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Topic:Parturition

Parturition in horses refers to the process of foaling, during which a mare gives birth to a foal. This biological event is characterized by a series of physiological and hormonal changes that prepare the mare for delivery. The process is typically divided into three stages: the initiation of labor, the delivery of the foal, and the expulsion of the placenta. Hormones such as oxytocin and prostaglandins play significant roles in regulating uterine contractions and cervical dilation. Monitoring the mare during parturition is important to ensure the health and safety of both the mare and the foal. This page compiles peer-reviewed research studies and scholarly articles that explore the mechanisms, management, and outcomes associated with parturition in horses.
Serum amyloid A protein (SAA), haptoglobin (Hp) and selected hematological and biochemical parameters in wild mares before and after parturition.
Polish journal of veterinary sciences    September 3, 2017   Volume 20, Issue 2 299-305 doi: 10.1515/pjvs-2017-0036
Krakowski L, Bartoszek P, Krakowska I, Olcha P, Piech T, Stachurska A, Brodzki P.The aim of the study was to evaluate physiological changes in hematological and biochemical parameters in mares in perinatal period. Blood samples were collected from 24 pregnant Polish Konik breed mares which were divided into two groups. The first group (Group - I, n=12) comprised mares living in the wild, in the reserve. The second group (Group - II, n=12) consisted of mares kept in stables. The blood was collected 2 weeks prior to the parturition, then 24 hours after the delivery, and then at the 7th and 21st day after foaling. When comparing the two groups before the parturition, no signi...
Artificially extended photoperiod administered to pre-partum mares via blue light to a single eye: Observations on gestation length, foal birth weight and foal hair coat at birth.
Theriogenology    June 9, 2017   Volume 100 126-133 doi: 10.1016/j.theriogenology.2017.06.012
Nolan MB, Walsh CM, Duff N, McCrarren C, Prendergast RL, Murphy BA.In seasonally breeding animals, photoperiod perception is crucial for timing of important physiological events. In the horse, long day photoperiod influences the onset of ovulation and cyclicity, shedding of the heavier winter coat and the timing of parturition. In this compilation of studies, conducted across three breeding seasons and two countries, the impact of artificially extended day length was investigated on gestation length, foal birth weight and foal hair coat at birth. The light therapy was administered to pre-partum mares via mobile head worn masks which provided short wavelength ...
Femoral head ostectomy and medial patellar ligament desmotomy to treat a pregnant miniature horse with coxofemoral joint luxation and upward fixation of the patella.
The Canadian veterinary journal = La revue veterinaire canadienne    May 11, 2017   Volume 58, Issue 5 498-502 
Ludwig EK, Byron CR.A 2-year-old, 8-weeks pregnant, non-weight bearing miniature horse mare was treated for a 6-day-old left coxofemoral joint luxation with a femoral head ostectomy. The procedure had no negative effects on pregnancy or parturition and 23 months following surgery the horse had minimal lameness. Une jument miniature non portante gravide de 8 semaines et âgée de 2 ans a été traitée pour une luxation de l’articulation coxofémorale gauche datant de 6 jours à l’aide d’une ostectomie de la tête fémorale. L’intervention n’a pas eu d’effets négatifs sur la gestation ou la parturiti...
Estradiol cypionate aided treatment for experimentally induced ascending placentitis in mares.
Theriogenology    March 29, 2017   Volume 102 98-107 doi: 10.1016/j.theriogenology.2017.03.010
Curcio BR, Canisso IF, Pazinato FM, Borba LA, Feijó LS, Muller V, Finger IS, Toribio RE, Nogueira CEW.The overall goal of this study was to assess the efficacy of various therapeutic combinations of estradiol cypionate (ECP, a long-acting estrogen) and altrenogest (ALT, a long-acting progestin) in addition to basic treatment for placentitis with trimethoprim-sulfamethoxazole (TMS) and flunixin meglumine (FM). Specific outcomes measured in this experiment were (i) time from induction of bacterial placentitis to delivery, and foal parameters (high-risk, survival, and birth weight); and (ii) serum steroid concentrations (progesterone, 17α-hydroxyprogesterone, 17β-estradiol, and cortisol) in res...
Effects of dystocia on blood gas parameters, acid-base balance and serum lactate concentration in heavy draft newborn foals.
