Twin pregnancy in horses refers to the condition where a mare carries two embryos simultaneously. This phenomenon is relatively rare in equines due to their natural tendency to typically produce a single offspring per gestation. Twin pregnancies can pose significant health risks to both the mare and the foals, often resulting in complications such as abortion, stillbirth, or the birth of weak foals. Veterinary management may involve early detection through ultrasonography and potential intervention to reduce the pregnancy to a single embryo. This page compiles peer-reviewed research studies and scholarly articles that explore the occurrence, diagnosis, management strategies, and outcomes associated with twin pregnancies in horses.
Sielhorst J, Baade S, Neudeck KC, Tönissen A, Rohn K, Hollinshead F, Sieme H.Transvaginal ultrasound-guided aspiration (TUA) is used for post-fixation twin reduction in mares. However, there is limited information regarding factors that influence pregnancy outcome after TUA. Objective: To evaluate the effect of day of gestation on which TUA is performed, aspiration volume, puncture of the conceptus, medication administered before and after TUA, embryo location, mare age and parity and operator experience on pregnancy and foaling rates after TUA. Methods: Retrospective case series. Methods: Data were collected from case records of 464 TUAs performed by 14 operators in 4...
Arnold LC, Stout TAE, Claes ANJ.Management of twin pregnancy after conceptus vesicle fixation in the horse is challenging because the reduction techniques described are either invasive, difficult to perform or associated with disappointing success rates. Objective: To evaluate the success of transrectal ultrasound-guided fetal thorax compression for reducing post-fixation twin pregnancy in mares. Methods: Retrospective clinical study. Methods: Sixteen mares were presented for twin reduction between 51 and 79 days of gestation. History obtained from the owner and/or referring veterinarian detailed information regarding the ...
Mancill SS, Blodgett G, Arnott RJ, Alvarenga M, Love CC, Hinrichs K.3 sets of monozygotic twins resulting from transfers of single embryos to recipient mares were examined. Results: In all 3 recipient mares with twin pregnancies, only 1 embryonic vesicle was detected before day 25 of gestation. In 1 recipient mare, 2 apparent adjacent vesicles, each containing an embryo with a heartbeat, were visualized on ultrasonographic examination on day 37 of gestation. The other 2 recipient mares underwent ultrasonographic examination on day 30 of gestation, at which time only 1 vesicle and embryo was identified. In these latter 2 recipient mares, however, a thorough ult...
Raggio I, Lefebvre RC, Poitras P, Vaillancourt D, Goff AK.Multiple pregnancies are still an important cause of noninfectious abortion, stillbirth, neonatal mortality, and significant delays in reproductive performance in mares. Despite new management techniques, reduction in multiple pregnancies is an ongoing preoccupation and challenge for the equine veterinarian. The aim of the present study was to establish a twin pregnancy experimental model in the mare to study the effectiveness of a transvaginal ultrasound-guided embryonic vesicle injection. Mares in heat were inseminated and then received an embryo at day 7 of the estrous cycle. At days 14 and...
Govaere J, Hoogewijs M, De Schauwer C, Van Zeveren A, Smits K, Cornillie P, de Kruif A.Naturally occurring monozygotic twins are extremely rare in the horse. This paper describes an abortion in a mare after 260 days of pregnancy with monozygotic twins, one a fresh foal and the other a mummified foal.
Wolfsdorf KE.Methods to manage twins after fixation include natural reduction,dietary reduction, transvaginal ultrasound-guided aspiration,surgical removal, craniocervical dislocation, and transabdominal ultrasound-guided injection. Of these, results have been inconsistent with regard to producing a single healthy foal, except for craniocervical dislocation. This new technique enables the twin to be reduced before complete placenta formation has occurred, allowing the remaining fetus to use the entire endometrial surface and grow to its full potential.
