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-Height should be
measured in dorso-
ventral plane
-3 day 95%
confidence interval
between 6-23mm
-8 day 95%
confidence interval
between 27-56mm
.
The recommended days of gestation that pregnancy evaluations are performed using transrectal
ultrasound can vary between practitioners. Below is a suggested timeline of evaluations and
checkpoints to identify potential problems, ensure pregnancy health, and allow an opportunity to
breed again if the pregnancy is lost:
1) Day 14 and Day 16: Identify pregnancy and eliminate a twin vesicle if needed prior to the
end of the mobility phase. After day 16 post-ovulation it becomes more difficult to
manipulate the vesicles or separate them for elimination. The early check at day 14
allows for determination of uterine health (excessive edema, relaxed cervix, free fluid,
low progesterone levels) to determine if intervention is needed (supplemental
progestogens, anti-inflammatories, antibiotics).
2) Day 28-30: To ensure presence of fetal heartbeat, identify twin vesicles if previously not
seen and before endometrial cup formation. Evaluate the conceptus’ position within the
uterus, and normal development.
3) Day 40-45: To determine normal anatomy of conceptus, confirm heartbeat, and presence
of normal anechoic fetal fluids, often considered an elective check.
4) Day 60-65: Assess fetal gender, heartbeat, character of fetal fluids.
5) Day 90: May consist of only a transrectal palpation, as the pregnancy has dropped over
the pelvic brim and the fetus can be difficult to stage at this time
6) Day 110-220: Often the “late summer/fall check”. Traditionally performed by palpation
alone. Using transrectal or transabdominal ultrasound, this can be an opportunity to
assess fetal health, gender (gonads or external genitalia or teats), and placental health
(CTUP, echogenicity of the fetal fluids).
7) Day 220-term: Most practitioners will not be asked to evaluate mares unless there is a
suspicion of placentitis (premature mammary gland development, vaginal discharge), the
mare has a history of abnormal pregnancy, or the mare has become systemically ill and
there is concern regarding fetal well-being.
In the mare presented for breeding the list above can also be included but additional uses of
transrectal ultrasound would include:
1) Identifying the current stage of the mare’s estrous cycle.
2) Identifying abnormal fluid accumulation relative to ovulation, cervical relaxation, or
relative to stage of the estrous cycle.
3) Identifying abnormal endometrial edema relative to ovulation and stage of the estrous
cycle.
4) Identifying normal progression and ovulation of ovarian follicles and formation of a
corpus luteum.
5) Facilitating fluid evaluation from the uterus with manual manipulation.
6) Identifying abnormal air, debris, fluid in the vagina, vestibule, or uterus that would
warrant surgical correction or treatment depending on what and when it is identified.
REFERENCES