management of disorders associated with calving such as dystocia, milk fever, retained fetal membranes and udder edema. Who treats, what training have they received, when and how do they treat these problems?

3. Health monitoring of all postpartum cows during the first 10 days postpartum.

There are two general purposes for this program. First, to reduce the unnecessary use of antibiotics and hormones in cows that will not benefit from this type of treatments.
Second, it also assures that all postpartum cows are examined daily during the time when they are most susceptible to disease and most responsive to treatment. Health disorders such as, infection of the uterus, displacement of the abomasum and ketosis can be evaluated by monitoring rectal temperature, appetite, rumen function and urine ketones. At the time of disease diagnosis, cows should be treated promptly according to a farm protocol specified by the herd veterinarian.

4. Postpartum cow nutrition:

Is the postpartum transition cow ration properly balanced for energy, fiber, vitamins and minerals to maintain health and promote an early return to a positive energy balance? After calving, cows should be monitored for body condition, they should not lose more than one point of body condition score during the first 60 days after calving.

5. Breeding program at the end of the voluntary waiting period:

Application of the OvSynch timed artificial insemination protocol 60 to 80 days after calving to all cows.
This will assure that all cows receive an insemination at the end of the voluntary waiting period which results in an increase in the pregnancy rate to first service. Studies at the University of Florida have shown that timed insemination using OvSynch for all first service in both cool and hot seasons increased net revenue per cow by $16.57 36. After timed insemination, cows should be detected daily for estrus during the next 6 weeks and inseminated at detected estrus. Cows that have not been seen in estrus by the end of the 6 week period are palpated for pregnancy status. Cows that are found open can be re-assigned to the OvSynch/timed AI program.

Literature Cited

1. Beede D.K., Risco C.A., Donovan G.A., Wang C., Archbald L.F., Sanchez W.K. 1991. Nutritional management of the late pregnant dry cow with particular reference to dietary cation-anion difference and calcium supplementation, in 24th Annual Convention Proceedings AABP, Orlando, FL, 1991, pages 51 - 55.
2. Britt, J.S., and J. Gaska. 1998. Comparison of two estrus synchronization programs in a large, confinement-housed dairy herd. JAVMA 212(2):210.
3. Burke, J.M. J.H. Hampton, C.R. Staples, W.W. Thatcher. 1998. Body condition influences maintenance of a persistent first wave dominant follicle in dairy cattle. Theriogenology 49: 751.
4. Burke, J.M., C.R. Staples, C.A. Risco, R.L. de la Sota, and W.W. Thatcher. 1997. Effect of ruminant grade menhaden fish meal on reproductive and productive performance of lactating dairy cows. J. Dairy Sci. 80: 3386.
5. Burke, J.M., R.L. De la Sota, C.A. Risco, C.R. Staples, E. J-P Schmitt and W.W. Thatcher. 1996. Evaluation of timed insemination using a Gonadotropin-Releasing Hormone agonist in lactating dairy cows. J. Dairy Sci. 79:1385.
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