Wolc A, Bresińska A, Szwaczkowski T.Twinning is a serious problem in Thoroughbred horses, as most of the multiple pregnancies are miscarried and live foals present lower performance values. The aim of this study was to estimate the heritability and repeatability of twinning in Thoroughbred horses. A total of 12648 pregnancies of 2033 Thoroughbred mares born between 1929 and 1994 in 11 studs were included. The analysis was performed by the use of AI-REML algorithm under three threshold animal models. The first model included effects of stud, mare's birth period and interaction between them as fixed. The second model included the ...
Camillo F, Cela M, Vannozzi I, Romagnoli S, Aria G.Fourteen normal, cyclic mares, treated to synchronise oestrus and ovulation and inseminated artificially with fresh semen, were assigned to a donor or a recipient group after ovulation, with the aim of obtaining a degree of synchrony of > or =2 days. Ten embryos, collected on Day 6 or 7 after ovulation (Day 0), were transferred nonsurgically to inseminated recipient mares (IRM) that had ovulated up to 5 days after the respective donors, or to pregnant recipient mares (PRM) that had ovulated 2-7 days before the donors. Embryonic size and development, as determined by ultrasound examination, wer...
Squires EL.Twinning is a major cause of abortion in mares. Although early management of twins is quite successful, twins that remain after 40 days are difficult to manage. This article reviews the current knowledge of the use of transvaginal ultrasound probe for elimination of twins. Several techniques are presented, as well as discussion on the best time during gestation for this technique to be used.
Giles RC, Donahue JM, Hong CB, Tuttle PA, Petrites-Murphy MB, Poonacha KB, Roberts AW, Tramontin RR, Smith B, Swerczek TW.Pathology case records of 3,514 aborted fetuses, stillborn foals, or foals that died < 24 hours after birth and of 13 placentas from mares whose foals were weak or unthrifty at birth were reviewed to determine the cause of abortion, death, or illness. Fetoplacental infection caused by bacteria (n = 628), equine herpesvirus (143), fungi (61), or placentitis (351), in which an etiologic agent could not be defined, was the most common diagnosis. Complications of birth, including neonatal asphyxia, dystocia, or trauma, were the second most common cause of mortality and were diagnosed in 19% of the...
Kudlac E, Grygar J.The frequency of double ovulation and the chances of twin pregnancy in the mare are presented with reference to the relevant literature. A novel manual technique for reducing the embryo number from two to one is introduced and illustrated by ultrasonographic images.
Hohenhaus MU, Bostedt H.108 mares with a total of 135 oestrous cycles were examined. 30% of the mares showed development of double follicles, found by palpation and ultrasonography. Eight cases of double ovulation, four of them synchronous and four asynchronous, were examined closely. These cases of double ovulation showed different growth and different development of the follicular wall. This occurred at the same time in cases of synchronous double ovulation whereas it differed in case of asynchronous double ovulation. The later ovulating follicle was still growing while the first one had already burst. With both fo...
Woods GL, Baker CB, Baldwin JL, Ball BA, Bilinski J, Cooper WL, Ley WB, Mank EC, Erb HN.During 1985, linear-array ultrasonography was used to study early pregnancy loss in commercial brood mares: 600/1115 (54%) of the cycles resulted in detected pregnancy at Week 2 after ovulation and 80 (13%) of these pregnancies resulted in early pregnancy loss. The pregnancy loss rate was significantly higher (P less than 0.05) for twin pregnancies (10/41) than for singleton pregnancies (70/559). The pregnancy loss rate was significantly higher (P less than 0.05) at 2-4 weeks (29/60) than at 6-8 weeks (12/60). The pregnancy rate was significantly less (P less than 0.05) for post-partum mares i...
