Retained Placenta

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Many interesting opinions. In some situations most may be correct and in some situations most may be wrong. Retained placentas can have a multitude of causes and if an occasional finding or without labwork on several affected cows the cause will not be determined. All cattle herds, beef or dairy, will at some time have RPs. without knowing the cause treatment is just your best guess and there are no hard and fast rules. Any cow with an RP, beef or dairy, can become toxic and deathly ill. Most do not and benign neglest will allow most cows to survive and to return to normal. Regardless of cause RP and the accompanying open cervix will result in delayed return to fertility, generally the longer it goes the longer the time to conception. Lutalyse, Oxytocin, estrogen, etc., etc., are used and have been for ions. There is no agreement on which treatment works and what doesn't. Depends on who happens to be the expert at the time. ( an expert is often the person who has nothing to lose by giving the advise and usually lives a long way aways.) The comment on flushing the uterus with quantities of water or VERY dilute antiseptic always has merit as it washes away debris and infection and tends to loosen the placental attachments. Antibiotics are generally useful as there is always infection with an open cervix. No reason to wait any lengh of time unless you want to wait until the infection gets worse. A fact on antibiotics is that tetracycline(LA 200, etc.) is poor in the face of heavy debris and pus which is concentrated in the postpartum uterus and tetracycline is now ineffective against 90% of our Bacterial infections. In my opinion it is a poor drug for most problems although somewhat effective in footrot and pinkeye. Most Veterinarians now would not manually "clean" a cow with RP as it breaks off pieces of the placental attachment tissues to extend inflammation and infection and induce scarring of the lining of the uterus. Returning to causation: only knowledge of your own herd's prevailing diseases and nutritional status can allow you to prevent this problem and doing what your neighbor does may cause a lot of harm. If this is a significant problem in your herd some degree of diagnostic testing such as infectious reproductive disease evaluations and blood mineral levels may allow you to fine tune vaccinations and nutritional levels to prevent problems of this nature and others that may correlate. An example of what not to do: Some years back the diagnosis of copper deficiency was being accurately detected in some herds in our area. A local feed store was going to skin a fat hog by custom mixing a high copper supplement which they sold to many ranches that were never evaluated for their copper levels. What a great idea until there was numerous cattle that developed severe selenium deficiencies and disease problems they had never seen before as the unneeded copper had a negative correlation with selenium in the animal and created mass selenium deficiency which was worse than the copper defiency. Even this discussion thread can create such misguided actions. Advice is only good if it helps and mostly does no harm!! It is important to know as many facts as possible before making a diagnosis. As the above example, advice if followed can be very dangerous! I really enjoy some of these discussions but see a lot of BAD advice from people who have made many prior posts and other expect to be knowledgeable, this thread included.

G Lesamiz, DVM
 
Many interesting opinions. In some situations most may be correct and in some situations most may be wrong. Retained placentas can have a multitude of causes and if an occasional finding or without labwork on several affected cows the cause will not be determined. All cattle herds, beef or dairy, will at some time have RPs. without knowing the cause treatment is just your best guess and there are no hard and fast rules. Any cow with an RP, beef or dairy, can become toxic and deathly ill. Most do not and benign neglest will allow most cows to survive and to return to normal. Regardless of cause RP and the accompanying open cervix will result in delayed return to fertility, generally the longer it goes the longer the time to conception. Lutalyse, Oxytocin, estrogen, etc., etc., are used and have been for ions. There is no agreement on which treatment works and what doesn't. Depends on who happens to be the expert at the time. ( an expert is often the person who has nothing to lose by giving the advise and usually lives a long way aways.) The comment on flushing the uterus with quantities of water or VERY dilute antiseptic always has merit as it washes away debris and infection and tends to loosen the placental attachments. Antibiotics are generally useful as there is always infection with an open cervix. No reason to wait any lengh of time unless you want to wait until the infection gets worse. A fact on antibiotics is that tetracycline(LA 200, etc.) is poor in the face of heavy debris and pus which is concentrated in the postpartum uterus and tetracycline is now ineffective against 90% of our Bacterial infections. In my opinion it is a poor drug for most problems although somewhat effective in footrot and pinkeye. Most Veterinarians now would not manually "clean" a cow with RP as it breaks off pieces of the placental attachment tissues to extend inflammation and infection and induce scarring of the lining of the uterus. Returning to causation: only knowledge of your own herd's prevailing diseases and nutritional status can allow you to prevent this problem and doing what your neighbor does may cause a lot of harm. If this is a significant problem in your herd some degree of diagnostic testing such as infectious reproductive disease evaluations and blood mineral levels may allow you to fine tune vaccinations and nutritional levels to prevent problems of this nature and others that may correlate. An example of what not to do: Some years back the diagnosis of copper deficiency was being accurately detected in some herds in our area. A local feed store was going to skin a fat hog by custom mixing a high copper supplement which they sold to many ranches that were never evaluated for their copper levels. What a great idea until there was numerous cattle that developed severe selenium deficiencies and disease problems they had never seen before as the unneeded copper had a negative correlation with selenium in the animal and created mass selenium deficiency which was worse than the copper defiency. Even this discussion thread can create such misguided actions. Advice is only good if it helps and mostly does no harm!! It is important to know as many facts as possible before making a diagnosis. As the above example, advice if followed can be very dangerous! I really enjoy some of these discussions but see a lot of BAD advice from people who have made many prior posts and other expect to be knowledgeable, this thread included.