Journal of equine science    March 28, 2017   Volume 28, Issue 1 27-30 doi: 10.1294/jes.28.27
Kimura Y, Aoki T, Chiba A, Nambo Y.Dystocia is often lethal for neonatal foals; however, its clinicopathological features remain largely unknown. We investigated the effect of dystocia on the foal blood profile. Venous blood samples were collected from 35 foals (5 Percheron and 30 crossbreds between Percheron, Belgian, and Breton heavy draft horses) at 0 hr, 1 hr, 12 hr and 1 day after birth. Dystocia was defined as prolonged labor >30 min with strong fetal traction with or without fetal displacement. The dystocia group (n=13) showed lower mean values for pH (P<0.01), bicarbonate (P<0.01), total carbon dioxide (P<0....
Follicular dynamics, ovarian vascularity and luteal development in mares with early or late postpartum ovulation.
Theriogenology    March 27, 2017   Volume 96 23-30 doi: 10.1016/j.theriogenology.2017.03.020
Lemes KM, Silva LA, Alonso MA, Celeghini ECC, Pugliesi G, Carvalho HF, Affonso FJ, Silva DF, Leite TG, de Arruda RP.Follicular development and deviation processes during the postpartum period are not completely known in horses. Thus, we aimed to study the characteristics of follicular dynamics and ovarian vascular perfusion during the postpartum period in mares that demonstrated estrous behavior and had early ( 0.1) was detected between the groups when the data were normalized for the days preceding the first postpartum ovulation (from D-7 to D-1). However, when the data were normalized to days postpartum, the dominant follicle was larger (P 25 mm diameter was greater (P  0.1) was detected between grou...
Pharmacokinetics of ceftiofur sodium in equine pregnancy.
Journal of veterinary pharmacology and therapeutics    March 19, 2017   Volume 40, Issue 6 656-662 doi: 10.1111/jvp.12399
Macpherson ML, Giguère S, Pozor MA, Runcan E, Vickroy TW, Benson SA, Troedsson MHT, Hatzel JN, Larson J, Vanden Berg E, Kelleman AA, Sanchez LC....Eleven pregnant pony mares (D270-326) were administered ceftiofur sodium intramuscularly at 2.2 mg/kg (n = 6) or 4.4 mg/kg (n = 5), once daily. Plasma was obtained prior to ceftiofur administration and at 0.5, 1, 2, 4, 8, 12, and 24 hr after administration. Eight pony mares were re-enrolled in the study at least 3 days from expected foaling to ensure steady-state concentrations of drug at the time of foaling. Mares were administered ceftiofur sodium (4.4 mg/kg, IM) daily until foaling. Parturition was induced using oxytocin 1 hr after ceftiofur sodium administration. Allantoic and am...
Repair of an acquired diaphragmatic hernia with surgical mesh in a foal.
The Canadian veterinary journal = La revue veterinaire canadienne    February 22, 2017   Volume 58, Issue 2 145-148 doi: 10.1111/eve.12502
Kolus CR, MacLeay JM, Hackett ES.A foal born with assisted delivery developed rib fractures and a diaphragmatic hernia. The hernia was repaired using surgical mesh. The filly was healthy 42 months later. Dystocia is a risk factor for rib fractures and traumatic acquired diaphragmatic herniation. Surgical mesh repair is an option for diaphragmatic defects. Un poulain né lors d’une parturition assistée a développé des fractures des côtes et une hernie diaphragmatique. La hernie a été réparée à l’aide d’un treillis chirurgical. La pouliche était en santé 42 mois plus tard. La dystocie est un facteur de risque ...
Cytokine levels in colostrum and in foals’ serum pre- and post-suckling.
Veterinary immunology and immunopathology    January 27, 2017   Volume 185 34-37 doi: 10.1016/j.vetimm.2017.01.007
Mariella J, Castagnetti C, Prosperi A, Scagliarini A, Peli A.The purpose of this study is to investigate the presence of IL-4, IL-8, IL-13 and IFN-γ in equine colostrum and in foals' serum. Samples were obtained from 14 mares and their healthy foals. Soon after parturition, 10ml of colostrum was collected, filtered, centrifuged and frozen until assayed. Blood samples were obtained from each foal at birth (TO) and again after 24h (T24), after which they were frozen until assayed. Serum IgG was measured at 24h of age with an immunoturbidimetric quantitative method. Cytokine concentration was determined using commercially available ELISA tests. Statistica...