Pipers FS, Zent W, Holder R, Asbury A.Ultrasonographic detection of pregnancy was performed in 952 Thoroughbred mares. Characteristic images were obtained between 12 and 55 days after breeding. Twins in the same uterine horn as well as twins in opposite horns were imaged, and for the first few months of gestation appeared similar to single pregnancies. Growth curves as a function of time were developed, utilizing horizontal diameters of the blastocysts versus breeding dates. Comparisons between horizontal and vertical diameters demonstrated no appreciable differences when observed as a group. Growth curves derived from twins did n...
Van Niekerk CH, Morgenthal JC, Starke CJ.Two thoroughbred mares bearing twins as diagnosed by rectal palpation, were subjected to nutritional stress by drastically reducing the daily ration. This resulted in a marked reduction in plasma progestagen levels and the death of either one or both of the twin embryos.
Dewes HF.Fractures of the central tarsal and/or third tarsal bones involving both limbs of six foals are described. Five of the subjects were born either premature or of twin pregnancies. Fractures occurred in the neonatal period and coincided with disablement. Features of behaviour, posture and gait are described, together with gross radiographic findings, bone ash determination and blood chemistry. Lesions observed on the articular faces of tarsal bones recovered from adult horses may have originated during the neonatal-period.
Chevalier F, Palmer E.Ultrasonic echography in the mare allows pregnancy diagnosis as early as Day 14 after ovulation. In the 1980 and 1981 breeding seasons, a total of 7438 examinations of 4688 mares were performed on several farms with the same apparatus. The accuracy of positive pregnancy diagnosis was estimated to be greater than 95% and of non-pregnancy diagnosis greater than 84%. When abnormal pictures of vesicles are found, it has to be decided whether it is a conceptus or a cystic structure. Most small vesicles do not develop, whereas large ones, deformed shapes, presence of some echoes, or a division insid...
Vandeplassche M, Podliachouk L, Beaud R.A study has been made of 44 cases of twin pregnancy in mares. The fetuses, foals, fetal membranes and blood groups of parents and foals were examined in order to determine the incidence of chorio-vascular anastomosis, blood chimaerism and freemartinism. All of the twins proved to be dizygotic and 33 of the 34 pregnancies were bicornual. Fusion of the chorion was seen in 14 of 22 placentas and macroscopic choriovascular bridges were observed in five of these, although blood chimaerism was diagnosed in 11 of 25 cases (44 per cent) examined. This would indicate a high incidence of microchoriovasc...
Woods GL, Baker CB, Baldwin JL, Ball BA, Bilinski J, Cooper WL, Ley WB, Mank EC, Erb HN.During 1985, linear-array ultrasonography was used to study early pregnancy loss in commercial brood mares: 600/1115 (54%) of the cycles resulted in detected pregnancy at Week 2 after ovulation and 80 (13%) of these pregnancies resulted in early pregnancy loss. The pregnancy loss rate was significantly higher (P less than 0.05) for twin pregnancies (10/41) than for singleton pregnancies (70/559). The pregnancy loss rate was significantly higher (P less than 0.05) at 2-4 weeks (29/60) than at 6-8 weeks (12/60). The pregnancy rate was significantly less (P less than 0.05) for post-partum mares i...
Wolfsdorf KE.Methods to manage twins after fixation include natural reduction,dietary reduction, transvaginal ultrasound-guided aspiration,surgical removal, craniocervical dislocation, and transabdominal ultrasound-guided injection. Of these, results have been inconsistent with regard to producing a single healthy foal, except for craniocervical dislocation. This new technique enables the twin to be reduced before complete placenta formation has occurred, allowing the remaining fetus to use the entire endometrial surface and grow to its full potential.
Govaere J, Hoogewijs M, De Schauwer C, Van Zeveren A, Smits K, Cornillie P, de Kruif A.Naturally occurring monozygotic twins are extremely rare in the horse. This paper describes an abortion in a mare after 260 days of pregnancy with monozygotic twins, one a fresh foal and the other a mummified foal.
