Szenci Ottó
Department of Obstetrics and Food Animal Medicine Clinic, University of Veterinary Medicine Budapest, Dóra Major, H-2225 Üllő, Hungary.
Animals (Basel). 2023 Mar 17;13(6):1081. doi: 10.3390/ani13061081.
Prior to initiating any obstetrical intervention for anterior or posterior presentation, it is imperative to emphasize the need for a precise and accurate diagnosis of fetal viability and to select the most appropriate approach for assistance. In uncertain cases, diagnostic tools such as ultrasonography, pulse oximeter, or measurement of acid-base balance or lactate concentration may be employed to confirm the diagnosis. In situations of severe asphyxia, a cesarean section is preferred over traction, even if the duration of asphyxia is less than 60 s, to maximize the likelihood of the survival of the fetus. Postcalving, several vitality scores have been proposed to evaluate the vigor of the newborn calf. Originally, four different clinical signs were recommended for assessing the well-being of newborn calves. Subsequently, five or more different clinical signs were recommended to evaluate vitality. However, despite the efforts for devising a practical tool to assess newborn calf vitality; a user-friendly and highly accurate instrument that can be used on farms remains elusive. Measuring the acid-base balance or lactate concentration may increase the diagnostic accuracy. It is critical to emphasize the importance of reducing the incidence of dystocia to mitigate the occurrence of severe asphyxia. In instances where asphyxia is unavoidable, adequate treatments should be administered to minimize losses.
在对前位或后位分娩进行任何产科干预之前,必须强调准确诊断胎儿活力的必要性,并选择最合适的辅助方法。在不确定的情况下,可使用超声检查、脉搏血氧仪或测量酸碱平衡或乳酸浓度等诊断工具来确诊。在严重窒息的情况下,即使窒息持续时间少于60秒,剖宫产也比牵引更可取,以最大程度提高胎儿存活的可能性。产后,已提出几种活力评分来评估新生犊牛的活力。最初,推荐用四种不同的临床体征来评估新生犊牛的健康状况。随后,推荐用五种或更多不同的临床体征来评估活力。然而,尽管努力设计一种实用工具来评估新生犊牛的活力,但一种可在农场使用的用户友好且高度准确的仪器仍然难以找到。测量酸碱平衡或乳酸浓度可能会提高诊断准确性。强调降低难产发生率以减轻严重窒息发生的重要性至关重要。在无法避免窒息的情况下,应给予适当治疗以尽量减少损失。