« .■<^ r / // Digitized by tine Internet Arcinive in 2009 witii funding from NCSU Libraries littp://www.arcliive.org/details/veterinaryobstetOOvana Veterinary Obstetrical Compendium FEMALE GENERATIVE ORGANS The genital organs of the female are much more com- plicated than those of the male, because of the far greater share they take in the process of generation. They are usually described, according to their situation, as external and internal. These organs may be enumerated as follows : The ex- ternal organs consist of the vulva and udder (mammae), the internal organs of the vagina, womb, Fallopian tubes and ovaries. These organs will be described in the above mentioned order. EXTERNAL ORGANS OF GENERATION. THE VULVA OF THE MARE. THE VULVA is the external orifice of the generative organs, which appears as a vertically elongated slit, situat- ed beneath the anus, and between the posterior margins of the two hind quarters. It presents two thick lips (labia), and two angles (Commissures), externally; and internally it forms a cavity which is continuous with that of the vagina. THE LIPS (labiae vulvae) are usually in contact, and they, with the opening which separates them (rimae vul- va) , vary in size according to age and condition. They are 8 Obstetrics — Domesticated Animals. slightly prominent and thick, being composed of firm, flexible, and elastic tissue, which is covered with a fine, smooth skin destitute of hair. Internally, they are cov- ered by mucous membrane, a continuation of that lining the vagina, and which is constantly lubricated by a greasy mucus possessing a special odor, according to the species of the animal; on the free border of the vulva this mem- brane and the skin meet. THE ANGLES situated at the junction of the lips Fig. 1. THE GENERATIVE ORGANS OF THE MARE. 1, Body of the Womb; 2. 2. Horn of the Womb; 3, Vagina; 4, Bladder; 5, Rectum; 6, Round Muscle of the Anus; 7, Constrictor Muscle of the Vulva; 8, Bulb of Vagina; 9, Ovary and Fringe-like prolongations (Fimbriae) of Fallopian Tube; 10, Fallopian Tube; 11, Kidney; 12, 12, Broad Ligament. above and below are the two angles. The upper angle (superior commissure) is situated close to the anus, from which it is only separated by a narrow space — the (per- inaeum). It is very angular. The lower angle (inferior Obstetrics — Domesticated Animals. 9 commissure) is obtuse, rounded and more voluminous; it lodges the clitoris which is a small organ, from two to three inches in length; its free extremity is enveloped in a mucous cap, which is plicated in different directions; and towards the center of this organ is found a cavity con- taining sebaceous matter, and which represents that in the extremity of the male penis. In every respect the clitoris resembles that organ, having a fibrous frame-work, erectile tissue, vessels, and a pair of muscles, the (erectores clitor- idis). This organ is more especially the seat of venereal excitation during sexual intercourse (coition). It is pres- ent in all the domesticated female animals, and is fre- quently erected while they are in "heat," as well as in the act of copulation. It is abundantly supplied with nerves, which endow it with most acute sensibility. Toward the termination of pregnancy, the lips or labia becomes tumified and soft, the lower angle descends, the vulvar opening is enlarged, and from it is discharged a quantity of tenacious stringy mucous. In ordinary cir- cumstances the vulva is retracted, and with Mares which have foaled several times the lips usually exhibit as many wrinkles or folds as parturition has been frequent. DIFFERENCES IN THE VULVA OF OTHER ANIMALS. COW. In the Cow the lips of the vulva are larger, softer, and thicker than in the Mare, and the lower angle which is pro- longed into a curved peak, is furnished with a tuft of hair. The clitoris is longer, and more tortuous and slender than in the Mare. The same changes occur in the vulva of the Cow as in the Mare during heat, and towards the termina- tion of pregnancy; the mucus secretion of the vagina is more abundant in the Cow, however, and persists longer. 10 Obstetrics — Domesticated Animals. SHEEP. In the Sheep which has not copulated, a filamentary band, stretching across the constriction between the urinary-genital canal and the vagina, represents the hy- men. And the clitoris protrudes immediately within the peak of the vulva. PIG. In the Pig, the upper angle of the vulva is still more acute and pointed than in the Cow and Ruminants in general. The clitoris is comparatively small. BITCH AND CAT. In the Bitch the vulva is triangular, and the lower angle is acute. The clitoris is a small tubercle. In the Cat a small cartilage or bone exists in the clitoris; this is not found in any of the other domesticated animals. THE PERINAEUM. THE PERINAEUM is the name given to the space between the upper angle of the vulva and the lower margin of the anus. Its length varies in different species, and in different sized animals of the same species; but it is shorter in creatures which have produced young than in those which have not. Externally it presents a smooth, fine, and very elastic skin, with the vertical prominent line passing down its middle — called the "raphe," beneath this are fatty tissue, various muscles, bloodvessels, and nerves. THE BULB. The internal limits of the vulva are defined by the bulb, which forms a marked prominence in early life, but tends to disappear in relaxed folds after the animal has brought forth young several times. The dimensions of this aper- ture are rather adapted for the passage of the young than Obstetrics — Domesticated Animals. 11 the penis; though its narrowness is sometimes an obstacle to the delivery of the young. The head, body or limbs of the young are at times arrested at the upper angle, which they so distend as to threaten laceration of the perinaeum. In emaciated animals, and particularly Mares, the vulva is deeply retracted, and consequently disposes them to be injured in this region during copulation, by the accidental introduction of the male organ into the anus — the me- chanical action of which damages, and may even rupture, the rectum, which occurrence has terminated in the death of Mares. THE UDDER (MAMMAE) OF THE MARE. THE UDDER is composed of glands destined to se- crete the fluid — milk — which is to nourish the young animal for some time after birth. In early life the udder is rudimentary, but becomes developed with age, and attains its full dimension when the female is capable of reproduction; and especially at the full period of gesta- tion, when its function is about to be carried on actively. After the delivery of the young, the largest development of the udder is reached, and when the young creature has completed its term of sucking, the udder becomes inactive and diminishes considerably in size. The Mare has two udders, which are placed beside each other, about nine inches in front of the vulva, where they take the place of the scrotum in the male. Externally they appear as two hemispherical masses, separated by a shallow furrow; each has in its center a conical, slightly flattened prolong- ation named the teat or nipple, which is perforated by several orifices from which the milk escapes, and by which the young creature obtains that fluid by suction. The glands of the udders are retained in their position by the fine, thin skin covering them, which is destitute of 12 Obstetrics — Domesticated Animals. hair at the extremity of the teats, though elsewhere pro- vided with a soft, short down. The milk reservoirs (galactophorous sinuses) are sit- uated slightly above the base of the teat, and are generally two in number — one in front, the other behind; though there are sometimes three, and even four. These reser- voirs nearly always communicate with each other, and are prolonged into the teat by a corresponding number of terminal and independent excretory canals, whose or- ifices are always very narrow, and are seen at the free extremity of the teat, which is obtuse and rounded. These excretory canals are much wider at the base of the teat than at the extremity; the orifices are about a line apart, and the canal and orifices are lined by a fine membrane which is continuous with the skin. The length of the teats varies with use. MODIFICATIONS OF THE UDDER AT PUBER- TY AND BEFORE PARTURITION IN THE MARE. In the young and virgin Mare, the udders are hard and can scarcely be perceived; and their dimensions are not much increased in those which have had only one or two foals, though the teats are usually larger than before. When they have borne several foals, the udder continues somewhat enlarged and pendulous. At the termination of gestation, the udder is greatly increased in size, and in- stead of its being soft to the touch it now feels firm. Shortly before the delivery of the young (parturition) the secretion of milk commences, and soon after that event the glandular cavities become fully distended, and assume their maximum dimensions, which are maintained, with slight variations, during the entire period of lactation. When this period is terminated, the secretion gradually Obstetrics — Domesticated Animals. 18 ceases, and the gland again assumes its quiescent condi- tion, and nearly its ordinary size. DIFFERENCE IN OTHER ANIMALS. COW. In the Cow, as in the Mare, although developed in a single fibrous capsule or sac, is made up of two quite dis- tinct glands — or "quarters," as they are generally termed — and which can be seen, or felt, by a slight depression. Fig. 2. SECTION OF UDDER OF COW. a, Front Quarter; b. Back Quarter; g. Septum or Dividing Line Between the Quarters; c, c, Section of the Milk Ducts; d, d, Milk Cistern (Lactiferous Sinus) ; e, e, Orifice of the Teat; f, Large Lymph Gland in the Back Quarter. Each gland has its corresponding teat, much more devel- oped than that of the Mare. The Cow really possesses four udders and four teats. In the center and at the base of each teat, there is a single large cavity, which is the general confluent of all the milk ducts, and opens exter- nally through the teat by a single excretory canal. This 14 OhSTETRICS — DoMliSTlCATED AnJMAI.S. canal is widest at its commencement, and narrow at its termination at the end of the teat. The walls of the teats are very thick, elastic, and retractile. Not infrequently there are found behind the four teats one or two rudi- mentary teats, which are generally imperforate; though in very rare instances they have been observed to be per- forated and to yield milk. The teats of the Cow are generally two and a half to three and a half inches in length; this length varies ac- cording as the animal has reared a large or small number of calves. The two forward teats are generally the longest, and the corresponding quarters furnish more milk than the others. The muscle around the free extremity of the teat, prevents the passive escape of the milk from the or- ifices of the excretory ducts; for if a small canula, scarcely larger than one of these ducts, be inserted slightly beyond the orifice, the milk immediately flows. And when the end of a teat has been wounded, or when the muscle of this part has been divided in the performance of some operation, there is no longer any obstacle to the emis- sion of the milk. In the Cow, the secretion of milk can be excited and maintained by regular milking, the only suspension oc- curring before the birth of another calf. SHEEP AND GOAT. In the Sheep and Goat there are only two udders, as in the Mare and Ass, but the formation is on the same plan as in the Cow. The udders are somewhat hemispherical and voluminous, particularly in the Goat, and each udder is provided with a single conical, well-detached teat. The cavity or milk reservoir of each teat is very large, the walls of the teat being thin; the milk reservoir is in some in- stances capable of retaining nearly three ounces of milk. PIG. In the Pig the udders are ten or twelve in number, dis- posed by pairs in two parallel rows. They have not, as in Obstetrics — Domesticated Animals. 15- the larger animals, any milk reservoirs, the milk canals of each teat joining directly to form a variable number of ex- cretory ducts, which open at the free extremity of the teat by from five to ten orifices. The udders of the Pig are scarcely perceptible while they are not active; but during lactation they form two series of well developed eminences divided on the middle line by a wide and deep furrow. BITCH. In the Bitch there are eight to ten udders, arranged as in the Pig. FUNCTIONS OF THE UDDER. The secretion of milk is the special function of the ud- der, and takes place in the caecal vesicles of the lobules. The milk is conveyed from these into the milk ducts and milk reservoir, where it is stored until a certain period; this retention after a time distends the glands very much, and puts the elastic envelop greatly on the stretch; while the teats also increase in size, length and firmness. When this distention becomes excessive, it causes the animal uneasiness and pain, and if not relieved by natural or artificial means it may occasion mischief. INTERNAL ORGANS OF GENERATION. The internal or formative organs of generation are contained within the pelvis and abdomen, and comprise the VAGINA, WOMB (UTERUS), FALLOPIAN TUBES and OVARIES. THE VAGINA OF THE MARE. THE VAGINA of the Mare is a canal which extends almost horizontally within the pelvic cavity, from the vulva to the womb. (Fig. 1, Sec. 3.) The dimensions of 10 Obstetrics — Domesticated Animals. Fig. 3. GENERATIVE ORGANS OF THE MARE: ISOLATED AND PARTLY OPENED. 1, 1, Ovaries; 2, 2, Fallopian Tubes; 3, Pavilion of the Tube, External Face; 4, Inner Face of Pavilion of the Tube; 5, Ligament of the Ovary; 6, Intact Horn of the Womb; 7, A Horn Opened; 8, Body of the Womb, Upper Face; 9, Broad Ligament; 10, Neck of Womb; 11, Cul-de-sac of the Vagina; 12, Interior of the Vagina; 13, Openin]^ of the Urethra (Urinary Meatus); 14, Valve Closing over the Orifice of the Urethra; 15, a Vestige of the Hymen; 16 Interior of the Vulva; 17, Clitoris; 18, 18, Lips of the Vulva. Obstetrics — Domesticated Animals. 17 this canal varies, and the walls are thin. Located above the vagina is the rectum (Fig. 1, Sec. 5), and below it is the bladder (Fig. 1, Sec. 4) ; on each side are the ureters and the walls of the pelvis, and back of it is found fatty and loose connective tissue. Usually the walls or sides of the vagina are in contact. Its length is variable, but in a full- sized Mare is generally about a foot long. Internally it is lined with a thin mucous membrane, which is always abundantly covered with mucous, which is dispsed in longitudinal wrinkles or folds. These folds no doubt fa- vor the dilitation of the canal during copulation, or during the passage of the young, and they are more conspicuous after several births. Along the lower face of the vagina extends a transverse ridge, which covers the orifice of of the urethra (meatus). The membrane lining the va- gina usually has a pale, pink hue but at a period of "heat" its color becomes heightened to a bright red, and its se- cretion is considerably increased. In youth the vagina is contracted. In old age it is much diminished. After copulation its dimensions are increased; in the third or fourth months of gestation in the larger animals, it be- comes elongated from displacement of the womb, which is carried farther forward into the abdominal cavity; toward the termination of gestation the length of the vagina is diminished as the womb acquires increased volume, and to such an extent does this occur that at the commencement of delivery or parturition, if the young creature (foetus) is large, and especially if there be two foetuses, the womb nearly or entirely fills the cavity of the vagina, and even in some instances thrusts it between the lips of the vulva or beyond. 18 Obstetrics — Domesticated Animals. DIFFERENCES IN THE VAGINA OF OTHER ANIMALS. THE COW. SHEEP AND GOAT. THE VAGINA in the Cow is longer and wider than in the Mare; the membrane is thicker, and is disposed in transverse folds, and at each side of the passage for a short distance, between the mucous and muscular layers, there exists a mucous Canal that opens into the vulvar cavity, in front of and, at the side of the urethral opening (meatus urinarius). The uses of these canals or passages are unknown, but probably have some function during (foetal) unborn life. These canals are not present in the Sheep or Goat, and rarely in the Mare, which are usually known as the "canals of Gaertner." PIG. In the Pig the "canals of Gaertner" are not present; the folds of the membrane lining the vagina are longitud- inal, and gradually subside towards the line of separation between the vagina and vulva. The vagina is from eight to ten inches long. BITCH AND CAT. There are no "Gaertner canals" in the Bitch or Cat. The vagina is of comparatively great length, and has longitudinal folds, which are interrupted by transverse folds. In both the Bitch and Cat the canal is wider towards the vulva than towards the womb, and the walls of the vagina are rendered very thick by white fibrous tissue. THE WOMB, OR UTERUS. THE WOMB OF THE MARE. THE WOMB is an elongated muscular membranous sac which receives the ovum, and constitutes the recepta- cle for the nutrition, development, and, finally, after a Obstetrics — Domesticated Animals. 1» certain peroid, the expulsion of the young (foetus). It is situated in the sublumbar region of the abdomen, towards the inlet of the pelvic cavity. Fig. 1, Sec. 1. and Fig. 3» Sec. 8.) The womb consists of a body, two horns or two cornua, cervix or neck, cul-de-sac, broad or suspensory ligaments, OS uteri or mouth of womb. Fig. 4. WOMB, FALLOPIAx\ TUBES. AND HORNS OF THE SHEEP. a, Vagina; b, Mouth of the Womb; c, Body of Womb; e, e, Caruncles; f, Confluence of the Horns; g, Intact Horn; h, h, Fal- lopian Tubes or Oviducts ; i, i, Fringe-like End of Fallopian Tube (Fimbriae); k, k. Ovaries; m, m, Broad Ligament; o, Horn Opened. THE BODY of the womb is situated horizontally be- neath the rectum, which is in contact with it after passing between the two horns; on each side of its upper external 20 Obstetrics — Domesticated Animals. face it receives the insertions of the wide ligaments; and its sides and front face are in contact with the intestines. Its lower surface is in contact with the bladder and the colon; while its anterior extremity is continuous with each horn, and the posterior is separated from the vagina by the constriction named the cervix, or neck of the womb. THE HORN OR CORNUA (Fig. 1, Sec. 2, and Fig. 3» Sec. 6, 7) are cylindrical tubes extending from the body of the womb in two upward curves — a convex curve, which is free, and a concave curve, to which the suspens- ory ligament is attached. Each horn has also a base which is a continuation of the body of the womb; and a summit, rounded into a cul-de-sac, which is turned up- ward, and has at the bottom a small tubercle, the inser- tion of the oviduct. THE BROAD OR SUSPENSORY LIGAMENTS (Fig. I, Sec. 12, 12, and Fig. 3, Sec. 9) are two menbran- eous bands which suspend the womb from the sublumbar region. These bands are larger in front than behind, and in shape are irregularly triangular; behind they are close to each other, but in front diverge like the sides of the letter V. The suspensory ligaments descend from the lower face of the lumbar region, and attach themselves, by their lower border, to the sides of the upper surface of the body and concave curve of the horn. Their front border is free and sustains the oviducts and ovaries. THE CAVITY of the body of the womb communi- cates with the vagina by a narrow canal which traverses the neck of the womb, and is designated the canal of the cervix, or neck of the womb. MOUTH OF THE WOMB (os uteri)— In the neck or cervix of the womb is the opening commonly termed the mouth of the womb. This opening leads from the vagina to the body of the womb. (Fig. 4, b.) THE GLANDS located in the mucous membrane of Obstetrics — Domesticated Animals. 31 the womb, called utricular glands, are cylindrical in shape, and are situated very close to each other. They are long, slender and tortuous, and divide repeatedly in the deeper part of the mucous membrane. These glands do not exist at birth, and it is probable that they are only fully de- veloped when sexual maturity is reached. At certain periods, as during "heat," they throw out a large quan- tity of very viscid, almost transparent, mucus. These glands are secreting structures, and during gestation play a most important part, becoming largely developed, and furnishing a thin, white, albuminous fluid, the so-called uterine, or "womb milk." This milky secretion comes more particular in contact with certain portions of the Foetal Placenta, or after-birth, in which are curious pock- ets that act as receptacles for this milk, which is absorbed by the vessels on their walls. DIFFERENCES IN THE WOMB OF OTHER ANIMALS. COW. THE WOMB of the Cow, with regard to its general disposition in the pelvic and abdominal cavities, does not offer any striking differences from that of the Mare, ex- cept that the body is short, and its interior space is much less than that of the Mare's womb. The neck of the womb of the Cow is from two and one-half to three and one-half inches in length; it is narrow, almost as firm as cartilage in texture and irregular in shape. At an early age the neck is nearly circular in shape, and the body of the womb is so small that the neck and horns are close to- gether, or joined to each other. Toward puberty, how- ever, in all the larger domestic animals it becomes spin- dle shaped, and shows two lips, about two inches in length. These lips are composed of flattened, dense, transverse fibers and are pulpy to the touch. The mouth 22 Obstetrics — DoAtESTicvTED Animals. of the womb, (os uteri), is located between these lips. A knowledge of the presence of the two lips of the neck of the womb, and also their position, is useful when explor- ations by hand are necessary in cases of inversion of the womb. The utricular glands are wider than in the Mare. The walls of the womb in the Cow are more dense than in any of the domesticated creatures. SHEEP AND GOAT. In the Sheep and Goat the disposition of the womb is similar to that of the Cow. The horns are relatively longer, and more pendant, and expand more gradually from the termination of the oviducts. PIG. In the Pig the horns of the womb are long, and float among the intestines, which they resemble; the body of the womb is very short. The mouth of the womb is marked by a series of narrow, close-set, longitudinal surfaces, but there is no lip projection into the vagina. BITCH AND CAT In the Bitch and Cat the horns are very long and slen- der. The mouth of the womb is a smooth, thick and even prominence, larger almost than the body of the womb, which is short. It projects very markedly into the vagina. FALLOPIAN TUBES OR, OVIDUCTS. MARE. THE FALLOPIAN TUBES, or OVIDUCTS, of the Mare (Fig. 1, Sec. 10, and Fig. 3, Sec. 2, 2), are two small, cylindrical, fiexuous canals, about ten inches long, white in appearance, one of which is lodged in each broad lig- ament, between its serous layers and near its front bor- der. Each tube commences at the extremity of the horn Obstetrics — Domesticated Animals. 23 of the womb, and terminates upon the ovaries. The calibre of this canal is small, and scarcely admits a thin straw at its middle portion, and it is still smaller at the womb extremity; as it approaches the ovary, it increases in width until it ends in the pavilion. (Fig. Sec. 3.) This pavilion is fixed to the external side of the ovary, and its inner surface is marked by numerous narrow, close-set, minutely folded fiat surfaces, while its circumference is irregularly disposed into a number of unequal, fringe-like prolongations (Fig. 1, Sec. 9), which hang into the ab- dominal cavity. THE FUNCTIONS OF THE FALLOPIAN TaBES, or OVIDUCTS. — Their function is to convey the form- ative agents furnished by the male in generation to the ovary in the first instance, and afterwards to transmit the impregnated ovum of the female to the womb or its horn; in this respect they are the excretory ducts of the ovaries. DIFFERENCES IN OTHER ANIMALS. COV\r, SHEEP AND GOAT. In the Cow, Sheep and Goat, the fringe-like extremity of each tube is expanded (Fig, 4. i, i), and the duct itself forms three or four wavy folds, and is then continued along the walls of the wide ovarian capsule, or sac, to the extremity of the horn of the womb, which makes an abrupt curve to meet it. PIG. In the Pig the oviduct has few or no inflections, but its length is proportionately greater than in the other species. The pavilion is wide and deep. BITCH. In the Bitch the tube is long and fine, passes in a wavy course around the front of the ovary to the womb. 24 Obstetrics — Domesticated Animals. The length of the tube is two and a half to three and a half inches. THE OVARIES. OVARIES OF THE MARE. THE OVARIES (Fig. 3, Sec. 1, 1) are the essential organs of generation in the female, and analagous to the testicles of the male. The ovaries are two elongated egg' shaped bodies, loosely suspended in the sublumbar re- gion, behind the Fallopian tubes and the kidneys, among the convolutions of the intestines, though sometimes their position is altered. The proper tissue or stroma of the ovary is solid and hard, and has a speckled-grey tint, and Fig. o. Fig. (i. OVARY OPENED VERTI- PORTION OF OVARY OF CALLY. A PIG. a, a, b, b, Graafian Vesicles at a, Point at which a ripe Ovum different stages of de- is about to escape ; b, opening velopment. by which an 0\aim has escaped contains in its substance the Graafian vesicles or follicles. These Graafian vesicles (Fig. 5) are generally in various stages of development; the smallest are situated near the surface, and they increase in volume as they descend toward the deeper layer. When they have reached their full growth, they are filled with a transparent, citron- colored fluid, and form a more or less prominence on the surface of the ovary. The Graafian vesicles are com- Obstetrics — Domesticated Animals. 25 posed of an envelop or sac, the contents of less promin- ence on the surface of the ovary. The Graafian comes reddened by an admixture of blood when the sac ruptures. At the bottom of the sac, epithelium forms an aggre- gation, in the center of which exists the ovum. When the Graafian vesicle of the ovary ruptures and expels the ovum, the fringe-like ends of the Fallopian tube grasp the ovary, and receive the ovum, which they carry to the ovarian extremity of the canal. THE OVUM, or Egg — Anatomists give the name ova to round vesicles containing a humor similar to the yolk of egg, which are situated in the ovaries of the female, and when fecundated by the male germ of generation con- stitutes the rudiments of the young (foetus). The ovum is a small cell surrounded by a thick white mem- brane (zona pellucida) ; within this membrane is a granu- lar layer, the yolk, (or vitellus), the larger granules of which are superficial and compact, while internally it is a transparent albuminous fluid, in which are but few granules. Enclosed in this yolk, though nearer its cir- cumference than center, is the nucleus — the female gen- erative germ (vesicle of Purkinje), the most important portion of the ovum. DIFFERENCES IN THE OVARIES OF OTHER ANIMALS. COW, SHEEP AND GOAT. In the Cow the ovaries are relatively smaller than in the Mare, but their form and structure are the same. The same arrangement is observable in the Sheep and Goat. PIG. In the Pig the ovaries are comparatively large, with an irregular aspect, due to the Graafian vesicles, which when well developed, project beyond the surface of the ovary, instead of remaining within it. Each ovary is 26 Obstetrics — Domesticated Animals. enclosed within a sac. The back or posterior wall of this sac appears to be formed by the wide and deep pa- vilion of the Fallopian tube. BITCH AND CAT. There is nothing particular to indicate in the ovaries of the Bitch and Cat, except that the ligaments sus- pending them to the spine are very short. DEVELOPMENT OF THE OVARIES AND OVA. The development of the OVARIES and OVA is very interesting. In the Mare the ovaries of the foetus are, when compared with the womb, of an immense size, and at six months are almost as large as in the adult. In aged animals they become shriveled, and it is not unusal in old Mares to find either one or both in an unhealthy condition. Not infrequently they are enlarged, and their fibrous envelop and proper tissue are much thickened. Sometimes the vesicles are greatly enlarged, and con- verted into cysts which contain a purulent fluid, secreted from their walls. The Graafian vesicles are present in the ovary of the foetus, but they do not attain their full development until puberty; neither are they all present at birth, but are continually being developed. Until puberty there is no great activity apparent in the Graafian vesicles; but at- this time the ovary becomes more vascular, and certain of these vesicles increase in volume. At the period of "rut" or "heat," one or more of the Graafian vesicles, according to the species of the animal, show evidence of increased vascularity and become distended; the ovisac thins at the most prominent part to which the ovum/ tends, and blood is extravasated into it; then partly by absorption and partly by pressure, the coverings give way, and the ovum escapes outwards, and is eithei re- Obstetrics — Domesticated Animals. 27 ceived into the Fallopian tube for conveyance to the womb, or, which is very rare, fall into the cavity of the abdomen. After a rupture of a Graafian vesicle and the escape of the ovum, the cavity of the ovisac is filled with a clot of blood, while its walls are thickened and altered in color. In the Cow and Sheep the follicle has a brick- red color, and in the Pig it is a yellowish-brown ; but grad- ually the clot of blood shrinks, loses its tint, and the cavity contracts; at the same time the walls of the ovaries be- come enlarged. By the tim^e the succeeding ovisac with with che ripening ovum has begun to protrude from the surface of the ovary, the old ovisac has lost its color, with much of its dimensions, and fallen inv/ards. This change, with collapse of the wall, depresses the scar of the aper- ture; and these successive shrinkings and scars (cicatris- ations) of the ruptured ovisacs give the ovary a pitted and furrowed appearance in advanced life. If the expelled ovum be not impregnated with the male germ of generation, the changes of the ovisac into the yellow convolute cavity, then into the depressed scar, occurs somewhat rapidly; but if impregnation takes place, the maturation of successional ova is delayed, and the first change in the ruptured ovisac goes on to a greater extent, and it rarely happens that the cavity is obliter- ated before full gestation. In the Mare the cavity be- comes obliterated more rapidly than in the other domes- ticated animals, and it has not that deep yellow color observed in the Cow; but is of a darker, dull reddish- brown hue. The number of ovisacs and ova which become matured at each "rut" or "heat," depends upon the multiparity or uniparity of the species: in the Mare and Cow there is usually only one, in the Sheep and Goat one or two, in the Pig from one to a dozen, and in the Bitch a variable number. 28 Obstetrics — Domesticated Animals. OBSTETRICAL PHYSIOLOGY. REPRODUCTION. Having described the situation, structure, and peculi- arities of the external and internal organs of the female domesticated animals, we now have to inquire into their functions. Some of these functions have for their end the conception, development, and preservation of the young animal for a certain period, until it can maintain a more or less independent existence, when others of them are brought into play in order to place it in direct relation with the external world in the act of delivery (parturi- tion), while others cease. But in order that generation should take place in the higher class of animals, it is ne- cessary that the two sexes be placed in favorable relations with each other, as the essential of reproduction is the contact with, and action of the male fecundating fluid on, the ovum of the female. Nature has ordained that this creative act should be accomplished by engendering in these animals an instinctive, copulative, and irresistible desire at a certain stage of existence; which desire, con- tinuing for only a brief period, is renewed after particular intervals, until the faculty of reproduction ultimately ceases. The advent of the power of reproduction in the male and female sex of animals is very unequal among the va- rious species, and is generally in relation to the duration of their existence — the creatures which are short-lived being capable of bringing forth young at an earlier period of life than those which enjoy a longer terms. Out of many thousands of ova furnished by the most prolific species, a comparatively limited number only find all the conditions favorable for their development. Obstetrics — Domesticated Animals. 