Wolc A, Bresińska A, Szwaczkowski T.Twinning is a serious problem in Thoroughbred horses, as most of the multiple pregnancies are miscarried and live foals present lower performance values. The aim of this study was to estimate the heritability and repeatability of twinning in Thoroughbred horses. A total of 12648 pregnancies of 2033 Thoroughbred mares born between 1929 and 1994 in 11 studs were included. The analysis was performed by the use of AI-REML algorithm under three threshold animal models. The first model included effects of stud, mare's birth period and interaction between them as fixed. The second model included the ...
Chevalier F, Palmer E.Ultrasonic echography in the mare allows pregnancy diagnosis as early as Day 14 after ovulation. In the 1980 and 1981 breeding seasons, a total of 7438 examinations of 4688 mares were performed on several farms with the same apparatus. The accuracy of positive pregnancy diagnosis was estimated to be greater than 95% and of non-pregnancy diagnosis greater than 84%. When abnormal pictures of vesicles are found, it has to be decided whether it is a conceptus or a cystic structure. Most small vesicles do not develop, whereas large ones, deformed shapes, presence of some echoes, or a division insid...
Kudlac E, Grygar J.The frequency of double ovulation and the chances of twin pregnancy in the mare are presented with reference to the relevant literature. A novel manual technique for reducing the embryo number from two to one is introduced and illustrated by ultrasonographic images.
Van Niekerk CH, Morgenthal JC, Starke CJ.Two thoroughbred mares bearing twins as diagnosed by rectal palpation, were subjected to nutritional stress by drastically reducing the daily ration. This resulted in a marked reduction in plasma progestagen levels and the death of either one or both of the twin embryos.
Camillo F, Cela M, Vannozzi I, Romagnoli S, Aria G.Fourteen normal, cyclic mares, treated to synchronise oestrus and ovulation and inseminated artificially with fresh semen, were assigned to a donor or a recipient group after ovulation, with the aim of obtaining a degree of synchrony of > or =2 days. Ten embryos, collected on Day 6 or 7 after ovulation (Day 0), were transferred nonsurgically to inseminated recipient mares (IRM) that had ovulated up to 5 days after the respective donors, or to pregnant recipient mares (PRM) that had ovulated 2-7 days before the donors. Embryonic size and development, as determined by ultrasound examination, wer...
Dewes HF.Fractures of the central tarsal and/or third tarsal bones involving both limbs of six foals are described. Five of the subjects were born either premature or of twin pregnancies. Fractures occurred in the neonatal period and coincided with disablement. Features of behaviour, posture and gait are described, together with gross radiographic findings, bone ash determination and blood chemistry. Lesions observed on the articular faces of tarsal bones recovered from adult horses may have originated during the neonatal-period.
Raggio I, Lefebvre RC, Poitras P, Vaillancourt D, Goff AK.Multiple pregnancies are still an important cause of noninfectious abortion, stillbirth, neonatal mortality, and significant delays in reproductive performance in mares. Despite new management techniques, reduction in multiple pregnancies is an ongoing preoccupation and challenge for the equine veterinarian. The aim of the present study was to establish a twin pregnancy experimental model in the mare to study the effectiveness of a transvaginal ultrasound-guided embryonic vesicle injection. Mares in heat were inseminated and then received an embryo at day 7 of the estrous cycle. At days 14 and...
Mancill SS, Blodgett G, Arnott RJ, Alvarenga M, Love CC, Hinrichs K.3 sets of monozygotic twins resulting from transfers of single embryos to recipient mares were examined. Results: In all 3 recipient mares with twin pregnancies, only 1 embryonic vesicle was detected before day 25 of gestation. In 1 recipient mare, 2 apparent adjacent vesicles, each containing an embryo with a heartbeat, were visualized on ultrasonographic examination on day 37 of gestation. The other 2 recipient mares underwent ultrasonographic examination on day 30 of gestation, at which time only 1 vesicle and embryo was identified. In these latter 2 recipient mares, however, a thorough ult...
