A radiographic method for measuring the effect of exogenous hormone therapy on uterine involution in ewes

Bacteriological findings and hormonal profiles in the postpartum Balady goats

Twenty-six Balady goats categorized according to parity into primiparous and pluriparous goats were used to investigate bacterial flora of the genital tract and hormonal profiles during the postpartum (PP) period. Escherichia coli and Staphylococcus aureus were isolated in pure or mixed culture from the uterus. Arcanobacterium pyogenes was isolated from swabs obtained from the vagina and cervix of one primiparous goat. Uteri and cervices but not vaginas were free of bacterial contamination by day 10 PP except for one pluriparous goat with scanty E. coli contamination on day 25 PP. Fluctuating oestradiol 17beta (E2) levels demonstrated resumption of follicular activity as early as day 13 PP in both parity groups. Progesterone (P4) levels remained low at basal levels throughout the study period. Higher concentrations of 15-keto-13,14-dihydroprostaglandin F2alpha (PGFM) were observed during the first week PP compared with the rest of the PP period. PGFM concentrations dropped to low basal level by day 10 PP and remained constantly low throughout the study period. P4, E2 and PGFM profiles were not different between the different parity groups. In conclusion, intrauterine infection is not common in goats with normal kidding. E. coli was the most common intrauterine bacterial isolate. E2 and P4 profiles were consistent with resumption of follicular growth but not ovulation. High PGFM concentrations coincided with the fast regression phase of uterine involution. Hormonal profile and bacterial contamination and clearance were similar to those reported in other related species and not related to parity.

Ultrasonic assessment of puerperal uterine involution in Balady goats

Twenty-six postpartum Balady goats (primiparous, n=13; pluriparous, n=13) were used in this study. One animal of each group was slaughtered on postpartum days 1, 2, 4, 7, 10, 13, 19 and 25; in addition, three control nulliparous goats were slaughtered, and the genital tracts collected. Progress of uterine involution was monitored by repeated ultrasonographic measurements in live animals (primiparous n=6; pluriparous n=6) and measurement of the outer circumference of the uterine horns of slaughtered animals (primiparous n=8; pluriparous n=8). A consistent and progressive decrease in ultrasonographic and outer circumference measurements was found, although faster during the first 7 days postpartum than between days 7 and 19 postpartum. Uterine involution, assessed by the upper limit of the measurements in the nulliparous goats, followed a quadratic pattern and was completed by day 19 postpartum. Ultrasonographically, two elliptical-circular echogenic areas separated by an anechoic line of the stratum vascularis were depicted. Regressing caruncles and fluid in uterine lumen were recognized during the first week postpartum. Further analysis revealed a highly positive correlation between the outer circumference and ultrasonographic measurements. In conclusion, uterine involution in Balady goats was completed by day 19 postpartum and was unrelated to parity. The close association between ultrasound findings and macroscopic involution indicated that ultrasonography can dependably be used to monitor uterine involution under field conditions and can be a suitable alternative to animal slaughter for the study of uterine involution.

The postpartum uterus

The cow is notable among the domestic species for the almost ubiquitous bacterial contamination of the uterine lumen after parturition and the high incidence of clinical uterine disease. Such uterine disease not only disrupts uterine tissues, but also ovarian follicle growth and function by perturbation of the hypothalamus, pituitary, and ovary. Other events such as the postpartum negative energy balance also have similar multilevel effects on postpartum endocrinology. Return of ovarian cyclical activity is dependent on the innate immune system resolving uterine bacterial contamination,prompt uterine involution, and a short interval to the negative energy balance nadir. Although the risk factors for uterine disease have been described, preventive strategies are not widely adopted. Thus, veterinarians must identify and treat uterine disease efficiently to limit their negative effect on fertility.

The effect of oestradiol on postpartum uterine involution in sheep

The present study tested the hypothesis that ovarian oestradiol increases the rate of uterine involution after parturition in sheep. The day after parturition, ewes were randomly assigned as un-operated controls (n=5), or a 3 cm silastic implant containing oestradiol (n=8) or empty (n=7) was sutured within the bursa of the ovary ipsilateral to the previously gravid uterine horn. Blood samples were collected daily for measurement of PGFM and acute phase proteins until 17 days postpartum when the ewes were slaughtered and the genital tract was collected. There was no consistent effect of treatment group on uterine involution determined by the collagen density, dry matter content, width, length, or weight of the genital tract. Furthermore, there was no evidence of a localised effect of oestradiol on involution as there were no significant differences between the previously gravid and non-gravid uterine horns. However, oestradiol-treated ewes had lower plasma concentrations of 15-keto-13,14-dihydro-prostaglandin F2alpha (P<0.01), alpha1-acid glycoprotein (P<0.05) and ceruloplasmin (P<0.001); but, not haptoglobin. These observations could reflect a direct effect of oestradiol on inflammatory mediator synthesis or secretion because, in the absence of parallel physical measurements, it is unlikely that these observations reflect a beneficial effect of treatment on uterine health.