Oxytocin treatment does not change cardiovascular parameters, hematology and plasma electrolytes in parturient horse mares.
Theriogenology    December 24, 2016   Volume 91 69-76 doi: 10.1016/j.theriogenology.2016.12.028
Nagel C, Trenk L, Wulf M, Ille N, Aurich J, Aurich C.In mares, foaling is associated with changes in hematology, plasma electrolytes, blood pressure and heart rate and it has been hypothesized that these are induced by oxytocin. To test this hypothesis, mares (n = 8-14/group) were treated with oxytocin (OT; 20 I.U.) or saline (CON) at 1 h (test A) and 12 h after foaling (test B) and during first postpartum diestrus (test C). Heart rate, heart rate variability (HRV), atrioventricular blocks, salivary cortisol concentration, blood pressure, plasma electrolytes and blood count were determined. Heart rate decreased from test A to C (P < 0.001)...
Successful foaling by a Standardbred mare with a ruptured prepubic tendon.
The Canadian veterinary journal = La revue veterinaire canadienne    December 9, 2016   Volume 57, Issue 12 1287-1289 
Schutten KJ.A 12-year-old Standardbred mare was diagnosed with a ruptured prepubic tendon 1 month prepartum. The mare was treated with analgesia, stall rest, and an abdominal support wrap that was tightened daily. Both a live foal born 1 month later and the mare are doing well. Poulinage réussi par une jument Standardbred ayant une rupture du tendon prépubien. Un mois avant la parturition, une rupture du tendon prépubien a été diagnostiquée chez une jument Standardbred âgée de 12 ans. La jument a été traitée à l’aide d’analgésiques, d’un repos en stalles et d’un pansement de soutien r...
Periparturient characteristics of mares and their foals on a New Zealand Thoroughbred stud farm.
New Zealand veterinary journal    October 24, 2016   Volume 65, Issue 1 24-29 doi: 10.1080/00480169.2016.1244021
Rosales C, Krekeler N, Tennent-Brown B, Stevenson MA, Hanlon D.To describe selected periparturient variables in a sample of Thoroughbred mares and their foals on a commercial stud farm in New Zealand. Methods: Data were collected for 969 foaling records, from 592 mares, by foaling attendants from one Thoroughbred stud farm in the Waikato region of New Zealand for the breeding seasons 2008-2013, inclusive, and collated retrospectively. The associations between mare- and foal-level variables and gestation length, time of birth (expressed as the number of hours after midday), fetal membrane retention time, time for the foal to stand and suckle after birth, a...
Identification of the most abundant proteins in equine amniotic fluid by a proteomic approach.
Animal reproduction science    October 11, 2016   Volume 174 150-160 doi: 10.1016/j.anireprosci.2016.10.003
Isani G, Ferlizza E, Cuoghi A, Bellei E, Monari E, Bianchin Butina B, Castagnetti C.Characterisation of the physiologic equine amniotic fluid (AF) proteome is a prerequisite to study its changes during diseases and discover new biomarkers. The aim of this study was to identify by a proteomic approach the most abundant proteins of equine AF. AF samples were collected at parturition from 24 healthy mares that delivered healthy foals. All samples were subjected to sodium dodecyl sulphate polyacrylamide gel electrophoresis (SDS-PAGE) on 4-12% gels. A pool of the 24 samples, after SDS-PAGE, was cut in 25 slices, trypsin-digested and analysed by mass spectrometry (MS) for protein i...
Progestin withdrawal at parturition in the mare.
Reproduction (Cambridge, England)    August 29, 2016   Volume 152, Issue 4 323-331 doi: 10.1530/REP-16-0227
Legacki EL, Corbin CJ, Ball BA, Wynn M, Loux S, Stanley SD, Conley AJ.Mammalian pregnancies need progestogenic support and birth requires progestin withdrawal. The absence of progesterone in pregnant mares, and the progestogenic bioactivity of 5α-dihydroprogesterone (DHP), led us to reexamine progestin withdrawal at foaling. Systemic pregnane concentrations (DHP, allopregnanolone, pregnenolone, 5α-pregnane-3β, 20α-diol (3β,20αDHP), 20α-hydroxy-5α-dihydroprogesterone (20αDHP)) and progesterone) were monitored in mares for 10days before foaling (n=7) by liquid chromatography-mass spectrometry. The biopotency of dominant metabolites was assessed using luci...
