Factors associated with frequency of abortions recorded through Dairy Herd Improvement test plans

Enhancing bovine abortion surveillance: A learning experience

Abortions and perinatal mortalities (APM) substantially affect cattle industry efficiency. Various infectious and noninfectious factors have been associated with bovine APM worldwide. Infections are often considered pivotal due to their abortifacient potential, leading laboratories to primarily investigate relevant infectious agents for APM cases. Some infectious causes, such as Brucella abortus, have also a zoonotic impact, necessitating monitoring for both animal and human health. However, underreporting of bovine APM is a global issue, affecting early detection of infectious and zoonotic causes. Previous studies identified factors influencing case submission, but regional characteristics may affect results. In Belgium, farmers are obliged to report cases of APM within the context of a national brucellosis monitoring program. The inclusion criteria for this monitoring program cover abortions (gestation length of 42-260 d) and perinatal mortalities of (pre)mature calves following a gestation length of more than 260 d, which were stillborn or died within 48 h after birth. The objective of the present study was to describe the evolution in submission of APM cases within a mandatory abortion monitoring program in relation to subsidized initiatives in the northern part of Belgium. Based on the proportion of APM submissions versus the proportion of bovine reproductive females, an APM proportion (APMPR) was calculated, and factors at both animal and herd level that may influence this APMPR were explored by using linear models. This evaluation revealed that the APMPR increased with the introduction of an extensive analytical panel of abortifacient agents and a free on-farm sample collection from 0.44% to 0.94%. Additionally, an increase of the APMPR was associated with an outbreak of an emerging abortifacient pathogen (Schmallenberg virus; 1.23%), and the introduction of a mandatory eradication program for bovine viral diarrhea virus (BVDv; 1.20%). The APMPR was higher in beef compared with dairy cattle, and it was higher in winter compared with fall, spring, and summer. Smaller herds categorized in the first quartile had a higher APMPR compared with larger herds. Herds that submitted an APM in the previous year had a higher APMPR in the next year compared with herds without an APM submission. Finally, herds for which there was evidence of the presence of BVDv had a higher APMPR compared with herds without evidence of the presence of BVDv. In conclusion, the number of APM submissions increased after the introduction of a free on-farm sample collection and an extensive pathogen screening panel. Production type (beef), season (winter), smaller herd size, previous APM, and presence of BVDv seemed to have a positive effect on APMPR. However, even under mandatory circumstances, APM still seems to be underreported, since the APMPR was lower than the expected minimal rate of 2%. Therefore, further research is necessary to identify the drivers that convince farmers to submit APM cases to improve submission rates and ensure an efficient monitoring program for APM and eventually associated zoonotic pathogens.

Genomic evaluation of late-term abortion in cows recorded through Dairy Herd Improvement test plans

Late-term abortions cause significant economic loss and are of great concern for dairy herds. Late-term abortions >152 d and <251 d of gestation that terminate a lactation or initiate a new lactation have long been recorded by Dairy Herd Improvement (DHI). For 24.8 million DHI lactations, the average recorded incidence of late-term abortions across all years (2001-2018) was 1.2%. However, the 1.3% incidence of abortions reported in 2012 has declined to <1.0% incidence since 2015. Small adjustments were applied to the 82 million daughter pregnancy rate (DPR), 29 million cow conception rate (CCR), and 9 million heifer conception rate (HCR) records to account for late-term abortions more accurately. Fertility credits for CCR and HCR were changed to treat the last breeding as a failure instead of success if the next calving was coded as a late-term abortion. Similarly, when computing DPR, days open is now set to the maximum value of 250 instead of the reported days open if the next reported calving is an abortion. The test of these changes showed very small changes in standard deviation and high correlations (0.997) of adjusted predicted transmitting abilities (PTA) with official PTA from about 20,000 Holstein bulls born since 2000 with >50% reliability. For late-term abortion as a trait, estimated heritability was only 0.001 and PTA had a standard deviation of only 0.1% for recent sires with high reliability (>75%). Young animal genomic PTA have near 50% reliability but range only from -0.5 to +0.4 because of the low incidence and heritability. Genetic trend was slightly favorable and late-term abortion PTA were correlated favorably by 0.27 with net merit, 0.49 with productive life, 0.33 with livability, 0.23 with CCR, 0.20 with HCR, 0.26 with DPR, -0.31 with somatic cell score, -0.24 with daughter stillbirth, and -0.26 with daughter dystocia. Thus, PTA for late-term abortions should not be needed as a separate fertility trait and instead these minor edit changes should suffice. The PTA for late-term abortions would add little value because national evaluations for current fertility traits already account for those economic losses.