Squires EL.Twinning is a major cause of abortion in mares. Although early management of twins is quite successful, twins that remain after 40 days are difficult to manage. This article reviews the current knowledge of the use of transvaginal ultrasound probe for elimination of twins. Several techniques are presented, as well as discussion on the best time during gestation for this technique to be used.
Vandeplassche M, Podliachouk L, Beaud R.A study has been made of 44 cases of twin pregnancy in mares. The fetuses, foals, fetal membranes and blood groups of parents and foals were examined in order to determine the incidence of chorio-vascular anastomosis, blood chimaerism and freemartinism. All of the twins proved to be dizygotic and 33 of the 34 pregnancies were bicornual. Fusion of the chorion was seen in 14 of 22 placentas and macroscopic choriovascular bridges were observed in five of these, although blood chimaerism was diagnosed in 11 of 25 cases (44 per cent) examined. This would indicate a high incidence of microchoriovasc...
Giles RC, Donahue JM, Hong CB, Tuttle PA, Petrites-Murphy MB, Poonacha KB, Roberts AW, Tramontin RR, Smith B, Swerczek TW.Pathology case records of 3,514 aborted fetuses, stillborn foals, or foals that died < 24 hours after birth and of 13 placentas from mares whose foals were weak or unthrifty at birth were reviewed to determine the cause of abortion, death, or illness. Fetoplacental infection caused by bacteria (n = 628), equine herpesvirus (143), fungi (61), or placentitis (351), in which an etiologic agent could not be defined, was the most common diagnosis. Complications of birth, including neonatal asphyxia, dystocia, or trauma, were the second most common cause of mortality and were diagnosed in 19% of the...
Hohenhaus MU, Bostedt H.108 mares with a total of 135 oestrous cycles were examined. 30% of the mares showed development of double follicles, found by palpation and ultrasonography. Eight cases of double ovulation, four of them synchronous and four asynchronous, were examined closely. These cases of double ovulation showed different growth and different development of the follicular wall. This occurred at the same time in cases of synchronous double ovulation whereas it differed in case of asynchronous double ovulation. The later ovulating follicle was still growing while the first one had already burst. With both fo...
Pipers FS, Zent W, Holder R, Asbury A.Ultrasonographic detection of pregnancy was performed in 952 Thoroughbred mares. Characteristic images were obtained between 12 and 55 days after breeding. Twins in the same uterine horn as well as twins in opposite horns were imaged, and for the first few months of gestation appeared similar to single pregnancies. Growth curves as a function of time were developed, utilizing horizontal diameters of the blastocysts versus breeding dates. Comparisons between horizontal and vertical diameters demonstrated no appreciable differences when observed as a group. Growth curves derived from twins did n...
Arnold LC, Stout TAE, Claes ANJ.Management of twin pregnancy after conceptus vesicle fixation in the horse is challenging because the reduction techniques described are either invasive, difficult to perform or associated with disappointing success rates. Objective: To evaluate the success of transrectal ultrasound-guided fetal thorax compression for reducing post-fixation twin pregnancy in mares. Methods: Retrospective clinical study. Methods: Sixteen mares were presented for twin reduction between 51 and 79 days of gestation. History obtained from the owner and/or referring veterinarian detailed information regarding the ...
Sielhorst J, Baade S, Neudeck KC, Tönissen A, Rohn K, Hollinshead F, Sieme H.Transvaginal ultrasound-guided aspiration (TUA) is used for post-fixation twin reduction in mares. However, there is limited information regarding factors that influence pregnancy outcome after TUA. Objective: To evaluate the effect of day of gestation on which TUA is performed, aspiration volume, puncture of the conceptus, medication administered before and after TUA, embryo location, mare age and parity and operator experience on pregnancy and foaling rates after TUA. Methods: Retrospective case series. Methods: Data were collected from case records of 464 TUAs performed by 14 operators in 4...