Ultrasonographic observations of the uterine regression in the ewe under different obstetrical conditions

Involution of the ovine uterus after parturition was studied using real-time B-mode ultrasonography. The diameter of the uterus, the uterine lumen and the caruncles were investigated during the first 30 days post-parturition (p.p.) by transrectal and transabdominal application of the ultrasound probe. Ewes that spontaneously delivered showed a physiological regression of the uterus with a transversal diameter of 4.9 (+/- 0.86) cm on day 1 p.p. which decreased to 1.84 (+/- 0.14) cm until day 30. The course of uterine regression was established on these data and was described by the exponential equation: y = E + A * e(-b*t). 'E' means the final value on day 30 p.p. and 'A' the difference between the initial transversal diameter on day 1 p.p. minus the final value on day 30 p.p. The exponents 'b' and 't' indicate the downward gradient of the regression curve and also the factor time in days. Furthermore, we found that the uterine regression in ewes finishes approximately on day 17 p.p. The uterine involution was delayed in ewes after manual obstetrics and caesarean section, in addition the incidence for retention of foetal membranes was increased. The present study demonstrates that the ultrasonographic technique is a suitable method for the control of the uterine involution and for the diagnosis of pathological aberrations in sheep.

Acute phase protein response of ewes and the release of PGFM in relation to uterine involution and the presence of intrauterine bacteria

The rate of uterine involution postpartum was monitored in 13 suckling mule ewes by using radio-opaque markers and radiography, and each ewe was also monitored for intrauterine bacterial contamination during the first week, using a sterile guarded swab. Peripheral plasma or serum concentrations of haptoglobin, seromucoid, ceruloplasmin and 15-keto-13,14-dihydro-prostaglandin F2 alpha (PGFM) were measured up to six weeks postpartum. The maximum reduction in the length of the uterine body and in the diameters of the horns occurred by 28 days postpartum, except in one ewe in which the size of the uterus continued to decrease for 42 days. Four ewes were positive for intrauterine bacterial contamination; Escherichia coli, clostridial species, Staphylococcus aureus, Streptococcus uberis and Enterococcus species were isolated in pure or mixed culture. The presence of intrauterine bacteria did not affect the time for the completion of uterine involution. No bacteria were isolated from the ewe in which involution was delayed, but it had a different acute phase protein response and was therefore excluded from further analyses. In the remaining 12 ewes the mean postpartum haptoglobin response increased, with peak concentrations occurring on day 1, and decreased slowly as uterine involution progressed, but the four contaminated ewes had a significantly greater response. There was no difference between the prepartum and postpartum concentrations of seromucoid in the eight sterile ewes, but significant increases were observed in the contaminated group; the concentrations of ceruloplasmin did not vary in either group. The concentrations of PGFM were higher during the early postpartum period in the ewes with contaminated uteri.

Displacement of the tubular genital tract of the ewe during pregnancy

The displacement of the tubular genital tract of ewes during pregnancy, in particular of the cervix relative to the cranial pelvic brim, was studied by sequential radiography using radio-opaque markers attached surgically before tupping. In the first year, 13 two-year-old parous ewes were fed a complete pelleted diet containing either 15 or 25 per cent fibre throughout pregnancy. The distances between the markers attached to the tubulogenital tract increased and the distance between the cervix and the cranial pelvic brim increased slightly with advancing pregnancy; the diet had no effect. In the second year, only cervical displacement was studied in 11 ewes that had suffered a cervicovaginal prolapse the previous year, and in five of their female progeny. They were divided into two groups, one of which was fed a 15 per cent-fibre complete pelleted diet and the other hay ad libitum throughout pregnancy. In two ewes, one from each dietary group, the prolapse recurred less than two weeks from term; initially it was a stage 2 prolapse, where the vaginal wall fails to return to its normal position when the ewe stands, but in one ewe it became a stage 3 prolapse, with the vagina completely everted and the cervix visible. During the stage 2 prolapse there was no evidence of caudal displacement of the cervix, whereas during the progression to the stage 3 prolapse the cervix became displaced 33 cm caudally over two to three hours.

Uterine involution and ovarian changes during early post partum in autumn-lambing Corriedale ewes

The time of uterine involution and the changes in ovarian follicle populations were studied during early postpartum in multiparous, suckling Corriedale ewes lambing in the autumn. On Day 1 (n=5), Day 5 (n=4), Day 17 (n=4) and Day 30 (n=3) postpartum ewes underwent surgery to obtain ovaries and uteri. The weights of uteri and the lengths of the previous pregnant and nonpregnant horns were recorded as well as the presence of ovarian follicles larger than 1 mm in diameter. Uterine weight and length of uterine horns decreased (P</=0.01) during the first 17 days and then remained constant. When uterine parameters from uteri obtained at Days 17 and 30 were compared with those of 6 cyclic ewes, no differences were found. On Day 1 only small (1 to 2 mm) follicles were observed on the ovarian surface, while on Day 5 medium (>2 to < 4 mm) follicles were also present. At days 17 and 30, aside from the small and medium follicles, all the ewes also had large (>/= 4 mm) follicles, and, at Day 30 2 ewes had large corpora lutea. We conclude that in autumn-lambing Corriedale ewes macroscopic uterine involution was complete around Day 17 post partum and that follicle development begins immediately after parturition, reaching preovulatory size before Day 17. In 2 of the 3 ewes studied until Day 30, ovulation (first progesterone increase) occurred after Day 17 (Days 18 and 25).