29 GENERATION. GENERATION is the act of procreating the species; (breeding.) The processes by which generation is ac- complished are four; these are: Copulation. — Sexual intercourse. Carnal union of the sexes. Fecundation. — Act by which, in organized beings, the material furnished by the generative organs of the female unites with that prepared by those of the male, so that a new being results. Gestation. — The time during which a female who has conceived carries the young (embryo) in her womb up to the time of delivery. Pregnancy. Parturition. — Delivery, labor, birth, bearing young; expulsion of young at term. Act of ;delivery of the young (foetus) and its appendages; also the state during and immediately after delivery. But gestation only takes place on the attainment of a certain age — that of puberty (the period of life at which animals become fitted to procreate)— that these sexual acts are in activity, and they continue so for a variable period, according to the species. During this time, ova from the ovaries, fecundated by the male seminal fluid, are received into the womb, and remain there for a regu- lated period, until they have become transformed into young creatures possessing certain physical attributes and resemblances to their parents. This is the gestation period, and is followed by that of parturition, when the young is born. PUBERTY. The generative organs of the domesticated female animals are, like those of the human female, only in a state of greatest activity during the prime of life ; and the most noticeable characteristic of their functions is their 30 Obstetrics — Domesticated Animals. periodicity. These functions lie dormant from birth un- til puberty, when, somewhat suddenly, certain very marked modifications occur throughout the whole or- ganism, but particularly in the generative organs of the male and female animals. In the male the testicles be- come more voluminous, and in some species they leave the abdominal cavity to be lodged in the scrotum; they also begin to secrete an abundance of a special fluid, called the spermatic"" or "seminal"fluid, in which appear par- ticles of a definite shape (spermatazoa) wihch are endowed with motion. The organ for the conveyance of this sper- matic fluid to the female becomes more developed, and is capable of complete and frequent erection. In the female the udders enlarge, the ovaries are more vascular than before and the Graafian vesicles are more or less devel- oped. The periodic escape of the ovum from the ovary then begins to be cai.led on, with all the distinctive pe- culiarities that attend it, and which it is to bear during the prolific period of life. The age at which animals arrive at puberty or sexual maturity, is not only diffeient in different species, but is influenced to some extent by the rapidity of their growth and the duration d^ their life. And it may be said that puberty is sooner a.lc.ined in the female than in the male. It may also be affi med that in the male the periodicity of the procreative manifestations is not so marked as in the female, the i^^aeiative functions of the male being always more or less in activity. The aptitude to procreate, though generally admitted as an indication of adult age, yet appears before animals have attained their full physical development, and is present in some creatures at a comparatively early period of life — depending upon climate, food and other circum- stances. The Pig may conceive when only four or five months old, or earlier; the Sheep and Goat at eight to twelve months; the Bitch at seven to ten months; the Obstetrics — Domesticated Animals. 31 Cat at from eight months to a year, though it is usually in "heat" for about ten days before it is a year old; the Cow at twelve to eighteen months, and the Mare at from twelve m.onths to two years. With regard to the period v/hen procreation ceases in animals, there is not any reliable data on which to arrive at a trustworthy conclusion. The Mare has not ceased to breed after thirty years of age, and the Cow and Sheep have bred beyond twenty years. There are notes of Mares producing foals at twenty-eight, Iiiity- two, and thirty-eight 3^ears of age. HEAT— MEKSXRUATION, or (OESTRUM.) The rutting, heat, oestrum, or venereal oestrum of ain- nials is analogous to "m.eiistruation" in woman, and marks the period of maturation in the ovariarx ova or ovum., ac- cording to the species. This condition is intermittent cr periodic, not continuous; it is characterized by a peculiar systemic excitement that usually continues for a some- what definite period in the two sexes. In the m.ale and female, but especially the female, the generative organs become moie or less sensitive, and the secretions are in- creased. In the female there is a determination of blood to the ovaries, and changes take place in these which have already been described. The excitement in the generative apparatus reacts on the whole system, and produces a kind of fever or irritability in the animal; its sensibility is increased; the appetite is more or less in abeyance or capricious, and usually there is thirst; if the secretion of milk has been active, it now diminishes, and in the non- impregnated Eitch milk even appears in the udder; rest- lessness is a notable feature, and the movements betray the prevailing desire. There is an uncontrollable ten- dency to seek the opposite sex; with some animals the ordinary disposition becom.es strangely perverted; and 32 Obstetrics — Domesticated Animals. in others, again, certain physical changes accompany the sexual perturbation. The Mare is generally irritable or sluggish, and less able to sustain fatigue; the Cow fre- quently bellows and mounts other Cows, and if at pasture runs about with raised tail, and may even wander away in search of the Bull; the Sheep are less excitable, though it shows a change in its habits; the Sow grunts in a pe- culiar manner and becomes torpid, and manifests its amorous desires by mounting others; while the Bitch is still more demonstrative, and frequently runs about ac- companied by a crowd of males, not returning home until her desires have been gratified. Attempts at urination in the female are frequent, but only a small quantity of urine is passed, and with animals whose foot is not cloven there are oft-repeated move- ments of the clitoris and vulva, and an opaque white se- cretion, or even emissions of blood is ejected spasmodic- ally by the vulva. Well-marked symptoms of hysteria have been observed in some Mares. In other animals this ejection sometimes consists of a viscid, red-tinted fluid. In all it has a special and power- ful odor, which attracts the males, and enables them to distinguish between the females which are in "rut" or "heat," and those which are not, as well as exciting in them the most ardent amatory desires. The menstrual flow appears two or three days after the commencement of "rutting," and when this is most intense. The amount of blood does not exceed one or two ounces, and the coagulated clot of blood remains in the vagina until it is expelled with the urine. Not only is the existence of a menstrual discharge in animals a well-ascertained fact, but the ill effects of its retention have been recorded as occurring in both the Mare and Cow. Seasons at which "heat" takes place — .It has been observed that "heat" usually takes place in the spring- Obstetrics — Domesticated Animals. 33 time when food becomes plentiful, especially with Herb- ivorous animals. The Carnivora are in heat during win- ter. The Mare is usually in heat from April to June, or later. With the Cow who is kept for the milk she pro- duces, the season ,of course, varies, as care is taken to induce conception again as soon as the milk secretion begins to diminish; but it has been observed that mid- summer is more particularly the rutting period of the Cow. The "heat" in Sheep, though normally present in September, is usually shown only during summer, be- cause the Ewes are kept apart from the Ram at the nat- ural time; in order that the Lambs may be born at a favorable season — the spring; and the period of suckling over (four or five weeks), that they may be weaned when the herbage is tender and nutritious. When the animals are bred for the butcher, the rut is induced sooner by putting the Ewes in contact with the Ram at an earlier period, so as to obtain two or three lambings in the year. The Bitch is in heat from December to February, or in the autumn and spring-time. The Cat is in the state of heat in January and February, and also in the spring and autumn; sometimes the heat appears three or four times a year ,and the animal may produce young as many times. The Pig manifests rutting in October or November — at least that is the period when it is usually put to the male; and it may be put a second time towards the end of spring, in order to have two litters within the twelve months. The frequency and duration of the Period of "Rut- ting" or "Heat" depends upon age, species, and other circumstances. One day is the shortest duration of heat, and fifteen days the longest. The shortest period is wit- nessed in the Cow and Sheep, and the longest in the Bitch. With impregnation it ordinarily ceases until after partur- ition; and if impregnation does not occur, it gradually disappears until the next period, which is somewhat var- iable. Its reappearance in the Cow has been noted every 34 Obstetrics — Domesticated Animals. month or three weeks, and sometimes at closer intervals. In the Sheep and Pig it lasts from one to two days, and and again appears from the fifteenth to the thirtieth day, usually the thirtieth day. The Mare manifests a desire for the Horse every three or four weeks, which continues for from one to four days. Ordinarily the Bitch is in heat twice during the year; spring and autumn. The duration of this period in the Bitch is usually nine to ten days, but may exist fifteen days. Rutting and impregnation may and does occur soon after parturition. The Cow, Ass, and Sheep, and, it is be- lieved, the Mare, will copulate with greater certainty of success on the ninth day after easy labor and partur- ition than at any other time. The persistance of the condition of heat for longer than the natural period is a symptom of womb or ovarian de- rangement, and therefore unfavorable. It renders Mares and Cows less serviceable, and repeated intercourse with the male will not always allay the abnormal condition, but frequently aggravates it. Such animals will not breed. In aggravated cases, removing the ovaries (Ova- riotomy) has been practiced, and in the Cow the opera- tion is frequently followed by subsidence of the trouble- some symptoms for a time; in the Mare it is much less successful. FECUNDATION. The effective copulation of the male with the female is followed by certain remarkable changes in the ovum and generative apparatus of the female, which, at first known as fecundation, conception, or impregnation, ultimately results in the formation of a new creature possessed, to a certain degree, of individual or independent life. The copulation to be effective depends upon the presence, of a healthy ovum in the generative apparatus of the female, and the introduction into the apparatus of the Obstetrics — Domesticated Animals. 35 seminal fluid of the special organ of the male. This sem- inal fluid contains the male germ of generation (sperma- tozoa), which is composed of organic particles of a per- ticular shape, and endowed with motion. For concep- tion it is absolutely necessary that the ovum of the fe- male should be brought into contact with these particles. By reason of the movement of the male germ (spermato- zoa), and also doubtless through the aid they receive from the special motion of the hair like-cells covering certain portions of the lining membrane of the womb, when the womb opening is patent, are diffused soon after copulation to the most distant parts of that cavity, and high up in the Fallopian tubes. THE WATERS— (LIQUOR AMNII.) THE LIQUOR AMNII (Fig. 7, F and D) is an alburn^ inous alkaline fluid contained in the sac, which envelops the foetus during the whole period of gestation. It is in greater or less quantity, according to the period of ges- tation. The fluid is abundant and limpid at an early period; but becomes scantier, viscid, and citron or red- dish-tinted at an advanced stage, when it is adhesive and agglutinates the hair. THE USES of this water, the LIQUOR AMNII, are varied and important. It is not very probable that it serves as nutriment for the foetus in the early period of uterine life or early gestation; though it has been found in the stomach of young animals. "The Waters" pre- serve an equable temperature for the young creature; maintain the integrity of its exterior before the skin is covered by the peculiar coating; it also favors the move- ments and developments of the young, by removing it from unequal pressure; diminishes the chance of injury from sudden external movements and shocks, and allows the foetus to obey the laws of gravitation. It also pro- tects the mother from injury by the foetus, towards the 36 Obstetrics — Domesticated Animals. termination of gestation. During parturition, this wa- protrudes the membranes; is the primary agent in dilat- ing the mouth of the womb; it also shields the foetus from the direct actions of the contractions of the womb, whose violence might compromise its existence; the wa- ters render the dilation of the mouth of the womb easy and prompt; and, finally, by lubricating the vagina, casues the passage of the young creature through it to be more gentle and expeditious than it would other- wise be. Fig. 7. FOETAL MEMBRANES OF THE COW AT MID-TERM. WOMB OPENED ON ITS LEFT SIDE. A, Neck of Womb ; B, B, Maternal After-births; C, C. Foeta After-births; D, D, F, F, Liquor Amnii "The Waters"; E, Bladder, of the Urachus; G, Naval String (Umbilical Cord); H, H, Inner Lining (Allantois) of the Outer Water-sac (Chorion), Obstetrics — Domesticated Animals. 37 AFTERBIRTH— (PLACENTA.) THE AFTERBIRTH, or PLACENTA (Fig. 7, 8 and 9) is a soft, spongy, vascular body, adherent to the womb and, connected to the foetus by the navel cord (umbilical cord) . The afterbirth is not in existence during the first period of gestation, but its formation commences FOETAL MEMBRANES OF THE GOAT AT FULL TIME: TWINS. A, Neck of the Womb; B, Left Horn; C, Right Horn; D, Inner linning (AUantois) of the Outer Envelop or Sac (Chorion) ; E, The second complete Sac enveloping the Foetus; F, Portion of the Wall of the Womb, where the Foetusus come in contact; G, Union of the Two Outer Envelops (Chorion of the Foetuses) . 38 Obstetrics — Domesticated Animals. perhaps with the arrival of the embryo in the womb. It is generally considered to have two portions, one foetal and the other maternal. The foetal portion consists of highly vascular soft hairy filaments and tufts, containing the inosculating loops of the navel arteries and navel vein of the foetus. The maternal portion consists essentially of a large sac formed by the inner coat of the vascular sys- tem of the mother, into which the maternal blood is poured by the curling arteries of the womb, and from which it is returned by the veins of the womb and after- birth. At an early stage of gestation the after-birth con- sists of a temporary mass of albuminoid substance accu- mulated around the ovum in the womb. When gestation is terminated, the after-birth becomes remarkably rigid, the vessels are obliterated and transformed into fibrous tissue. The formation and lobes of the after-birth varies in different species. In the Cow, Sheep and Goat they are multiple; there being from sixty to eighty after- births of various sizes. FUNCTIONS OF THE AFTER-BIRTH. THE FUNCTIONS OF THE AFTER-BIRTH are obvious: It is the nutrient and respiratory apparatus dur- ing a portion of the foetal existence in the womb; and for the accomplishment of these functions it must rely upon its intimate and healthy relations with the surface of the womb. The after birth admits of the foetal blood being shown, as it were, to that of the mother and undergoing requisite changes, therefore it serves as the organ of cir- culation as well as respiration and nutrition of the foetus. The Horse, Pig, Dog, and Cat have single after-births, while in the Cow, Sheep and Goat they are multiple. (For Illustratione see following page.) Obstetrics — Domesticated Animals. 39 Fig. 9. FOETUS OF MARE AND ITS ENVELOPS. A, Outer Water-Sac (Chorion); C, The Second Complete Sac withdrawn from the First, and opened to expose the Foetus; B, Portion of the Navel Cord ; D Foetus. 40 Obstetrics — Domesticated Animals. NAVEL STRING— (UMBILICAL CORD.) THE NAVEL-STRING (Fig. 7, 9) is a collection of vessels which form the means of communication between the mother and the feotus during the existence of the foe- tus in the womb, and which loses its functions when birth occurs. The navel-string is visible at the earliest period of pregnancy, and is formed by the vessels which convey the blood between the foetus and its envelops, chiefly the after-birth. Three vessels enter into the composition of the navel-cord: two arteries and a vein, which are im- bedded in connective tissue, that make them appear more voluminous than they really are. Besides the three blood vessels, the cord contains the duct called the urachus, as well as the extremity of the foetal intestine at an early period. The urachus is an irregularly bulging canal, con- tinued from what is eventually the bottom or base of the bladder. After birth it rapidly contracts, especially at the base of the bladder, until it is quite closed, and nothing is left but the folds of the membrane that sustained it, and which now becomes the middle ligament of the blad- der. It sometimes happens with the foal, but more fre- quent with the calf, that the urachus duct does not close and the urine in this case escapes by the navel. For treatment see Persistence of the Urachus. PREGN ANC Y— GE STATION. PREGNANCY, or GESTATION, comprises the per- iod during which the female animal carries its young while it is undergoing development. Its consideration is of much moment. With the development of the foetus, the womb un- dergoes important changes with regard to volume. Dur- ing and after copulation the womb is congested, and when conception has taken place, the vessels, distended with blood, gradually enlarge to a great size. The same chang- Obstetrics — Domesticated Animals. 41 es take place in the lymphatics and nerves, which were comparatively small in the unimpregnated state. These changes add to the thickness and desnity of the womb. As the womb increases in volume, it becomes rounder, acquiring a greater capacity, the neck becomes widened, and the proper structure is exaggerated to an extraor- dinary degree. With the increase in volume, weight, and capacity, the womb likewise acquires a higher degree of sensibility, doubtless from the development of the nerves. So that between the neck, the body, and the horn, there is established sympathetic relation that is sometimes not advantageous; for irritation of the neck of the womb, howsoever produced, may bring on violent contractions of the whole organ, and lead to the premature expulsion of the foetus. This expulsion, as is well known, some- times follows copulation; though, as a rule, animals usu- ally do not seek to copulate during pregnancy if left to their own natural instincts. This irritation may also be a consequence of manipulation by the hand of the ex- plorer. The contractions of the womb are very powerful, and are analogous to that of the intestines — extending from the extremity of the horn towards the neck with worm- like muscular contractions, particularly in these animals which, like the Bitch and Pig, have very long horns, with the young arranged one after another in them. (Fig. 10- A.) The contractility of the womb, which signifies also its retractility, enables it to contract on itself after deliv- ery, and to nearly obliterate its cavity. This rapid dim- inution in the capacity of the organ closes the orifices of the vessels which open on the internal surface of the womb during the act, and thus prevents fatal haemorrhage. The main functions of the powerful contractions of the womb, however, appears to be concerned in the ex- pulsion of the foetus, and then, as at other times, it is entirely independent of the will. Besides, the intensity of the contractions is not always related to the strength 42 Obstetrics — Dom estic ated Animals. Fig. 10. THE PREGNANT WOMB OP A MULTIPLE-BEARING AND SINGLE-BEARING ANIMAL. A, Multiparous Womb; a, a, Ovaries; b, b, Fringe-like Pro- longation of the Fallopian Tubes; c, c, d, d, Horn of Womb — that on the left contains four Embryos, on the right two, one of which is exposed; e, Body of Womb; f, Vagina; g, g, Ligaments of the Womb. B, Uniparous Womb; c. c. Fallopian Tubes; e, Body of Womb; containmg early Ovum of Womb; f, Vagina; g. Mouth of Womb. C, Early Ovum of Womb. Obstetrics — Domesticated Animals. 43 of the animal; pain deadens and paralyzes the contractile force. When the contractions have been vigorous, the womb rapidly diminishes; but if they have been slow and weak, the organ slowly contracts on itself. When the womb does not contract quickly after delivery it is said to be inert, and the cause is to be found in the expendi- ture of its contractile power, either through excessive dis- tention, a delivery too prompt or too slow, or general weakness of the maternal system. By prolonged exer- tion the muscles of the womb become weakened; so that when the act of parturition has been protracted, the con- tractions of the organ become slow and feeble, or cease altogether. Opiates and narcotics generally produce the same effect, and are therefore successfully adminis- tered when the contractions are too energetic or painful during delivery or before abortion. The contractions of the womb are increased or stimulated by irritation of the neck or body of the womb — such as is produced by re- tention of the whole or a portion of the after-birth, tick- ling of the neck of the womb by the finger, friction on the belly, the apphcation of cold to the belly, or the ad- ministration of ergot of rye. Not infrequently, if not always, the cavity of the neck of the womb is filled with a plug of thick, adherent, glu- tinous matter, sometimes so abundant that it also occu- pies the vagina, and forms an unpleasant obstacle to ex- ploration, though it does not interfere with parturition. With regard to the DIRECTION of the WOMB, it is to be noted that its horizontal position in the domesticat- ed animals obviates those lateral displacements which are so frequent in women. Its weight, and that of its con- tents, maintaining it in position, and in a line with the body of the animal. This direction rarely varies to any appreciable degree, and it is only in a case of hernia at the flank, which is very uncommon, that it inclines to one side. Its only marked inclination is in Cows, 44 Obstetrics — Domesticated Animals. whose abdomen is very wide and pendulous. Another change in the direction of the womb, is the more or less complete rotation or twisting of the womb on its axis. Numerous cases are recorded which incontestably prove that, during pregnancy, the womb performs a half, or even a complete revolution on itself, producing tortion of the neck of the womb and the back part of the vagina, and consequent strangulation of the womb near the neck, by the suspensory ligaments; so that spontaneous deliv- ery of the young animal by the natural passage is im- possible. The alterations occurring in the womb necessarily bring about others in the neighboring organs with which it has mechanical relations. In the Mare and Cow the horn in which the limbs of the foetus is lodged becomes extended and displaces the intestines, pushes the stomach more to the left, rests on the liver, and is an obstacle to the free movements of the diaphragm. The pressure of the enlarged womb exercises on the blood-vessels of the hind limbs and the vulva and rectum, retards the venous and lymphatic circulation; so that towards the end of gestation, and especially in the Mare, there is often con- siderable dropsical-swellings of these parts. This swell- ing is all the more marked, in the Cow as well as in the Mare, when the compression is greatest at the back part of the abdomen. The swelling is always greatest in those cases, in which there is a giving- way of the abdom- inal walls near the arch between the hind legs and above one of the udders, when the womb forms a hernia beneath the skin; then there is seen an enormous swelling at the upper part of the limb. The increase in volume and the various changes which the pregnant womb undergoes, bring about alterations in, and frequently derangement of, certain functions. For- tunately these alterations are slow and gradual; so that the different organs concerned generally adapt themselves Obstetrics — Domesticated Animals. 45 to their changed condition without much inconvenience. The animal becomes lazy and slower in movement, and is more desirous of quiet and tranquility as gestation ad- vances. These indications are observed at an early period. At the same time the abdomen enlarges and changes in shape; it becomes rounded, and projects below and on each side; while the flanks become hollow, the croup and thighs wasted-looking. In the domesticated animals there are rarely observed those disturbances in the digestive organs so marked at the commencement of pregnancy in woman. On the contrary, immediately after conception, the appetite is increased, digestion is usually easier, and all the formative phenomena seem to acquire increased activity; more use appears to be made of the food in the economy, and there is a notable tendency to fatten. This fattening tendency has been taken advantage of by breed- ers and feeders of animals v/hich are destined more for food than reproduction. In some cases, however, and particularly with the Cow, the appetite becomes some- what depraved, the animals eating soil, gnawing the walls or wood work of their stables, drinking foul water, etc., and very exceptionally there may be vomiting. With the increased bulk of the womb, as has been ob- served, the abdominal and thoracic organs experience more or less the effects of the compression it exercises on them. The diaphragm is pushed forward, and diminishes the capacity of the thorax and the expansibility of the lungs; the ribs, encumbered by the weight of the foetus, are raised with difficulty by the muscles of inspiration, so that respiration is frequent and shallow, and the crea- ture is readily "bloT^Ti" and fatigued. Digestion may be somewhat impaired and retarded, and slight constipation is not rare. The strain induced by the womb on the va- gina, and indirectly on the neck of the bladder, causes the attempts to void urine more frequent ; while the com- pression on the liver, explains the mechanical obstruc- 46 Obstetrics — DoMESTiCATiio Animals. tion to the circulation and subsequent dropsical swellings^ particularly in the Mare. SIGNS OF PREGNANCY. The study of the SIGNS OF PREGNANCY is very important. It is sometimes very difficult to speak posi- tively as to the existence or absence of pregnancy. Es- pecially is this the case at the early stage. It has fre- quently happened that animals whose condition was not at all certain have brought forth young, and others have the same without giving rise to any suspicion that they were pregnant. In order to study the signs of pregnancy conveniently, they have been classified as follows: 1. The rational signs; 2. The material signs; 3. The sensible signs. RATIONAL SIGNS OF PREGNANCY. Usually the first RATIONAL SIGN OF PREGNAN- CY to be observed, is the cessation of "heat" or "rutting," though it is not the most certain sign of gestation, and may even lead to mistakes. The cessation of heat usually manifests itself soon after conception has taken place (six or eight days), by a decrease of the sexual excitement wiiich marks the period of heat; the animal becomes com- paratively tranquil and does not exhibit any desire for the male, neither does she neigh, paw, or show any of the symptoms of heat. If the male approaches, the sexual desires are not excited, and in refusing him the female may even resort to aggressive movements. It has usually been held as a sign of conception, if the female refuses the male soon after copulation, and particularly if a month or two has elapsed, and the Mare is in good condition when well fed. But in some cases the symptoms of "heat" persist for some time after copulation, and the desire of the gen- erative organs is not allayed, although in reality impreg- Obstetrics — Domesticated Animals. 4? nation has taken place; and in very exceptional instances the "heat" will return after having disappeared for a certain time. Some Mares which have been pregnant for two or three months, and especially those which have been put to the Stallion early in the year, will exhibit in- dications of "heat" when the weather becomes warmer and the pastures afford more nutriment. When in this state the female may again accept the male, and it may even happen that a second fecundation takes place at this time — thus occasioning those somewhat unusual double conceptions; though if pregnancy is somewhat advanced it is dangerous, and may occasion abortion. Stallions exclusively employed for breeding, frequent- ly refuse to approach pregnant Mares in which the "heat" persists or reappears; though this is not always the case, particularly with young Stallions. In the Cow, as in the Mare, heat may continue or re- appear after fecundation; though as a rule the male re- fuses to copulate again when the female is in a pregnant condition. The pregnant Mare and the Sheep, as well as the pregnant Cow, manifest signs of "heat"; but the Bull knows the indications of gestation, better than the Stallion or Ram, and abstains from having intercourse with Cows which are in this state. For cattle, therefore, it is an almost certain sign of pregnancy when the Bull refuses the Cow, when she is in heat. It has been generally observed that a change takes place in the character of the animal which has conceived, and this sometimes almost immediately after conception. Mares which were previously vicious, troublesome, or un- steady when in "heat," are nearly always gentle and tractable when in foal; the genital excitement, which caused this viciousness, being allayed, they are no longer under its influence. This change, when occurring after copulation, is a valuable sign of successful impregnation, and though it sometimes may fail, yet when present it can scarcely lead to a mistake. If, on the contrary, the 48 Obstetrics — Domesticated Animals. animal has not been fecundated after one or more cover- ings, if previously vicious its vices become exaggerated when again put to the horse. In the Cow similar symptoms may be remarked, though it is not so frequent or marked as in the Mare. The other animals are seldom so irritable in their disposition as to lead anyone to notice a similar change in them. A tendency to fatten is such a notorious consequence of impregnation that with the Cow and Sheep grazers usually resort to it in order to get these animals in good condition for the market, when they are intended for slaughter. But this aptitude is most marked in the early months of gestation ; for in the Cow towards the last three months, and in the Sheep and Pig at the last month, when the udder begins to enlarge, there is a tendency to lose condition. With the progress of gestation, those animals employed in labor for speed or draught lose their vigor somewhat, particularly towards the end of pregnancy; they become "soft," and their paces slower and heavier — consequently they require more urging to make them perform a certain amount of work. Mares trot, gallop, and jump with more fatigue, and yield themselves far less readily to inordinate exercise than before, either because their temperament alters, their instinct urges them to preserve their progeny, or the foetus itself physically embarresses them in their movements. But this is not always a sure sign; for some- times, though rarely. Mares will perform their work with the same energy and speed as before conception, even up to a very brief period before parturition commences. Taken with other signs, nevertheless, this may afford assistance in giving an opinion on gestation. During the period of pregnancy, Cattle and Sheep are more tranquil, and rest much ; as do also Pigs and Bitches. Obstetrics — Domesticated Animals. 