Analyze Diet
Animals : an open access journal from MDPI2017; 7(9); 69; doi: 10.3390/ani7090069

Survey of Veterinarians Using a Novel Physical Compression Squeeze Procedure in the Management of Neonatal Maladjustment Syndrome in Foals.

Abstract: Horses are a precocious species that must accomplish several milestones that are critical to survival in the immediate post-birth period for their survival. One essential milestone is the successful transition from the intrauterine unconsciousness to an extrauterine state of consciousness or awareness. This transition involves a complex withdrawal of consciousness inhibitors and an increase in neuroactivating factors that support awareness. This process involves neuroactive hormones as well as inputs related to factors such as cold, visual, olfactory, and auditory stimuli. One factor not previously considered in this birth transition is a yet unreported direct neural reflex response to labor-induced physical compression of the fetus in the birth canal (squeezing). Neonatal maladjustment syndrome (NMS) is a disorder of the newborn foal characterized by altered behavior, low affinity for the mare, poor awareness of the environment, failure to bond to the mother, abnormal sucking, and other neurologically-based abnormalities. This syndrome has been associated with altered events during birth, and was believed to be caused exclusively by hypoxia and ischemia. However, recent findings revealed an association of the NMS syndrome with the persistence of high concentrations of in utero neuromodulating hormones (neurosteroids) in the postnatal period. Anecdotal evidence demonstrated that a novel physical compression (squeeze) method that applies 20 min of sustained pressure to the thorax of some neonatal foals with this syndrome might rapidly hasten recovery. This survey provides information about outcomes and time frames to recovery comparing neonatal foals that were given this squeeze treatment to foals treated with routine medical therapy alone. Results revealed that the squeeze procedure, when applied for 20 min, resulted in a faster full recovery of some foals diagnosed with NMS. The adjunctive use of a non-invasive squeeze method may improve animal welfare by hastening recovery and foal-mare interactions that minimize health problems. This would also avoid or reduce costs arising from hospitalization associated with veterinary and nursing care that sometimes leads owners to elect for euthanasia.
Publication Date: 2017-09-05 PubMed ID: 28872596PubMed Central: PMC5615300DOI: 10.3390/ani7090069Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research is about the use of physical compression or “squeeze” procedure in managing Neonatal Maladjustment Syndrome (NMS), a disorder affecting newborn foals. The study reveals that this non-invasive method expedites full recovery, improves animal welfare, and potentially reduces hospitalization costs.

Research Background

  • The authors begin by explaining the critical milestones a newborn horse must achieve for survival, including the transition from intrauterine unconsciousness to extrauterine consciousness.
  • This transition process involves neuroactive hormones and several environmental inputs like cold, visual, olfactory, and auditory stimuli.
  • The research introduced a new consideration in this birth transition process – a direct neural reflex response to labor-induced physical compression of the fetus in the birth canal, commonly referred to as “squeezing.”

Neonatal Maladjustment Syndrome (NMS)

  • NMS is a disorder in newborn foals characterized by altered behavior, low affinity for the mare, poor awareness of the environment, failure to bond to the mother, and abnormal sucking, among other neurologically-based abnormalities.
  • Previously, NMS was believed to be caused exclusively by hypoxia and ischemia, which are altered events during birth.
  • Recent findings have associated NMS with the persistence of high concentrations of in utero neuromodulating hormones (neurosteroids) in the postnatal period.

Physical Compression (Squeeze) Method

  • Anecdotal evidence showed that applying a novel physical compression or squeeze method (that involves 20 minutes of sustained pressure to the foal’s thorax) could hasten recovery in some neonatal foals suffering from NMS.
  • The surveyed veterinarians provide information about recovery outcomes and timelines, comparing foals treated with the squeeze method to those treated with traditional medical therapy alone.

Research Findings

  • Results revealed that the squeeze procedure, if applied for 20 minutes, led to a faster complete recovery in some foals diagnosed with NMS.
  • The use of this non-invasive squeeze method could improve animal welfare by accelerating recovery and foal-mare interactions, thereby minimizing health issues.
  • The squeeze method could also reduce costs associated with hospitalization, veterinary care, nursing care, and even the potential decisions by owners for euthanasia due to excessive costs.