Vertical transmission of hepatitis C virus-like non-primate hepacivirus in horses.
The Journal of general virology    July 26, 2016   Volume 97, Issue 10 2540-2551 doi: 10.1099/jgv.0.000561
Gather T, Walter S, Todt D, Pfaender S, Brown RJP, Postel A, Becher P, Moritz A, Hansmann F, Baumgaertner W, Feige K, Steinmann E, Cavalleri JV.Non-primate hepacivirus (NPHV), a recently discovered hepatotropic virus infecting horses, is phylogenetically the closest known homologue of hepatitis C virus (HCV). The main route for acquiring HCV infection in childhood is vertical transmission. However, nothing is known about the natural mode of transmission for NPHV. To investigate the possibility of vertically transmitted NPHV infection in horses, 20 Thoroughbred broodmares and their foals were monitored during foaling season 2015 until 6 months post-partum. Prepartal serum was taken from the mares, and during foaling umbilical cord bloo...
Changes in blood pressure, heart rate, and blood profile in mares during the last 3 months of gestation and the peripartum period.
Theriogenology    June 14, 2016   Volume 86, Issue 7 1856-1864 doi: 10.1016/j.theriogenology.2016.06.001
Nagel C, Trenk L, Aurich J, Wulf M, Aurich C.In this study, peripartum changes in complete blood count, plasma electrolyte concentrations, blood pressure, heart rate, and heart rate variability (HRV) were determined in pregnant Warmblood mares (n = 10). Blood was collected from Days 245 to 330 of gestation (phase A), 2Days 3 to 1 before foaling (phase B), repeatedly within 12 hours after foaling (phase C), and on Days 1 to 3 postpartum (phase D). On the same days as blood collection, blood pressure and cardiac beat-to-beat intervals were measured and time domain HRV variables were calculated. Blood pressure decreased during the past 3...
Review of the reproductive endocrinology of the pregnant and parturient mare.
Theriogenology    April 21, 2016   Volume 86, Issue 1 355-365 doi: 10.1016/j.theriogenology.2016.04.049
Conley AJ.Analytical advancements, especially methods using gas or liquid chromatography tandem mass spectrometry, have allowed more specific and reliable measurement of multiple steroid hormones in the plasma of mares throughout gestation and the periparturient period. Data such as these will form the central focus of this review. The comprehensive analyses possible with liquid chromatography tandem mass spectrometry illuminate the key physiological and developmental transitions that make equine gestation unique. Weeks 6 to 20 encompass endometrial cup formation and equine chorionic gonadotropic secret...
Erythrocyte osmotic fragility and select hematologic variables in postparturient mares and their foals.
Veterinary clinical pathology    March 17, 2016   Volume 45, Issue 2 260-270 doi: 10.1111/vcp.12344
Arfuso F, Quartuccio M, Bazzano M, Fazio F, Piccione G.Knowledge of hematologic function in postparturient mares and foals is crucial for the monitoring of their health status and for the prompt diagnosis of pathologic conditions. Objective: The aim of this study was to evaluate erythrocyte osmotic fragility (EOF) and select hematologic variables in mares and their foals during the first month after foaling. Methods: Blood samples were collected from each animal every 3 days from day 1 until day 30 after foaling, and tested for RBC count, HGB, HCT, MCV, and EOF. Two-way repeated measures analysis of variance (ANOVA) and Bonferroni post hoc compari...
Hematological and biochemical findings in pregnant, postfoaling, and lactating jennies.
Theriogenology    December 18, 2015   Volume 85, Issue 7 1233-1238 doi: 10.1016/j.theriogenology.2015.12.004
The aims of this study were to (1) verify if significant changes occur in hematological and biochemical parameters in jennies during the last 2 months of pregnancy and the first 2 months of lactation, and (2) determine any differences with mares. Hematological and biochemical parameters were evaluated in jennies every 15 days during late pregnancy, parturition, and early lactation. The Kolmogorov-Smirnov test, analysis of variance for repeated measurements and Tukey's multiple comparison test as post hoc were applied. The significance level was set at P < 0.05. Statistical analysis sho...
Differences in extracellular matrix remodeling in the placenta of mares that retain fetal membranes and mares that deliver fetal membranes physiologically.
