AQHA Magazine September / October 2020 | Page 33

PG.31 STAGE 2: This stage starts with the breaking of the chorioallantoic membrane and the passage of fluid from the vulva (‘water breaking’). During a normal delivery, the foal’s feet are presented at the vulva within three minutes of the water breaking followed by the head at five minutes. They may be covered by the thin bluish/ white amnionic membrane, which can be removed from over the foal’s nose/ mouth. Some mares may get up and change position during this stage. Stage 2 ends with the foal being born. This stage normally lasts for 10-45 minutes with constant progression of the foal out of the vulva. The mare often lies quietly for 10- 15 minutes following foaling. ONCE THE PLACENTA HAS SEPARATED (RED BAG DELIVERY), THE FOAL IS NOT RECEIVING ANY OXYGEN UNTIL IT IS OUT AND BREATHING. STAGE 3: This stage involves the passage of the placental membranes after foaling. The placenta is normally passed within 30 mins to 3 hours after foaling. The mare may display some mild signs of discomfort during this time. There are a variety of foaling problems that can occur and the clinical signs for each can differ greatly depending on what is wrong. Some problems are obvious, i.e. the foal not emerging, the placenta being delivered before the foal or placental retention. Other problems have more subtle or absent clinical signs immediately after foaling. DYSTOCIA Dystocia is the most commonly encountered foaling problem. This is where the foal is having trouble coming out. This may be due to an abnormal position (e.g. leg or head flexed back or in breech position), abnormalities of the foal (such as severe flexural deformities) or a very large foal. If the mare’s water has broken and you do not see two legs and a head within five minutes (e.g. if you see nothing or only one leg) or the foal stops advancing during the delivery, you must contact your veterinarian immediately. If your mare is having birthing problems you only have a narrow window in which to seek veterinary help for a favourable outcome. However, some dystocias cannot be corrected in the field, and may require referral to an equine hospital for further assistance and potential caesarean. These often have a more serious prognosis. The outcomes of the mare and foal are often tied to the length of time of dystocia prior to resolution, i.e. the quicker you get help, the more favourable the outcome may be. RED BAG DELIVERY Premature placental separation or ‘red bag delivery’ is where the placenta has detached from IMAGES FROM THE TOP DOWN: Three examplies of dystocia (problem foalings). Photo source Equine Reproduction, Second Edition by Angus McKinnon et al. ABOVE IMAGE: Red bag delivery where the placenta is delivered before the foal. Quick action is required because the foal will not be receiving oxygen until it is out and breathing. Photo sourced from: www.vetnext.com. SEPTEMBER/OCTOBER ISSUE 2020