Invited review: Bovine abortion-Incidence, risk factors and causes

The true incidence of bovine abortion (42-260 days of gestation) is unknown because of under-reporting. This is particularly true of the first half of gestation when most abortions occur. From research studies, it is estimated that the animal-level incidence of abortion between day 45 and term is approximately 10%, being lower in suckler than in dairy cows. While wide variation exists in herd-level incidence, up to 30%, it is estimated that less than 5% of farmers report high (>5%) observed abortion rates. Given these figures, veterinary practitioners and farmers tend to use investigation thresholds close to these values, ≥5 and ≥3%, respectively. Most of the risk factors for abortion are animal-level factors (e.g. parity), but there are also herd-level factors (e.g. enterprise type). Of the many risk factors for bovine abortion, only a small number are modifiable. While the causes of bovine abortion are often classified as noninfectious or infectious, in reality, this means diagnosis not reached (DNR) or infectious. Approximately 40% of abortions are diagnosed as infectious and the remaining 60% as DNR; DNR includes both infectious and noninfectious causes not diagnosed. Increasingly, genetic causes are being diagnosed and changes to current national genetic selection indices may be warranted. Of the infectious causes, Neospora caninum is now the most commonly diagnosed abortifacient internationally, followed by Trueperella pyogenes, BVDv and fungi. Both national eradication programmes and effective vaccination programmes can reduce the burden of some infectious abortifacients, but the control of sporadic, noninfectious and Neospora-associated abortions remains challenging.

The Association of the Potential Risk Factors and Nutrition Elements with Abortion and Calving Rates of Egyptian Buffaloes (Bubalus bubalis)

Simple Summary

The association of the risk factors, serum constituents related to abortion and calving rates were investigated. Multiparous buffaloes were less likely to abort and more likely to calving than primiparous. Dry buffaloes had lesser odds of abortion and were six times more likely to give birth than those lactating. Conversely, the sex of the fetus had no impact. In aborted animals, serum glucose and copper were higher, whereas urea, uric acid, total proteins, total cholesterol, phosphorus, magnesium and iron were lower than in normal pregnancy. This emphasizes that risk factors and serum constituents associated with abortion aid to construct suitable preventive measures to raise reproductive performance.

Abstract

The aim of the present study was to investigate risk factors, serum minerals, and metabolites associated with non-infectious abortion and calving rates of Egyptian buffaloes. Data were obtained from 364 pregnant buffaloes of different ages and parities over 7 years from 2014 to 2020. Body condition score (BCS) was a risk factor regarding abortion and calving; the thinnest buffaloes were more likely to abort and less likely to calving than those with body energy reserves. In comparison with the spring season, aborting probability decreased 49.7% the odds ratio (OR = 0.503), while the chance of calving increased 72.1% (OR = 1.721) during winter. The parity was another significant factor related to abortion and calving rates; multiparous buffaloes were less likely to abort and more likely to calving than primiparous. Dry buffaloes had 88.2% (OR = 0.118) lesser odds of abortion and six times (OR = 6.012) more likely to give birth than those lactating. The sex of the fetus was not a risk factor regarding abortion or calving. Other variables significantly associated with abortion rate were glucose and copper in the sera of aborted buffaloes were significantly higher (p < 0.05), and those of urea, uric acid, total protein, total cholesterol, phosphorus, magnesium and iron were significantly (p < 0.05) lower than a normal pregnancy. In conclusion, the present results emphasize that the identification of the risk factors, serum minerals and metabolites associated with fetus abortion of Egyptian buffalo may provide useful information, which assists to construct suitable preventive measures to raise reproductive performance.