49 MATERIAL SIGNS OF PREGNANCY. THE MATERIAL OR PHYSICAL signs are those depending upon the changes in volume of the abdomen and the udder. The abdomen enlarges in every direction, and at the same time changes its shape. As it becomes larger it de- scends or drops; the flanks become hollow, and the spine appears more concave; while the lateral portions of the croup sink to a noticeable extent. These changes are pro- gressively developed as gestation approaches its term, when they are very evident. The enlargement of the udder is a sign which varies considerably in different species. In the Mare and Cow, they begin to increase soon after conception — towards the second and third month. The udder is more prominent and firm to the touch, loses its wrinkles, and the teats are more visible. This appearance is generally only tem- porary and partially disappears, to reappear again more markedly after some weeks; then to subside and show it- self several times during the period of gestation. Be- sides this enlargement of the udder in the Mare and Cow, which may be accepted as a certain indication of preg- nancy, these glands furnish towards the last third of the period of gestation, a yellow, viscid, transparent liquid similar to white of egg, and which can be easily extracted from the teats by milking. In those which have never conceived, manipulation of the teat may furnish a drop or two of a watery-like fluid, but in two or three months after gestation it becomes viscid in consistency. In the last three weeks of pregnancy this liquid sometimes be- comes white and opaque, and is then proper milk. When the animals have been bred several times, the increase in the size of the udder is only noticed in the last days of gestation. In milch Cows, and particularly in those which are not good "milkers," another sign is to be found in the diminution of the lacteal or milk secretions, 50 Obstetrics — Domesticated Animals. and the shrinking of the udder sometime after concep- tion usually about — the twentieth day. In the pregnant Mare, which still has a Foal running with her, the secre- tion of milk also ceases sometime before parturition ; and the animal appears to be aware of this, for it weans the Foal generally between the sixth and eighth month. In the smaller animals the enlargement of the udder and the appearance of the milk are usually remarked earlier, and more regularly, than in the large creatures. In those smaller animals which have borne young, simi- lar changes take place as those observed in the Mare and Cow, but the udder may be later in enlarging. It may be noted as an additional aid in determining pregnancy, that with the progress of gestation the mem- brane lining the vulva and the vagina becomes swollen, and assumes a red or bluish-red hue, instead of its usual pink color; and towards the termination of pregnancy, the vaginal secretion is greatly increased; particularly so in the Cow. All these numerous signs are by no means to be im- plicitly relied upon, as they are not infallible in proving the existence of pregnancy in every case. However, if all the above signs are manifest in an animal, they es- tablish a very strong presumption, though not an abso- lute certainty, as to its condition. SENSIBLE SIGNS OF PREGNANCY. Towards the fourth month in the larger animals, the young creature can move. The Sensible signs and in- dications are obtainable by three manual explorations: the abdominal, rectal, and vaginal. ABDOMINAL EXPLORATION.— The feel of the abdomen does not yield equally certain results in all the domesticated animals. In those which are small, as the Bitch and Cat, a little careful manipulation will render the presence of the foetus very evident towards the mid- Obstetrics — Domesticated Animals. 51 die period of gestation; but in the Mare, Ass and Cow it is more difficult, and with these animals it is better to make the examination when they are in a standing po- sition, as the signs are not so perceptible when in a re- cumbent position. The examiner stands on the right side of the Cow, the left of the Mare, with his back towards the animal's head, and applies the palm of his right or left hand against the abdomen, immediately below the f!ank, about eight or ten inches in front of the stifle, and just above the udder, pressing moderately, the other hand resting on the back. At this part of the abdomen a hard voluminous mass can be felt in the womb, while the move- ments of the foetus are perceptible as it stirs at irregular intervals, and causes the jerks and shock of its displace- ments to be communicated to the walls of the abdomen. These movements are strongest in the morning, and are more distinct if the mother is eating or drinking, especially if the water is cold. The young creature can also be ex- cited to movement by the spraying of cold water against the belly, or by the application of the cold wet hand. In the Cow, smart compression of the abdomen with the closed fist at the part just indicated, so as to push the womb upwards and allow it to return with a little force, is also a good method of ascertaining the presence of the foetus, and will prove successful when simple applica- tion of the flat hand will fail. This is most likely to be successful when there is not much food in the stomach. At a more advanced period of pregnancy, in the last two months, the movements of the foetus can be easily ob- served as it jumps about briskly, striking the interior of the abdomen at brief intervals. This, with the other signs at this time, leaves no doubt as to the existence of pregnancy. The foetal movements are never more marked than immediately before abortion, at a late per- iod of gestation; they are then energetic, and to all ap- pearances conclusive. With the smaller animals the same method of abdominal exploration may be resorted 52 Obstetrics — Domesticated Animals. to, and with the same, or even better results. The per- ceptible movements of the foetus, of course, settle the question as to pregnancy and the vitality of the young creature; but the absence of these movements is not conclusive that pregnancy does not exist, for it has fre- quently happened that the foetus remained insensible to this kind of excitation, and yet was alive at birth. RECTAL EXPLORATION can only be successfully carried out in the larger animals, because of the small dimension of the passage in the Bitch and Cat. There is but little danger to the larger animals so long as reason- able precautions are taken not to produce injury; the foetus has even been pushed gently about in the womb without any accident to it or the parent. TO EXAMINE the animal by the RECTUM it should be standing, and if dangerous or irritable, the twitch may be applied to the nose, or for safety to the operator the hind limbs must be secured; with the Cow, the nose seized by one hand of an assistant and a horn by his other hand, will be sufficient. By the hand the bowel should be emptied of the dung it may contain, so as to allow the oiled hand and arm of the explorer to be introduced and freely moved about. When the abdomen is large and pendulous, it is useful to place the animal higher before than behind, and to have the lower part of the belly raised by assistants on each side, by means of a sheet or sack, so as to throw the womb backwards and upwards; though in the majority of cases these measures are not necessary. After oiling the arm and hand thor- oughly with clean lard or with sweet oil, pass the hand into the rectum (the last bowel), open the hand, place the palm on the lower surface of the bowel and gently press downward, towards the floor of the abdomen; when there will be felt, if the animal is pregnant, a hard, irregular mass, more or less voluminous, according to the stage of gestation, and capable of being displaced to a certain Obstetrics — Domesticated Animals. 53 extent. If parturition is near, the head or other parts of the foetus can be distinguished through its envelops and the womb and bowel walls. But if pregnancy is not. so advanced — say only at the sixth month — the foetus cannot be so readily felt, and it may happen that at this period it is situated low down in the abdomen, or well forward in one of the horns of the womb and lying to one side (nearly always to the right in the Cow) ; so that an inexperienced or careless examiner might miss it alto- gether at the first exploration. This error can be avoided by carefully moving the introduced hand to the right and left as far as the bowel will permit. The foetus should be excited to move, if possible, so as to guarantee its pres- ence. The difficulties are greater if it is desired to ascer- tain whether the foetus is dead or alive. Sometimes we may at once perceive the movements of the foetus in the womb; but at other times it is motionless, and cannot be made to exert itself except by moving and pushing it several times. This, however, is not commendable, un- less performed with the greatest gentleness and care, as serious complications, especially abortion, might be the result; therefore, unless urgent, this should be omitted. VAGINAL EXPLORATIONS can only be practiced on the larger animals, and even then it is not so valuable as the exploration by the rectum or bowel. The vaginal examination is made with the animal in the same position as for the bowel examination, and the hand, well lubricat- ed with clean lard or sweet oil, is inserted into the vagina as far as the neck of the womb. In the first months of gestation the womb descends into the abdomen; conse- quently, the vagina is longer and more inclined down- wards in front; while the foetus is bej'ond reach of the hand. Towards the fifth or sixth month, the womb, in expanding in every direction, approaches the vulva, and the canal of the vagina being shortened, the womb can be perceived. The same manipulations as were practiced 54 Obstetrics — Domesticated Animals. in the bowel, may be employed in the vagina at this time, but the resutls are far from being satisfactory; the va- ginal examination, should therefore, never be preferred to that of the bowel. DURATION OF PREGNANCY. THE DURATION OF PREGNANCY varies consid- erably in different species of domesticated animals; and even in the same species there are individual variations which, though not very great, are important; so that the exact term cannot be rigorously fixed. With regard to the breeds, it has been remarked that the Hungarian Cow averages ten days more than the Dutch Cow. With the male foetus, the duration of gesta- tion is longer than in the case of a female foetus. It has been observed that the male parent has an influence on the duration of pregnancy. For instance, a Mare which has copulated with a thoroughbred Horse will be longer pregnant than when impregnated by a common-bred Stallion; and the Mare which has copulated with the Stallion Ass goes longer than when impregnated by a Horse. The duration of pregnancy also depends upon the age of the female, and her strength and condition; a weakly or much-worn animal does not go so long as one which is strong and well fed. The differences in individuals of the same breed or species may be partly accounted for by the fact, that im- pregnation is possible at any time during heat; and if copulation has taken place several times during this con- dition, it is impossible to predict when conception took place, and even when copulation has only occurred once between the male and female, fecundation does not ne- cessarily coincide with this intercourse; as the ovum of the female may meet the male generative germ (sperma- tozoa) in different regions of the system of the womb, and may, therefore, only be fertilized some days after copulation. The time required for the ovum to pass Obstetrics — Domesticated Animals. 55 through the Fallopian tube also varies in different ani- mals. In the Rabbit and Guinea-pig, for instance, it takes three days; in the Mare, Cow, and Sheep, four to five days, and in the Bitch from eight to ten days. Various circumstances may retard or accelerate the development of the foetus. With some animals it may apparently remain for a number of days in the womb after it is ready for birth, without inconvenience to the mother or itself, just as it may be born several days be- fore the ordinary period without compromising its safety. The duration of pregnancy with the Mare is usually eleven months, though it may vary between ten and twelve; with the Cow nine months; Sheep and Goat five months; the Pig is usually pregnant four months, or ac- cording to some authorities three months, three weeks, and three days; the Bitch is pregnant about two months, or from 58 to 65 days; the Cat is pregnant from 50 to 60, 62, or even 64 days. MULTIPLE PREGNANCY. The causes of multiparity are not well ascertained. It may be due to simultaneous ripening of two or more Graafian vesicles, which, rupturing at the same time, al- low the escape of ova they contain, and which may become impregnated at a single copulation. Or a Graa- fian vesicle may contain two or more ova, and these ar- riving together in the womb, may be fecundated at one time. Or it may be that the membrane surrounding the ovum contains two yolks, as sometimes occurs in the fowl's egg. Of all the domesticated animals, the Mare is the one which least frequently brings forth more than a single creature at a birth; and when more than one foetus is present, they are usually born dead or die soon after birth. The female Ass more frequently brings forth twins than the Mare; but even in the Ass twins are rare. Double 56 Obstetrics — Domesticated Animals. and triple births are not unusual in the Cow, the former being far from uncommon. With the Sheep, twins are a very common occurrence; and it is a saying that in a good flock there should be as many Lambs as Ewes, the double births compensating for the losses. The Goat is generally considered an uniparous animal, but it would appear that this is a mistake, as double and triple births may be said to be the rule, and not at all infrequently four are produced. But usually with three or four at a birth, one or more are feeble or born dead. A curious fact in connection with the production of twin calves, is that when the young are of both sexes, the female is generally unproductive. It is a fact known, that when a Cow brings forth two calves, one of them a Bull- calf and the other to appearance a Cow, that the Cow-calf is unfit for propagation, but the Bull-calf grows into a very proper Bull. Such a Cow-calf is called a Free- martin, and is commonly as well known among the farm- ers as either Cow or Bull. It has all the external marks of a Cow-calf — namely, the teats, and the external fe- male parts. The Free-martin does not show the least in- clination for the Bull, nor does the Bull ever take the least notice of it. In form it very much resembles the Ox or Spayed Heifer, being considerably larger than either the Bull or the Cow, having the horns very similar to the horns of the Ox. POSITION OF THE FOETUS IN MULTIPLE PREGNANCY. The relative position of the young, when more than one exists in the womb, is important to give some atten- tion. With regard to each other, it may be said that they occupy four different positions: 1. Each foetus may be isolated and enveloped in its own proper membranes; 2. If there are two foetuses they may have a common en- velop, and otherwise have a second separate sac; 3. Both Obstetrics — Domesticated Animals. 57 may be developed in the same cavity and the same amnii or waters, their membranes being common, and no par- tition existing between them ; 4. One foetus may be con- tained within the other by "inclusion," as in monstros- ities. In the first above named variety of pregnancy, the en- velops, where they are in contact, adhere together by means of fine connective itssue; the after-births are often Fig. 11. TWIN PREGNANCY COW. confounded, or united by a kind of membraneous con- nection, though their circulation remains distinct. In such a case the young may be expelled from the womb to- gether; but more commonly, after the birth of the first foetus, the womb contracts on itself, enclosing the re- maining progeny, which may not be bom until some days after. This apparently prolonged retention of the second foetus is generally due to the fact that the first is expelled prematurely, because of the excessive distention exper- 58 Obstetrics — Domesticated Animals. ienced by the womb; the womb, having thus got rid of its embarrassment and become relieved, can then main- tain the second foetus until the usual time expires. If one of the foetuses dies in the womb, the other, being contained in a separate envelop, may continue to live and grow. In somewhat rare cases, the dead foetus remains in the womb, becomes dessicated, and is not expelled until the birth of its companion at the usual period; or, which is more common, it acts in the womb as a foreign substance, the presence of which is irritating, and by inducing contractions of that organ it is extruded, while the living foetus is retained and grows until the normal time for delivery. Death of the foetus in these multiple cases appears to be due, either (1) to the stronger vitality of the one which by attracting to itself a larger share of nutriment, starves the other; (2) to the too con- siderable increase in volume of one foetus, which com- presses the other; (3) or to the separation of the foetal from the maternal after-birth, which, of course, causes an interruption to the circulation of the young animal, and a suspension of nourishment. In this variety of pregnancy where the two foetuses have one common envelop, there is only one after-birth; the two having a circulation in common through their after-birth and the navel vessels communicating by their vascular ramifications. In this case the expulsion of one foetus necessarily brings about that of the other. These results may be expected in the second and third variety, before inentioned. In the fourth variety, as there are only two instances on record, it will be unnecessary to enter into farther detail. HYGIENE OF PREGNANT ANIMALS. The hygienic measures to be observed in the manage- ment of animals during pregnancy are, in general, those Obstetrics — Domesticated Animals. 59 which should prevail always, irrespective of this condi- tion. But besides these there are a few particular pre- cautions to be attended to, in order that this period may- be safely and successfully passed through, and these pre- cautions are all the more necessary as the period of birth approaches. When an animal is believed to be pregnant, it should not be allowed near the male again. With those animals which are employed in labor — as the Mare, and some- times the Cow — it is well not to work them severely nor fatigue them much, and particularly as pregnancy is advanced; and, on the other hand, absolute repose is not advisable. Exercise is most beneficial, and the most dif- ficult cases of parturition occur among animals to which exercise is denied. The pregnant Mare will accomplish ordinary and accustomed work, particularly if it be slow, without any harm, perhaps with benefit, until the seventh, eighth or ninth month, when more care should be ob- served; but moderate exercise should always be allowed up to the period of parturition. Harness is preferable to saddle work for pregnant Mares; and fast trotting, gal- loping, jumping, traveling over broken ground, or severe and sudden exertion, injuries, or shocks of any kind, are to be avoided — in fact, extremes should be guarded against. If the animal must be employed for riding, the use of the spurs should be abandoned, because of the sudden contraction of the muscles which their applica- tion induces, which may lead to abortion. If the Cow is kept for milk production, the milking should cease about the seventh month; though with well-fed Cows it is often prolonged until near parturition. Nevertheless, there can be no doubt that this practice is detrimental to the foetus, by arresting or retarding its development, through di- verting into the udder the materials which should be disposed of in the womb. Unemployed animals ought to be regularly exercised by hand. Exercise at pasture is beneficial to all animals; 60 Obstetrics — Domesticated Animals. even the Pig and Bitch are greatly benefited by movement. THE FOOD of pregnant animals is an important con- sideration. Creatures in this condition should be well fed^ and especially if they have to accomplish a certain amount of labor or yield milk. The appetite is generally increased, and there is a tendency to fatten. This tendency should be somewhat guarded against, as it may prove trouble- some, particularly if it is allowed to proceed to an ex- treme degree; when it may retard the development of the foetus, induce abortion, cause difficult parturition, or give rise to serious after-consequences. This precaution is more to be observed in the second than the first halt of pregnancy, when the food should be plentiful, but not in excess, and flesh inore abundant in the animal than fat. Indigestion should be carefully guarded against. The food should be of good quality, very nutritious, easy of digestion, and not likely to induce constipation. Graz- ing on pastures is favorable to the pregnant condition of herbivorous animals, and especially if the land is not too broken, or sloping, and the herbage is good; as they take their own exercise, and breathe a purer atmosphere than that of the stables or sheds. But it must be remembered that they should be protected from damp, fogs, cold rain, stormy weather, etc. If the herbage is not suffi- ciently abundant and nutritive, an additional allowance of other food will be necessary. It is beneficial to add salt to the rations of the pregnant animal, especially in those regions where inflammation of the joints is preva- lent among young animals. The phosphates so necessary for the formation of certain tissues of the body, may be deficient in the herbage; and this may be compensated for by giving as a part of the rations, bran, meal, oil-cake, etc., and even properly prepared bone-dust. THE WATER should be pure and plentiful at all times; as then the animal will drink only moderate quan- tities, and when necessary. A point to be particularl}-- Obstetrics — Domesticated Animals. 61 attended to, is not allowing pregnant animals to drink very cold water, nor eat food at a low temperature. As has been previously stated in this compendium, the foe- tus is extremely susceptible to the action of cold, and abortion is by no means unusual through the careless administration of cold water or cold food. With regard to the DWELLINGS, cleanliness is, above all things, necessary to be observed. Near foaling time — three weeks or a month — the Mare should be kept apart in a roomy loose-box, and when convenient, with- in the sight of other Horses with which it has been accus- tomed to associate. The Cow is usually allowed to re- main in its ordinary stall in the cow-shed; but over- crowding and want of space should not be allowed, and every Cow, towards the end of pregnancy, ought to have plenty of room in its stall, if a separate box cannot be allowed. With stalls the floor should slope very little, if any, from before to behind; for if this inclination is at all marked, the weight of the womb is thrown backwards, and this may lead to abortion, prolapsus of the vagina, and even eversion of the womb. The stall should be well bedded, to prevent the animal from soiling itself. Should a case of abortion occur in a stable or shed, among preg- nant Cows, the one which has aborted should be removed at once, and the place it occupied thoroughly cleansed and disinfected, and every trace of the accident most scrupulously obliterated; as without observing these pre- cautions, abortion may be induced in the other Cows. Cows which have indications of approaching abortion, ought also to be removed from the vicinity of other preg- nant animals and kept apart from them so long as there is any vaginal discharge; and the same precautions must be adopted with regard to thorough disinfection and cleansing. It is not advisable to have Cows bring forth among others whose period of gestation has not arrived. Mental and physical TRANQUILITY are essential 62 Obstetrics — Domksticati-:d Animals. conditions of successful pregnancy. Harsh or cruel treat- ment on the part of grooms, cow-keepers, shepherds, and others, should be sternly suppressed; and fear, generally produced by young dogs hunting the animals, and par- ticularly pregnant sheep is to be averted if possible. It is advisable not to have animals of other species in the same field or pasture with those that are pregnant, more especially toward the period of parturition. Above all, it is necessary to guard against the use of drastic purgatives, or even laxatives, for the relief of constipation, which may not exist; as with some animals these medicines, by increasing the muscular action of the bowels, indirectly excite contraction of the womb. If there is constipation, suitable diet is a safer remedy than physics. Powerful narcotic, sedative, and other medic- inal remedies, are to be avoided; even if they do not in- jure the mother, they may imperil the life of the foetus. STERILITY— BARRENNESS— INFECUNDITY. The loss to farmers, as well as to owners of Stallions and Bulls, on account of barrenness, is sometimes enorm- ous. Barrenness exists in both males and females. If a number of females are bred to a certain male animal and fail to conceive, there is something wrong with the male and he is considered barren or sterile. Again, certain females may be bred to a number of male animals, with- out conceiving, then the fault is with the female, and she is considered barren. Barrenness, temporary or perma- nent, in the female, is a common occurrence, and is some- times serious. It is more frequently met with in the Equine than other species. BARRENNESS— STERILITY IN THE MALE. CAUSES OF BARRENNESS IN THE MALE.— In the male, barrenness may be due to many causes, as hard- ening of the testicles, the result of inflammation; soften- Obstetrics — Domesticated Animals. 63 ing of the testicles from being pampered, and liberally fed upon starchy food without sufficient exercise; imper- fect development of the testicles, as in the case of ridg- lings. Change of climate has sometimes a marked influ- ence on the generative organs, at times only for a season, and again it renders the male animals incapable of impreg- nating females. There are also several diseases of the generative organs, which tend to produce barrenness, as inflammation of the membrane covering the penis, ulcer- ations of the penis, warts on the end of the penis, paralysis of the penis, tumors affecting either the testicles or penis, tumors affecting the excretory ducts of the testicles, en- larged prostrate gland, injuries or disease of the back and loins rendering the male animal unable to mount the female; serving too many females within a few days, will sometimes render the male sterile for the balance of the season. Or the fault may be due to the absence of the male generative germs (spermatozoa) in the seminal fluid. TREATMENT OF BARRENNESS IN THE MALE. — All the foregoing causes and conditions should be care- fully considered and given prompt attention, if the owner wishes to use the animal for breeding purposes. If the animal is barren from imperfect development of the tes- ticles, as in ridgling, castrate at once and convert into a good work horse. If the sterile animal is other than a StalHon, fatten for the market, as the animal will never be of any use for breeding purposes. When there is soft- ening of the testicles from being too fat and fed upon starchy food, give plenty of exercise, and avoid feeding corn, wheat or other starchy food, and feed oats, bran mash, cottonseed cake, etc. When there is hardening of the testicles, grease them with the following preparation: Iodine one-half ounce Alcoholic Extract Belladonna . . one-fourth ounce Camphor one-fourth ounce Vaseline or lard four ounces "64: Obstetrics — Domesticated Animals. Mix thoroughly and apply gently. Where self-abuse has been continued for a considerable length of time, cas- tration is the most profitable method to pursue. Ulcera- tions of the penis are best combatted by filling the ulcers with calomel, a few times. Warts should be extirpated with the knife and afterwards touched with lunar caustic or acetic acid. Too much stress cannot be placed upon the evil of serving too many females in a short space of time. One service a day, is all that should be allowed during the season. Two services may be permitted in one day, by allowing five or six hours to elapse between €ach service, but this should not be continued daily. The indiscriminate and injudicious methods practiced by some owners of sires by allowing four, five, and sometimes as high as eight services in a single day, is very liable to cause a weakness of the testicles, so that the fluid secret- ed thereafter for a considerable length of time, will be deficient in impregnating properties (spermatozoa), and although the animal may seem vigorous and continue in service, the female will fail to conceive, through no fault of her own. BARRENNESS^-STERILITY IN THE FEMALE. CAUSES OF BARRENNESS IN THE FEMALE.— ■Sterility in the female, has also a variety of causes. Pro- longed continence and old age are not infrequent causes, as is witnessed in Mares which have worked for many years in towns, and then transferred for breeding pur- poses. Change of climate has in many cases a marked influence on sterility — sometimes rendering the animal sterile for only a longer or shorter period, while at other times barrenness becomes permanent. The generative organs may also be impaired, and fecundity suspended temporarily or permanently, by abuse of the generative functions, bad hygiene, etc. The female may fail to con- cieve from premature or tardy copulation when the gen- OnSTETRlCS — DuMliSTICATED AnIMALS. 05 erative organs are not in a physiological condition for conception, or when they are in an irritable, abnormal state; but this cannot be termed sterility. Under-fed or over-fed animals generally do not breed so readily as those which are in moderate condition; fat animals are especially unfruitful; as in these pampered, highly- fed, fat animals, there is generally found a fatty condition of the ovaries. Excitable, vicious females are less likely to procreate than those which are of an equable and gentle disposition. An animal with a mild disposi- tion is often impregnated at one attempt; and it has been observed that with Mares accustomed to work, active exertion, even to produce fatigue, before being put to the horse, is favorable to conception. So it is that the Arab submits his Mare to a severe gallop, and brings her almost breathless before the Stallion, when, copulation being accomplished, he leaves her quietly at rest for some hours. Barrenness may also be caused by disease or alterations in the ovaries. Fallopian tubes, womb, or vagina; and if any material obstacle to the contact of the spermatic or seminal fluid of the male with the ovum of the female be present in these parts, impregnation cannot take place. Sometimes tumors of various kinds in this region cause sterility. An imperforate, dense, and tough hj^men may be another cause. The male generative germs (sperma- tazoa) may have their vitality destroyed by the acid or other secretions they meet with, when introduced into the female genital canal; or the impregnated ovum of the female may be unable to fix itself on the mucous mem- brane of the womb because of inflammation existing there. Occlusion or closing of the mouth of the womb has been known as a cause of barrenness in the Mare and Cow from the earliest times. This closing of the mouth of the womb may be complete during copulation, which will prove fatal to impregnation ; or it may be due merely to a spasmodic condition of the muscles of the (iii OliSTliTUKS DoMliSTICATLlU AxiMAI.S. neck of the womb. Leucorrhoea or whites is a frequent cause of sterility. TREATMENT OF BARRENNESS IN THE FE- MALE. — All the causes should be considered and a care- ful examination made, as removal of the obstacle to gen- eration may, in many instances, be quite within the scope of surgical or medical measures. The oiled hand should be introduced into the vagina, and if the mouth of the womb is found to be closed, smear the neck of the womb with extract of belladonna; within two hours' time make another examination and if the mouth of the womb still remains closed, in many cases this closure can be remedied in the very safe and simple manner following: The animal is secured — if a Mare by the "side-line," if a Cow by fast- ening the two hind legs together, though not too close — and the oiled hand, in the form of a cone, passed up the vagina to the neck of the womb in a half-rotary or screw- ing manner; on reaching the mouth of the womb, the tips of the fingers are to be gently inserted by the same movement into the mouth and pushed on until the cavity of the Avomb is reached; the animal should be put to the male on the same or the following day. This simple opera- tion for the cure of sterility has been very often practiced, and is well known to the Arabs of the Sahara, who treated their barren Mares in this manner, and in the majority of cases with success. A simple sound, the size of an or- dinary catheter, well greased, may be employed with the same object as the fingers, and appears to answer quite as well. Various instruments have been devised to dilate the mouth and neck of the womb, but nothing is equal to the fingers or the sound. In the United States, Lyford's method of ensuring impregnation when the mouth and neck of the womb is at fault, has been extensively practised, with excellent results. Use is made of what he terms impregnators and dilators. The impregnator consists of a hollow tube or cone, composed of soft rubber of sufficient thickness and Obstetrics — Domesticatiid Animals. 