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Discussion on Pregnant Mare with Tracheotomy
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Member:
indigo
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Posted on Monday, Jan 21, 2008 - 10:54 pm:
What are the potential risks/problems a mare with a tracheotomy might encounter when foaling?
Thanks!
CC
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Moderator:
DrO
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Posted on Tuesday, Jan 22, 2008 - 8:11 am:
Hello CCTexas,
Never having seen or heard of a foaling mare with a tracheotomy I can only guess. Added to the normal risks of tracheotomy it strikes me that while foaling there may be an increased risk of pulling in dust and foreign bodies as she lays and pushes with the contractions on the ground. There may also be an impeded air flow which would make birthing more difficult resulting in dystocia or a prolonged birth which could adversely effect the foal. But these are just conjectures.
DrO
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New Member:
winridge
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Posted on Wednesday, Jan 23, 2008 - 4:11 pm:
I have had a mare with a tracheotomy for a good number of years,and have actually had two mares on a couple occasion that we foaled out.
I think it is imperative to be present to assist in the delivery. With the open airway it is a great deal harder for a mare to push, and my mare would push way too hard. The first year following her tracheotomy even with our assistance she suffered a brief period of paralysis and was treated with an injection of dexamethasone. It took close to two hours for her to be able to get to her feet and remain steady. From that point in time, we always helped deliver her foals with a gentle traction and light pulling when the mare had contractions. It helped tremendously.
It,to me, would be like straining without holding your breath, and once you try it, it will make greater sense to you. She was retired from breeding at the age of 26, and had her tracheotomy at the age of 17 at Texas A&M University. It was the surgeon that preformed her tracheotomy that advised assistance during delivery.
Dale Parker
www.winridgefarm.com
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Moderator:
DrO
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Posted on Wednesday, Jan 23, 2008 - 6:31 pm:
Wow Dale, I did not even think of the lack of ability to create an "abdominal push" since the larynx cannot be closed but I can picture it perfectly now that you bring it up. Thank you so much for taking the time to post.
DrO
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