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Calcium
Gluconate to Enhance Cervix Dilation
by Elaine M. Eidmiller, Seven Maples
Dairy Goats, Oil City, PA
Sometimes
during kidding season, a doe will have trouble with a labor that is
not progressing as it should. One of the reasons this might happen is
due to the cervix not dilating. I would like to share with you one of
my experiences with an uncooperative cervix that might help any of you
with future kiddings. There is a bad part
and a good part -- the good part being the lesson learned.
I had a first-freshening Alpine
named Molly May. I did not think she was even bred as she had gone past
2 possible due dates and didn't look like she was pregnant. She showed
no signs of developing an udder, swollen vulva, broken tail, or any
other signs of pregnancy. When she was 9 days past the second due date,
I went down to
do barn work and she was running around with a foot presenting itself
under her tail. But when I checked to help her I had a foot sticking
out and another foot, and the cervix was clamped shut -- no dilation
at all; she had probably opened, had problems, and then shut down. Because
the baby was presenting and she was pushing, I thought just keep pulling
with her and, hopefully, the cervix would gradually redilate and the
baby would come out. It did, but with it around the head, right in front
of the forehead, was a white headband -- it seemed that the cervix had
torn and come out around the kids head. I treated her with antibiotics
and she did milk a little bit for awhile, but I couldn't wean her away
from the antibiotics. She would always go back to infectious drainage
and one problem after another. I felt really bad, but in consultation
with my vet, he believed that with the torn cervix there was no viable
avenue we could pursue to resolve her problems. So, unfortunately, I
lost Molly May -- the infections were too much for her. That was the
bad part of this story.
The good part is the lesson I learned
from losing Molly May. And when we lose a doe, sometimes in order to
get past the guilt of wondering whether we did enough for that doe,
or the sadness over losing one of our beloved friends, we have to look
at what that doe's loss taught us that will help us to deal with like
situations in the future. Losing Molly May like that and talking about
the undilated cervix with others, I learned about the use of Calcium
Gluconate as a method of opening the cervix over other things, like
Oxytocin.
If you have a doe that is pushing
and a cervix that doesn't want to dilate or the labor is going on too
long and nothing happening -- you can give Calcium Gloconate subcutaneously
or orally and it will aid in the progression of labor and the dilation
of the cervix. I was able to use this on a doe a couple of years ago
and found that it does work. I had a Togg second freshener that was
having trouble pushing. I could get a finger in the cervix and feel
that the bag was broken and I felt a foot. But, manual dilation was
not working and the doe was becoming stressed by her exertions.
Although it was so hard to do, I did what I had been told to do. I gave
her 40 cc of Calcium Gluconate and waited. The 40 cc were given subcutaneously
over 4 injections sites, 10 cc each, across the back. The injections
should also be given slowly. You can also give the Calcium Gluconate
orally. You would use the same amount.
After an hour, I went back in and
the cervix was wide open and I was able to assist and get the kid repositioned
to where it was able to be delivered. Amazingly enough, both the first
kid and the kid behind it lived and were fine. As long as their umbilical
cord was intact they were able to stay alive, even though they were
not still enclosed in a bag.
Previously, what I had given for
unprogressive labors was Oxytocin. However, the use of Oxytocin, if
not timed properly, may close the cervix rather than open it. In addition,
as explained by my vet, the Oxytocin causes severe contractions, that
if given with an unprogressive cervix, can cause problems with tearing.
A safeguard for enhancing labor,
improving cervix dilation, and preventing retained placentas is the
injection of BoSe prior to delivery. There are several schools of thought
on these shots. Some people are giving the shots 4 weeks before or 10
days before, while others are giving 2 sets of shots. It is best to
work with what is necessary for your area, i.e., whether you are in
a selenium-deficient area or not, what has worked for your herd in the
past, and also in consultation with your vet.
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