67 firmness to retain its shape and resist the pressure of the neck of the womb. Somewhat constricted at the disc portion, in order that it may be self-retaining (Fig. 12, a), the posterior surface of the disc is somewhat concave, to admit the urethral sinus of the penis; while the canal in the body is sufficiently wide to allow the semen or sem- inal fluid an easy passage through the tube to the end (b), which projects into the womb. These impregnators are in three or four sizes, to fit different sized wombs; and to render less objectionable to both male and female, the disc (Fig. 13, a), as well as the bulb (b), is hollow and very elastic, so that connection between male and female takes place almost as if no foreign body intervened. The advantages claimed for these articles are: Close approx- Fig. 12. Fig. 13. IMPREGNATING TUBE. SECTION OF IMPREGNATING TUBE, a, Disc; b, Bulb. a, Disc: b. Bulb. imation to the natural condition of the neck of the womb during copulation, and so rendering the communication between the cavity of the womb complete, thus assuring easy access for the semen; they are easil)^ inserted; are ready for immediate use; and they are cheap and dur- able. The 'dilator (Fig. 14) greatly facilitates the intro- duction of the impregnator, by dilating the mouth of the womb and displacing any obstruction that may exist, thus allowing the neck of the womb to envelop the impregnator easily and closely, as well as saving much time in insert- ing it. This is accomplished by the left hand in the va- gina placing the impregnator — in which is the dilator — 08 Obstetrics — DoMESTiCATiiu Animals. at the entrance of the mouth of the womb, while the right hand makes the necessary pressure on the handle of the dilator to push it into the canal of the womb ; the left hand retains it there until the dilator is withdrawn. The Stallion is then allowed access to the Mare and within five minutes after copulation the tube is extracted by means of a tape attached to it, the end of which has a ring, and hangs outside the vulva. Moderate rigidity of the neck of the womb, which can- not be overcome by prompt manipulation with the fingers or tubes, may be combatted by means of sponge tents in- troduced into the mouth of the womb. These are made by soaking a sponge to which a long string has been se- curely tied, in a strong solution of gum arabic; it is then closely wound round with a thread, so as to form an elong- ated, pointed mass four or five inches long. When dry, the thread is removed, and the sponge, being slightly smeared with grease or glycerine, is passed into the mouth of the womb, where it is left to soften and expand, in doing which it widens the canal. The operation of inserting the tent must be performed quickly, either with the fingers or forceps, before it absorbs mucus which will cause it to lose its rigidity and make it difficult, if not impossible, to apply. In some instance it may be necessary to make a few incisions in the neck of the womb before an opening can be forced; this can be accomplished with a thorough- ly cleansed, small-bladed penknife; then force an open- ing cither with the fingers or the sound. But this cutting operation should never be resorted to until the simpler and safer ones have failed. When the womb is excitable and irritative, causing straining and ejection of the seminal fluids or semen, it is b^st to give the female a good run or a hard day's work — Bomething to compel the animal to become fatigued, then breed immediately and she will likely conceive. If bar- renness is due to a fatty condition of the ovaries, where Obstetrics — Domesticated Animals. 69 the animal is very fat and pampered up, place it to work and work hard for a month or six weeks, feeding on a limited quantity of oats and hay; but if from too low a condition, and overwork, reverse the conditions. If from luecorrhoea or whites, treat for this ailment. If from dis- eased ovaries, the animal should be spayed. If only one ovary becomes affected, that ovary should be taken away, when the animal will possibly breed all right. When Mares become greatly advanced in years, say seventeen to twenty, without ever producing a colt, they should not be bred, as the pelvic bones become solidified and dif- ficult delivery is the result, probably ending in the loss of both Foal and Mare. PATHOLOGY OF PREGNANCY. In the PATHOLOGY of pregnancy will be included influence of pregnancy on ordinary diseases, and the diseases and accidents incidental to pregnancy. PATHOLOGICAL DISTURBANCES INCIDENTAL TO PREGNANCY. Pregnancy in animals brings about certain modifica- tions in the organism which may sometimes call for seri- ous notice, either when it leads to a morbid predisposi- tion, or in its influence on the progress of certain diseases already existing at the time of conception, or which have developed during pregnancy. There are also maladies which are peculiar to pregnancy, some of them of much importance. INFLUENCE OF PREGNANCY ON ORDINARY DISEASES. The influence of pregnancy has often been productive of marked effects on the course of ordinary diseases. And these influences may have been due, directly or indirectly, in some cases at least, to the condition of the blood in the female,' the red globules of the blood, also the albumin is 70 ObSTF.TRICS — DOMHSTICATEI) AxiMALS. greatly decreased, while the serum of the blood is much above the normal standard. Owing to this decrease in the solid portion of the blood, the blood of the pregnant female contains more white, than red globules; therefore depletive measures should be carefully resorted to, or, better still, abstained from. The mechanical effects of the foetus, and the immense volume of the womb, must also produce disturbance of most essential functions, and more especially those of the abdominal and thoracic organs. Therefore it is, that during pregnancy such af- fections as indigestion, colic, tympanites, or pneumonia, are so frequently followed by abortion and slow conva- lescence, or death of the animal. Chronic diseases have in general but little influence on pregnancy. It has been thought by some that "broken wind" in the Mare is much relieved during pregnancy; but some observations would go to prove that it is rather aggravated — though the troublesome cough does not appear to prevent the foetus from reaching its full period. Acute diseases are more serious, and especially those of an epizootic kind, which often cause abortion or induce premature labor. Influenza very often leads to abortion in Mares, and the contagious pleuro-pneumonia of cattle has frequently the same result, death being more frequent as pregnancy is well advanced. Sheep-pox is also more se- rious and more often fatal in pregnant sheep, and most frequently followed by abortion. Abortion has been a notorious sequel of "foot-and-mouth disease," in which the losses from this cause have sometimes amounted to fifty, and even more, per cent. Painful and nervous dis- eases are more serious during pregnancy than at other times. DISEASES INCIDENTAL TO PREGNANCY. The chief maladies or morbid conditions which have been noted in animals are Pica, rickets, constipation, colic, dropsical swellings, partial paralysis, cramps, con- OnsTETRics — Domesticated Animals. U gestion of brain, cough, inflammation of the udder, bloody serum or milk. PICA, OR LOSS OF APPETITE. The appetite of pregnant animals is sometimes de- praved, and they will ingest foreign matters — such as plaster licked from the walls, wood gnawn from their stable fittings, earth, etc. This depraved appetite may be corrected by careful attention to the quantity and quality of food, to which should be added powdered ex- tract of gentian. DOSE. — Mare, one drachm; Cow. two drachms; Sheep and Pig, twenty grains; Bitch, five grains. Give three times a day, mixed in the food. The Herbivora should be allowed common salt in their food, or to lick. RICKETS AND SOFTENING OF THE BONES. Softening or fragility of the bones, has been frequently observed in pregnant animals, and especially those which are young. There is considerable increase in the organic matter of the bones, and a corresponding decrease in the orniganic matter, especially of calcium phosphate; the long bones arc more particularly affected, though the whole skeleton may be involved. The bones become soft- ened, are often enlarged, and are friable and brittle; so that in advanced cases fractures occur readily, while de- formity is not at all rare. CAUSES. — It is generally due to the animal receiving insufficient food, or eating that which is deficient in min- eral matters — such as lime and phosphorus — as well as nitrogenous constituents. When pregnant animals are not well fed, the foetus makes such demands upon the mother for growth materials that she must suffer, and that speedily, in the bone strvictures. i2 Obstetrics — Domesticated Animals. SYMPTOMS.— Usually the first symptom is loss of appetite, the animal instinctively seeking for lime salts. But frequently the first indication of this condition is the occurrence of fracture of one of the limb or pelvic bones from some slight cause — as getting up from the recumbent position, slipping, or a blow. Sometimes be- fore these fractures occur, the animal appears to be stiiT, and walk as if suflering from debility, and the joints be- gin to swell; then the animal lies down and remains in this position, unless strong persuasion is applied. TREATMENT. — This condition is always more or less serious. Prevention lies in giving pregnant animals good food, keeping them in a healthy state, and not breeding from them when too young. The curative treatment is simple, and is mainly cen- tered in offering nutritious food rich in lime salts — as crushed oats and beans for Mares, and oats and beans which have been scalded or boiled, with green forage or good hay for Cows. Precipitated Calcium Phosphate, may also be administered in serious cases. DOSE. — Mare, two drachms; Cow, one-half ounce; Sheep and Pig, one drachm; Bitch, ten grains. Give three times a day. CONSTIPATION. Constipation during pregnancy is more frequently met with in those animals which live on flesh — as the Bitch and Cat — than those feeding on herbage. TREATMENT.— In all animals it may be largely remedied, or altogether removed, by suitable diet and exercise. Purgatives should be avoided, if possible, and only mild laxatives resorted to if necessary. For the Bitch and Cat castor-oil is preferable to other laxatives and raw linseed oil for the larger animals. DOSE of castor-oil for Bitch and Cat. one ounce. If the constipation is very obstinate and will not yield to the oil, give an injection of warm (not hot) soap suds. Obstetrics — Domesticated Animals. 73 DOSE of raw linseed oil. — Mare, one-half pint; Cow, one pint; Sheep and Pig, four ounces. The injection as directed for the Bitch and Cat should not be resorted to with the larger pregnant animals unless absolutely ne- cessary, as it might induce abortion. COLIC. Colic may appear in some instances during the early months of pregnancy in the Mare, the attacks being gen- erally slight, and occurring at intervals. TREATMENT.— It is usually the result of indiges- tion, and only requires simple treatment — as warm gruel, friction to the abdomen, injections of warm water, and laxative food, such as linseed mashes. DROPSICAL SWELLINGS OF THE LEGS DURING PREGNANCY (OEDEMA.) In some of the coarser breeds of animals and, occa- sionally in some of the finer, during pregnancy swellings appear around the udder, extending forward as far as the breast and backward and upwards as high as the vulva. The hind legs will begin swelling just above the hoof, and the swelling will extend upward to the hocks or even to the groin. These swellings are serous or watery in character, diminish rapidly during exercise and in- crease upon rest. The disease is not of much consequence, being caused by deficient circulation occasioned by the pressure of the foetus upon certain blood vessels, for explanation of (see alterations in the womb under preg- nancy). It is rarely seen in the Cow, as the circulation of the glands of the udder is more complete that it is in the Mare. In Mares it sometimes appears three or four months previous to the foaling; but when at pasture where they can get regular exercise, it rarely occurs. ^ TREATMENT. — As it depends very much upon the conformation and temperament of the individual animal. "] i Ol'.STKTRirS Do.M i:STl CATKl) .\ X I M ALS. as well as on season and hygienic management, no fear need be entertained, as it disappears in a few days after foaling. Should it occasion any inconvenience, give ex- ercise, and hand-rubbing with the following liniment: Soft Soap one and one-half ounces. Rain Water (boiled) five ounces. Gum Camphor one ounce. Oil of Turpentine thirteen ounces. Mix the Soft Soap with two ounces of the Water; dis- solve the Camphor in the Oil of Turpentine; gradually add the Turpentine solution to the Soap solution, stirring constantly until all has been added; then beat with an egg beater until the mixture becomes a thick creamy emulsion; lastly mix with sufficient boiled Rain Water to produce one pint. EXCESSIVE WATERS (HYDROPS AMNII.) When there is an unusual secretion of the waters of the womb (fluid amnii), it constitutes what has been termed "dropsy of the amnion." CAUSES. — It is most frequently met with in poor, badly-fed animals— and particularly in Cows, in which improper hygiene has produced a morbid excitement of the generative organs. Animals which bring forth more than one foetus are much more frequently affected than where only one foetus is present, and it nearly always occurs during the early months of pregnancy; the foetus is generally little developed, and in the majority of in- stances is dead before it is expelled. SYMPTOMS. — It is not until the fifth or sixth month of pregnancy, or even later, that indications of this con- dition are evident. Then the abdomen rapidly enlarges, especially to one side — generally the right ; and in a short time it has acquired a greater volume than it has towards the end of gestation. At this period the health becomes Or.STETRics — Domesticated Animals. To deranged, and colic, with or •without wind dropsy (tym- panites), is not infrequent. General debility is so marked that the animal can scarcel5^ if at all, stand; the appetite is lost, rumination is suspended, passing of the urine ir- regular, dropsical swellings of the limbs and abdomen ensue, with difficult breathing, which increases so quickly in intensity that suffocation is often imminent. The mus- cular walls of the abdomen in some cases have been rup- tured, and the entire mass of the womb, with its contents, has formed a hernia, or rupture. The ordinary period of pregnancy may be completed; or abortion may occur at the seventh or eighth month, when all the indications of such an occurrence are present. The act of parturition will be tedious and slow. DIAGNOSIS. — The state of the abdomen might lead to the supposition that the case was one of wind dropsy (tympanites), or twin pregnancy. But rectal examina- tion will reveal the immense size of the womb, which forms a great globular mass in the abdominal cavity, and almost completely fills the pelvis, though nothing of a foetus can be detected; while vaginal exploration dis- covers the neck of the womb cannot be distinguished, the mouth is closed, and the back part of the womb pro- jects more or less into the vagina; pressure on this part of the womb proves that it contains fluid, though usually no foetus can be felt, as it is beyond the touch, and almost lost in the small ocean of fluid surrounding it. It is in rare cases that the mouth of the womb is dilated. RESULTS. — The occurrence of excessive waters in the womb is nearly always fatal to the foetus. About fifty per cent, of the mothers survive; although, as a rule, the result has been more favorable where assistance was prompt and early. TREATMENT. — The chief indication is to remove at least a portion of the fluid, by rupturing the membranes surrounding the foetus; this can be easily accomplished with the fingers if any of the membrane is protruding 76 Obstktrics — Domesticated Animals. from the mouth of the womb into the vagina; if the mem- branes are not in the vagina, and the mouth of the womb is sufficiently dilated for the admission of the hand, they may be ruptured in the womb; if the mouth of the womb is closed it should be gently dilated, and the membrane punctured, if necessary, by means of a trocar and cannula. As soon as the membranes surrounding the foetus are pierced, a gush of fluid takes place, the abdomen dimin- ishes in volume, the womb becomes retracted, and in this retraction the foetus and membranes are sometimes expelled. Should this expulsion not take place soon, they must be removed in the ordinary way. After this, the animal must have good care and a generous amount of food. It must be remembered that the foetus is al- ways dead; and even if it were alive it should be sacri- ficed, with the view of saving the life of the mother. The chances of success are greater when intervention takes place during the early stage of pregnancy, and before the abdomen is excessively distended, therefore the respira- tion is not seriously affected, and debility not great. The excessive waters of the womb have been removed through a puncture in the flank; but this method is not advisable. PARALYSIS OF THE HIND QUARTERS. (PARAPLEGIA.) During pregnancy the Cow is more frequently at- tacked with paralysis of the hind quarters, than are the other domesticated animals; this usually occurs when near parturition, and often even when that act has com- menced; generally, however, it appears six, eight, ten, or twenty days, rarely a month or two, previous to partur- ition. CAUSES. — The cause has been said to be the result of the increased weight the creature is called upon to sup- port. It attacks animals which are well fed and tended, Obstetrics — Domesticated Animals. 77 as well as those which receive the opposite treatment. In a locality we may, in certain years, meet with a num- ber of cases; then several consecutive years may elapse without any being noted. SYMPTOMS.— The paralysis of pregnancy generally appears suddenly and without any premonitory symp- toms, manifesting itself with the same intensity at the outset as at a later period; though in rare cases the animal shows a weakness and unsteadiness of the back part of the body and hind Hmbs for a short time before it drops, and the end of the tail is remarkably flaccid. When par- alysis has really set in, the animal is forced to lie, but it does not appear to suffer; the position is natural, the head carried as usual, the eye bright and clear, the muffle damp and cool, and rumination in the majority of instances is not suspended; the pulse, respiration, and appetite are unaltered, and sensation does not seem to be impaired, even in the hind limbs. Constipation is frequently pres- ent. It is only when the animal attempts to rise that its condition is evident ; the fore limbs and neck can be moved to accomplish this, but the hinder extremities are power- less, or can only be raised to a slight extent; though with help it may be lifted up and can then stand, but unsteady. RESULT. — Ordinarily, the paralysis persists until par- turition, when it disappears. Sometimes it continues un- til the third day after parturition; and occasionally the paralysis persists for a longer time, and either causes the death or necessitates slaughter of the animal. When paralysis manifests itself only a few days before parturi- tion, the result is usually favorable; but when it makes its appearance toward the seventh or eighth month of preg- nancy, the prospect of recovery is not so favorable. If the animal is old or debiHtated there is less hope for re- covery. A day or two after parturition, if the animal can move the hind limbs and change its position from one side to another, a' favorable issue may be predicted. "58 OnsTETKics — Domesticate]) Animals. This malady must not be confounded with "parturient fever," "milk fever," or "parturient apoplexy," in which we have paralysis, but from which it differs greatly, as the symptoms and results show. TREATMENT. — It is advisable in most cases to get the animal up, either with or without help; but if it can- not stand, and slinging is not advisable, then it must be made comfortable in the recumbent position, and turned over frequently; peat-moss makes the best bedding. In the majority of cases and especially before parturition, little treatment is necessary. The principal indication is to avert or get rid of constipation by administering raw linseed oil internally, and giving soap suds injections when necessary, and to feed hot mashes and easily digested nourishing food, and keep the animal clean, and quiet. If the paralysis is due to debility, then highly nutritious food with powdered extract of gentian should be given. If the animal evinces tenderness on pressure along the spinal cord, heat should be applied to that region. Should the paralysis persist and the time for parturition be some months distant, it may be necessary to induce abortion, as the protracted recumbent position generally produces external sores of large extent. Should the paralysis con- tinue for any length of time after parturition, more ener- getic treatment will be necessary. In these cases, the hypodermic injection of strychnine beneath the skin is nearly always attended with success. DOSE of strychnine for hypodermic use. — Mare, three- fourths of a grain; Cow, three-fourths of a grain; Sheep, one-sixth grain; Hog, one-twelfth grain; Dog, one one- hundred and thirty-third of a grain. Repeat the injec- tion every four or five hours until relieved. DOSE of Powdered Extract Gentian. — Mare, one drachm; Cow, two drachms; Sheep and Pig, twenty grains; Bitch and Cat, five grains. Give with the food three times a day. DOSE of Raw Linseed Oil. — Mare, three-fourths pint; OusTETRics — Domesticated Animals. 79 Cow, one and one-half pint; Sheep and Pig, six ounces; Bitch and Cat, one ounce. Repeat the dose every six hours until the bowels move. CRAMP. By Cramp is meant an involuntary, and extremely painful contraction of one or more of the muscles. It is sometimes observed during the second half of gestation, especially in the Mare and Cow; it chiefly involves the muscles of the thigh, and the principle extensor muscle. SYMPTOMS.— The animal either suddenly and rapid- ly draws up and extends the limb— striking the ground hurriedly and energetically with the foot, as if a fly had settled on the leg, or the whole limb is gradually and rig- idly elevated without flexure of the joints, except those of the phalanges, which are half flexed, the front of the hoof being directed towards the ground; at the same time the muscles of the leg are hard, tense, and painful to man- ipulate, and the animal betrays the torture it experiences by its expression and attitudes. This manifestation is in- creased if the animal is compelled to walk, its first steps being extremely difficult; while the limb is maintained in a perfectly rigid condition. In a short time these symp- toms disappear, and movement is restored. The cramp may pass from one limb to another alternately; it ap- pears to be due to pressure on the sciatic nerve. TREATMENT. — Cramp is of no moment, and can be relieved by walking the animal for a few paces, or by smart friction. It disappears altogether after parturition. COUGH. Cough is a marked symptom of "excessive waters of the womb" (which see). But even when this kind of dropsy is not present, breathing is frequently difficult during pregnancy. This difficult breathing is sometimes accompanied by a very harrassing cough, which, in the 80 Obstetrics — Domesticated Animals. larger animals, and particularly the Mare, may lead to injury. TREATMENT.— Cyanide of Potassium is recom- mended for the relief of this cough. DOSE of Cyanide of Potassium. — Mare and Cow, one grain; Sheep and Pig, one-fifth grain; Bitch and Cat, one- tenth grain. Give three times a day until the cough is relieved. EXCESSIVE AMOUNT OF MILK BEFORE PARTURITION. This does not demand any attention, unless the udder is large and hard, when it would be beneficial to draw the milk frequently. ACCIDENTS OF PREGNANCY. Under this class will be found the following diseases which occur before parturition, and are due to accidental causes — Protrusion (Prolapsus) of the Vagina, Rupture of the Womb, Hemorrhage of the Womb, Abnormal Re- tention of the Foetus, and Abortion. PROTRUSION (PROLAPSUS) OF THE VAGINA BEFORE PARTURITION. Protrusion of the vagina has been most frequently observed in the Cow and Sheep; rarely in the Mare and Bitch. It consists in the protrusion, or pushing back- wards, of the vagina by the womb and its contents during pregnancy, the tumor it forms appearing between, or external to the lips of the vulva. When the tumor is be- tween the lips it is called "incomplete protrusion"; but when it extends out beyond the lips of the vulva, it is termed "complete protrusion." This must not be con- founded with "prolapsus of the vagina after parturition." CAUSES. — Protrusion of the vagina may occur in Obstetrics — Domesticated Aximals. 81 well shaped animals, whose tissues, especially those of the genital organs, are soft and relaxed, with a wide pelvis, good milkers, and which are fed on an abundance of bulky, but innutritious food. Keeping such animals on a floor sloping too much to the rear, as well as falls, injuries of different kinds, distention of the paunch, fatigue, etc., are all likely to lead to this accident in animals during pregnancy. It occurs most frequently after the third or fourth gestation, although it has been present during the first gestation. The period and duration of its appearance varies. SYMPTOMS. — The occurrence of protrusion of the vagina is made known by the appearance, at the vulva, of a circular, bright red tumor, depressed in the center, and of a variable, but increasing size as gestation advances — from the volume of a fist to that of the head of a child, or even larger. At first it is only visible when the animal is lying, and disappears when it gets up; but when of con- siderable volume it never entirely vanishes. If existing for some time, inflammation may be the result, when a large and somewhat dense tumor projects permanently outside the vulva. The color now becomes a darker red, and even dark brown; the tumor may be irritated on the surface from the rubbing of the tail and contact with the dung and urine, while at its upper part can be seen the neck of the womb. This does not seem to incommode the ani- mal, unless it be of an irritable disposition, when straining may take place, and this increasing in intensity, the neck, and even a portion of the body of the womb, will follow the protruded vagina, and a spontaneous reduction can no longer take place, while manipulation increases the straining. This is in reality now a case of "Prolapsus of the Womb," and an examination of the voluminous mass may lead to the detection of some portion of the foetus in its midst. Frequently the bladder become displaced, and when this is distended with urine it will gravely com- plicate the case and render reduction more difficult. ii>'i OiisTETKics — D()Mi;sTi(Aii:i) Animals. TREATMENT. — After calving, the vaginal tumor dis- appears without an 5^ treatment being required. But if treatment is necessary, and should the floor of the stall be lower behind than in front, to level it is the first to be done; this may readily be accomplished by means of the bedding. The diet may also require attention, giving that which contains sufficient nutriment in small bulk; con- stipation should be guarded against, or, if present, rem- edied by the administration of raw linseed oil. This treat- ment will be sufficient in the majority of cases. In serious cases, when the tumor is large and the ani- mal strains, and spontaneous restoration or replacement does not occur when the animal is in a standing position, the mass must be returned. This is readily enough accom- plished; but it sometimes happens that restoration docs not prevent a continuation of the straining, which will result again in the protrusion of the vagina. This is due to the membrane, which, not having been properly smoothed down when replaced into the cavity, remains in rigid folds which give rise to an uncomfortable sensation, and induce expulsive efforts or straining. In replacing the tumor, it is necessary to cleanse it well with tepid water, and to smooth out the folds of the membrane lining the vagina by gentle pressure forward as far as the neck of the womb, in order to efface these folds, which arc a great source of annoyance. After this a bandage may be ap- plied with a view to keeping the vulva closed, until its lips have retracted somewhat. For illustration and de- scription of the bandage (see Protrusion or Inversion of the Womb, Figs. 67, 68). In desperate cases, where there is complete protrusion of the vagina, with partial protrusion of the womb, the animal can only be saved by patience and tact of the oper- ator. The animal must be made to stand, with the hind quarters as high as possible (which may be arranged with boards or litter), and to prevent straining the loins should be pressed upon in a forcible manner, by means of a stick Obstetrics — Domesticated Animals. 83 placed transversely across the loins, with a man at each end, another holding the tongue and pinching the nose. The protrusion having been cleansed with tepid water, the operator replaces it during the intervals of straining. Having returned the displaced organs into the pelvic cav- ity, the arm and fist of the operator must follow them, and by pressing on the neck of the womb, so act on the lining membrane of the vagina as to leave no folds or ridges in it; when the straining has ceased, which usually occurs very soon, the arm may be withdrawn. The recurrence of the protrusion must be avoided by the im- mediate introduction of a ball pessary, for illustration and description of see (ball pessary. Fig. 65). So long as the pessary is worn — and it may be allowed to remain in the vagina for a considerable period — the vagina should be syringed daily with warm water, to which has been added a very little alum. Death is often the result in those cases in which the anim.al continues to strain and evert the vagina, notwithstanding bandages, pessaries, and other means, and when grave consequences are likely to follow; artificial delivery should be affected without delay; this can readily be accomplished by carefully and gently inserting the fingers into the mouth of the womb, and with the fingers rupture the foetal membranes. There is no difficulty during parturition as a rule; but care is necessary for some days after to prevent protrusion. DOSE of Raw Linseed Oil. — Mare, one-half pint; Cow, one pint; Sheep and Pig, four ounces; Bitch and Cat, six drachms. Repeat the dose every six hours until the bowels move. RUPTURE OF THE WOMB BEFORE PARTURITION. Rupture of the womb may happen before and during parturition, or in attempts to replace the womb when pro- trusion has occurred. It has been observed in the Cow, 84 Obstetrics — Domesticated Animals. Sheep, Goat, and Bitch; it is not very common before gestation has terminated. CAUSES. — Thinning of the walls of the womb, dropsy of the womb, and distention by the gas evolved from a putrefying foetus. SYMPTOMS.— The symptoms of the rupture of the womb are not well defined. If the accident is due to ex- ternal violence, the signs will be in accordance with its severity, and the more serious indications may appear very soon after the rupture, or not for a considerable time. After showing symptoms of colic for a short time, the ani- mal appears to be quite well until parturition is due, when after manifesting signs of parturition, the straining ceases, and the symptoms change to those of inflammation of the bowels — hurried, short and plaintive breathing, quick- ened pulse, loss of appetite and suspension of rumination, insensibility of surroundings, coldness of body, looking around to sides, etc. Exploration of the vagina may re- veal an empty womb, or only a portion of the foetus in it, and the rupture itself may be discovered. Or if the rup- ture has only ensued when parturition is advanced, the foetus may be expelled in the usual way, and the symp- toms of the rupture only recognized when the birth has been accomplished. The foregoing symptoms refer to longitudinal rupture. Similar symptoms are observed when transverse rupture of the womb has take place, ex- cept that, owing to the twisting of the womb, the hand cannot explore the cavity; the walls of the vagina, how- ever, are found very much relaxed, and the neck of the womb extremely movable in every direction. If the ani- mal survives, the straining soon passes off, the external genitals resume their ordinary appearance, and every in- dication of pregnancy disappears except the enlarged abdomen, on the floor of which the foetus lies, and there it may become compressed, or in the course of time elim- inated by an ulcerative process set up in the abdominal walls. The mother may thrive, especially if the foetus OiJSTiiTKics — Domesticated Animals. So does not cause any inconvenience or is expelled in some way; and if only one horn of the womb was involved in the rupture, she may again become pregnant. TREATMEXT.