Evaluation and Differential Diagnosis of a Genetic Marked Brucella Vaccine A19ΔvirB12 for Cattle

Brucella abortus is an important zoonotic pathogen that causes severe economic loss to husbandry and poses a threat to human health. The B. abortus A19 live vaccine has been extensively used to prevent bovine brucellosis in China. However, it is difficult to distinguish the serological response induced by A19 from that induced by natural infection. In this study, a novel genetically marked vaccine, A19ΔvirB12, was generated and evaluated. The results indicated that A19ΔvirB12 was able to provide effective protection against B. abortus 2308 (S2308) challenge in mice. Furthermore, the safety and protective efficacy of A19ΔvirB12 have been confirmed in natural host cattle. Additionally, the VirB12 protein allowed for serological differentiation between the S2308 challenge/natural infection and A19ΔvirB12 vaccination. However, previous studies have found that the accuracy of the serological detection based on VirB12 needs to be improved. Therefore, we attempted to identify potential supplementary antigens with differential diagnostic functions by combining label-free quantitative proteomics and protein chip technology. Twenty-six proteins identified only in S2308 were screened; among them, five proteins were considered as potential supplementary antigens. Thus, the accuracy of the differential diagnosis between A19ΔvirB12 immunization and field infection may be improved through multi-antigen detection. In addition, we explored the possible attenuation factors of Brucella vaccine strain. Nine virulence factors were downregulated in A19ΔvirB12. The downregulation pathways of A19ΔvirB12 were significantly enriched in quorum sensing, ATP-binding cassette transporter, and metabolism. Several proteins related to cell division were significantly downregulated, while some proteins involved in transcription were upregulated in S2308. In conclusion, our results contribute to the control and eradication of brucellosis and provide insights into the mechanisms underlying the attenuation of A19ΔvirB12.

Retrospective study of factors associated with bovine infectious abortion and perinatal mortality

Abortion and perinatal mortality, leading causes of economic loss in cattle industry, are the consequence of both non-infectious and a wide range of infectious causes. However, the relative contribution of pathogens to bovine abortion and perinatal mortality is poorly documented, since available studies involved only a limited number of pathogens. Therefore, the objectives of the present monitoring study were to determine the prevalence of infectious agents associated with bovine abortion and perinatal mortality, and to identify differences in production type, gestation length, parity and seasonality by using mixed effect models (logistic regression). A pre-established sampling protocol based on the collection of the aborted fetus/calf and a corresponding maternal blood sample, involving diagnostic testing for 10 pathogens, was performed. At least one potential causal agent of the abortion or perinatal mortality was detected in 39 % of cases. In these diagnosed cases, Neospora caninum was the most detected pathogen, followed by Trueperella pyogenes, BVDv, Escherichia coli, and Aspergillus fumigatus. Neospora caninum [odds ratio (OR): 0.4; 95 % confidence interval (CI): 0.3-0.7] and Aspergillus fumigatus (OR: 0.1; 95 % CI: 0.1-0.3) were detected less in late versus early gestation. Aspergillus fumigatus was less common in dairy in comparison to beef abortion cases (OR: 0.2; 95 % CI: 0.1-0.6). Winter was associated with a lower positivity for Neospora caninum and BVDv in comparison to warmer seasons. Despite extensive diagnostic testing, an etiological diagnosis was not reached in 61 % of cases, highlighting the need for even more extensive (non-)infectious disease testing or more accurate tests.

Epidemiological Investigation of Cattle Abortion and Its Association with Brucellosis in Jimma Zone, Ethiopia

Background

The epidemiology of cattle abortion and its association with brucellosis is not well understood in Ethiopia. Therefore, the aim of this study was to determine the magnitude, associated risk factors of abortion, and its association with brucellosis in cattle of Jimma zone, Ethiopia.

Methods

A cross-sectional study was carried out from October 2018 to October 2019 in Jimma zone. A total of 484 pregnant cattle were randomly selected from two districts based on the composition of the cattle population. Besides, blood samples were collected from a total of 484 randomly selected cattle to assess the presence of Brucella antibody. The presence of an antibody against Brucella organism was first tested by the Rose Bengal Plate test, and then positive serum was confirmed using the complement fixation test.

Results

An overall 14.30% cumulative incidence rate of abortion was recorded in study areas. In this study, breed, herd size, method of breeding, previous history of abortion, accessibility of dog to cattle and season were identified as risk factors for the occurrence of cattle abortion. Higher cumulative incidence of abortion (31.82%) was observed in Brucella antibody positive cattle than those of antibody negative cattle (13.42%). However, the difference noted was not statistically significant (P<0.05).

Conclusion

It is important to create awareness about the impact of the abortion on cattle production and the applicable control technique of abortion should be aimed and implemented. Moreover, further investigation should be conducted to identify the specific cause of abortion and the associated loss in the study areas.