Cite This Article

APA
Aleman M, Weich KM, Madigan JE. (2017). Survey of Veterinarians Using a Novel Physical Compression Squeeze Procedure in the Management of Neonatal Maladjustment Syndrome in Foals. Animals (Basel), 7(9), 69. https://doi.org/10.3390/ani7090069

Publication

ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 7
Issue: 9
PII: 69

Researcher Affiliations

Aleman, Monica
  • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA. mraleman@ucdavis.edu.
Weich, Kalie M
  • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA. kmweich@ucdavis.edu.
Madigan, John E
  • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA. jemadigan@ucdavis.edu.

Conflict of Interest Statement

The authors declare no conflicts of interest. The founding sponsors had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, and in the decision to publish the results.

References

This article includes 36 references
  1. Mellor DJ, Lentle RG. Survival implications of the development of behavioural responsiveness and awareness in different groups of mammalian young.. N Z Vet J 2015 May;63(3):131-40.
    doi: 10.1080/00480169.2014.969349pubmed: 25266360google scholar: lookup
  2. Diesch TJ, Mellor DJ. Birth transitions: pathophysiology, the onset of consciousness and possible implications for neonatal maladjustment syndrome in the foal.. Equine Vet J 2013 Nov;45(6):656-60.
    doi: 10.1111/evj.12120pubmed: 24117932google scholar: lookup
  3. Mellor DJ, Diesch TJ. Birth and hatching: key events in the onset of awareness in the lamb and chick.. N Z Vet J 2007 Apr;55(2):51-60.
    doi: 10.1080/00480169.2007.36742pubmed: 17410211google scholar: lookup
  4. Mellor DJ. Integration of perinatal events, pathophysiological changes and consequences for the newborn lamb.. Br Vet J 1988 Nov-Dec;144(6):552-69.
    doi: 10.1016/0007-1935(88)90025-5pubmed: 3060214google scholar: lookup
  5. Mellor DJ, Diesch TJ. Onset of sentience: The potential for suffering in fetal and newborn farm animals.. Appl. Anim. Behav. Sci. 2006;100:48–57.
  6. Mellor DJ. Galloping colts, fetal feelings, and reassuring regulations: putting animal-welfare science into practice.. J Vet Med Educ 2010 Spring;37(1):94-100.
    doi: 10.3138/jvme.37.1.94pubmed: 20378886google scholar: lookup
  7. UC Davis International Animal Welfare Training Institute (IAWATI) Normal Foal vs. Maladjusted Foal. [(accessed on 4 November 2016)]; Available online: https://vimeo.com/190318093/06efdc9bfe.
  8. Rossdale PD, Leadon DP. Equine neonatal disease: A review.. J. Reprod. Fertil. 1975;23:658–661.
  9. Bernard WV, Reimer JM, Cudd T. Historical factors, clinicopathologic findings, clinical features, and outcome of equine neonates presenting with or developing signs of central nervous system disease.. Proc. Am. Assoc. Equine Pract. 1995;41:222–224.
  10. Ringger NC, Giguère S, Morresey PR, Yang C, Shaw G. Biomarkers of brain injury in foals with hypoxic-ischemic encephalopathy.. J Vet Intern Med 2011 Jan-Feb;25(1):132-7.
  11. Lyle-Dugas J, Giguère S, Mallicote MF, Mackay RJ, Sanchez LC. Factors associated with outcome in 94 hospitalised foals diagnosed with neonatal encephalopathy.. Equine Vet J 2017 Mar;49(2):207-210.
    doi: 10.1111/evj.12553pubmed: 26728952google scholar: lookup
  12. Aleman M, Pickles KJ, Conley AJ, Stanley S, Haggett E, Toth B, Madigan JE. Abnormal plasma neuroactive progestagen derivatives in ill, neonatal foals presented to the neonatal intensive care unit.. Equine Vet J 2013 Nov;45(6):661-5.
    doi: 10.1111/evj.12065pubmed: 23600660google scholar: lookup
  13. Madigan JE, Haggettt EF, Pickles KJ, Conley A, Stanley S, Moeller B, Toth B, Aleman M. Allopregnanolone infusion induced neurobehavioural alterations in a neonatal foal: is this a clue to the pathogenesis of neonatal maladjustment syndrome?. Equine Vet J Suppl 2012 Feb;(41):109-12.
  14. Estell KE, Aleman M, Pickles KJ, Conley AJ, Stanley S, Williams DC, Riley R, Madigan JE. Clinical signs, neurobehavioral score, and electroencephalography recordings associated with infusion of a pregnenolone derivative to induce neonatal maladjustment syndrome. Proceedings of the Annual Forum American College of Veterinary Internal Medicine Seattle, WA, USA. 12–15 June 2013.
