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Brief History of Case

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by

Alisha Langford

on 16 October 2013

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Transcript of Brief History of Case

Parturition Case Study
Timeline Progress
5 hours after initial vet call calf was delivered.

Needless to say it was Dead On Arrival...

Assistance given to cow
On arrival :
Muscle relaxants - Planipart (20) Uterine relaxant to make it easier for the vet and the cow.

Pain relief - Rimadyl LA injection 12ml
Local anesthetic for surgery: 20mls Nopaine injection 2%

Antibiotics - Depocillin 20ml were given for 3 days once daily

Sutures were removed 15 days post surgery.


History of Parturition Case
Frisian cow
Rising 3 year old heifer.
First pregnancy
415 kg approx
Naturally Mated to Murray grey
Due date: 4 August 2013
Date calved: 2 August 2012
Schistosome calf - DOA
Google images


Checked on calving cows

- one cow had appeared to be calving normally


Rechecked:
progressed but did not look like a normal calving.

Look as if intestines were coming out rather than placenta.

She was brought to shed and examined by farmer.
Calf didn't feel normal - Beyond farmers experience to calve her.

Felt as though the you could feel the calf's ribs
Rung vets for assistance

Decided it was an emergency calving.

Vets started coming from Westport
1.5 hours drive away.
Milked other cows to clear shed ready for vets to arrive to calve cow

Put calving cow into a close shed paddock ready for the vets.
Senior vet attempts more cutting to try and remove calf.
Unsuccessful
Second vet arrived and examined cow.
Decision was made to perform a caesarian section to remove remaining calf
12 midday
1.30pm
2 pm
2.30 pm
3 pm
4 pm
vets arrived 2.5 hours after initial call

1 new graduate vet from Holland + 1 vet student from France.

Vet examines the cow and confirms a schistosome deformed calf
5.30 pm
7 pm
Threading fetalectomy wire
Vet tries foetalotomy to remove the calf.

Vet asked farmer to ring back to clinic and ask for 2nd opinion as he was struggling to remove calf after several attempts at cutting the calf smaller.

Senior vet from Westport was sent out (1.5 hrs away)

We then left the cow in the yards and waited for senior vet to arrive
Team work cutting through the calf
7.30 pm
7.30 pm
Intervention that took place
After initial examination, The vet attempted to try a fetalectomy to cut the calf into smaller pieces to remove it that way - unsuccessful due to the size of the deformed calf and not knowing what part of the calf the wire was on.
Caesarian section
As the first vet was only a newly graduate, he wanted a second opinion before attempting something else and to make sure he was doing the right thing. After ringing back to the clinic the decision was made to send out another senior vet from Westport to assist.
After more failed attempts at removing the calf by fetalectomy the senior vet made the call to do a caesarian section to remove the calf
Fetalectomy
Vet thinks its easier to calve cows without a shirt..... Not complaining!
When the vet first examined the cow, he confirmed the calf was already dead as he was holding its heart in his hand and it wasn't beating (due to it being on the outside of the calf's body) So needless to say the calf did not require any further assistance once delivered.
Reflection
In this particular case I wasn't really able to assist much since there was another vet student there.

But before the vets arrived I was pro-active and got some equipment ready such as buckets of water, ropes and vet lube.

The main role I did was handing the vet instruments, especially once he had scrubbed for the C-section. I felt confident in knowing what the vet was doing as this is my third Cesarian section witnessed. This helped me with being pro-active as I could think of what was going to happen next.
Thing that could of been done differently:
Overall, I think the new graduate vet was very challenged with this particular case as schistosome calves are relatively rare. But I think he did a great job, even though he felt he had been defeated.
Opt for a Cesarian section earlier - due to the size of the deformed calf and the stress on the cow.
Sedation? As the cow was very grumpy and restless by the end of the night

Alisha Langford
Full transcript