Incidence and risk factors for reproductive disorders in organic certified dairies

The objective was to determine the lactational incidence risks of reproductive disorders (RD) including dystocia (DYS), retained fetal membranes (RFM), puerperal metritis (PM), clinical endometritis (CE), pyometra (PYO), late pregnancy loss (LPL), and culling due to reproductive reasons (CRR) in large organic certified dairies with predominant use of Holstein genetics. In addition, potential risk factors for RD, including parity category, milk yield in the previous lactation, season of dry-off, access to grazing at dry-off, length of the dry period (DPL), length of the close-up period (CUPL), calculated gestation length (CGL), season of calving, access to grazing at calving, concurrent health conditions, and total number of artificial inseminations were analyzed. A retrospective study was performed using information from 8 organic certified herds located in northern Colorado and west Texas, ranging from 900 to 6,000 milking cows. Cow information consisted of finalized lactations starting with calvings occurring between January 1, 2016, and December 31, 2018. Data were analyzed using time-to-event analyses and multivariable logistic regression. Clinical endometritis had the greatest lactational incidence risk (incidence risk = 10.1%; 95% CI = 9.8-10.3%), followed by DYS (8.8%; 8.5-9.1%), PM (4.9%; 4.7-5.1%), PYO (4.0%; 3.8-4.1%), LPL (3.6%; 3.4-3.7%), and RFM (2.0%; 1.8-2.1%). The incidence risk of CRR was 7.5% (7.3-8.7%), representing 29.1% (28.4-30.0%) of all culling reasons. Median time from calving to diagnosis of PM, CE, PYO, and LPL were 6, 23, 111, and 228 d, respectively. Median time for CRR was 391 d. The main risk factors for RD were DPL, CGL, and CUPL. Season of dry-off was a risk factor for RFM, PM, CE, LPL, and PYO. Short DPL (<30 d) was associated with increased odds (95% CI) of RFM [2.1 (1.6-2.7)], PM [1.4 (1.2-1.7)], and LPL [2.5 (1.5-4.2)]. Shortened CGL (<270 d) increased the odds of DYS [1.5 (1.3-1.8)], RFM [3.2 (2.4-4.1)], and PM [2.4 (1.7-3.3)], whereas extended CGL (>285 d) increased the odds of DYS [1.5 (1.4-1.7)], PM [1.5 (1.2-2.0)], CE [1.5 (1.1-2.0)], and CRR [1.2 (1.10-1.4)]. Shortened CUPL was associated with increased odds of all the RD. Cows spending less than 7 d in the close-up groups had greater odds of DYS [1.4 (1.1-1.8)], RFM [2.1 (1.8-2.4)], PM [1.9 (1.6-2.1)], PYO [1.5 (1.2-1.8)], LPL [2 (1.7-2.3)], and CRR [1.4 (1.04-1.8)] compared with cows spending more than 14 d in the close-up group. Season of calving was associated with the odds of PM [summer = 1.13 (1.01-1.2)], PYO [summer = 1.7 (1.1-2.5)], and LPL ([fall = 0.8 (0.6-0.96)] compared with winter calving. Other risk factors affecting RD were parity number, total number of artificial inseminations, and concurrent health conditions. Overall, lactational incidence risks of reproductive diseases were comparable with those reported in conventional herds. The identified risk factors for RD open opportunities for interventions, especially focused in precalving management, estimation of due dates, and closer monitoring of pregnancies from natural services in large organic certified dairy herds.

Harnessing anaerobic digestion for combined cooling, heat, and power on dairy farms: An environmental life cycle and techno-economic assessment of added cooling pathways

Anaerobic digestion coupled with combined heat and power production on dairy farms is environmentally advantageous; however, high capital and operating costs have limited its adoption, especially in the United States, where renewable electricity and heat production are under-incentivized. Biogas is also at a disadvantage because it has to compete with very low natural gas prices. The objective of this study was to evaluate the feasibility of integrating absorption refrigeration technology for combined cooling, heat, and power (CCHP) on the farm to help bridge this economic hurdle. A combined environmental life cycle and techno-economic assessment was used to compare 2 cooling pathways with and without co-digestion. We considered using CCHP to (1) displace electricity-driven refrigeration processes (e.g., milk chilling/refrigeration, biogas inlet cooling) or (2) mitigate heat stress in dairy cattle via conductive cow cooling. All cooling scenarios reduced environmental emissions compared with combined heat and power only, with an appreciable reduction in land use impacts when employing conductive cow cooling. However, none of the cooling scenarios achieved economically viability. When using cooling power to displace electricity-driven refrigeration processes, economic viability was constrained by low electricity prices and a lack of incentives in the United States. When used for conductive cow cooling, economic viability was constrained by (1) low waste heat-to-cooling conversion efficiency; (2) limited conductive cow cooling effectiveness (i.e., heat-stress mitigation); and (3) low heat stress frequency and limited severity. However, we predict that with minor improvements in conductive cow cooling effectiveness and in hotter climates, CCHP for conductive cow cooling would be economically viable even in current US energy markets.