—But little can be said as to this. Looking at the serious nature of the accident, it must be a question whether, if pregnancy is about complete and the foetus is alive. To distinguish if there is life, refer to and read (Sensible Signs of Pregnancy). If there is no chance of saving the life of the mother, and the time for parturition is at hand, or nearly so, and the foetus is found to be alive, it is advisable to kill the mother and preserve the young one. If there are any outward signs of abdominal abscess, an incision should be made over the abscess for the elimination of the dead foetus. This surgical interference should be attempted on the chance of the mother surviving. Though the accident is generally of a most serious character, yet, remembering that the recovery does some- times take place, there need not be undue haste in de- stroying the animal. BLEEDING (HAEMORRHAGE) FROM THE WOMB BEFORE PARTURITION. Bleeding from the womb during pregnancy, appears to be somewhat rare in animals. It usually manifests itself by a small discharge of blood from the vagina, particularly during urination; this usually results in the death of the foetus. The blood sometimes remains in the womb, as a clotted mass, to the amount of over four gallons. Bleed- ing from the womb in the majority of cases would seem to be occasioned by a sudden separation of the minute blood vessels of the after-birth from the surface of the womb. This bleeding has been observed in animals which showed signs of "heat" during pregnancy. TREATMENT. — Apply cold water compresses over the loins and allow to remain for two hours, and plug or 86 Obstetrics — Domesticated Animals. pack the vagina with septic cotton; if this is not conven- ient, clean old linen will answer. If these applications are of no avail, then artificial delivery should be attempted by inserting the fingers into the mouth of the womb, and with the fingers rupture the membrane; the same treat- ment should be adopted as for bleeding (hemorrhage) after parturition (which see). ABNORMAL RETENTION OF THE FOETUS. When speaking of the normal period of gestation, it was remarked that this varied within considerable limits, and that the foetus might remain in the womb for a com- paratively long period beyond the ordinary time, without any serious inconvenience to itself or its bearer. But when, from any special cause, delivery cannot take place, then very grave results may, and, indeed, nearly always, follow. All the domesticated animals may suffer from re- tention of the foetus, but the Cow appears to be far more exposed to it than any other. CAUSES. — A diminution or loss of the contractile power of the womb, making it incapable of expelling its contents; adhesions of an unusual character between the womb and after-birth; malpositions of the foetus; dis-; placement of the womb; deformed pelvis; spasmodic con- tractions of the neck of the womb; twisting of the womb, or adhesions of its ligaments. SYMPTOMS AND RESULTS.— Until the period of normal parturition, or even during pregnancy, when abor- tion is about to take place, there are nearly all the signs of parturition; enlarged uddor, swollen vulva, pendulous abdomen, restlessness, and anxiety. Then the straining begins, but the mouth of the womb remains closed and no foetus appears. This condition may persist for only a brief period, and be so little marked as to pass unobserved in some cases; in others it may continue for two, three. Obstetrics — Do^iIEsticated Animals. 87 or four days, the straining or expulsive efforts diminish- ing in force and frequency until they altogether disap- pear. The animal then regains its ordinary state, and, if a Cow, the secretion of milk goes on as if there were noth- ing the matter. Health may never be impaired from this cause, and the condition of the animal may not be sus- pected until, if a Cow or a Sheep, it has been fattened and slaughtered by the butcher for food, when the foetus is discovered. After the permanent retention of a foetus, it has been observed that "heat" does not appear again in this animal, as a rule. Sometimes, several months after the period of gesta- tion has been exceeded, signs of parturition are again manifested, and delivery may then be safely accomplished, either without aid, which is rare, or by careful manipula- tion ; the young animal may even be born alive if too long a period has not intervened since the normal time of de- livery. Parturition in these cases is generally difficult ; and a favorable termination of such a condition is due to the foetal membranes not being ruptured, and the mouth of the womb sufficiently contracted to exclude the atmo- sphere. Even under these circumstances, very often, after fruitless straining, the animal continues unwell; it has little or no appetite, languishes, becomes feeble; hec- tic fever appears; the animal fails in flesh and strength, and dies after a more or less prolonged period of misery. When at the usual time of parturition, the straining of the animal has ruptured the foetal membranes and the waters escape, air at the same time obtaining access to the cavity of the womb, the case is in nearly every instance very serious. The foetus soon perishes and begins to pu- trefy, and in a short time the decomposing mass causes in- flammation of the womb (metritis i, accompanied by fre- quent and exceedingly severe straining; low fever takes place; a foul-smelling putrid fluid escapes from the va- gina, and the creature finally succumbs to inflammation of the womb and putrid infection. In other instances the 88 Obstetrics — Domesticated Animals. termination is not so rapid. The animal remains un- healthy; the secretion of milk is suspended; horribly bad- swelling discharges are passed from the vagina, containing pus, broken-up decomposed tissue, and even bones of the foetus. These discharges are increased by the strain- ing which sometimes takes place at intervals. In the meantime, the creature loses condition, and death ensues from debility and loss of strength. With the Cow there may be a vaginal discharge, due to the presence of a pu- trefying foetus, and for a long time, without any serious results. It is not the same with the Mare, as death has been the usual termination; but the retention of the foe- tus is very unusual in this animal. The period during which a foetus may be retained in the womb varies from a few months to five years. In the case of twins, it sometimes happens that one of them dies, and this occasions symptoms of abortion; but delivery of the dead foetus cannot be efifected, owing to the obstruction offered by the living one, which is born at the usual time, the parent being in good health. But days, weeks, or even months after, the remains of the dead foetus may be passed, or have to be extracted from the womb. TREATMENT.— The treatment for foetal retention must greatly depend upon circumstances. When the owner discovers an animal that has reached the termina- tion of pregnancy and begins to be in labor, perceives that the straining is weak and irregular, and not sustained, so that birth does not take place after twenty-four, thirty-six, or forty-eight hours, and even when the symp- toms of colic are slight, the attendance of an experienced operator should not be delayed. When some time— days for instance — has elapsed since this stage of parturition was reached, and labor has completely subsided, the case is difficult. A rectal and vaginal exploration should be made, and if it can be as- certained that the foetal membranes are not ruptured, Obstetrics— ^Do^rESTICATEl> Animals. 89 while there is no straining and the condition of the ani- mal is satisfactory, then it will be advisable to wait until indications of labor are once more manifested. If the state of the animal is not so satisfactory and delivery is decided upon, and should the mouth of the womb be im- penatrable, or not sufficiently dilated to allow the passage of the foetus, then it must be opened either by a careful manipulation of the hand, sponge tents, womb douches, or the womb dilating bag, which will be alluded to and illustrated under Mechanical Dilatation of the Mouth of the Womb (which see). When a long period has intervened after an attempt at parturition, and the general and local disturbance in the animal necessitates active interference on the part of the operator, then, of course, the first and most urgent indication is to remove the cause —the putrefying foetus — from the womb. When the mouth of the womb is not sufficiently open to admit the hand and the withdrawal of the foetus, then the case is one of difficult labor, com- plicated by the death of the foetus and its state of de- composition. (For treatment and manipulation see Dif- ficult Labor). If the mouth of the womb should chance to be contracted, it must be dilated either by the afore- mentioned methods, or, if these do not succeed (though they often do), then an incision must be made in the neck of the womb. In very exceptional cases, an operation must be performed on the womb through the abdominal wall (gastro-hysterotomy), if the foetus or its remains are to be got rid of; and in some instances, owing to the air or gas contained in the foetus, its shape or size, or de- formity of the genital passage of the mother, it will be necessary to divide the foetus into fragments, and ex- tract it piecemeal (see Embryotomy). These operations should be attempted only by the experienced Veterinary Surgeon, and not by the Veterinary Practitioner. When the womb is emptied of all the matters it con- tains, soHd and fluid, it should be thoroughly cleansed by 90 Obstetrics — Domesticated Animals. repeated injections or washings with tepid water, and finally with a three per cent, solution of permanganate of potassium, or a solution of carbolic acid (thirty drops of the acid to one pint of tepid water). It is well to re- member, that before making explorations or performing operations, the hands of the operator siiould be cleansed in one of the foregoing solutions. General treatment of the animal may be necessary, and this must be regulated according to the indications. In all the manipulative operations subsequent to deliv- ery, it will generally be found that care and patience, and above all things, an absence of undue haste, are com- mendable, and we find excellent pratictioners recommend- ing abstention, at least for a few hours, according to the circumstances. ABORTION— MISCARRIAGE. When pregnancy is interrupted by the expulsion of the ovum, or of the foetus at a stage when this has not attained sufficient development to live external to its parent, Abortion is said to occur; the young creature is either dead when expelled from the womb, or dies im- mediately afterwards. Abortion must not be confounded with premature birth (which see). There is not the same tendency or readiness in all the domesticated animals to abort. The Bitch and Cat rare- ly do so, even after serious injuries; and the Sow retains its foetus almost tenaciously; but the Sheep and Goat are rather liable to this accident. The Cow and Mare, but more especially the Cow, most frequently lose their foetus. Abortion is much more frequent during the first than the second half of pregnancy, and especially is this the case with the Mare. If Abortion occurs at a very early period, the ovum may escape intact and unnoticed, without any disturbance whatever of the health of the female. Abortion is more serious when it happens at a Obstetrics — Domesticated Animals. 91 late period; as it then not only causes the loss of the young animal, but it may compromise the value of the mother, or end her existence. The loss to farmers and breeders through their animals aborting is enormous, therefore some space will be given to this accident. Abortion presents itself in two distinct forms, and for the convenience of the reader, the two forms will be taken up and explained separately: 1. Sporadic, or Accidental Abortion; 2. Enzootic, Epizootic, or Infectious Abortion. SPORADIC, OR ACCIDENTAL ABORTION. When cases occur here or there on farms or breeding- establishments over a wide extent of country, without any relationship as to causation, it is termed Sporadic, or Accidental Abortion. CAUSES. — The causes of Sporadic Abortion are very numerous, and will be arranged as: 1. External Causes; 2. Internal Causes. 1. EXTERNAL CAUSES.— Atmospherical influenc- es, bad weather, or irregular seasons, are predisposing to or cause abortion. There can be no doubt whatever that cold, and especially when suddenly applied to the skin, may produce abortion; and hence it is that the abrupt setting in of cold weather is often marked by miscarriages among animals exposed to it. Many observers have noted that the continued and severe cold of winter is far less frequently productive of abortions than when cold, wet, or frosty nights in autumn succeed fine warm days. Cold rain is sometimes very damaging in this respect. With regard to food and drink in general, we often have an undoubted cause. Food of bad quality, indigest- ible, or containing injurious ingredients, is well known to be dangerous. After unfavorable seasons, when forage has not been well dried and made, abortions are of more frequent occurrence. Indigestible food, or that which has a tendency to collect or ferment in the stomach, may, 1)2 Obstetrics — Domesticated Animals. by exerting pressure on the womb, produce abortion. On the other hand, too great an abundance of easily-di- gested and stimulating food, by inducing a superabund- ance of blood and consequent congestion of the womb and loosening of the after-birth, has been set down as another cause. Frozen food or water, when taken in im- moderate quantity; and especially if the stomach is near- ly empty, as well as forage or herbage covered with snow^ or frost, are also injurious to the larger animals when preg- nant, and abortion often immediately follows. Filthy, putrid water frequently has a destructive influence on gestation. Some plants — such as horse-tails, sedges, etc., also the leaves of beetroot, readily induce abortion. Rue, savin, ergot of rye, and other abortive remedies will have a tendency to cause expulsion of the foetus more or less readily; and poisonous substances, such as cantharides, which act upon the womb, will do the same. Physics, es- pecially those of a drastic kind, are a fertile cause; and opium, digitalis, and some other drugs have to be admin- istered with caution. Ergotized grasses and grains have often produced wide-spread losses from abortion. Excessive muscular exertion and unusual traveling is very likely to produce it, and especially if there are indi- cations of a predisposition to abortion; if the exertion is sudden and severe, or even moderate, but coming after a long period of rest, it is all the more certain to produce abortion. Wounds to the abdomen by kicks or falls, or squeezing through a narrow doorway or passage, railway or steamboat traveling, blows and shocks, keeping the animal in stalls with floors that incline backward, are all causes. Access of the male (copulation) not unfrequently produces a miscarriage; and exploration of the vagina will also cause muscular contractions of the womb, which results in the expulsion of the foetus. Surgical opera- tions performed on pregnant animals, bleeding, or throw- ing a pregnant animal down to be operated upon, is dan- gerous. Carrying a rider, in the case of the Mare, and es- Obstetrics — Domesticated Animals. 1)3 pecially if the spurs are used, is attended with much risk. Excitement, fear, sudden surprise, or anger, are also causes. Heavy .thunder has sometimes been serious in this way; and the fear produced by dogs leads sometimes to heavy losses among Sheep; fox hounds running near or among pregnant Cattle or Sheep often cause consider- able damage, especially among nervous animals. 2. INTERNAL CAUSES.— Badly-fed and neglected animals sometime abort, but not nearly so frequently, per- haps, as those in the opposite condition, and extremely fat. It is generally admitted that with some animals there is a special disposition to abort, and sometimes without any noticeable cause, or a very trifling cause, as previous abortions, will induce abortions; while other animals never lose their foetus, though exposed to the influence of ap- parently most powerful causes. The disposition to abort sometimes disappears as age advances. A more constant and potent cause, is to be found in the presence of grave diseases, and especially those which affect the system generally, producing more or less de- rangement of all the functions. The various serious epi- zootic maladies, inflammation of the bowels, and all those abdominal disorders which give rise to restlessness, bloat- ing, cough, as well as those diseases which induce cough — as bronchitis, pneumonia, asthma, etc. — pleurisy, and other affections, and injuries accompanied by great pain; as well as nervous or convulsive derangements — such as lock-jaw, epilepsy, vertigo, etc., are all set down as causes. In acute diseases of the mother, which are attended by fever, the foetus may perish from the abnormal accumu- lation of heat. Certain virulent disorders, as foot- and-mouth disease, and tuberculosis, may cause the death and expulsion of the foetus. Dropsy of the head, dropsy of the abdomen, and general dropsy, may also lead to the death of the foetus, and is almost a certain determining cause of its expulsion. Faulty formations or relations between the after-birth, malformations of the foetus, 94 Obstetrics — Domesticated Animals. malpositions, are other causes. The presence of several foetuses often leads to abortion in the single bearing ani- mals, as the Mare, Cow, and Sheep. Disease of the womb, will be very likely to lead to the premature expulsion of the ovum, or foetus. Inflammation of the womb, as well as new formations, such as tumors and cancers, also enormous tumors in the abdomen, ovarian dropsy, etc., will predispose to or excite abortion. Abortion has not unfrequently been ascribed to some defects or other influences in the male, as debility arising from too frequent usage, also poor health. There is abundant evidence that a male enfeebled by too much use, is very likely to be a cause of abortion in the females to which he is put. Abortion has also been said to ^re- c{uently occur when the male was larger and more power- ful than the female. Various injuries, as external violence, may not only injure the womb, so as to produce abortion, but the foetus may sustain bruises and damage. The foetus may be poisoned by food or medicines which do not produce any noticeable effect on the parent. SYMPTOMS OF SPORADIC OR, ACCIDENTAL ABORTION.— The symptoms of abortion arc extremely varied. Abortion may occur without any symptoms or demonstrations, so far as the female is concerned; while in others the symptoms indicate a very serious condition. This usually depends on the period of pregnancy at which the accident occurs. Generally, abortion takes place without any previous indications, and the animal may be as well and lively as usual up to the moment when the foetus is expelled; and the expulsion itself is so sudden, so prompt, and accom- plished with so little visible effort or disturbance, that the accident in most cases receives very little, if any, notice. It frequently occurs during the night, and won- der is often expressed at finding in the morning the abort- ed foetus — generally contained in its intact envelops — lying behind an animal which, on the previous evening Obstetrics — Domesticated Animals. do looked perfectly well, and even now is so cheerful and unaltered, and its functions so unimpaired, that it can scarcely be believed that it has been the subject of such a mishap. Even the sentiment of maternity, which is so strongly developed in animals, is not awakened in favor of the expelled foetus, and the mother shows the utmost indiflference to it, even treading on it as if it were in no way related to her. When this simple abortion has taken place during the day, it has been noted that the flank falls in a little, the abdomen descends, the vulva and vagina slightly dilate, and there escapes from them a glutinous (sometimes tinged with blood) fluid with which the foetus is passed almost without effort. As before mentioned, the ovum or foetus is generally expelled in its intact membranes; this more frequently happens at an early stage of preg- nancy. Sometimes, however, the water-bag ruptures at the commencement of abortion, and the embryo or foetus escapes with a small quantity of water, the envelops being rejected soon after; or in some instances they may be re- tained in the womb, and thus constitute a source of dan- ger, the animal not making any effort to get rid of them. The foregoing are the symptoms of that which is termed SIMPLE ABORTION, and which is most frequently witnessed during the first half of pregnancy. So little disturbance does this kind of abortion cause, that the animal will not require treatment, with the exception of a little care from exposure for several days. In what is termed LABORIOUS, DIFFICULT, or COMPLICATED SPORADIC ABORTION, which is often due to external causes, such as injuries, the preced- ing symptoms are generally well marked, and vary some- what, according as the foetus may be dead or alive. The animal suddenly appears dull and peculiarly dejected; or it is restless, uneasy, and continually moving about; if pregnancy is advanced and the foetus is alive and strong, on watching the abdomen attentivelv, the movements of 06 Obstetrics — Domesticate]) Animals. the foetus will be perceived to be frequent, violent, and disordered, but they soon become feeble and infrequent, and cease altogether when the foetus has succumbed. The appetite is lost, a plaintive neigh in the Mare, moan in the Cow, or bleat in the Sheep, is emitted every now and again; the pulse is quick, small, and hard as in haemorrh- age; progression is difficult and unsteady, the expression is anxious, and respiration hurried. When the foetus is alive there is less prostration, and much abdominal pain. The animal often looks anxiously towards the flanks, paws with its fore feet and stamps with its hind ones, moves from side to side, perspires at the flank, breast and else- where; lies down and gets up again, whisks the tail in- cessantly, and exhibits every indication of increasing rest- lessness. At the same time the abdomen loses its round shape, and drops; if the animal is in milk, the udder be- comes soft and diminished in size more or less rapidly, while the milk secretions diminish; but if the animal is not yielding milk, then, on the contrary, the udders en- large and become swollen ; the vulva is puffed and swollen, and from it escapes a tenacious mucus, streaked with blood, and if the foetus is dead this mucus has a more or less foul odor, according to circumstances. Then follow symptoms analogous to those which characterize normal parturition — the womb begins to contract, and the expira- tory muscles act simultaneously with it; the expulsive efforts, or "labour pains," acting more or less energetically and continuously, according to the suddenness of the abor- tion and the strength and health of the animal. The first result of this straining is the evacuation of the rectum and bladder; the next is the dilatation of the mouth of the womb and protrusion of the foetal membranes into the vagina, then through the vulva, where they appear externally as the "water-bag"; this may rupture and the water escape, and the pains becoming more powerful, the foetus is at last expelled, either nude, or covered by the membranes. This act occupies a variable period — from Obstetrics — Domesticated Animals. 97 a few to many hours, according to the strength of the ani- mal; and it may even require human intervention to bring it to a successful termination. In other instances, however, the foetus is not expelled immediately after it is dead, but after many of the preceding symptoms just described have been manifested ; with the cessation of the movements of the foetus the animal regains its ordinary tranquility, appetite, and liveliness, and all the symptoms disappear for one or more days, when they again set in, and the foetus may be rejected without any apparent effort, or after much straining. In the case of more than one foetus, it may happen that the one nearest to the mouth of the womb is dead, and is expelled, the others being alive are retained until pregnancy is complete; or the contrary may occur, the living foetus being next to the mouth of the womb, pre- vent the escape of the dead one, and these being kept in the womb until the delivery of the others takes place, become compressed, or mummified. When abortion sud- denly sets in, and nothing is prepared for its being carried to a successful termination, either on the part of the foetus or the mother, the mother becomes exhausted by inef- fectual efforts, and soon passes into a crtitcal condition. Abortion differs from normal parturition chiefly in the state of the neck of the womb. Towards the termin- ation of pregnancy, this part of the womb becomes grad- ually shortened and softer; but in abortion we do not have these progressive changes which are so favorable to the passage of the foetus from the cavity of the womb outwards. The neck is long and rigid as in the non-preg- nant condition, and its dilatation is therefore slower, more difficult and more incomplete that when gestation has reached its termination. To counterbalance this, there is the small size of the foetus, which does not require so much space for its passage as if it were full grown; so that the difficulty is less on this account, though the other 98 Obstetrics — Domesticated Animals. difficulties we so often encounter in parturition may all be present. RESULTS OF SPORADIC, OR ACCIDENTAL ABORTION. — Abortion is always a serious accident, if only from the loss of the foetus. It is frequently compli- cated by bleeding (haemorrhage), which may have been the first cause of the action of the womb; it may also re- sult in rupture of the womb, from the efforts the ani- mal makes to overcome the resistance offered by the neck of that organ; indeed, we may have the usual complica- tions that attend parturition. But in many cases the complications are few and trifling, the animal experienc- ing very little inconvenience. When the accident occurs in the Cow before the fifth month, the secretion of milk is generally interrupted, often for a year, as the udders have not had time to experience the reflex or sympathetic influence which stimulates them into activity; when, however, it takes place in the last half of pregnancy the secretion may be established, though the yield is usually diminished, and the glands do not furnish their usual quantity until the next pregnancy. Abortion may produce protrusion or prolapsus of the womb and vagina, and sometimes even of the rectum. When abortion takes place during the latter half of pregnancy, the foetal membranes are frequently retained, wholly or partially, when the foetus comes away; and ow- ing to the condition of the neck of the womb and its rap- id contraction, they are included in the cavity of the womb, and constitute what is termed "retention of the after-birth." This often is a serious complication in the Cow after the first third of pregnancy, the membranes decomposing and giving rise to putrid infection and other alarming conditions. In the simplest cases of abortion, "heat" appears in the Cow in from one to two weeks after the miscarriage, and conception may occur then; but frequently impreg- nation does not take place until after several returns of Obstetrics — Domesticated Animals. 99 "heat," and often a whole year elapses before impregna- tion. In other instances, "heat" does not appear until the full interval of regular pregnancy has elapsed, and then the animal conceives almost as readily as before the mishap. Another very common result is the tendency to abortion after every conception; and with some animals there remains an almost persistent state of "heat," ac- companied by barrenness. DIAGNOSIS. — In the diagnosis we have to determine if abortion is in progress. And to do this in time to pre- vent it, is not so very easy, although it is very easy to dis- tinguish during or after the expulsion of the foetus. But when abortion first manifests itself, the symptoms attend- ing it are very misleading and might be taken for those of slight colic; many good practitioners have been deceived by the signs and symptoms, and have diagnosticated the case either indigestion, inflammation of the bowels, or some other malady which disappears after the expulsion of the foetus. Such a mistake is unfortunate for the rep- utation of the practitioner, as well as for the owner of the animal, whose interests suffer; for if a miscarriage had been diagnosticated in proper time it might have been prevented and pregnancy allowed to run its normal course. To prevent such an error, it is well to know that a mistake is possible ; so that if called in to attend an ani- mal offering some of the foregoing symptoms, the first in- quiry should be as to whether it is pregnant; then the external organs of generation — the vulva and udder — ought to be examined with the greatest care, and the ac- tual symptoms thoroughly taken into consideration. This being done, it will often be found that this is a case of threatened abortion; and that, when taken in time, the abortion can be averted by prompt and proper treatment. It may happen that information is required as to whether abortion has occurred in the animal. In the ab- sence of the foetus or its envelops, such a question is not 100 Obstetrics — Domesticated Animals. •easily answered; and the difficulty is increased if the foe- tus is undeveloped, and a long interval has elapsed since the supposed date of the suspected abortion; and after the fifteenth day it is almost impossible to assert with absolute certainty that abortion has occurred, the gener- ative organs having at that date resumed their ordinary condition. Therefore, it is only by an early inspection of these that we can enlighten ourselves as to what may have taken place. In this inspection is included that of the udders, which are always a little swollen, hard, and pain- ful, and often yield a small quantity of milk after a recent abortion; the tail, the hair of which is soiled and matted by blood, mucus, and the waters; the vulva, which is swollen and dilated, and its membranes often presents, in addition to its uniform and more or less deep-red color, spots due to the rubbing or bruising it experiences during the passage of the foetus. On carefully exploring the va- gina, if the neck of the womb is found to be softer than usual and the mouth of the womb partially open, and bet- ter still, if the hand can be introduced without much dif- ficulty into the cavity of the womb, and a quantity of bloody fluid, or fluid streaked with blood, or remains of foetal membranes, is discovered in the womb, it may be concluded that a foetus has been recently expelled. TREATMENT IN SPORADIC, OR ACCIDENTAL ABORTION. — With regard to preventive treatment, this must mainly depend upon a knowledge of the causes which produce abortion (see causes of abortion, also hy- giene of pregnancy) . With regard to animals which have a predisposition to abortion, they should not be bred from. But if it is desired to breed from them, if they are Cows, they must not be frequently put to the male, and certain- ly not before eighteen months or two years have elapsed since the last abortion. When pregnancy has again oc- curred, every precaution should be observed to continue it to a successful termination, by avoiding or removing those causes which previously induced abortion in the ani- Obstetrics — Domesticated Animals. 101 mal, also the general health should be attended to, there- fore combatting an overabundance of flesh and blood on one hand, or a debilitated condition on the other; guard- ing against constipation by giving proper food and ad- ministering mild physics, as small doses of raw linseed oil; also guarding against irritation. Should there be slight irritations, or any indications of abortion, whether general or of the womb, administer laudanum by the rec- tum; and allow only gentle exercise towards the end of pregnancy. DOSE OF LAUDAMUN.— Mare, one drachm; Cow, two drachms; Sheep and Pig, ten drops. Mix the laud- anum with not more than a wine-glassful of warm water, and inject into the rectum. Repeat the injection every two hours if necessary, until three injections have been given. With the Bitch, give three drops of laudanum by the mouth, every two hours, if necessary, until three doses have been given. When abortion appears to be close at hand, active and prompt intervention generally becomes necessary in order to avert it. Therefore it must be accurately distinguished if the foetus is alive or dead. (To prepare yourself for this difficulty, carefully read Signs of Pregnancy; espe- cially the Sensible Signs of Pregnancy, in another part of this treatise.) If the foetus is found to be alive, and the membranes are not ruptured, and labor pains have been few and not severe, the abortion may be checked or pre- vented by keeping the animal in the most perfect quiet possible — alone in a darkened place, with doors and win- dows closed, if convenient, and the administration of narcotics. The narcotic may be laudanum, chloral hy- drate, or chloroform. Laudanum is preferable and should be given as follows: DOSE OF LAUDANUM.