Placenta    August 7, 2015   Volume 36, Issue 10 1167-1177 doi: 10.1016/j.placenta.2015.07.126
Rapacz-Leonard A, Kankofer M, Leonard M, Wawrzykowski J, Dąbrowska M, Raś A, Paździor-Czapula K, Janowski T.In mammals, placenta separation at term may involve degradation of the extracellular matrix by matrix metalloproteinases (MMPs). The activity of MMPs is modulated by TIMPs. We hypothesized that the placentas of mares that deliver fetal membranes physiologically and those that retain fetal membranes (FMR) differ in terms of histology; mRNA expression of MMP-2 and MMP-9; protein expression of MMP-2, MMP-9, and TIMP-2; and the potential activity of both MMPs. Methods: Placenta biopsies were taken from mares (n = 9; 4 FMR, 5 controls) immediately after foal expulsion. Retention was defined as fail...
Expression of oxytocin receptors is greatly reduced in the placenta of heavy mares with retained fetal membranes due to secondary uterine atony.
Equine veterinary journal    April 27, 2015   Volume 47, Issue 5 623-626 doi: 10.1111/evj.12426
Rapacz-Leonard A, Raś A, Całka J, Janowski TE.Fetal membrane retention can be a life-threatening condition and its incidence exceeds 50% in heavy draught mares. Although fetal membrane retention is commonly treated with repeated injections of oxytocin, based on the suggestion that it is caused mainly by secondary atony of the uterus, this treatment sometimes fails. This led us to ask if expression of oxytocin receptors differs in mares that retain fetal membranes due to secondary uterine atony. Objective: To determine whether expression of oxytocin receptors in equine placental tissues differs when heavy draught mares expel fetal membrane...
Effects of moderate amounts of barley in late pregnancy on growth, glucose metabolism and osteoarticular status of pre-weaning horses.
PloS one    April 13, 2015   Volume 10, Issue 4 e0122596 doi: 10.1371/journal.pone.0122596
Peugnet P, Robles M, Mendoza L, Wimel L, Dubois C, Dahirel M, Guillaume D, Camous S, Berthelot V, Toquet MP, Richard E, Sandersen C, Chaffaux S....In stud management, broodmares are commonly fed concentrates in late pregnancy. This practice, however, was shown to correlate with an increased incidence of osteochondrosis in foals, which may be related to insulin sensitivity. We hypothesized that supplementation of the mare with barley in the last trimester of pregnancy alters the pre-weaning foal growth, glucose metabolism and osteoarticular status. Here, pregnant multiparous saddlebred mares were fed forage only (group F, n=13) or both forage and cracked barley (group B, n=12) from the 7th month of pregnancy until term, as calculated to c...
Occurrence of bacteria and polymorphonuclear leukocytes in fetal compartments at parturition; relationships with foal and mare health in the peripartum period.
Theriogenology    March 11, 2015   Volume 84, Issue 1 163-169 doi: 10.1016/j.theriogenology.2015.03.002
Hemberg E, Einarsson S, Kútvölgyi G, Lundeheim N, Bagge E, Båverud V, Jones B, Morrell JM.This study investigated the relationship of the health of the newborn foal and (1) number of polymorphonuclear leukocytes (PMNLs) in the amniotic fluid, (2) bacteria present in the amniotic fluid and the venous umbilical blood, and (3) bacteria present in the uterus of the newly foaled mare. A further aim was to investigate relationships between the bacteriologic findings in the amniotic fluid, umbilical blood, and uterus postpartum. Samples were taken from 50 Standardbred trotter foaling mares from a well-managed stud in Sweden. Parturition was spontaneous in all cases. Length of pregnancy, p...
Increased serum nonesterified fatty acid and low ionised calcium concentrations are associated with post partum colic in mares.
Equine veterinary journal    February 2, 2015   Volume 48, Issue 1 39-44 doi: 10.1111/evj.12391
Holcombe SJ, Embertson RM, Kurtz KA, Roessner HA, Wismer SE, Geor RJ, Kaneene JB.Increased serum nonesterified fatty acids (NEFA) and decreased serum electrolytes are linked to abdomasal displacements in post partum dairy cattle. Post partum colic in mares may be associated with metabolic changes specific to pregnancy and the periparturient period. Objective: To determine if fluctuations in serum NEFA, ionised calcium (iCa) and magnesium (iMg) occurred in periparturient mares and if these alterations were associated with post partum colic. Methods: Longitudinal observational study. Methods: Mares from 3 farms in central Kentucky were enrolled. Blood samples were collected ...