Production and physiological responses of heat-stressed lactating dairy cattle to conductive cooling

The objective of this research was to test the effectiveness of conductive cooling in alleviating heat stress of lactating dairy cows. A conductive cooling system was built with waterbeds (Dual Chamber Cow Waterbeds, Advanced Comfort Technology Inc., Reedsburg, WI) modified to circulate chilled water. The experiment lasted 7 wk. Eight first-lactation Holstein cows producing 34.4±3.7kg/d of milk at 166±28 d in milk were used in the study. Milk yield, dry matter intake (DMI), and rectal temperature were recorded twice daily, and respiration rate was recorded 5 times per day. During wk 1, the cows were not exposed to experimental heat stress or conductive cooling. For the remaining 6 wk, the cows were exposed to heat stress from 0900 to 1700h each day. During these 6 wk, 4 of the 8 cows were cooled with conductive cooling (experimental cows), and the other 4 were not cooled (control cows). The study consisted of 2 thermal environment exposures (temperature-humidity index mean ± standard deviation of 80.7±0.9 and 79.0±1.0) and 2 cooling water temperatures (circulating water through the water mattresses at temperatures of 4.5°C and 10°C). Thus, a total of 4 conductive cooling treatments were tested, with each treatment lasting 1 wk. During wk 6, the experimental and control cows were switched and the temperature-humidity index of 79.0±1.0 with 4.5°C cooling water treatment was repeated. During wk 7, waterbeds were placed directly on concrete stalls without actively cooling the water. Least squares means and P-values for the different treatments were calculated with multivariate mixed models. Conductively cooling the cows with 4.5°C water decreased rectal temperature by 1.0°C, decreased respiration rate by 18 breaths/min, increased milk yield by 5%, and increased DMI by 14% compared with the controls. When the results from the 2 cooling water temperatures (4.5°C and 10°C circulating water) were compared, we found that the rectal temperature from 4.5°C cooling water was 0.3°C lower than the rectal temperature with 10°C cooling water, but the other measurements (respiration rate, milk production, and DMI) did not show a statistically significant difference between the cooling water temperatures. Placing waterbeds on concrete stalls without additional cooling did not have a measurable effect in alleviating the heat stress of the cows.

Evaluation of bovine abortion cases and tissue suitability for identification of infectious agents in California diagnostic laboratory cases from 2007 to 2012

Establishing a definitive cause of bovine abortion is a challenging problem faced by veterinary practitioners and diagnosticians. Detection of an infectious or noninfectious source for abortion may facilitate interventions that mitigate future fetal loss in the herd. The purposes of this study were to identify the most common causes of bovine abortion in cases submitted to the California Animal Health and Food Safety Laboratory System, Davis (CAHFS) from 2007 to 2013 and to determine if detection of infectious pathogens differed with the fetal tissue evaluated. Records of 665 bovine abortion cases of 709 animals were reviewed for pathologic diagnoses, test methods used to identify causative conditions, and which tissues yielded successful identification of infectious agents associated with abortion. Over 58% of abortions were attributed to an infectious cause and 46.9% had an infectious agent identified. The most common infectious conditions were Epizootic Bovine Abortion (EBA) (16.2% of all fetuses), other fetal bacterial infections (14.7% of all fetuses), and Neospora caninum (9.3% of all fetuses.) The bacterium associated with EBA (currently named Pajaroellobacter abortibovis) was most commonly identified by immunohistochemistry (IHC) in lymphoid organs (thymus and spleen); N. caninum IHC was most frequently positive in brain, kidney, and placenta. In cases of pathogenic and opportunistic bacterial infections, abomasal samples yielded a significantly greater proportion of definitive aerobic culture results than lung or liver tissues. Direct fluorescent antibody test results for Bovine Viral Diarrhea Virus testing were identical between lung and kidney tissues and nearly identical (96.0%) for Bovine Herpesvirus I. Noninfectious abortive conditions included fetal stress (10.5%), dystocia (3.9%), congenital defects (3.3%), toxicological or mineral problems (1.8%), and death of the cow (1.1%). Just over 20% of the aborted fetuses had no gross or histopathological lesions to explain the abortion. This review highlights the need for submission of critical samples including abomasal contents, lymphoid tissues (thymus, spleen, and lymph nodes), and brain to maximize the diagnosticians' ability to identify causes of abortion.