G Lesamiz, DVM
 
We had a heifer calve today, had a pretty tough pull, did not use calf jack but there was some tearing of the vulva and possibly vaginal as well, net effect was some blood loss but not real heavy. We milked out a qt or more of colostrum and gave it to the calf, he was up and good other than one front leg buckled under, a bit. The heifer at 2 hours post partum had not cleaned and was in a pretty fair amount of distress, and not wanting much to do with the calf.

We injected her with 20cc Banamine, 10 cc Lutalayse, and 5 cc of Oxytocin, and went to feed the other cows. By the time we returned 45 min, she had expelled the placenta and was eating it, while nursing the calf. I can't say we took the best course of action but the one we took worked and all are well now at 7 hrs post partum.
 
3 way, our vet recommends oxytocin with hard pulls. We had a premie that we did not think would clean this year because the calf was so small. She recommended 5 cc lute, and 5 cc oxytocin. Her first choice was dex and lute but we did not have dex on hand. If it had been a hard pull she might have recommended and anti inflam/pain reief as well. You dun good...no dun pun intended
 
rockridgecattle":3c7nqrkn said:
3 way, our vet recommends oxytocin with hard pulls. We had a premie that we did not think would clean this year because the calf was so small. She recommended 5 cc lute, and 5 cc oxytocin. Her first choice was dex and lute but we did not have dex on hand. If it had been a hard pull she might have recommended and anti inflam/pain reief as well. You dun good...no dun pun intended


Thanks, we had a vet 2 yrs ago who used Dex for a malpresentation that actually paralized a 6 yr old cow, we thought it was pretty good stuf but another vet, said it had some drawbacks, principally that it is metabolized in the lungs and also being a steroid it inhibits healing to some extent. That's why we just use the Banamine now
 
Jeanne - Simme Valley":2o1nid7x said:
I hate to step on a vets toes - but - his advice is a bit out-dated. It is RARE that a cow would need to have the RP "removed", even after it gets "stinky". Also, if you gave an antibiotic when she is not sick only accomplishes making the RP worse. Natural "bugs" in her system will eat away at the RP & clean her up. Antibiotics kill the good bugs and should only be given if the cow goes off feed and/or runs a fever.
I saw a study that was done once with one cow being cleaned and infused, one nothing at all and cant remember what the third one had but the one that had nothing done and she cleaned on her on bred back the fastest. If I were haveing many retained would look at my mineral program.
 
I agree with hayrack there.......... look at your mineral program.
A lot of this stuff can be prevented if you do a search on bovine minerals. These trace mineral blocks just don't cut it and you end up paying more for the "fixes" than if you had gotton a palatable good mineral in the first place.
 
Trace mineral blocks are worthless as a mineral source. Use a loose mineral that is well fortified and palatable enough that your cattle will eat what they need. Since it seems most folks have a certain calving time for most of the herd that only covers a two to three month period, I'd suggest you switch to what dairy folks feed and that's a "dry cow" mineral to be fed the last two months of pregnancy. These minerals have certain minerals reduced which might be potentially harmful and cause things like milk fever, udder edema, metritis, etc. while increasing other minerals that are more critical during the last stages of pregnancy such as zinc, manganese, selenium, copper and vitamin a & e which prepare the cow for a proper delivery, a healthy calf and hopefully no post partum problems. (RPs, uterine infections, ketosis, etc) Usually a little more expensive but well worth the money.
 
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