  15. Toth B, Aleman M, Brosnan RJ, Dickinson PJ, Conley AJ, Stanley SD, Nogradi N, Williams CD, Madigan JE. Evaluation of squeeze-induced somnolence in neonatal foals.. Am J Vet Res 2012 Dec;73(12):1881-9.
    doi: 10.2460/ajvr.73.12.1881pubmed: 23176413google scholar: lookup
  16. UC Davis School of Veterinary Medicine Vet Med News. [(accessed on 29 April 2017)]; Available online: http://www.vetmed.ucdavis.edu/whatsnew/article.cfm?id=3508.
  17. Rossdale PD. The maladjusted foal: Influences of intrauterine growth retardation and birth trauma.. Proc. Am. Assoc. Equine Pract. 2004;50:75–126.
  18. McCue PM, Ferris RA. Parturition, dystocia and foal survival: a retrospective study of 1047 births.. Equine Vet J Suppl 2012 Feb;(41):22-5.
  19. Rossdale PD. Modern concepts of neonatal disease in foals.. Equine Vet J 1972 Jul;4(3):117-28.
  20. Holtan DW, Houghton E, Silver M, Fowden AL, Ousey J, Rossdale PD. Plasma progestagens in the mare, fetus and newborn foal.. J Reprod Fertil Suppl 1991;44:517-28.
    pubmed: 1795295
  21. Houghton E, Holtan D, Grainger L, Voller BE, Rossdale PD, Ousey JC. Plasma progestagen concentrations in the normal and dysmature newborn foal.. J Reprod Fertil Suppl 1991;44:609-17.
    pubmed: 1795303
  22. Madigan JE. Gumshoe sleuthing in the world of infectious disease and neonatology: Discoveries that changed equine and human health.. Proc. Am. Assoc. Equine Pract. 2014;60:101–131.
  23. Mellor DJ, Diesch TJ, Gunn AJ, Bennet L. The importance of 'awareness' for understanding fetal pain.. Brain Res Brain Res Rev 2005 Nov;49(3):455-71.
  24. Drexler B, Balk M, Antkowiak B. Synergistic Modulation of γ-Aminobutyric Acid Type A Receptor-Mediated Synaptic Inhibition in Cortical Networks by Allopregnanolone and Propofol.. Anesth Analg 2016 Oct;123(4):877-83.
    doi: 10.1213/ANE.0000000000001429pubmed: 27529315google scholar: lookup
  25. Giatti S, Garcia-Segura LM, Melcangi RC. New steps forward in the neuroactive steroid field.. J Steroid Biochem Mol Biol 2015 Sep;153:127-34.
    doi: 10.1016/j.jsbmb.2015.03.002pubmed: 25797031google scholar: lookup
  26. Cashin MF, Moravek V. The physiological actions of cholesterol.. Am. J. Physiol. 1972;82:294–298.
  27. Reddy DS. The role of neurosteroids in the pathophysiology and treatment of catamenial epilepsy.. Epilepsy Res 2009 Jul;85(1):1-30.
  28. Crossley KJ, Walker DW, Beart PM, Hirst JJ. Characterisation of GABA(A) receptors in fetal, neonatal and adult ovine brain: region and age related changes and the effects of allopregnanolone.. Neuropharmacology 2000 Jul 10;39(9):1514-22.
    doi: 10.1016/S0028-3908(99)00222-1pubmed: 10854896google scholar: lookup
  29. Conde-Agudelo A, Belizán JM, Diaz-Rossello J. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants.. Cochrane Database Syst Rev 2011 Mar 16;(3):CD002771.
  30. Bear RJ, Mellor DJ. Kangaroo mother care 1: Alleviation of physiological problems in premature infants.. J. Perinat. Educ. 2017;26:117–124.
  31. Bear RJ, Mellor DJ. Kangaroo mother care 2: Potential beneficial impacts on brain development in premature infants.. J. Perinat. Educ. 2017;26.
  32. Moore ER, Bergman N, Anderson GC, Medley N. Early skin-to-skin contact for mothers and their healthy newborn infants.. Cochrane Database Syst Rev 2016 Nov 25;11(11):CD003519.
  33. McCallie KR, Gaikwad NW, Castillo Cuadrado ME, Aleman M, Madigan JE, Stevenson DK, Bhutani VK. Skin-to-skin contact after birth and the natural course of neurosteroid levels in healthy term newborns.. J Perinatol 2017 May;37(5):591-595.
    doi: 10.1038/jp.2016.268pmc: PMC5415704pubmed: 28102853google scholar: lookup
  34. Scher MS, Ludington-Hoe S, Kaffashi F, Johnson MW, Holditch-Davis D, Loparo KA. Neurophysiologic assessment of brain maturation after an 8-week trial of skin-to-skin contact on preterm infants.. Clin Neurophysiol 2009 Oct;120(10):1812-8.
  35. Mellon SH, Griffin LD, Compagnone NA. Biosynthesis and action of neurosteroids.. Brain Res Brain Res Rev 2001 Nov;37(1-3):3-12.
    doi: 10.1016/S0165-0173(01)00109-6pubmed: 11744070google scholar: lookup
  36. Denworth L. The social power of touch.. Sci. Am. Mind. 2017;26:30–39.

