Management of Dystocia Due To Fetal Ascites in Holstein Friesian Cross Breed Cow - Case Report

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International Journal of Science, Environment ISSN 2278-3687 (O)

and Technology, Vol. 7, No 1, 2018, 165 – 168 2277-663X (P)

MANAGEMENT OF DYSTOCIA DUE TO FETAL ASCITES IN


HOLSTEIN FRIESIAN CROSS BREED COW - CASE REPORT
P. Sathya1*, C. Srinivasan1 and K.P. Prabhakaran2
1
M.V.Sc Scholars, College of Veterinary and Animal Sciences, Mannuthy, Thrissur, Kerala
2
M.V.Sc Scholar, Veterinary College and Research Institute, Namakkal, Tamilnadu
E-mail: [email protected] (*Corresponding Author)

Abstract: A six year old pluriparous Holstein Friesian cross breed cow presented with
history of ruptured water bag and straining since 2 hrs. The cow was examined per vaginum
under epidural anesthesia (2% lignocaine hydrochloride) revealed that dead fetus with
abdominal distension associated with fluid accumulation was palpable. Fetus in posterior
presentation, dorso sacral position. Small abdominal incision on fetal abdomen with fetotomy
knife resulted in escape of yellowish serous exudates. Both hind limbs brought in birth canal
and dead fetus was delivered by manual traction. The cow treated with antibiotics, NSAID
and fluid therapy for two consecutive days.
Keywords: HF cross bred cow, dead fetus, abdominal distension, manual traction.

1. INTRODUCTION
Ascites (“water belly”) is the dropsy of peritoneum. There are several types of fetal dropsy
viz., hydrocephalus, hydro thorax, ascites, anasarca (Noakes et al., 2009). These cause
dystocia due to increased diameter of the fetus. Foetal ascites is seen as an occasional cause
of dystocia in many species but occurs most often in the cow (Roberts, 1971). Ascites may be
caused either by the overproduction or insufficient drainage of peritoneal fluid. Obstruction
of the lymphatics, for various reasons may prevent the disposal of peritoneal fluid (Sloss and
Duffy, 1980). Ascitic foetus in full term pregnancy may cause dystocia in cows
(Rajasundaram et al., 1998). Ascites is dropsy of the peritoneum probably due to diminished
urinary excretion (Purohit et al., 2012). The incidence of this condition in buffaloes is rarely
reported.
2. CASE HISTORY AND CLINICAL OBSERVATIONS
A six year old pluriparous Holstein Friesian cross breed cow in 3rd parity completing normal
gestation was presented with history of ruptured water bag and straining since 2 hrs. On
examination the Respiratory rate, temperature and pulse rate were normal. The cow was
examined per vaginum under epidural anesthesia (2% lignocaine hydrochloride) revealed that
dead fetus with abdominal distension associated with fluid accumulation was palpable. Fetus
Received Jan 7, 2018 * Published Feb 2, 2018 * www.ijset.net
166 P. Sathya, C. Srinivasan and K.P. Prabhakaran

in posterior presentation, dorso sacral position. By all examination (history and clinical
examination), the case was tentatively diagnosed as dystocia due to fetal ascites.
3. TREATMENT
Small abdominal incision on fetal abdomen (abdominocentosis) with fetotomy knife,
allowing considerable fluid to escape and huge amount (about 25 liters) straw coloured fluid
was drained out. Both hind limbs brought in birth canal and dead fetus was delivered by
manual traction (Fig.1).

Fig.1: Fetal ascites removed by abdominal puncture and traction

Animal was administered fluid therapy (inj. 5% dextrose 1.5 lit. i.v. + inj. Ringer’s lactate 1.5
lit. i.v.), NSAID (inj. Meloxicam 0.2 mg/kg of BW), antibiotic (inj. Enrofloxican 2.5 mg/kg
of BW), inj. Oxytocin 50 IU i.mand intrauterineboluses were also administered. Cow
recovered uneventfully.
4. DISCUSSION
Srinivas et al. (2007) reported an incidence of dystocia due to fetal ascites is 6.9% (4/13) out
of an overall incidence of 22.41% (13/58) due to fetal oversize. The causes for fetal ascites
are not definitely known but are usually ascribed to derangement of fetal circulation. It may
also be hereditary or due to uterine disease (Sane et al., 1994). Other causes may be
overproduction or insufficient removal of peritoneal fluid, renal retention of salt and water
due to renal disease.
Management of Dystocia Due to Fetal Ascites in … 167

Fetal ascites have been reported by various authors in cattle (Rajasundaram et al., 1998;
Kumaresan et al., 2013 and Ravikumar et al., 2013). Many authors have reported per-vaginal
delivery of ascitic fetus where fetus has been presented in posterior presentation (Selvaraju et
al., 2009 and Kumaresan et al., 2013). This case report is confirmation with Selvaraju et al.
(2009) and Kumaresan et al. (2013). Arthur et al. (1996) stated that ascites may be due to
hepatic lesions, general venous congestion or urinary obstruction with or without rupture of
bladder. Placental dysfunction consequent to incompatibility of dam and fetus may
predispose to fetal dropsy. Ascetic condition in this case may be due to cystic condition of
kidney and rupture of urinary bladder or the overproduction or insufficient drainage of
peritoneal fluid. The fetal ascites resulted into dystocia as a result of increase in abdominal
diameter. Approaches similar to the present case for vaginal fetal delivery have been recorded
in many previous studies (Roberts, 1971; Selvaraju et al., 2009; Ravikumar et al., 2013). It
was concluded that ascetic fetus can be delivered by abdominal puncture.
References
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168 P. Sathya, C. Srinivasan and K.P. Prabhakaran

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