— Mare and Cow, one and one-half drachms. Sheep and Pig, twenty drops. Mix in not more than a wine-glassful of tepid water, and give by the rectum in the form of an injection. Repeat the in- 10^ Obstetrics — Domesticated Animals. jection in half an hour, if necessary, and thereafter every hour until the pain and straining have subsided. Some authorities prefer chloroform and assert that it has yielded extraordinary results in abortion cases, by suddenly arresting the straining. DOSE OF CHLOROFORM TO PREVENT ABOR- TION. — Mare and Cow, two drachms; Sheep and Pig, twenty drops; Bitch, ten drops. As chloroform is very volatile it will be necessary to mix it quickly with three or four ounces of sweet oil and give it at once by the mouth as a draught. Repeat the dose in half an hour if neces- sary, and every hour thereafter until the pain and strain- ing subsides. After the administration of either laudanum or chloro- form, the abdomen should be gently rubbed for some time, and the stall well bedded; and if the animal will eat and drink, allow only small quantities of gruel for one or two days, or until all danger has passed, when it may be grad- ually put upon ordinary diet, and allowed to resume slow and light occupation. If the foetus is found to be dead, or if the foetus is alive and the foetal membranes are ruptured, which is in- dicated by the escape of the waters, abortion is inevitable, and there are no means of preventing the expulsion of the foetus; the object must then be to favor the expulsion of the foetus, as speedily as possible, and remove the envel- ops, should there be any likelihood of their being retained in the womb. In the majority of cases, active interven- tion is of but little value, and is only to be recommended when the labour is slow and tedious, and the animal is becoming exhausted by fruitless straining, or when labour is altogether suspended after the escape of the"waters." When intervention is decided upon, oil the hand and with it remove all the dung from the rectum; then cleanse the hand with tepid water, and finally with a solution of car- bolic acid (thirty drops of the acid to one pint of water) ; now oil the hand with clean oil — as sweet oil, or fresh Obstetrics — Domesticated Animals, 103 lard — and carefully introduce the oiled hand into the vagina, and if the mouth of the womb is found to be con- tracted or not sufficiently open to admit the hand, it must be gently dilated by the index or other fingers, un- til the interior of the womb can be reached, when the foe- tus is to be seized and removed in the usual way; should it be in a wrong position, or should there be any obstacles to its egress, then we must proceed according to directions given in abnormal presentations of the foetus. In abor- tion the foetus being small, we seldom encounter any difficulties from this cause. If it should happen that the neck of the womb is con- tracted, and shows no sign of yielding to gentle manipu- lation of the fingers, then measures should be adopted to relax it. For this purpose belladonna ointment will be found to be very serviceable; take of the powdered extract of belladonna one part, to four parts of lard; mix, and introduce into the vagina, and with the hand apply around the neck of the womb. Should this fail, other means must be resorted to, as described under Mechan- ical Dilatation ot the Mouth of the Womb. If the passage has become dry after the escape of the "waters," injec- tions of glycerine will be lound beneficial. Powdered extract of belladonna should be administered internally, particularly if the animal is exhausted. DOSE OF POWDERED EXTRACT OF BELLA- DONNA. — Mare and Cow, ten grains; Sheep and Pig, two grains; Bitch, one-eighth grain. Repeat the dose every six hours until the animal is relieved. Gruel, beef-tea, milk, or other strengthening fluids will also be required. If the membranes come away with the foetus, there is little more to be done; though in the contrary case, which frequently occurs in abortion as well as premature birth, the membranes are strongly adherent to the after-birth of the womb, and their retention, particularly in Cattle» is often troublesome. Some practition^-rs prefer to re- move these membranes immediately by carefully separ- 104 Obstetrics — Domesticated Animals. ating them with the hand; and this is easily accompHshed so long as the mouth of the womb is dilated, which it usually is for three days after delivery. Other practi- tioners prefer to wait for nature's assistance, and only provide the following simple precautions: When they find the membranes firmly adherent, and their separa- tion from the womb likely to be attended with inconven- ience, as well as injury, they only partially detach them, then collect and twist them into a rope-like form, and leave the mass protruding through the mouth of the womb, in the vagina; so that should the neck of the womb contract, this rope-like mass can be gently pulled, which will not only assist in the expulsion of the membranes, but will excite the muscles o^^ the womb to action and causing that organ to renew its efforts, of expulsion. In a short time the after-birth becomes loosened and is then readily removed by gentle pulling of the rope mass. How- ever, caution must be used in pulling this rope, or it will tear and become severed from the main portion. (Also read Retention of the Foetal Envelops or After-birth.) A few experienced practitioners rely on internal medicine for the separation of the after-birth and the membranes. One of them, has long and successfully administered the following: Powdered Laurel Berries, one and three fourths ounce Bicarbonate of Soda one ounce Infusion ot Fennel hali pint Mix and give as a drench at one dose to the Mare and Cow; give one-half as a dose to the Sheep and Pig, and one-third to the Bitch and Cat. Repeat the dose three times a day until the membranes pass away, which will usually take place on the second or third day. Also give to the Mare and Cow about eight or ten pints a day of a decoction of the meal of linseed-cake until the mem- branes have passed. Give proportionately to other ani- mals. Obstetrics — Domesticated Animals. , 105 An animal which has aborted requires attention after the delivery of the foetus. It should be kept clean, fed on gruel and easily digested food, though not in excess; kept from draughts of air, particularly in cold weather, and nursed for some days. The complications which some- times accompany this accident are the same as those of normal parturition, and will be alluded to under that sub- ject (which see). The animal should not be allowed to become impregnated at the next period of heat, and per- haps better if not at the succeeding period. EPIZOOTIC, ENZOOTIC, OR INFECTIOUS ABORTION. This differs from sporadic, or accidental abortion par- ticularly from its attacking all, or nearly all, the pregnant animals (especially the Cows) on a farm or pasture, over a wide district, or even throughout an entire country, for perhaps a succession of years — thus constituting itself a veritable scourge to agriculture. In the United States, it has proved a scourge in some of the horse producing re- gions, where it seems to have made its appearance in recent years. It is only since 1866 that it has attracted attention in the Mississippi Valley, and gradually in- creasing in severity, in 1889 and 1890 it caused great havoc — the losses through Mares aborting amounting to as many as 75 per cent, in some regions; in others, one- half of the Mares aborted. The Horse-breeding areas in Illinois and adjoining states suffered most. In Kentucky in 1892, it was reported that 75 per cent, of the brood Mares were either barren or had lost their Foals that spring. And since that date infectious abortion has given more or less trouble in different sections of the United States. CAUSES OF EPIZOOTIC, ENZOOTIC, OR IN- FECTIOUS ABORTION.— So long ago as the end of the last century, contagion or infection was believed to play 106 Obstetrics — Domesticated Animals. the principal, if not the sole part in many outbreaks; for it was observed that when a Cow aborted in a place where other pregnant Cows were kept, these would abort in suc- cession until all, or nearly all, had miscarried. Not only this, but it has often happened that a newly purchased Cow- in-calf has been introduced into a farm where the Cows had already calved favorably at the proper time; and when the stranger has aborted, first one, then another, then a third, and so on, of the others have experienced the same misfortune, and the malady has persisted in the place for consecutive years. Again, when pregnant Cows which were living in a place where the disease had not existed, have been introduced into a stable where it pre- vails, those that are at the end of gestation calve regularly and normally; but if they are a certain time in the infect- ed stable before this period is reached, they abort like the others. The bad hygiene of cowsheds and stables appear to have no influence on abortion, as it appears quite as severely and readily in those which are well ventilated and cleansed as in those in the opposite con- ditions; in fact, nothing can so well explain the occurrence of particular outbreaks of epizootic or infectious abortion as the presence of a contagious or miasmatic infection. It has been proven and established by microscopical investigation, that on the lining membrane of the vagina and vulva there is constantly found a minute fungus mixed with mucus, which is a kind of bacilli or microbe. Towards the period of parturition these bodies become extraordinarily abundant, and they seem to cause the de- composition of the foetal membranes and their expulsion; when the after-birth and membranes are retained and putrefy in the womb, these microbes are extremely nu- merous. It has been asserted that it is sufficient to in- troduce into the vagina some of these microbes or bac- teria, which will multiply there, and penetrating to the womb, commence their work of decomposition, to pro- duce abortion. In cases where these microbes were in- ■ Obstetrics — Domesticated Animals. 107 occulated'in Cows which were pregnant from five to seven months, in twelve, fourteen, and twenty-one days after the inocculation they aborted. It has also been shown that by smearing the canal of the vagina of a pregnant animal to a certain depth with the matter from the ex- pelled membranes of one which has been delivered, abor- tion can be induced. There is sufficient proof that infectious abortion is caused by a specific germ or microbe that, when trans- mitted from an animal that has aborted, or from the aborted foetus or its envelops, to another pregnant ani- mal of the same species, will cause it to abort. The mi- crobe may obtain introduction to the genital passage through actual contact with these matters, or the air may carry it to them when the discharges have become dried. In the animal which has aborted the previous year, and is afterw^ard barren, a mixed variety of microbes will be found, while the matter obtained by scraping the lin- ing membrane of the womb gives a slightly acid reaction which is undoubtedly the cause of the animal being in- capable of impregnation; as the male generative germ (spermatozoa) cannot retain vitality in other than an alkaline medium. SYMPTOMS OF EPIZOOTIC, ENZOOTIC, OR IN- FECTIOUS ABORTION.— It is rare that this kind of abortion occurs before the first third of pregnancy has passed; more frequently it occurs during the second half of pregnancy. There are no premonitory symptoms, ex- cept perhaps a trifling uneasiness for a few hours previous, with sinking of the flanks and descent of the abdomen; the animal generally looks well and hearty, and yields its supply of milk as usual; and soon after the foetus is ex- pelled, apparently without any effort or inconvenience, and along with its membranes, if these are not ruptured, with or without them when they are ruptured. It is rare, however, that the ruptured membranes are rejected im- mediately after the foetus; as a rule they are nearly al- 108 Obstetrics — Domesticated Animals. ways retained, particularly when pregnancy is advanced, when they are retained they putrefy in the womb, being got rid of only in shreds at intervals. When attempts are made to remove them by hand, this is found much more difficult than after ordinary parturition; owing to the membranes being very adherent. When the membranes come away slowly, the animal generally loses in appetite and condition, goes off its milk, and sometimes perishes. If the animal recovers, "heat" appears unnaturally fre- quent, though conception is infrequent and barrenness common; and on the other hand, there are some ani- mals which expel the membranes quickly, conceive soon after, but again abort as readily — perhaps three times in the course of a year. The foetus is usually dead, though when it is expelled during the second half of pregnancy it may be alive; but it is weakly and soon dies, even when born near the ter- mination of pregnancy. These newly born animals make a rattling noise when breathing, accompanied by the dis- charge of a rusty-colored mucilaginous fluid from the nostrils; they are attacked by diarrhoea, and are always emaciated and flabby, the gums and palate being pale. As has been stated, all the animals on a pasture or in a shed where the disease prevails, do not abort at the came time, but at intervals. When one aborts, another appears to prepare for the event, which may occur in about eight days; then some days after this it is the turn of another, and so on until two-thirds, or perhaps even all. of the pregnant animals beyond the first third of gestation have aborted. It has also been mentioned that it is only after being some time in sheds in which the disease is pres- ent, that newly purchased animals are attacked; those which are nearing parturition escape abortion. There are instances recorded in which a pregnant Cow, leaving a shed in which abortion prevailed, and transferred to another where the accident has not been seen, would re- main all right for some time, then suddenly miscarry, Obstetrics — Domesticated Animals. 100 and in the course of about fifteen days other abortions would occur in this shed, therefore the danger of keep- ing pregnant animals in contact with or in proximity to those which have miscarried in this way. It has also been stated that an animal which aborts either remains barren, or has always a tendency to abort again. But it has been observed, especially in Cows, that if they are well fed, the period that elapses after each abortion is often longer; so that if a Cow aborts the first time at six months, it will do so the second time at the seventh month, and the third time a little before the ninth month, reaching its full peroid in three pregnancies. One of the peculiarities of infectious abortion in the Mare which is not so perceptible in the other domesticated animals is, that very often nothing at all is noticed, the animal appearing in as good health as usual; in other in- stances there is uneasiness, which might pass without at- tracting much attention. Very often the first indication observed is the return of "heat" in Mares supposed to be some months pregnant; and the animals being at pasture, the expelled foetus escapes detection, until in some of the Mares pregnancy has considerably advanced, when the size of the abortions lead to the discovery that the disease is rife. The Foals that live for a short time have inflammation of the joints, which often run on to sup- puration. TREATMENT FOR EPIZOOTIC, ENZOOTIC, OR INFECTIOUS ABORTION.— If the malady is suspected to be due to any one particular cause, or if there exists predisposing causes, then the indications for the preven- tion or cure of this accident are obvious. In the debilitat- ed state which seems to favor the occurrence of infec- tious abortion in or after certain rainy seasons, should be remedied by good food and tonics, especially is copperas (ferri sulphate) a serviceable tonic in a debilitated state as well as when abortion is due to ergotized food. DOSE OF COPPERAS.— Mare, one drachm; Cow, 110 Obstetrics — Domesticated Animals. two drachms; Sheep and Pig, twenty grains; Bitch and Cat, one grain. To be given three times a day mixed with the food. In cattle-sheds where Cows aborted year after year, Brauer has employed carbolic acid with the most marked success. He gave it to Cows which were from five to seven months pregnant, by subcutaneous (hypodermic) injec- tion in the neighborhood of the flank, the dose being two Pravaz syringefuls of a two per cent, solution of the acid. If, however, abortion is due to the presence of microbes transferred from an infected animal, or from something which has belonged to an affected animal — then the first and fundamental indication is to remove or isolate the source of mischief. When, therefore, abortion occurs, and there is reason to believe that this accident is in its nature infectious, the foetus and all pertaining to it should be removed as promptly and completely as possible from the shed or place in which the abortion has occurred. The animal itself should also be removed — or, better still, the other pregnant animals in the same barn or shed should be moved away to another building — and either kept altogether isolated, or at least away from all other pregnant animals. The animal which has aborted should have a special attendant; this attendant should not go near the unaffected pregnant animals, and the excretions from this animal should be carefully kept out of the way of the other animals. The place in which the abortion has occurred, and especially if it contains more pregnant animals, ought to be immediately cleared of all manure and other matters of an objectionable kind, the drains and the floor — particularly that of the stall which has been occupied by the animal which has aborted — being thoroughly swilled with water, and sprinkled with lime and sulphur, to which has been added a very small quan- tity of carbolic acid; the walls should also be lime-washed; a good layer of straw may then be laid down, and the animals replaced. The stables should be kept clean and Obstetrics — Domesticated Animals. Ill well ventilated for a number of days, and the drains well flushed and disinfected with lime and carboHc acid. The animal which has aborted must also at once be attended to. If the membranes have not been discharged, they should be removed as early as possible, and not al- lowed to putrefy; their removal should be effected by the hand, the same as in sporadic abortion (which see). After the removal of the membranes inject the following solution into the vagina and womb: CarboHc Acid thirty drops. Water (warm) one pint. And with a 5 per cent, solution of carbolic acid sponge thoroughly about the vulva, over the tail and down the back part of the thighs. The membranes themselves, must be destroyed or buried, and the animal should not be allowed to go near others which are pregnant so long as there is any discharge from the vulva; for safety, the period of isolation should extend at least to from eight, to fifteen days. The animal may require good nursing in the meantime ; and it should not be put to the male until, every trace of irritation in the generative organs has dis- appeared. If animals show any symptoms of impending abortion, they ought to be promptly removed from the vicinity of others which are pregnant. The following precautionary treatment, wherever- adopted, has been found exceedingly successful, in sta- bles where abortion among animals is frequent: 1. Once a week the stables are to be well cleansed, particularly behind the animals, and then sprinkled with a strong solution of sulphate of copper, or of carbolic acid — one part to fifty of water. 2. The tail, anus, vulva, and thence downwards to the hoofs of the hind limbs of every animal inhabiting these infected stables, to be sponged with the^ following preparation: 113 Obstetrics — Domesticated Animals, Distilled or Rain Water two gallons. Hydrochloric Acid . . . .two and one-half ounces. Corrosive Sublimate . . two and one-half drachms. These ingredients to be thoroughly mixed; and as the preparation is poisonous to man and beast, care must be taken. Foals affected with joint-disease (this being considered of the same nature as that which leads to abortion, and capable of producing that accident) should be destroyed and their bodies burnt; if, however, the Foal is suffered to live, it should be separated from pregnant Mares before the swellings have suppurated or become sores. All Mares dams of Foals with affected joints, should be subjected to the same antiseptic treatment as if they had aborted. Should abortion be traced to the food — ergotized or otherwise damaged fodder, or water, of course the use of this must, if possible, be prohibited, and a change resorted to. If the pasture grasses are ergotized, then the pregnant animals, as a matter of precaution, should be removed from them, and placed in more favorable conditions with regard to food. It may be remarked ergotized or mouldy dry forage may be rendered safe for consumption by scald- ing it with boiling water or steam, or pickling it in salt. It should not be forgotten that, whether abortion be due to casual causes or to a virulent microbe, and when- ever or wherever the accident occurs — whether at pas- ture, in strawyard, shed, or stable — the greatest possi- ble care should be taken to isolate the animal, if it is with pregnant animals of the same species, and to bury every- thing — foetus, membranes, etc., as well as to destroy all traces of discharges. Obstetrics — Domesticated Animals, , 113 NORMAL PARTURITION— NATURAL BIRTH NATURAL LABOR OR NATURAL DELIVERY. NORMAL, NATURAL PARTURITION, or BIRTH is the expulsion of the foetus from the womb through the maternal passages, by natural forces, when it is sufficiently- developed to live external to its parent. This act is des- ignated "foaling" when occurring in the Mare, "calving" in the Cow, "lambing" in the Sheep, "pupping" in the Bitch, etc. It receives the designation of "normal," "natural," when it is accomplished in a manner favorable to the parent and offspring by natural forces alone, with- out foreign assistance. Parturition even when natural, is accompanied by pain, general disturbance, and un- easiness, violent efforts. And during birth nature does not appear to obey those immutable laws so strictly as in the accomplishment of other physiological acts, but makes frequent and wide deviations; though these do not often compromise the final result. We never find two births exactly alike, but each offers something peculiar when attentively observed. CAUSES OF PARTURITION.— Though parturition only occurs at the end of pregnancy, nevertheless this act is being prepared for from an early period in the develop- ment of the ovum. During the evolution and develop- ment of the ovum, the womb increases in a corresponding manner, and its muscular structure is proportionately augmented. When, towards the termination of pregnan- cy, the ovum has reached maturity, and the organs neces- sary for the independent existence of the foetus are com- pletely developed, certain alterations occur, both in the womb and the foetal connections with it, which bring about the expulsion of the young creature. These alterations would appear to consist in a grad- ually increasing fatty degeneration of the membranes, which are gradually destroyed by a regressive process in 114 Obstetrics — Domesticated Animals. the cells lying between them; while the blood which was sent to the womb is now diverted towards the udder, for the secretion of milk. The exchange of materials between the womb and foetus is lessened; the foetus is always more or less of a parasite, but with its greatly augmented weight and volume it becomes like a foreign body in the cavity of the womb, which aids in the change. At all the places where the cell degeneration has reached a certain stage, the termination of the nerves are irritated. But to obtain a reflex action, and consequent contraction of the muscles of the womb, a certain amount of continuous irri- tation is necessary. This sum once obtained, a reflex ac- tion takes place in the form of a contraction, which, how- ever, is slight at the beginning. Then a pause follows, until the sum of the irritation is again sufficient to cause a contraction. By the increase in intensity of the con- tractions the wall of the womb is removed from the foetal envelops or membranes, and this separation becomes a new source of irritation to the nerve-fibers of the womb. The reflex action, in the form of labor-pains, becomes more powerful, until these follow at last in rapid suc- cession and complete the expulsion of the young creature. EXPELLING POWERS IN NATURAL PARTURI- TION, OR LABOUR.— The expulsive force by which parturition is effected resides in the muscular fibers of the womb; these cause the womb to contract in a rhythmical and involuntary manner, the contraction of the abdominal muscles being merely auxiliary. Expulsion is not effected by one contraction, but by a series of contractions, which are accompanied by pain and designated "labour pains"; between each of these there is an interval of apparent re- pose, during which the womb seems to be gathering strength for a new effort. At the commencement, corre- sponding to the slight irritation, the contraction is feeble and short, and the time required to obtain the necessary sum of irritation for a new reflex action is comparatively long; though the walls of the womb are not relaxed on Obstetrics — Domesticated Animals. 116 their contents. As parturition progresses, and the sep- aration between the womb and foetus increases, the irri- tation becomes stronger and the intervals between the contractions shorter, while the labour pains become more intense and of longer duration. At the first, and second stage of parturition, the whole of the womb contracts during each regular pain. The horns of the womb likewise contract; they are twisted on themselves, are shortened through the action of the mus- cles, and are brought nearer the body of the womb, which is also shortened; and as this shortening is always taking place in the direction of the neck of the womb, it is here that the sum total of the expelling force is centered; and it is this force, commencing to operate at the body of the womb, and exerted on the "water bag," which gradually opens the mouth of the womb for the extrusion or thrust- ing out of the foetus. The foetus with its envelops, first acts as a stimulus to the womb, but they soon begin to play quite a mechanical part in the dilatation of the al- ready greatly shortened neck of the womb, which becomes thinner as the contractions force the bag of waters against it; so that the mouth of the womb is gradually widened, and the neck really becomes a part of the womb cavity. As soon as the mouth of the womb is slightly opened, the bag of waters enters it and acts as a mechanical dilator; then the lower parts of the forelimbs, succeeded by the head of the foetus, are introduced, and from their com- bined shape act like a wedge, until, by the irregular pres- sure, the chest is passed in, and the neck of the womb being drawn over the presenting parts, the mouth of the womb is of the same diameter as the vagina, which then, with the womb, constitutes one common cavity. If the womb of single bearing animals contain two foetuses, the two horns of the womb are about the same size, each having a foetus, in the same position as if there were only one in the cavity of the womb. In general, the two foetuses present the fore limbs, although it sometimes 116 Obstetrics — Domesticated Animals. happens that the second or the first, or even both, pre- sent posteriorly; frequently the second foetus makes a mal-presentation. In the twin births, parturition is more difficult and slower than when there is only one; another feature in twin pregnancies is that parturition often occurs before the ordinary time; and even when this has been reached, usually one or both foetuses are smaller and weaker than when there is only a single foetus. When twin parturition sets in, the womb contraction commences almost simultaneously in both horns; but as the two foe- tuses cannot be born together, that which is most ad- vanced is delivered first, the other, which is behind it, C^ — (^ Fig. 14. DILATOR OF THE NECK OF THE WOMB. mechanically aiding in its expulsion. In the Mare the interval between the birth of twins is rarely more than ten minutes; with the Cow it may be one or two hours; and with the Ewe half an hour. When the posi- tion of the second foetus is favorable, it is usually expelled more rapidly and easily than the first. When the number of foetuses are greater than two, they are also expelled at intervals. With the small multiparous animals, in which the foe- tuses are expelled one after another, each fraction of the womb corresponding to a foetus contracts in turn — at first the segment of one of the horns nearest the neck of the womb, then the next segment, and so on until the one in the region of the ovary is reached, so as to get rid of all successively; although the contractions of the womb are general, they are more energetic at the portions inter- mediate to the foetuses. The contractions of the womb are very powerful. They are always more continuous and energetic in the Obstetrics — Domesticated Animals. ll'? Mare than in the Cow. Frequently they are more power- ful in weak-looking animals than in those which are ro- bust and vigorous; their energy depending upon the mus- cular structure of the womb. After the complete dilatation of the mouth of the womb, the third stage of delivery begins; the resistance is no longer at the neck of the womb, but in the womb it- self, and now the muscles of that organ come into action, in order to diminish the cavity of the womb and quite expel its contents. In this they are greatly aided by the Fig. 15. NORMAL POSITION OF THE FOETUS IN THE MARE AT THE FIRST STAGE OF PARTURITION. abdominal muscles, which until now could assist but lit- tle; the animal strains, as in voiding dung or urine, but with all its force; and these efforts in which nearly all the muscles of the trunk share, soon bring labour to a ter- mination. SIGNS AND COURSE OF NORMAL PARTURITION, OR LABOUR. For convenience and facility of description and study, the entire peiiod of labour will be divided into four stages 118 Obstetrics — Domesticated Animals. or periods; 1. Preliminary Stage; 2. Dilatation of the Mouth of the Womb ; 3. Expulsion of the foetus; 4. Ex- pulsion of the Membranes. 1. SIGNS AND COURSE OF THE PRELIMIN- ARY STAGE OF NORMAL LABOUR.— One of the most important signs is the enlargement and increased sensibility of the udders to which the excess of blood no longer required in the womb is directed. These glands become voluminous, hard and tender; and these signs are more remarkable in those animals whose milk is not utilized after the young have been weaned. In the Mare and Ewe, the udders, ordinarily small and scarcely per- ceptible, before parturition they become so remarkably developed as to to cause alarm in people who do not un- derstand the cause. With the Mare especially, the de- velopment of the udder is sometimes so great, that the enlargement extends along the surface of the belly and has the appearance of a watery swelling; or it ascends between the thighs as high as the vulva as a prominent ridge, while the skin in the region generally looks red- dened. At a later period, the teats yield a watery fluid or pressure, which afterwards becomes the "colostrum" or first milk. Another preliminary sign is the increase of space be- tween the lips of the vulva, which become soft and flabby, while their lining membrane is reddened, and a glairy mu- cus covers, it This mucus soon becomes so abundant that it is discharged in long, thread-like streams, par- ticularly in the Cow, and soils the tail and hocks; it is destined to lubricate the genital passages, and facilitate the extrusion of the foetus. With these changes, the abdo- men falls, or rather, becomes more pendant; the croup and the flanks look hollow, due to the relaxation of the broad ligaments. The spine in the lumbar region inclines downward, as if yielding to the weight of the abdomen. The haunches appear to be wider apart. The animal walks sluggishly and unwillingly, and if grazing with Obstetrics — Domesticated Animals. 119 others does not appear to care about following them. Sometimes there is swelling of the limbs, particularly the hind ones. If very careful exploration or ex- amination of the vagina be made at this time, it will be found that the neck of the womb has become a part of the womb cavity, being reduced to merely a thin circu- lar ring; it is soft to the touch, and the mouth of the womb is slightly open in those animals which have previously had young. As parturition draws nearer, these signs are more marked. The animal also begins to be restless, and con- tinually agitated; if feeding it stops for some moments, as if listening to some sound only audible to itself, or as if experiencing some strange internal sensation for the first time, which undoubtedly is the commencing con- tractions of the womb. Frequently the animal lies down and gets up again, as if suffering from colic. Some are quite mute, though anxious and uneasy; while others, in addition to exhibiting restlessness and distress, uttera half-stifled cry of pain. The Mare whisks its tail, the Cow bellows, the Ewe bleats, the Bitch often whines, and the Cat emits a low cry as if in suffering. If the animal is at liberty it seeks a remote quiet place in which to bring forth its young, and the Bitch, Cat, Sow, and Rabbit prepare a special nest. SECOND STAGE OF NATURAL LABOR; DILA- TATION OF THE MOUTH OF THE WOMB.