Citations

This article has been cited 7 times.
  1. Bienboire-Frosini C, Muns R, Marcet-Rius M, Gazzano A, Villanueva-García D, Martínez-Burnes J, Domínguez-Oliva A, Lezama-García K, Casas-Alvarado A, Mota-Rojas D. Vitality in Newborn Farm Animals: Adverse Factors, Physiological Responses, Pharmacological Therapies, and Physical Methods to Increase Neonate Vigor.. Animals (Basel) 2023 May 4;13(9).
    doi: 10.3390/ani13091542pubmed: 37174579google scholar: lookup
  2. Holdsworth SE, Kells NJ, Vallée E, Ward N, Mellor DJ, Beausoleil NJ. Evaluating the Behavioural Responses of Healthy Newborn Calves to a Thoracic Squeeze.. Animals (Basel) 2022 Mar 26;12(7).
    doi: 10.3390/ani12070840pubmed: 35405830google scholar: lookup
  3. Holdsworth SE, Kells NJ, Chidgey KL, Vallée E, Ward N, Mellor DJ, Beausoleil NJ. Characterisation of the Behavioural Effects of a Thoracic Squeeze in Healthy Newborn Piglets.. Animals (Basel) 2021 Aug 22;11(8).
    doi: 10.3390/ani11082465pubmed: 34438922google scholar: lookup
  4. Aleman M, Chigerwe M, Varga A, Madigan JE. Steroid precursors, steroids, neuroactive steroids, and neurosteroids concentrations in serum and saliva of healthy neonatal heifer Holstein calves.. J Vet Intern Med 2020 Nov;34(6):2767-2775.
    doi: 10.1111/jvim.15957pubmed: 33201530google scholar: lookup
  5. Mellor DJ. Preparing for Life After Birth: Introducing the Concepts of Intrauterine and Extrauterine Sensory Entrainment in Mammalian Young.. Animals (Basel) 2019 Oct 18;9(10).
    doi: 10.3390/ani9100826pubmed: 31635383google scholar: lookup
  6. Mellor DJ. Tail Docking of Canine Puppies: Reassessment of the Tail's Role in Communication, the Acute Pain Caused by Docking and Interpretation of Behavioural Responses.. Animals (Basel) 2018 May 31;8(6).
    doi: 10.3390/ani8060082pubmed: 29857482google scholar: lookup
  7. Tribe RM, Taylor PD, Kelly NM, Rees D, Sandall J, Kennedy HP. Parturition and the perinatal period: can mode of delivery impact on the future health of the neonate?. J Physiol 2018 Dec;596(23):5709-5722.
    doi: 10.1113/JP275429pubmed: 29533463google scholar: lookup