RESUMEN
BACKGROUND: Breech presentation in baboons may be associated with head entrapment and stillbirth during vaginal delivery. For this reason, pregnant dams at our institution typically undergo cesarean delivery for known breech presentation, leading to problems with maternal-infant bonding and increased nursery utilization. METHODS: This paper describes a simple, non-invasive technique called external cephalic version (ECV) that effectively converts the baboon breech fetus into a cephalic presentation. RESULTS: ECV was successful in each of seven attempted cases, with the consistent development of contractions and vaginal bleeding leading to the delivery of a healthy liveborn infant within 72 hours. CONCLUSIONS: ECV may offer a safe and effective alternative to cesarean section for delivery of the breech baboon fetus.
Asunto(s)
Presentación de Nalgas/veterinaria , Papio/fisiología , Complicaciones del Embarazo/veterinaria , Versión Fetal/veterinaria , Animales , Presentación de Nalgas/terapia , Femenino , Embarazo , Complicaciones del Embarazo/terapia , Nacimiento a Término , Resultado del TratamientoRESUMEN
A retrospective investigation was performed to determine the population characteristics of horses presented for dystocia at 2 equine referral hospitals and the types of fetal maldispositions among these horses. The study population consisted of a similar number of Thoroughbreds (25%), Standardbreds (24%) and draft horses (22%). Most of the current literature pertaining to equine obstetrics is based on a predominately draft horse population (63%). The latter population appeared to have more transverse presentations (P = 0.06), possibly because of the higher number of draft mares. In our study, 43% (6/14) of the transverse presentations occurred in draft breeds. Furthermore, 18% of the draft mare dystocias (6/33) were transverse presentations whereas only 8% (6/73) of the 2 major light breeds (Thoroughbred n = 3; Standardbred n = 3) had transverse presentation dystocias. Despite the significant breed differences between the 2 populations (P < 0.001), the prevalence of all other fetal maldispositions was not different from those previously reported. Severe dystocia was often multifactorial, with 86% of cases involving malposture and over half (58%) of these involving more than one extremity. Head and/or neck deviation were a major reason for referral. In 30% of cases malposition was a factor, and abnormal presentation was involved in 24% of referrals.