— This is marked by increasing uneasiness of the animal; pawing, lying down and rising frequently in a kind of aimless fash- ion, while the expression of the face betrays suffering. When the contractions of the womb really commence, the creature suddenly stops, as if surprised by pain; its eye looks animated and expresses anguish; the skin is hot, pulse quickened, the abdominal walls are rigid and con- tracted, the flank is tense, and very frequently dung or urine are voided. During pain at this period, if the neck of the womb is examined, it will be found that its border 120 Obstetrics — Domesticated Animals. has a tendency to become hard and prominent. When the pain has passed, calm succeeds; the neck of the womb becomes thick and elastic, and the mouth of the womb is markedly enlarged. Each pain lasts for some seconds to two or three minutes, the interval of quiet continuing to about fifteen minutes at first; though the interval dim- inishes when the contractions become more frequent, energetic, and prolonged. Then the foetal membranes Fig. 16. NORMAL POSITION OF THE FOETUS IN THE MARE AT THE SECOND STAGE OF PARTURITION. begin to be detached from the inner surface of the womb and enter the mouth, whence they pass into the vagina and between the lips of the vulva, where they appear ex- ternally as the "water-bag." In the meantime, the fore limbs and the nose and head of the foetus enter the mouth of the womb, and dilate it to its fullest extent, when the cavity of the womb forms a canal continuous with the vagina. THIRD STAGE OF NATURAL LABOR.: EXPUL- SION OF THE FOETUS.— The pains become more se- Obstetrics — Domesticated Animals. 121 vere, frequent and sustained, and to the muscular con- tractions of the womb are added those of the abdominal and other muscles. If the animal is standing, it brings all its limbs under the body, arches the back, elevates the tail, slightly flexes the hocks, takes a deep breath, and by a powerful contraction of all the muscles of the trunk, it brings such an amount of pressure to bear on the foetus as to propel it into the pelvic cavity. The "water-bag" which protrudes beyond the vulva, increas- Fig. 17. NORMAL POSITION OF THE FOETUS IN THE MARE AT THE THIRD STAGE OF PARTURITION. es in volume at each contraction of the womb. The size of the "water-bag" varies in different animals; being in the Cow about as large as the bladder of a Pig, and in the Bitch the size of the carp's swimming bladder. The "water-bag" is much slower to rupture in the Mare than in the Cow, and it frequently happens that the Foal is born in the "bag" without rupture taking place. When the rupture takes place late it is more favorable than when it occurs early. When rupture occurs too early, and be- fore the foetus has been sufficiently expelled, the parts. 122 Obstetrics — Domesticated Animals, become dry, and labour is always longer and more pain- ful and difficult for the mother, while it is often fatal to the foetus. When the "water-bag" ruptures, its con- tents partly escape — that behind the chest of the foetus being retained, and voided only in a small quantity as the womb contracts. When the membranes are weaker and thinner than usual, they may rupture before the mouth of the womb is completely dilated, and then the Fig. 18. POSTERIOR POSITION OF THE FOETUS AT THE THIRD STAGE OF NORMAL PARTURITION. fluid escapes in a small quantity at a time ; this frequently happens with the first birth, though it is sometimes ob- served in protracted labour, which is most painful. Gen- erally, no harm results from this premature rupture if parturition is not too long delayed; indeed, in some cases it may be useful, as when the womb is over-distended with fluid. In other instances the membranes may be remarkably strong, and artificial rupture may be even Obstetrics— Domesticated Animals. 133 required. The contractions are most energetic and rapid, and every time they are made the waters flow in small quantity, moistening and relaxing the parts; the foetus passes on until the fore feet and muzzle, forming a kind of cone, appear at the vulva, the orifice of which is opened by them. When the head has cleared the vulva, there is usually a short pause, as if to allow the muscles of this region to become accustomed to the distention, and to prepare them for the still greater strain, the passing of the shoulders and chest of the foetus, which have now STANDING POSITION OF COW, IN THE ACT OF PAR- TURITION. arrived at the inlet of the pelvis, and as they form the deepest and most difficult part of the young creature's body, the contractions for its expulsion, though most pow- erful and continuous, only impel it slowly towards the outlet, on arriving at which a more energetic and pain- ful effort than all others pushes it through. The act may now be said to have terminated; as to expel the croup re- quires only a few comparatively weak throes, and the weight of the anterior part of the body of the foetus, hanging beyond the vulva, greatly aids them. It is rare, indeed, that the croup offers a serious obstacle to expul- sion. 1^4 Obstetrics — Domesticated Animals. After the young animal is expelled, the navel cord is torn, and the waters remaining in the womb escape, ac- companied or followed by a little blood, resulting from the sudden separation of the after-birth. THE POSITION assumed by the animals during par- turition is somewhat variable. The larger animals which usually only bring forth one at a birth, such as the Mare. Cow and Sheep, generally do so standing; the young creature being sustained by the navel cord when it has cleared the vulva, glides gently on the half-flexed hocks of the parent, and so reaches the ground without injury Fig. 20. RECUMBENT POSITION OF MARE IN THE ACT OF PARTURITION. (Fig. 19). The standing position, however, is not con- stant with these animals; and frequently they bring forth in a reclining position (Fig. 20) , maintained from the very commencement of the act, and only rising when birth is completed. It is rare, indeed, that these animals lie full length on one side of the body during parturition, and when it does occur it nearly always indicates a long, difficult, and exhausting labour. Multiparous animals — as the Bitch, Cat and Sow, — always assume the recumbent position, and lie reclining on one side, with the body disposed in a semi-circular Obstetrics — Domesticated Animals. 136 fashion, the head towards the tail. For in this position, as each foetus issues from the vuvla it is within reach of the mother's mouth; so it can remove the membranes from the foetus, divide the navel cord, clean it with its tongue, put it in a proper position, and even direct its head towards the teat, in order to soothe it while another is born. With the Sow, the young creature is expelled with such force from the vulva that it often turns a somer- sault. It may also be observed that, with the small mul- tiparous animals the "water-bag" usually only appears with the first of the litter, the other being preceded or followed by the ruptured membranes. The total DURATION OF DELIVERY is extremely variable, not only on the different species, but even in the same animal at different births. With the Mare it is usually brief, and is generally accomplished in about ten minutes, sometimes in five minutes, though it may extend to a quarter or half hour, rarely more. This rapidity appears to be due to the fact that the after-birth is de- tached from the womb during the early pains, and con- sequently the foetus cannot live long after this occurs — three hours being supposed to be the limit. The duration of delivery in the Cow is, on the average, one to two hours; though it may be only a few minutes to half an hour, or to be extended without injury to the calf, to one or two days. With the Sheep the period is very brief, being about fifteen minutes. If there are several Lambs, there is usually an interval of fifteen minutes to two hours between them. With muciparous animals — Sow, Bitch and Cat — there is ordinarily a period of ten or fifteen min- utes, and sometimes half an hour, an hour, or even more, between each birth. Frequently the Sow will bring forth ten young ones within the course of an hour. With those animals which are delivered in the stand- ing position, the navel cord is torn when the young crea- ture reaches the ground, and usually close to the belly. If the mother is recumbent when the off-spring is bora, 186 Obstetrics — Domesticated Animals. the cord is torn as she gets up, which is usually immedi- ately after parturition. Sometimes, however, the cord is sufficiently strong and elastic to resist spontaneous rup- ture, and the young creature is born with the membranes attached to it by this means of bond of union. The mother then, by a remarkable instinct, in cleansing the young creature with her tongue, gnaws through the cord and sets free her progeny. The Mare and Cow have been known to do this at times; otherwise it is usual w^th the earnivora. But it sometimes happens that it is neces- sary for the attendant to divide the cord; this division should be made at a short distance from the navel, by scraping or cutting direct through the navel cord. Usu- ally there is nothing to be feared from bledeing; but should this take place, for treatment see (Bleeding from the Navel). FOURTH STAGE OF NATURAL LABOR: EX- PULSION OF THE MEMBRANES.— The expulsion of the foetal membranes, or "after-birth," may occur at birth, immediately after birth, or be delayed for a vari- able period. Immediately after the foetus is expelled, the womb contracts and retracts energetically on itself; and its internal capacity rapidly diminishes; consequent- ly the after-birth is ultimately separated from the wall of the womb. The same contractions which loosened it also forces it through the mouth of the womb into the vagina; and the muscles again being stimulated by its presence here, as they were by the head of the foetus, add their powerful contractions; so that these new pains, aided by the appended navel cord, soon bring the whole mass away. With the Mare, owing to the slight adherence of the after-birth, the separation of the membranes take place rapidly; and if the Foal is not born in the intact envelops, generally only a few minutes elapse before the after-birth is detached. Retention of the after-birth is exceedingly rare in the Mare, though it is very dangerous; as in at- tempting to remove it there is great risk of haemorrhage. Obstetrics — Domesticated Animals. 127 With the Cow, the adhesion between the womb and foetal membranes is very intimate. The calf is never bom in its intact envelops, and the after-birth is only slowly and tardily expelled — two, four, or more hours, or even days being required; and frequently when retention of the after-birth occurs in the Cow, it will be found necessary to remove it artificially. Muciparous animals get rid of the membranes as they expel the foetuses, the birth of the first followed in a very short time by its membranes ; after which comes the second foetus, then its membranes, and so on; so that only those of the last foetus may be re- tained — an accident which sometimes occurs. When the young creature is born in its intact envelops, the mother, if at large, frees it from them by gnawing them through; it is seldom that the progeny releases it- self by its own efforts. If the mother should chance to be tied up, as in a stall, assistance may be required to cut the navel cord and extract the young animal from its imprisoning membranes, else it may suffocate. (See At- tention to the Off-spring When Delivery Has Taken Place.) NECESSARY AID IX NORMAL PARTURITION, OR NATURAL LABOUR.— Although as a rule, partur- ition is generally effected in animals without the inter- vention of man, yet from the nature of this act and the unfavorable consequences which are sometimes noted, certain attentions and precautions should be observed. These attentions and precautions should be entrusted to a competent person; as it is seldom that the Veterin- ary Obstetrist is called in unless something serious has occurred. The mother, as well as the off-spring, require watching, and more or less nursing. There- fore the owner of, or attendant on, an animal which is about to bring forth young, should be able to ascertain the position of the foetus, and decide as to whether par- turition may terminate in a natural manner, or if the ex- isting obstacles are easy to overcome. If they are not, he 128 Obstetrics — Domesticated Animals. certainly should not venture to attempt delivering the animal himself, or to pull about the mother or foetus in those cases which will require the aid of the surgeon's knife to a great and dangerous extent; as this may only tend to aggravate the trouble, and render relief more difficult. The Veterinary Obstetrist should be sent for, as his knowledge and practiced manipulative and surgical aid will, in the majority of cases, if his assistance is ob- tained in due time, bring the most complicated labour to a prompt and happy termination — preserving the mother, and often the progeny. ATTENTION TO THE MOTHER DURING THE FIRST TWO STAGES OF NATURAL LABOUR.— When animals are about to deliver their young, they should have suitable places provided for them. As the act of delivery is performed with a certain amount of pain and uneasiness, the Cow and Mare should be left untied, and provided with a large, comfortable box stall, containing a sufficient amount of bedding to prevent slip- ping and injuries; or if in proper season, they will do better if placed alone in a pasture field. The Sow should have a separate sty, and even the Sheep may need a separate allotment. If animals are kept in stables, the temperature should be comfortable, and the ventilation good. When normal parturition commences, it is rare, in- deed, that anything requires to be done during the first two stages of labor. Therefore the animal should be al- lowed perfect quietude; and if the light in the stable is too bright, it may be partially excluded. A trustworthy person should remain with the animal, in order to avert accidents; but he should keep himself out of sight, and meddle with the animal as little as possible. In the case of the Mare it has been recommended to empty the rec- tum either with the oiled hand or by means of raw lin- seed oil injections, if the dung is hard, in order to avert rupture of the intestines or bowels. The labour pains Obstetrics — Domesticated Animals. 139 should be normal, and the act should neither be hurried nor abrupt, nor yet too slow; and the mother should not exhibit any constitutional weakness or physical debility. During the second or third stage of labour an examina- tion should be made (to make successful examinations, see Sensible Signs of Pregnancy, and How to Make Suc- cessful Examinations in Difficult Parturition), to see if the little animal is started right— that is with the two front feet first, the head resting upon and between the legs, the upper part of the head and backbone resting against the mother's backbone (Fig. 17); or if the hind feet start first (Fig. 18), it will be delivered in that posi- tion; but see that its backbone rests against the mother's backbone. If the act of parturition is not sufficiently advanced, and the soft parts through which the foetus has to pass are not enough dilated, time ought to be allowed for this to take place, unless something irregular or abnormal occurs. As a rule, there should be no hurry to interfere with the progress of the case; as a somewhat long period is often required for preparation; and if this is accelerated, accidents are more likely to occur than if the labour had been long and protracted. Therefore, if the foetus lies in either of the aforesaid positions, do not meddle too much, but allow some time to elapse be- fore aid is rendered, except it be a Mare, then do not delay too long, for if the Colt is not delivered voluntarily within an hour from the time of commencement of the first ex- pulsive efforts, aid should be rendered immediately or the little animal may be lost. The irregularities during the first and second stage of Natural Labour, are few in number; the principal being Hurried (Tumultuous) Labour, and Protracted Labour. HURRIED (TUMULTUOUS) LABOUR DURING FIRST AND SECOND STAGE OF NORMAL PAR- TURITION. — In this kind of labour the act of parturition is irregular and precipitate: and though the pains are ex- cessive and frequent; yet no progress appears to be made, 130 Obstetrics — Domesticated Animals. the parts not being prepared, while the neck of the womb is often in a state of spasmodic contraction, rigid and, painful. This condition is most frequently observed in young, well-fed, vigorous, irritable animals, and especially when bringing forth the first offspring, they become excited and troubled at the first pains, and give themselves up to violent expulsive efforts that hinder the natural cotirse of partur'tion. Usually in such cases, the mouth of the ?\omb has not dilated sufficiently to allow the foetus to start, or the oiher surrounding tissues have not sufficient- ly relaxed. TREATMENT OF HURRIED. OR TUMULTUOUS LABOUR. — In the majority of cases, amendment is en- sured by diverting the animal's attention, walking it about for a short time, whisking the belly gently, and keeping it in a quiet, dark place. If, however, the pains are violent, and the agitation great and persistent, give to the Mare and Cow half ounce doses of chloral hydrate and repeat the dose in hab an hour i^ necessary. The chloral hydrate may be given in a dratight, or as rectal injection — the in- jection is generally preferable. Blankets wrung from hot ivater should be applied to the loins and belly. Frequently good results are obtained by injecting tepid water into the vagina. If the mouth and neck of the womb arc in a state of contraction, by placing a little extract of bella- donna — about one drachm — on these parts will cause them to open rapidly. With small animals, a few drops of laudanum, either in draught or rectal injection, is usu- ally sufficient. Quiet, soothing, and simple treatment will generally bring about a normal state of affairs; the agitation and irregular straining subside, and easy deliv- erv will occur in six, twelve, or twenty-four hours. PROTRACTED LABOUR DURING THE FIRST TWO STAGES OF NORMAL PARTURITION.— This is due solely to th^ inability of the womb to expel its con- tents. This most frequently occurs when the membranes have ruptured, the waters have entirely escaped, and the Obstetrics — Domesticated Animals. 131 womb is in a state of general contraction, making no effort to expel the foetus. This usually happens when the foe- tus is dead. Protracted Labour may also be due to con- stitutional -weakness. It is observed in emaciated, puny, and frequently old animals, which are debilitated from lack of sufficient good food, prolonged secretion of milk, overwork, or worn by chronic wasting diseases. SYMPTOMS.— In the Mare and Cow the breathing is comparatively shallow and repeated; feeble and unfre- quent straining, weak pulse, restlessness and indications of suffering, extremely slow progress in birth — parturi- tion in the Cow being extended to twenty-four, and even forty-eight hours, though the foetus may be in a good po- sition, of ordinary size, and the passage clear. If the hand is introduced into the vagina, it will be discovered that the contractions of the womb are weak. There is no ur- gent danger to the mother in this condition; though the life of the foetus is often imperilled. TREATMENT. — An examination is necessary, in or- der to ascertain whether there is any obstacle to parturi- tion. Should such not be found, then the mouth of the womb should be gently and carefully dilated with the fingers, until it is wide enough for the hand to pass into the womb. Moderate and judicious drawing on the parts of the foetus which present, when the mother makes ex- pulsive efforts, will bring the foetus into the pelvic cavity and through the vulva. DEATH OF THE FOETUS.— When parturition is retarded it is often a question ^vhether the foetus is dead or alive, and to answer it correctly is sometimes difficult. Foul odors from the waters which escape has been held to prove the death of the foetus; although it is a good sign, yet it is not infallible. On introducing the hand into the womb, if decomposition is well advanced, the hair can easily be removed from the foetus; then there can be no doubt as to its being dead. Should the presentation be that of the head, then passing the fingers into its mouth 132 Obstetrics — Domesticated Animals. and titilating the tongue of the foetus will prove a test of its vitality, as the jaws and tongue are almost certain to move if it lives; though the absence of movement will not be decisive. If the navel cord can be reached and seized between the thumb and index finger, slight com- pression will discover whether or not the arteries pulsate. The absence of pulsation affords a strong, but not in every case, a sure, presumption that the foetus is dead. For other indications, as well as proper examinations (see Sensible Signs of Pregnane}^ also How to Make Success- ful Examinations in Difficult Parturition). CAUSES OF DEATH OF FOETUS.— They are not numerous, and may be enumerated as follows: 1. KNOTS on the navel cord; 2. TWISTS of the cord around the body, neck, or limbs of the foetus, which may be suffi- ciently tight to interrupt the circulation in the navel ves- sels; 8. PROLONGED COMPRESSION OF THE NAV- EL CORD, due to the foetus remaining a long time in the pasasge of the womb and vagina, whereby the cir- culation of the blood is checked; 4. PREMATURE RUP- TURE OF THE MEMBRANES and escape of the whole of "the waters," which, if parturition is not soon com- pleted, exposes the foetus to great danger from immedi- ate pressure of the womb upon it; 5. DISUNION, more or less complete and extensive, between the womb and the foetal membranes, through which the foetus receives its nourishment and supply of air; when this vital con- nection between the mother and foetus is interrupted, if the foetus is not quickly expelled it must die from suffo- cation. Owing to the difference in the after-birth of the various animals, this foetal suffocation is not equally common in all. Many veterinarians, and among them Saint-Cyr, have been struck by the fact, that no matter how soon they were called into a case of difficult parturi- tion in the Mare, nor how trifling the difficulty might be, and rapid the delivery, the living Foal was never pro- duced; while in cases in Cows, though parturition was Obstetrics — Domesticated Animals. 133 decidedly more difficult, and requiring manipulation for more than an hour, living calves were the rule. So com- mon is this experience, that a very distinguished French veterinary obstetrist — Donnarieix— has laid it down as a maxim that the Foal does not live more than three hours, often less, in the womb after the firsi expulsive, efforts or straining; Vv'hile the Cal^ in the same condition- can live much longer, sometimes for several days, after the first expulsive efforts oi labour. The foetus may also perish when force is used in its delivery. ATTEXTIOX TO THE MOTHER DURING THE THIRD STAGE OF NATURAL LABOUR.— This is the expulsive stage, and during this period there are two im- portant matters to be observed: 1. Rupture of the water bag; 2. When to use traction on the foetus. 1. RUPTURE OF THE WATER-BAG.— This should not be artificially ruptured too early; and in the Cow it should never, as a rule, be opened artificially, as it is al- wa5-s spontaneously ruptured at the proper time, and not infrequently sooner than it should be. With the Mare, however, matters are different. In this animal the foetal membranes are thick, firm, and feebly adherent to the womb; so that the Foal is sometimes bom completely en- veloped in them. Therefore, in the Mare it is well to rup- ture the water-bag when it appears as a large tumor be- yond the vulva; until this happens nothing should be done, unless the mouth of the womb is completely dilated, and the head and feet of the foetus are well in it. The membranes may be torn by the fingers, or cut by scissors or knife, care being taken not to injure the Foal. As has been said, when the water-bag is ruptured too early, the womb contracts on the foetus; this is opposed to birth. Besides, the genital passage becomes dry and adherent, and this is an additional obstacle, which can only be rem- edied by injecting into the vagina flaxseed tea, milk, glycerine and water, oil, or even simple tepid water. 134 Obstetrics — Domesticated Animals. 2. TRACTION OF, OR DRAWING, ON THE FOE- TUS. — When the water-bag is once ruptured, the natural expulsion of the foetus should be waited for. In some in- stances, however, this expulsion may be conveniently assisted by judicious drawing on the foetus. (See Trac- tion.) If the foetus presents the fore feet and head (Fig. 17), as soon as these parts have cleared the womb, take hold of the pastern of each fore leg and draw steadily during each labour pain of the mother. This traction or drawing should be towards the hocks of the mother, so as to allow the body of the foetus to follow the curve of the pelvis; drawing a little to the right and left, will also aid in pass- ing the shoulders and afterwards the haunches. When the head and neck are clear of the vulva, they should be sup- ported. If the foetus presents posteriorly, that is, when the hind feet come first (Fig. 18). This position will be recog- nized by the pasterns bending upwards instead of down- wards, also by the feel of the hocks, which is vastly differ- ent from the knee. In this position, the two limbs are to be seized at the pastern, and drawing exercised at first slightly upwards, in order to carry the stifles over the brim of the pelvis, which sometimes checks them; then down- wards, to bring the croup below the sacrum; and lastly, an alternate movement from right to left and left to right, to free the haunches, one after the other. Immediately after delivery, seize the young animal by the hind legs and raise it clear from the ground, with the head hanging downwards, so that any fluids remaining in the nostrils and wind pipe, will escape. Many Foals and Calves are lost annually through nelgect to empty the fluids from the windpipe; the lungs are too weak to force air in through these fluids. When the foetus is born head first, these fluids escape, as the head hangs down during delivery. It is well to see that the tail of the foetus is in the right Obstetrics — Domesticated Animals. . 1^ direction before traction has been practiced to any great extent. TRACTION OF THE FOETUSES IN TWIN PREG- NANCY. — Usually twin pregnancy is not recognized un- til birth takes place. The escape of only a small quantity of "the waters," and the small size of the creature first delivered, when compared with the size of the mother's abdomen, are indications that more young will be pro- duced. In case there is another foetus, soon another water-bag appears, and another foetus presents at the vulva. Frequently when the position of the two foetuses is natural, they are brought forth one after the other suc- cessively, and without any assistance being required. This is the case more particularly with the Sheep and Goat. But sometimes, and especially with the Mare and Cow, *he two foetuses present themselves simultaneously at the pelvic inlet, and neither can pass through. In such a case it is necessary to push back the one least favorably presenting, and to keep it away until the fore limbs of the other are in the passage. If the two foetuses chance to be in an unfavorable position, the fore legs of one should be sought for (recognized by the knees, and to a certain extent by the pasterns), or the hind-limbs (recognized by the pasterns and hocks), if they are convenient for the purpose, then traction or drawing should be ex- ercised, as in the case of a single foetus, and according to the directions given above, taking care to keep the other foetus out of the way. Should it not be possible to ex- tract this foetus, it may be that certain parts of the other stop its progress, or that the expulsive forces are expend- ed on the other foetus, although it is farther from the mouth of the womb. It is then necessary to push back and turn the former foetus, and endeavor to extract it by the extremity opposite to that which was first tried. But if the fore limbs and head have been got into the passage, the position need not be changed, the procedure 136 Obstetrics — Domesticated Animals. then being the same as for a foetus disproportionately large. CAUTION TO THE OPERATOR.— In exploring or examining the genital canals of the female, gentleness and tact should be scrupulously observed, and the hand and arm ought to be well oiled with sweet oil or clean lard; the nails of the fingers being cut at least moderately short. Also read examinations under Sensible Signs of Pregnan- cy, and How to Make Successful Examinations in Diffi- cult Parturition. The time chosen for exploration should be the interval between the labour pains, and care must be taken not to rupture the water-bag, if it has not been previously ruptured. The exanimation may be made while the animal is standing or lying, though the standing position is generally preferable. It must not be forgotten that, when traction or draw- ing is required, this should be slow and moderate, and only applied when the animal itself makes expulsive efforts. Violent and sudden drawing is to be avoided, as it may inflict serious injury, while doing little, if anything, in aiding delivery; and even should this be effected, the con- tractile powers of the womb will be deranged, when the contents of that organ are suddenly and forcibly removed. The simplest and safest traction is that made by the hands of the operator — for both hands may, in some cases, be introduced into the vagina. Should he not have sufficient strength or purchase, an assistant may clasp him around the chest and pull at and with him — gradually and stead- ily during the labour pains. ATTENTION TO THE OFF-SPRING IMMEDI- ATELY AFTER NATURAL DELIVERY HAS TAK- EN PLACE. — No special rules can be laid down for the management of new-born animals, as this may vary more or less, according to the species. However, there are some general rules which may be well to observe. With regard to the Foal or other creature which may be bom in the foetal membranes, it is evident that it must Obstetrics — Domesticated Animals. IST be freed from them immediately, or it will perish from suffocation. If the navel cord is not torn, it may be double-tied about two inches from the navel, and then divided between the tie places, either with a clean knife or scissors. Care must be exercised in not bruising or injuring the navel, or allowing this part to become ir- ritated either by the litter, manure, or urine, as serious complications, such as inflammation of the navel and cord may result. (See inflammation of the Navel Cord.) Immediately after delivery, remove the mucus, which sometimes clogs the mouth and nostrils of the new-born (this process is explained under Suffocation, Asphyxia of the New-Born, which see), and hinders its respiration or breathing. As soon as this has been accomplished, the young animal should be examined to ascertain whether it be strong or weak, whether all the natural apertures exist — such as the eyes, mouth, anus, vulva, urethra — and if any of them chance to be absent, to make artifi- cial ones soon, if possible, by a kind of puncture, enlarg- ing afterwards by the knife and sound, and preventing union by pledgets of lint, etc. SUSPENDED ANIMATION, SUSPENDED LIFE OF THE NEW-BORN. — Whenever the connection with the mother is interrupted, the young creature must breathe, and respiration must now be carried on by the lungs, through the nostrils. The establishment of this is purely a reflex act. The foetus hitherto maintained at a certain and almost uniform degree of warmth in its liquid bed in the womb, is suddenly ushered into the cold and dry air of the outer world; and this transition oper- ates chiefly on the skin, producing a peculiar impression — such as we ourselves experience in being suddenly im- mersed in cold water; this impression is at once trans- mitted to the brain and spinal center, whence the reflex influence of the spinal cord is called into play, and the re- spiratory muscles are excited to movement by the nerves. 138 Obstetrics — Domesticated Animals. All these muscles contract simultaneously, the chest is dilated, and the air rushes into the air-passages and lungs, distending the air-cells in the lungs, and instituting the process of respiration. This reflex act may also be pro- duced by pressure on the navel cord. It sometimes hap- pens that the young creature is in a state of unconscious- ness when born, or very soon after, and gives no sign of life. Sometimes this unconscious state is from weakness, in which the animal is cold and does not breathe, the mu- cous membranes being pale and the body flaccid; or if it is the result of an over-abundance of blood, then the mu- cous membranes are of a livid blue tint, the lips and tongue swollen, and the eyes red. TREATMENT.