The Visual Guide to
Bovine Reproduction
Postpartum Care: Prolapsed Uterus
Prolapsed Uterus in a Holstein Cow.
Total prolapse of the uterus in a hypocalcemic Holstein cow.
Risco CA (1984)
Intestinal Prolapse into a Prolapsed Uterus.
Fatal complication of a prolapsed uterus in a postpartum dairy cow. Intestines were present in the prolapsed uterus.
Risco CA (1984)
Uterine Prolapse.
Uterine prolapse in a downer postpartum cow. The muddy, contaminated environment is a sad commentary for a calving area.
Risco CA (1984)
Replacement in the Standing Cow.
It is best for the cow to stand during replacement of the prolapsed uterus. Epidural anesthesia is administered to abolish straining. The uterus is cleaned with soap and water. Inversion should be started at the end of the prolapsed mass.
Risco CA (1984)
Intussusception of the Tip of the Horn.
Inversion of the tip of the uterine horn following incomplete replacement after uterine prolapse.
Risco CA (1984)
Treatment after Replacement of the Prolapse.
After the prolapsed uterus has been replaced, the uterus is infused with 8 to 10 liters of fluid to ensure complete redeployment of the tips of the uterine horns. Plain water may be used, after which 20 IU of oxytocin, calcium gluconate, and systemic antibiotics are administered.
Risco CA (1984)
Prolapsed Uterus in a Jersey Cow.
The recumbent cow that will not rise is placed on her chest and her hind legs are pulled out behind her. This tilts the pelvis which is helpful in replacement.
Hunnicutt BA (1995)
Use of a Tray to Replace a Prolapsed Uterus.
Elevation of the prolapsed uterus prior to replacement is very helpful. The veterinarian uses a tray to support the uterus.
Hunnicutt BA (1995)
Replacement of a Prolapsed Uterus.
Use of a tray elevates the prolapsed uterus above the level of the pelvic floor for a gravity-assisted replacement.
Hunnicutt BA (1995)
Prolapsed Uterus Replaced.
Once the prolapsed uterus has been replacement no retention sutures are needed. The cow is given oxytocin, calcium gluconate and antibiotics.
Hunnicutt BA (1995)
Prolapsed Uterus in an Angus Cow.
Total, fresh, prolapsed uterus in an Angus cow in Argentina. Rings of the fully dilated cervix are exposed.
Iturreria M (2009)
Prolapsed Uterus in a Holstein Cow.
Complete prolapsed uterus in a Holstein cow. Probably due to hypocalcemia.
Blough E (2013)
Prolapsed Uterus in a Holstein Cow.
Complete prolapsed uterus in a Holstein cow. Moderate hypocalcemia, the cow is still able to stand. Cleaned up before the pictures was taken.
Blough E (2013)
Prolapsed Uterus in a Holstein Cow.
Complete prolapsed uterus in a Holstein cow. Moderate hypocalcemia, the cow is still able to stand. Cleaned up before the pictures was taken. The cow on the right has normal retained fetal membranes.
Blough E (2013)
Prolapsed Uterus in a Jersey Cow.
Total prolapse of the postpartum uterus in a downer Jersey cow of several hours duration, judging by the dark discoloration. Hypocalcemia leading to a flaccid uterus is a predisposing factor.
Shipley C (2006)
Prolapsed Uterus in a Jersey Cow.
After the administration of epidural anesthesia the prolapsed uterus is thoroughly cleansed. A clean sheet of plastic can be laid underneath the prolapsed mass. The perineal area should also be cleaned.
Shipley C (2006)
Prolapsed Uterus in a Jersey Cow.
The prolapsed mass should be elevated above the level of the pelvic floor and a small amount of sterile lubricant applied.
Shipley C (2006)
Prolapsed Uterus in a Jersey Cow.
The distal part of the prolapse is reinserted first keeping your fingers together to avoid poking sharp fingers through the wall of the uterus.
Shipley C (2006)
Prolapsed Uterus in a Jersey Cow.
It is important to reach into the uterus as far forward as possible to re-invert the tips of the horns and to minimize the mass of tissue in the vagina to avoid subsequent straining after the epidural anesthesia wears off. The rear quarters should also be washed off to avoid flies.
Shipley C (2006)
Prolapsed Uterus in a Jersey Cow.
A deeply placed purse string suture is used by some veterinarians to prevent recurrence. It may be redundant if the cow is treated with calcium gluconate and oxytocin to render the uterus firm.
Shipley C (2006)
Amputation of the Uterus.
Chronic prolapsed uterus. Severe trauma and induration. Amputation indicated.
Villarroel A (2013)
Amputation of the Uterus.
Amputation of the necrotic prolapsed uterus at the level of the everted cervix. Ready for replacement of the ligated cervix.
Villarroel A (2013)
Ruptured Uterine Artery.
This is the uterus from a cow that died after a cesarean section because the uterine artery had been stretched and torn. Rupture of the uterine artery may also occur at the time of a uterine prolapse. While the uterus is prolapsed the torn artery may be compressed. Upon replacement of the prolapsed mass the cow will bleed (out) into the broad ligament.
Utrecht (1976)
Re-inversion of the Prolapsed Uterus.
A stomach tube and a funnel are used to fill the uterus with clean water or very mild disinfectant solution after replacement to aid in re-extending the tips of the uterine horns.
Utrecht (1976)
Prolapsed Uterus and a Double Cervix.
Difficult replacement of the uterus in a cow with a double cervix through the larger of the two external ora. Cow in sternal recumbency and under epidural anesthesia. There was also a persistent median band caudal to the two cervices.
Zawisza D (2012)
Prolapsed Uterus and a Double Cervix.
Presence of a persistent vertical median band caudal to the two external cervical ora. The larger cervical os is on the left.
Zawisza D (2012)
Prolapsed Uterus and a Double Cervix.
Vaginal prolapse in a Guernsey heifer (2 days fresh) with a double cervix. A calving snare enters one cervical os and passes out the other cervical os.
Zawisza D (2012)
Ruptured Uterine Artery.
This is the uterus from a cow that died after a cesarean section because the uterine artery had been stretched and torn, leading to fatal hemorrhage.
Utrecht (1976)