Vandeplassche M
Equine Vet J. 1980 Apr;12(2):45-9. doi: 10.1111/j.2042-3306.1980.tb02307.x.
The author reviews 40 years of clinical experience including more than 1000 cases of dystocia in mares of different breeds. The high incidence of stillbirth and perinatal mortality of the foal, severe lesions of the genital tract developing during foaling and in the early post partum period are discussed and suggestions made for their prevention and treatment. The advantages of partial embryotomy to avoid unnecessary caesarean sections are emphasised. Special attention is given to the causes of and approach to cases of prolonged gestation; to dystocia caused by retroversion of preparturient torsion of the uterus; and to transverse presentation developed from bicornual pregnancy, regarded as the most important indication for caesarean section. Recommendations are proposed to improve the results of caesarean section for the mare and foal.
作者回顾了40年的临床经验，其中包括1000多例不同品种母马难产的病例。讨论了死产和新生驹围产期死亡率的高发生率、分娩期间及产后早期生殖道出现的严重病变，并提出了预防和治疗建议。强调了部分胚胎切开术相对于避免不必要剖腹产的优势。特别关注了妊娠期延长病例的病因及处理方法；产前子宫扭转后倾引起的难产；以及双角妊娠导致的横位难产，这被视为剖腹产的最重要指征。还提出了提高母马和新生驹剖腹产效果的建议。
