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Equine veterinary journal2026; doi: 10.1002/evj.70219

Risk factors for post-partum colic in a population of UK and Irish Thoroughbred broodmares.

Abstract: Broodmares are at increased risk of gastrointestinal colic. However, colic risk factors specific to this population have not been investigated. Objective: To investigate horse- and management-level risk factors for post-partum colic in a cohort of Thoroughbred broodmares in the United Kingdom and Ireland. Methods: Prospective, nested case-control study. Methods: Twenty-nine Thoroughbred stud farms in the United Kingdom and Ireland were recruited, and 1044 mares were followed over the 2021 and/or 2022 foaling seasons. Data were collected on signalment, medical and management history for post-partum colic mares and matched (3:1) controls. Multivariable analysis was conducted using conditional logistic regression. Results: Due to strong collinearity between days post-partum and time spent stabled, two multivariable models were built. Days post-partum (Model 1: OR 0.9, 95% CI 0.8-0.9; p < 0.001) and increasing hours stabled (Model 2: OR 1.2, 95% CI 1.1-1.3; p < 0.001) were strongly associated with increased risk of post-partum colic. Colic risk was highest immediately post-partum, with reduction in likelihood of colic up to 50 days after foaling. NSAID use in the previous 28 days (Model 1: OR 6.2, 95% CI 2.0-65.5; Model 2: OR 4.1, 95% CI 1.1-15.0; p = 0.048) and a history of previous colic (Model 1: OR 7.4, 95% CI 1.2-7.9; Model 2: OR 5.3, 95% CI 1.7-17.1; p = 0.01) were also associated with increased colic risk. Calcium supplementation was associated with increased likelihood of post-partum colic in Model 1 only (OR 4.4, 95% CI 1.3-15.7; p = 0.04). Conclusions: Mares comprised a small sub-population of UK and Irish Thoroughbred broodmares. Pre-partum colic was not investigated. Conclusions: Maximising turnout in post-partum broodmares may reduce colic risk, immediately post-partum and up to 50 days. Broodmares who have recently received NSAIDs, have a history of colic or are receiving a calcium-based supplement may be at increased risk of post-partum colic.
Publication Date: 2026-06-30 PubMed ID: 42381284DOI: 10.1002/evj.70219Google Scholar: Lookup
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  • Journal Article

Summary

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Risk factors for post-partum colic in Thoroughbred broodmares in the UK and Ireland were investigated, identifying post-partum time, stabling duration, NSAID use, previous colic history, and calcium supplementation as key influences on colic risk.

Study Background and Purpose

  • Broodmares, or female horses used for breeding, have a high risk of gastrointestinal colic, a painful digestive condition.
  • Specific risk factors for colic after giving birth (post-partum) in Thoroughbred broodmares had not been well studied.
  • This study aimed to identify both horse-related and management-related factors that contribute to post-partum colic risk.

Study Design and Methods

  • Type: Prospective, nested case-control study.
  • Population: 1044 Thoroughbred broodmares from 29 stud farms in the UK and Ireland.
  • Duration: Followed during 2021 and/or 2022 foaling seasons.
  • Data Collection: Includes horse characteristics, medical history, and management practices.
  • Cases: Mares that developed post-partum colic.
  • Controls: Three mares matched to each case who did not develop colic.
  • Analysis: Conditional logistic regression used to evaluate risk factors.
  • Note: Because time since foaling and hours stabled were strongly correlated, two separate multivariable models were created to avoid bias.

Key Findings Regarding Risk Factors

  • Time post-partum:
    • Risk of colic was highest immediately after foaling.
    • Likelihood of colic decreased steadily up to 50 days after birth.
    • Model 1 showed an odds ratio (OR) of 0.9 per day post-partum, indicating risk decreases with each passing day.
  • Time spent stabled:
    • Longer hours spent in stable post-partum increased colic risk (OR 1.2 per hour).
    • This suggests more turnout or pasture time might reduce risk.
  • Use of non-steroidal anti-inflammatory drugs (NSAIDs) in previous 28 days:
    • Strongly associated with increased post-partum colic risk (OR between 4.1 and 6.2 depending on model).
    • Possible implications for how NSAIDs are administered around foaling.
  • History of previous colic:
    • Mares with past colic episodes had significantly higher risk of post-partum colic (OR 5.3 to 7.4).
    • This history is an important predictive factor.
  • Calcium supplementation:
    • Associated with increased colic risk in one of the models (OR 4.4).
    • Suggests the need to evaluate routine supplementation practices around parturition.

Interpretation and Recommendations

  • Colic risk is highest right after foaling and decreases over about 50 days.
  • Minimizing the time mares spend confined in stables post-partum may lower colic risk, suggesting increased turnout is beneficial.
  • Mares with recent NSAID use, past colic history, or receiving calcium supplements require closer monitoring due to elevated risk.
  • Management strategies for broodmares should consider these risk factors to improve health outcomes and potentially reduce colic cases.
  • The study did not investigate colic occurrences before foaling or in non-Thoroughbred populations, limiting generalization.

Cite This Article

APA
Cullen E, Carslake HB, Henderson I, Stoneham S, Pinchbeck GL, Archer DC. (2026). Risk factors for post-partum colic in a population of UK and Irish Thoroughbred broodmares. Equine Vet J. https://doi.org/10.1002/evj.70219

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English

Researcher Affiliations

Cullen, E
  • Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, UK.
Carslake, H B
  • Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, UK.
Henderson, I
  • Ballylinch Stud, Thomastown, Kilkenny, Ireland.
Stoneham, S
  • Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, UK.
Pinchbeck, G L
  • Department of Livestock and One Health, University of Liverpool, Leahurst Campus, Neston, UK.
Archer, D C
  • Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, UK.

Grant Funding

  • University of Liverpool

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