Measuring general animal health status: Development of an animal health barometer

The development of an animal health barometer, an instrument to measure the general health of the Belgian livestock population on a yearly basis and to monitor its evolution over time, is described. The elaboration of a set of 13 animal health indicators (AHIs) as the basis for the animal health barometer is discussed. These indicators were weighted by experts - including scientists, policy makers and agro-industrial representatives - to determine their relative weight in the barometer. The result of the barometer is expressed as a comparison with a previous year. Based on the results of the 13 AHIs, it is concluded that general animal health in Belgium shows a positive evolution since 2008. The animal health barometer provides a composite view of the status of livestock health in Belgium and is a tool to communicate in an intelligible, comprehensible manner on aspects of animal health to consumers and professional stakeholders in the animal production and food chain. Together with the food safety barometer (Baert et al., 2011. Food Res. Int. 44, 940) and the plant health barometer (Wilmart et al., 2014. Eur. J. Plant Pathol. doi: 10.1007/s10658-014-0547-x), the animal health barometer is one of the three instruments to provide a holistic view on the overall status of the safety of the food chain in Belgium.

Reproductive technologies and genomic selection in dairy cattle

Genomic tools are now available for most livestock species and are used routinely for genomic selection (GS) in cattle. One of the most important developments resulting from the introduction of genomic testing for dairy cattle is the application of reasonably priced low-density single nucleotide polymorphism technology in the selection of females. In this context, combining genome testing and reproductive biotechnologies in young heifers enables new strategies to generate replacement and elite females in a given period of time. Moreover, multiple markers have been detected in biopsies of preimplantation stage embryos, thus paving the way to develop new strategies based on preimplantation diagnosis and the genetic screening of embryos. Based on recent advances in GS, the present review focuses on new possibilities inherent in reproductive technologies used for commercial purposes and in genetic schemes, possible side effects and beneficial impacts on reproductive efficiency. A particular focus is on the different steps allowing embryo genotyping, including embryo micromanipulation, DNA production and quality assessment.

Short communication: field evaluation of a pregnancy confirmation test using milk samples in dairy cows

The objective was to validate the performance under field conditions of a novel commercially available ELISA for confirmation of pregnancy using measurement of pregnancy-associated glycoproteins in milk samples from dairy cows. The target population was cows previously diagnosed pregnant by veterinary examination and ≥ 60 d of gestation. On 8 farms milking Holstein cows, milk samples were collected during routine Dairy Herd Improvement testing and shipped overnight to the Dairy Herd Improvement laboratory where the milk pregnancy test was performed. On the same day that milk samples were collected, transrectal palpation was performed by a veterinarian to confirm pregnancy status. Data were available from 683 cows, of which 661 were pregnant and 22 were not pregnant based on veterinary diagnosis, which was taken as the reference test. Based on the manufacturer's interpretive guidelines, 3.8% of test results were classified as "recheck," between the cut-points for classification of pregnant and nonpregnant and were not used in the analysis. The milk pregnancy test performance (and 95% confidence intervals) for confirmation of pregnancy was sensitivity of 99.2% (98.2 to 99.7%) and specificity of 95.5% (78.2 to 99.2%). Given a prevalence of 97% pregnant cows in the sample, the positive predictive value of the milk test was 99.8% (99.1 to 99.96%) and the negative predictive value was 80.8% (61.3 to 90.9%). When used to confirm pregnancy status or detect fetal losses at ≥ 60 d gestation in cows previously diagnosed pregnant, the recommended action for cows with a milk pregnancy-associated glycoprotein test result of not pregnant is veterinary reexamination of the animal to confirm the presence or absence of a viable fetus before reinsemination or administration of prostaglandin.