Use of alprazolam to facilitate mare-foal bonding in an aggressive postparturient mare.
Journal of veterinary internal medicine    January 12, 2015   Volume 29, Issue 1 414-416 doi: 10.1111/jvim.12510
Wong DM, Alcott CJ, Davis JL, Hepworth KL, Wulf L, Coetzee JH.No abstract available
Maternal and neonatal evaluation of derivated reactive oxygen metabolites (d-ROMs) and biological antioxidant potential in the horse.
Theriogenology    December 3, 2014   Volume 83, Issue 1 48-51 doi: 10.1016/j.theriogenology.2014.07.041
Sgorbini M, Bonelli F, Marmorini P, Biagi G, Corazza M, Pasquini A.The aim of the present work was to evaluate derivated reactive oxygen metabolites (d-ROMs) and biological antioxidant potential (BAP) in mares and foals to study perinatal oxidative status. A total of 60 animals were included in the present study. Maternal and foal venous blood samples were collected immediately after delivery along with a sample drawn from one of the umbilical arteries, and plasma samples were evaluated for lactatemia, d-ROMs, and BAP. The t test for unpaired data was applied between mares versus umbilical artery blood versus foals, both for d-ROMs and BAP. The Pearson test w...
Effects of age, parity, and pregnancy abnormalities on foal birth weight and uterine blood flow in the mare.
Theriogenology    November 11, 2014   Volume 83, Issue 4 721-729 doi: 10.1016/j.theriogenology.2014.11.007
Klewitz J, Struebing C, Rohn K, Goergens A, Martinsson G, Orgies F, Probst J, Hollinshead F, Bollwein H, Sieme H.Color Doppler sonography has become routine for the evaluation of high-risk pregnancies in human medicine. Previous studies documenting uterine blood flow parameters in the pregnant mare have found a decrease in peripheral blood flow resistance in the first pregnancy weeks and an increase in uterine blood flow, especially in the last trimester of pregnancy. However, these studies involved only a small number of mares. No naturally occurring pregnancy abnormalities occurred that would allow blood flow changes to be retrospectively examined and analyzed. The objective of the present study was to...
Metabolic profile of broodmares during late pregnancy and early post-partum.
Reproduction in domestic animals = Zuchthygiene    September 23, 2014   Volume 49, Issue 6 947-953 doi: 10.1111/rda.12411
Bazzano M, Giannetto C, Fazio F, Arfuso F, Giudice E, Piccione G.Pregnancy represents a specific physiological status characterized by continuous adjustments that affect maternal metabolism of all nutrients. In the last trimester of pregnancy, mare's nutrient requirements greatly increase and most pregnancy-associated diseases are likely to occur. Therefore, we aimed to assess the metabolic profile of broodmares focusing on the last 3 months of pregnancy and the early post-partum. Fifteen pregnant mares (Group A) were monitored from 263 ± 3 days of pregnancy until 21 days after foaling. Seven non-pregnant mares (Group B) were used as the control group...
Theriogenology question of the month. Dystocia in a mare caused by fetal hydranencephaly.
Journal of the American Veterinary Medical Association    September 3, 2014   Volume 245, Issue 6 635-637 doi: 10.2460/javma.245.6.635
Fraser NS, Johnson AK, Armstrong CL, Wilborn RR.No abstract available
Physiological adjustments of haematological profile during the last trimester of pregnancy and the early post partum period in mares.
Animal reproduction science    July 15, 2014   Volume 149, Issue 3-4 199-203 doi: 10.1016/j.anireprosci.2014.07.005
Bazzano M, Giannetto C, Fazio F, Rizzo M, Giudice E, Piccione G.The aim of the study was to assess changes in some haematological parameters of periparturient mares from the last three months of pregnancy until the third week after foaling. The study was carried out on 15 healthy pregnant mares (Group A) and 7 healthy non-pregnant non-lactating mares (Group B). Blood samples were collected by jugular venipuncture into EDTA tubes and tested for Haematocrit (Hct), Red Blood Cell (RBC), Haemoglobin (Hb), Platelets (Plt) and White Blood Cell (WBC). Peripheral blood smears were also performed to assess changes in the leucocyte differential count. Group A showed...
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