Prolapso Uterino em primípara da raça Nelore

Abstract

Introduction: Uterine prolapse in cattle is a significant clinical condition, especially in beef and dairy farming, affecting reproductive productivity and the profitability of farms. The condition is related to the loss of structural support of the uterus, commonly associated with dystocia, hypocalcemia, and improper management of parturition. Treatment depends on the severity and complications, which may include manual maneuvers and surgical interventions. Methodology: The case involves a primiparous cow with postpartum uterine prolapse, occurring on a farm in Goiás. The initial procedure included washing with cold water and disinfectants, followed by a manual maneuver to reposition the uterus, but difficulties arose due to the pressure from the intestinal loops. The animal was then lifted to relieve abdominal pressure, and the repositioning was successfully performed, followed by vulvar suturing to prevent recurrence. Antibiotic and anti-inflammatory medications were administered, and the animal was monitored for the first 24 hours. Discussion: Uterine prolapse is more common in multiparous cows but can occur in primiparous cows due to the immaturity of the reproductive system. Factors such as disturbances in uterine muscle tone and increased intra-abdominal pressure during parturition contribute to the exteriorization of the uterus. The initial approach, including elevating the animal and washing the uterus, is crucial for treatment success. Manual repositioning should be done carefully to avoid damage to organs and complications like infections or injuries. Vulvar fixation suturing and the use of antibiotics are essential for the animal's recovery and prevention of secondary infections. Conclusion: Uterine prolapse in cattle, especially in primiparous cows, requires rapid diagnosis and appropriate management to avoid complications and promote recovery. Repositioning techniques, suturing, and post-procedure monitoring are fundamental for successful treatment. Prevention of prolapse can be achieved through proper management practices and post-partum care.