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Medical Termination of

Pregnancy in Dachshund
Bitch
Anamnesis
• Owner brought the dog to
SAC-OP-OG for pregnancy
diagnosis, date of last
mating was 20 days back
when she was in heat.
Clinical Examination
Observation
G/A Normal
Examination of external
B/H Active genitalia :
F/H Satisfactory • Vulva was normal, pink and
moist mucous membrane
U/M Voided normally • Owner reported blood
tinged urine
R/H 38.4 Celsius
CMM Pink and moist
Abdominal palpation:
• Abdomen was tensed
Ultrasound examination:
• Few anechoic sacculation was noticed, possibility of an early pregnancy,
fetal resorption or uterine involvement.
• Advised to review in 7-10 days for rescanning.

Until than advised tablet Augmentin 375mg, ½ Tab BID – 7 days


Observation

G/A Normal
B/H Dull
F/H Inappetence
U/M Voided normally
R/T 37.6
CMM Pink & moist

Examination of external genitalia:


• Vulva edematous, hyperemic mucous membrane with
serosanguinous discharge noticed
Ultrasound examination
• Anechoic and hyperechoic area noticed in the uterus along with thickening
of uterine wall.
• Suspected for pyometra and cystic endometrial hyperplasia.
• Viable fetus visualized
• Approximate fetal age 40 days based on gestational sac diameter
Haematology Biochemistry
Hb 8 g/dL Cholesterol 273 mg/dl
PCV 23 % Total protein 7.1 g/dL
RBC 5.48 m/cmm Albumin 2.5 g/dL
WBC 37700 m/cmm
BUN 18.69 mg/dL
Platelets 40000 m/cmm
Creatinine 0.88 mg/dL
Neutrophils 90%
Lymphocytes 4% ALT 35 U/L

Monocytes 6%

Blood parasite: Negative


Blood Picture: Neutrophilia
Thrombocytopenia
Anaemia
Treatment

• Vetclox – 250 mg I/V


• Metronidazole – 500 mg I/V
• Ringer’s Lactate – 100 ml I/V
• Pantaprazole – 10 mg I/V
• Ondansetron - 1ml I/V

Supplementation
• Thrombup syrup – 5ml
Medical termination of pregnancy
Mifepristone – Antiprogestins
• Dose – 2.5mg/kg BID for 4.5 days
• Availability 200mg tablet

Cabergolin – Anti-prolactin
• Dose – 5mcg/kg BID until expulsion of fetus
• Availability 250mcg and 500 mcg tablet

Misoprostol – PGE analogue


• Availability 200mg tablet, intravaginal
Observation
G/A Normal
B/H Dull
F/H Inappetance
U/M Reduced
R/T 37.5
CMM Pale pink and moist

Examination of external genitalia:


• Vulva edematous with pale pink mucous membrane.
• Serosanguinous discharge noticed.

Ultrasound examination:
• Viable fetus visualized, feeble heart beat noticed
• Approximate fetal age 42 days based on head diameter.
Fetus was expelled within 48 hours.
CASE DICSUSSION
PREGNANCY TERMINATION IN BITCHES

• Purebred female is impregnated in a mismatch


• Male dogs of disproportionate size
• Owner does not want puppies
• The female may be too old or too young
• To save dams health in complication related to
metabolic disorders
PREGNANCY PERIOD
1. Fertilization and ends with implantation
(Day 0 – Day 22 from LH peak)

2. Implantation and ends at the time of fetal


ossification (Day 22- Day 42)

3. Fetal ossification and ends at parturition ( Day


42 – Parturition)
THANK YOU

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