— If the young animal is in a state of unconsciousness when born, attempts should be made to revive it by pouring cold water on the head, beating the body with a cloth dipped in cold water — particularly shotild this beating be exercised about the face and chest. Dry rubbing the limbs, tickling the nostrils with a feather, puffing tobacco-smoke into the nostrils, imitating the respiratory movements, and inflating the lungs by means of a pair of bellows, acting through the nostrils. So long as the heart pulsates there is a probability of restoration to hfe. If unconsciousness is the result of an over-abundance of blood, allowing a little blood, from eight to fourteen ounces from the Foal or Calf, to flow from the navel cord, and even cutting this or fomenting it with hot water to induce bleeding, is very useful, in conjunction with cold water to the head and cold water injections into the rec- tum. But as a rule, death is always imminent in these cases. GENERAL CARE OF THE YOUNG AFTER DE- LIVERY HAS TAKEN PLACE.— With the larger ani- mals, the newly-born creature should be placed before the mother if it is not near her; and it generally follows that Obstetrics — Domesticated Animals. 139 she instinctly licks off the viscid matter which covers its skin ; and in doing this the circulation of the skin is excited, and, by sympathy, the other organs of the young animal. Consequently, it becomes revived, soon endeavors to get up, and though it may fall a few times, yet it generally quickly succeeds in maintaining itself on its limbs, and instinctively seeks the maternal teat. There are excep- tional cases, where the mother does not attempt to cleanse her young; this is most frequently observed when bringing forth the first progeny, and when the labour has been long and painful. But it will generally be found that sprinkling the young animal with a little flour, bran, or salt will excite the attention of the mother and induce the cleaning pro- cess. Should it not do so, then the creature must be well dried and rubbed with a sponge, hay-wisp, or a cloth, and kept warm. Some mothers become quite savage after parturition, and will not allow their progeny to come near them, and will even kill their young; though this most frequently happens when they are tormented by specta- tors. When this occurs, it is well to leave the mother and her young quietly together for some time. As the Foal, Calf, and Lamb always suckle in a stand- ing posture, if they are weak and cannot reach the teat within half an hour or so after birth, it will be found neces- sary to give some assistance in bringing them to their mother, and applying the teat to the mouth of the young animal, at the same time caressing and soothing the parent if disinclined to its young either by temper or by painful- ness of the udder. This coaxing and handling should be performed by some one accustomed to the animal. Sometimes from weakness or inexperience of the Foal, and temper of the Mare, the Foal runs the risk of perishing from starvation. In such cases the Mare should be safely- secured, and two persons ought then to push and support the young animal behind by joining a hand of each, while the other hands are employed in directing it towards the teat, which it should be allowed to use for two or three 140 0«ste:trics — Domi:sticatkd Aximals. minutes. After one or two attempts of this kind, the Foal begins to find its way to the udder by itself, while the Mare becomes more reconciled to it. In assisting the youngster to nurse, do not place the hand under the breast bone; as it is quite soft and yielding, you may do con- siderable harm, even causing quite a lively Colt to becoma sick and die. Many Colts are lost in this way, the owner considering that he was doing an act of kindness. When it is necessary to hold them up to nurse, catch one arm around the forelegs and breast, and the other arm around its haunches, and you will not injure the Colt in the least. When the Foal exhibits great debility, it may be preferable to feed it for a day or two with the milk of the Mare, which has been drawn by hand. With the Cow, these difficulties are seldom present, and if an animal will not take to its Calf, the Calf is generally transferred to another Cow, or it is artificially reared. The Foal may even be reared in this manner, though not so easily as the Calf. The milk of the Cow or Goat will suf- fice, and there is generally little difiticulty in teaching it to drink it, by at first pouring a little into the mouth, while the finger is inserted therein; or a piece of cloth steeped in milk, or even a bottle and tube may be used. Calves in- tended for slaughter may be artificially fed, and especially if nutritive substances are added to the milk; but for those intended to be reared, it is a mistake to separate them from the Cow during the early days of their existence. Lambs, when able to stand, and if they do not readily find their way to the teat, should have a little milk from it pressed into their mouth. With twin Lambs, if the Ewe is in good condition, the udder well filled, and the weather and pasture favorable, both may be suckled; in the oppo- site conditions it may be necessary to remove one. If the Ewe does not yield sufficient milk, this may be largely remedied by giving a liberal supply of good food. The Bitch, Sow, and Cat, usually lie when suckling their young; so that there is seldom any difficulty with Obstetrics — Domesticated Animals. 141 them ; the only care generally required in the case of young Pigs, is to prevent their being crushed by the Sow in the act of lying down or moving. If the litter is large, plenty of good food is necessary. It is also quite necessary that the Sow should be supplied with a pail full of good, warm, nourishing slop as soon as she has delivered her young, as this will appease her ravenous appetite, and will restrain her from devouring her young. Sows usually eat their progeny to satisfy the uncontrollable hunger, which they experience during and immediately after parturition. If the Sow has more young in the litter than teats, unless watched the weakest Pigs will die of starvation. Each young pig has its own particular teat, to which it is per- sistently attached; and if one of the little Pigs becomes sick and unable to suck, the teat it has been nursing will soon cease secreting milk. In general a Sow should not be allowed to rear more than ten in a litter. Cleanliness and warmth are required for young Pigs. Puppies and Kittens do not require any special care beyond a warm, clean, and dry abode. With all newly-born animals, after the first milk has been taken, there is usually an abundant evacuation of black resinous matter (meconium) from the bowels of the young animal, caused by the "colostrum," as the first milk is usually called; and it is well to notice if this evacuation occurs, as when it does not, serious constipation may ensue. In such cases, a mild laxative — such as castor oil — should be administered to obviate this comdition. (See Con- stipation.) Gentle exercise is as necessary for the Foal and Calf, a few days after birth, as it is for their parents. Therefore, a meadow is preferable to a stable for rearing the young. It is not rare to find newly-born animals, particularly when parturition had been laborious, injured more or less, from the manipulation of the obstetrist during birth. The most frequent injuries are those due to the use of instru- ments and appliances. The injuries may be dressed with 14$ Obstetrics — Domesticated Animals. cold water, to which has been added a very little alcohoL or with arnica. Abrasions which are only superficial, may be treated with the following solution : Water, four ounces ; »lycerine, one ounce; carbolic acid, twenty drops. Sprains should be treated by friction with soap liniment. (See formula for making Soap Liniment under Dropsical Swell- ings of the Legs.) Wounds and lacerations, if very sev^ere, must have appropriate surgical treatment. Other acci- dents and diseases which young animals are subject to, will be alluded to and classified in another part of this book, which has been set apart for the Diseases and Abnor- malities of the Young Animal. ATTENTION TO THE MOTHER AFTER NOR- MAL LABOUR. — When labour has been natural, and the animal is vigorous and not much fatigued, simple hygienic measures are all that is necessary. The animal should be kept comfortable, with plenty of pure air, but away from draughts. If it has been perspiring, the body, and parti- cularly the belly, should be well wisped if it is a large animal; indeed, this friction is always to be recommended, as it often allays the restlessness which sometimes persists after delivery; it also regulates the circulation, and ap- pears to hasten the retraction of the womb. It may be necessary to cover the body with a blanket, as the animal is very susceptible to cold at this period. A gallon or so of nourishing, tepid gruel, or even soup, may be given ; after which the diet should be moderate and easily digested. Clean, dry litter should be plentifully supplied, and the animal left alone for half an hour or so, after which it may be visited and offered more gruel. From five to eight, or even fifteen days' rest should be allowed, according to circumstances. When parturition has been protracted, and the animal has suffered much, and especially if the generative organs have been bruised and lacerated, nursing should be con- tinued longer, and greater precautions adopted. In these cases every care should be taken to prevent inflammation Obstetrics — Domesticated Animals. 143 of the womb; and with this object in view, wash out the vagina by injections of a tepid, three per cent, solution of permanganate of potassium; apply warm cloths to the loins, allow Hght diet, with small doses of sulphate of mag- nesia, and keep clean in a good stable, and in a pure at- mosphere. DOSE OF EPSOM SALT (SULPHATE OF MAG- NESL\). — Mare, two ounces; Cow, three ounces; Sheep and Pig, four drachms; Bitch and Cat, one drachm. Mix with water and give as a drench. Repeat the dose nights and mornings unless the movements of the bowels should become too active, at which time discontinue. With the Bitch and Cat, epsom salt sometimes produces vomiting. Therefore, half ounce doses of castor oil is preferable for these animals. Sometimes the debility is so extreme that the animal scarcely gives any indication of life. There is then all the more need for careful nursing and quietude. Friction to the surface of the body, clothing, and a good bed are par- ticularly necessary; and as the secretion of milk is usually difficult in these cases, this must be attended to (see Ab- sence of Milk). It must be borne in mind that cold and damp are dangerous immediately, and even for some time after, parturition. Therefore, when turned out to pasture care should be taken to afford protection in bad weather, and damp, cold localities should be avoided. With regard to Ewes and Goats, if the weather is mild and the situa- tion favorable, protection is not required; but if cold winds and wet prevail, then shelter is necessary. When more than one Lamb is Hkely to be produced, the first should be kept warm and receive a little Cow's milk diluted with water, until the Ewe has finished Lambing. The Sow generally suffers from weakness and prostration after parturition, and requires plenty of nourishing and easily digested food. When this is given there is less likelihood of the animal devouring its young, and all the more so if not irritated by the presence of people. 144 Obstetrics — Domesticated Animals. DISORDERS OF THE MOTHER AFTER DELIVERY. Under this subject will be included After-pains, Lochia, Milk-fever. Secreting of Milk (Lactation), and Contraction of the Womb. 1. AFTER-PAINS.— These are the painful sensa- tions in the abdomen, which persist after the expulsion of the foetus. They are due to the contractions of the womb, that go on for some time, and eventually reduce the womb to its ordinary size. After an easy labour, there are gen- erally fewer or no symptoms of these pains; and when they are present the only indications are whisking of the tail, at which time the walls if the abdomen appear to be harder. They seldom continue longer than twelve or twenty-four hours in these cases, and do not require special treatment. In other cases, and particularly when birth has been very sudden and rapid, they persist longer and are more severe. The animal paws and exhibits suffering; it also stretches as if trying to urinate, arches the back, contracts the abdominal muscles, and strains. When these pains are continued beyond twenty-four hours, we may appre- hend the retention of a portion of the foetal membranes (for treatment see Contraction of the Womb; also. Re- tention of the Foetal Envelops). Or it may be due to commencing Inversion of the Womb (which see) . It will be necessary to make an examination in order to discover the cause. 2. LOCHIA. — The term LOCHIA has been given to the bloody-streaked, purulent mucus, and, finally, mucus evacuations from the vagina occurring after delivery, and generally persisting until the womb has regained its nat- ural size and condition. This discharge accumulates in the womb, and usually only escapes when the animal under- goes exertion, and during urination, and voiding the dung. It sometimes accumulates about the thighs and tail, as well as on the litter; and when the animal has been lying, Obstetrics — Domesticated Animals. 145 it forms small pools on the ground. This discharge does not have a bad odor, unless the womb or vagina is the seat of some pathological process, or a portion of the after-birth is retained. The average duration of this discharge is from five days to two weeks; and should this discharge cease before the proper time, it will produce dullness, in- difference of the mother to its progeny and surroundings, poor appetite, suppression of milk, slight fever, with dry erect coat, and constipation. TO PREVENT THE UNTIMELY CESSATION OF THE LOCHIA. — Before and after parturition the food should be sound and nutritive, but moderate in quantity, and such as will not predispose to an over-abundance of blood; not to travel or fatigue the animals towards the end of pregnancy; to shelter them at this period; not to hurry labour, and only to render assistance when necessary; and after the delivery to attend to the removal of the after- births which are sometimes retained in the Cow for an ab- normal period, but should not be allowed to remain longer than four or five days. For the removal of the after-birth (see Retention of the Foetal Envelops) . :3. MILK-FEVER.— See (Milk-fever or Parturient Apoplexy.) 4. LACTATION. — Before parturition, preparation for the secretion of milk is already being made in the glands of the udders, and immediately preceding that event a thin serous, or milky fluid can often be expressed from the teat. The first milk or "colostrum," secreted after dehvery is a viscid, dirty-white, or yellowish fluid, sweet, though un- pleasant to the taste, and of a greater density than that of ordinary milk. It is this first milk or "colostrum" which acts as a laxative, and is so necessary to the new-born ani- mal. Towards the fifth or sixth day, or even longer, after parturtion in the Mare and Cow, earlier with some of the other animals, the colostrum disappears, and then we have the ordinary milk. In some instances, the secretion of milk may become a 146 Obstetrics — Domesticated Animals. source of annoyance, or even a danger, when it is too abundant or is not withdrawn when secreted. This hap- pens more particularly when the animal is deprived of its young by death, or for special reason. For other causes, symptoms and treatment (see Inflammation of the Udder — Mammitis). 5. CONTRACTION OF THE WOMB AFTER NORMAL PARTURITION.— After gestation and partur- ition have been completed, it is necessary that the genital organs should return to their natural size and condition, which is generally the case after labour, when everything occurs regularly. But it sometimes happens that the mus- cular layer of the womb appears to be struck w^th paraly- sis soon, or even immediately after delivery; so that it re- mains distended, and its cavity is so large that the arm can easily be introduced into it. When this condition ex- ists, the mouth of the womb being always more or less open, the air obtains admission, putrefaction or decay com- mences, and grave results may follow. An examination •will discover a variable quantity of bloody, or more or less foul-smelling, matter in the cavity of the womb ; and until this is removed, and the organ made to contract on itself, danger may be apprehended. The treatment should be the same as that in the Retention of the Foetal Envelops (which see). Obstetrics — Domesticated Animals. 14? DIFFICULT LABOR— BIRTH- PARTURITION. (Dystokia.) HOW TO MAKE SUCCESSFUL EXAMINATIONS IX DIFFICULT PARTURITION FOR THE DIF- FERENT PRESENTATIONS OF THE FOETUS AND OTHER RESISTANCE WHICH MAY BE PRESENT. The mode of procedure to be adopted in internal ex- aminations and explorations have already been described^ to a certain extent, under Sensible Signs of Pregnancy, and (Caution to the Operator) under Traction or Drawing of the Foetus, which should be referred to, and carefully read before the reading of this article. It is, because of the importance of these examinations that we again notice them, and will endeavor to explain the most useful points. If possible the Mare and Cow should be examined in the standing position, as this is the best. If, however, the animal is lying, and from exhaustion or paralysis it cannot get up, then, of course, the examination must be made in the recumbent position. When standing, the animal should be approached gently and coaxingly, and rigorous restraint is seldom nec- essary. With the Mare it generally suffices to have one of the fore-feet held up by an assistant, v\-hile the examina- tion is made; if young and dangerous, it may be necessary to employ a side-line on a hind pastern, or hobbles on both hind pasterns, and perhaps a twitch on the nose. With the Cow, a strong man holding the animal's head is suffi- cient to make it stand quiet. When the animal is in the standing position, the operator must be on his guard against the animal suddenly dropping, which would expose him to serious injury. When the floor inclines from the tail towards the head of the animal it is most favorable for an examination, thereby throwing the intestines for- w^ard, so that they do not press on the womb. When the examination is made in the lying position, 148 Obstetrics — Domesticated Animals. it is much more fatiguing and difficult. In this position it is still more necessary that the croup should be higher than the fore part of the body. Also the spine should be higher than the limbs ; and the more an animal is raised above the ground when it is lying, the easier is the manipulation. The Sheep, Sow, and Goat may be raised on several bun- dles of straw; the Bitch and Cat on a table covered with straw or cloth. The shirt-sleeve must be rolled as high as the shoulder; although it is preferable to remove the shirt, and wear only a vest during the examination. The hands and arms should be well smeared with clean oil or grease, to render their introduction into the genital passage more easy, and less irritating to the lining membranes, also to some extent to protect the operator against infection. Rings should not be worn on the fingers. Before commencing the exam- ination, empty the rectum, and, if possible, the bladder. Now the fingers should be gathered together in a cone- like form, the hand — which should not be cold — is inserted carefully and steadily into the vagina at a moment when the animal is not straining — the outer margin (little finger) being downwards, thumb upwards, and pushed gently in- wards by a slight rotatory movement; but the advance of the hand must be momentarily checked if the straining is at all severe, or until the animal, if irritable, has become reconciled to it. When once through the vulva, more room is found in the vagina, and the hand and arm can then penetrate with ease as far as the neck of the womb. The operator has first to satisfy himself whether the vagina is empty, or if it already contains some portion of the foetus or its membranes, and what these are; and if any tumors exist, cither within or external to the canal, and if possible their nature. If soft and fluctuating, care- fully push to one side and away from the passage of the foetus. He has also to satisfy himself that the pelvis has the proper dimensions. With this object in view, he closes his hand to try if he can move his shut fist about in Obstetrics — Domesticated Animals. U9 every direction, and with ease. Then stretching out the thumb, he can approximately judge the distance which in- tervenes between opposite points of the pelvic circumfer- ence, and in this way ascertain if a moderate sized foetus could pass through. The following figure and table of measurements will be found convenient: Fig. 21. DIAMETERS OF THE PELVIS. a b, Superior-inferior Diameter; c d. Superior Diameter; e f , Inferior Diameter; e i, f h, Oblique Diameters; J K, Middle Diameter. NATURAL MEASUREMENTS OF THE PELVIS. Mare Ass Cow Sheep Goat Pig Bitch Cat MEASURES Supero-inferior 8 to 9 inches 8 incties 8% inches 4*i inches 4% inches 4 inches 2 to 2V8 inches 2}^ inches Transverse 714 to 9 inches 4V2 inches 7 inches 3 inches SVo inches 3^ inches ly^a to 2 inches ly^o inches The above measurements are for medium sized ani- mals, with the exception of the Mare and Bitch, which are given for the large and small sized animals. After noting the above measurements, it can readily be understood that 150 Obstetrics — Domesticated Animals. the head of the calf, which measures from 7 to 10 in. by 4 to 5 in., cannot pass through the pelvis of a Cow which measures four or five inches, and in such cases force should not be attempted, as the foetus cannot be brought through, and must be delivered in pieces. (See Embryotomy.) The soft parts will also engage his attention, and he must learn whether the canal of the vagina is dry, or if it contains sufficient mucus to facilitate manipulation or delivery; if it is found to be dry it should at once have oil or flaxseed tea introduced into it. Now the fingers are again brought together, and their extermity pushed as far as the neck of the womb ; here the chief points to be noted are: Whether the neck of the womb still projects into the vagina, or if it is completely effaced; whether the womb has descended on the floor of the abdomen, or is yet in its ordinary position; whether the texture of the neck of the womb is soft, or if hard and in a state of spasm. (For treatment sec, Hurried, Tumultuous Labour in Normal Parturition.) Whether the mouth of the womb is open or closed ; if closed, or not sufficiently open to admit of the iiand, it must be carefully and gently dilated with the fingers until the hand can be passed into the cavity of the womb. Here the operator will meet with the "water- bag," if it is not already ruptured, and the foetus, if he has not already encountered it; at the same time the energy and frequency of the labour pains can be ascer- tained. (For indications and treatment see, Hurried — Tumultuous Labour, and Protracted Labour in Normal Parturition.) If the "water-bag" is ruptured, the hand must be passed into it in order to discover the situation of the foetus — the kind of presentation and position (see Difficult Labour from Malpresentations of the Foetus), the manner in which the limbs are disposed, and any com- plication which may be present. If the "water-bag" is not ruptured, the hand may be passed between it and the womb, the palm being towards the foetus, if it is necessary to explore deeply. When labour is advanced, the pains Obstetrics — Domesticated Animals. 151 being well marked, the mouth of the womb dilated, and the water-bag in the vagina, it is usually preferable to rupture the water bag; which is readily accomplished by seizing a portion of it between the thumb and first finger, and pressing the nail of the finger against the thumb. Sometimes the fingers alone are not sufficient, as when the envelops contain but little fluid; then a pair of scissors, a small trocar, or even an ordinary pen, will effect this object. In examining for presentation and position, each re- gion of the body of the foetus should be familiar to the touch, as it can be distinguished by its own proper char- acters. If the presentation and position is natural, the hand of the operator will first come in contact with either the fore or hind limbs. To distinguish the fore from the hind limbs, the shape of the joints and their mode of flexion must be taken into account — the fetlock and knee of the fore limbs bend in the same direction, while in the hind limbs the fetlock and hock flex in opposite directions; the knee, in addition, is large, round, and rather flattened in front, while the hock is flattened on each side, and offers the calcis as an unmistakable guide. There is also a dif- ference in the shape of the feet. (See Normal Parturition, also Figs. 17 and 18.) In difficult parturition the foetus may present in a variety of positions, in which hind and fore limbs may offer first, either alone or together (see Figs, under Difficult Parturition from Malpresentations of the Foetus) ; if the presentation is anterior, the head will be met with, and this is distinguished by the presence of the mouth, eyes, and ears; if it is a posterior presentation, then we have the rounded croup, tail, hocks, and external genital organs. In other presentations, the neck is recog- nized by the mane, if it be a Foal, or by its shape, whether Foal or Calf; the shoulders by the acromion processes and withers; the chest by the ribs; and so on. In addition to all this, the operator should judge as to the volume of the foetus and its proportions. 15'^ Obstetrics — Domesticated Animals. It cannot be too strongly impressed upon the mind of the reader, the necessity of a thorough knowledge of Nor- mal Parturition, before entering into the subject of Diffi- cult Parturition. And of the necessity of the examination being so complete as to furnish all the requirements of a sound decision; then he must decide on his mode of pro- cedure, in order to bring the young creature into one of the best positions for delivery — either natural or artificial — so that this may be effected with certainty and rapidity. The required assistants should be selected, and to each should be alloted his share in the operation, in which he ought to be instructed briefly and clearly; the instruments, cords, and other apparatus ought next to be placed in readiness; and then the task may be begun. Whatever is necessary to be done should be accomplished without delay, so as to spare the animal pain and exhaustion. DIFFICULT PARTURITION FROM MALPRESEN- TATIONS OR MALPOSITIONS OF THE FOETUS. Considering the frequency of Malpresentations or Mal- positions being the cause of difficult parturition or deliv- ery, and their often-times serious character, they deserve the most careful study in order that they may be success- fully overcome. It is very necessary that Normal Partur- ition, also How to Make Successful Examinations in Difficult Parturition be thoroughly and carefully read before reading the following Malpresentations. NATURAL— ANTERIOR PRESENTATION. In this presentation the extended head and the out- stretched forelimbs are toward the genital canal. As this presentation has been thoroughly explained and illustrated under Normal Parturition, the reader will be referred to that subject. Obstetrics — Domesticated Animals. 153 DEVIATION OF THE HIND-LIMBS IN THE ANTERIOR PRESENTATION. In this presentation the operator will either find the thighs of the foetus turned outward from its flanks, or the hind legs flexed forward, underneath the belly of the foe- tus, and the feet or fetlocks caught under the brim of the pelvis at the inlet, so that delivery by force would cause the hind feet to penetrate into the abdominal cavity of Fig. 22. DEVIATION OF THE HIND-LIMBS IN THE ANTERIOR PRESENTATION. the mother, and this might cause the death of the mother, and off-spring. TREATMENT. — In nearly every case the preserva- tion of the mother is the object to be attained. A safe de- livery can be effected only by the proper adjustment of the hind legs. This is all the more difficult, when the foetus is well advanced in the passage and much traction has been employed. If upon examination, the thighs are ex- tended outward from the flanks of the foetus, it should be forced back within the womb and the limbs drawn as closely together as possible, with the hand. If this cannot be done with the hands, take a well greased half-inch rope, 154 Obstetrics — Domesticated Animals. and fasten it around the body of the foetus with a running noose. (See Fig. 42.) Then the operator should work the rope just bej^ond the rump of the foetus, or midway between the rump and hocks. He must hold it there, while an assistant draws tightly on the rope and forces the thighs together. Then, with the proper traction the de- livery can be completed. (See Traction.) If, however, the foetus cannot be forced back into the womb to adjust the thigh, cut the foetus off close up to the mother (see Embryotomy) ; then force the remainder back within the womb and deliver the hind feet first. If upon examina- tion, the hind feet or fetlocks are found to be caught below the brim of the pelvis at the inlet, pass the hand be- tween the belly of the foetus and the genital canal, until you come in contact with the feet or fetlocks. Then pass the palm of the hand against the feet or fetlocks, and extend it backward and inward as far as the arm will reach, when traction may be applied to the foetus and delivery completed. (See Traction.) FORELIMBS CROSSED OVER THE NECK IN ANTERIOR PRESENTATION. It is not uncommon to tind Foals and Calves in this position, and unless due assistance is given, the mother usually is more or less lacerated. When the limbs are crossed at the poll, the feet are pushed against the roof of the vagina, causing laceration of that part. Sometimes they are pushed through the roof of the vagina into the rectum, producing rupture of the perineum. This posi- tion, which always retards delivery, is frequently recog- nized before an examination is made. If the fore feet are seen pressing against the roof of the vagina, at the outlet, the probabilities are that both legs are crossed over the neck. If only one foot is seen pressing the roof of the vagina, or if both feet are observed on one side of the head, .the one leg shorter than the other, only one leg is crossed. Obstetrics — Domesticated Animals. 1o» With these indications, no time should be lost in making an examination to ascertain the true position. TREATMENT. — When only one limb is crossed, re- duction is not difficult. The leg is seized a little above the fetlock, raised, drawn to its proper side, and extended into the genital canal. Delivery may then take place without help, or gentle traction on the head and hmbs may be necessary. Fig. 23. FORE-LIMBS CROSSED OVER THE NECK IN THE ANTERIOR PRESENTATION. When both fore-Hmbs are crossed, and the foetus is not too far advanced in the pelvis, well greased half-inch cords should be fixed to each pastern (see Fig. 44), and then force the foetus back into the womb by pressing upon the head. Then the operator should place the feet on their proper sides, if possible. If he cannot do this, bring the ropes to their proper sides, and, while the operator holds the head back firmly, let an assistant pull the rope on one side until that limb is brought into position. Then take hold of the other rope and fetch that into position. Then place the head straight in a line above and between the Hmbs (as in Fig. 17), and delivery will be effected with but little traction. ise Obstetrics — Domesticated A xim als. If the foetus is so firmly fixed in the pelvis that it is impossible to force it back into the womb, then the limbs of the foetus must be amputated. (See Embryotomy.) However, this is a very exceptional occurrence. FORE-LIMBS FLEXED AT THE KNEES. One or both of the fore-limbs may be flexed at the knee. This is a frequent and often troublesome complica- Fig. 24. FORE-LIMBS FLEXED AT THE KNEES IN THE ANTERIOR PRESENTATION. tion. If an examination is made before labour has pro- gressed any length of time, the nose and knees will be felt at the same time. But if labour has progressed any length of time, the operator will first come in contact with the head, for sometimes it is advanced in the passage even as far as the outlet. Obstetrics — Domesticated Animals. 157 TREATMENT.— If the head has made but little pro- gress, the operator will have but little difficulty. While ascertaining the position of the legs, it is almost always found that one has greater liberty than the other, and, if seized by the fetlock, can be thrown easily into its natural position. Then seize the other leg just below the knee, raise with the lower part of the hand (see Fig. 25), while pressing backward with the upper part of the hand, and that leg can be brought easily into position. Use the right EXTENDING THE FORE-LIMBS IN THE ANTERIOR PRESENTATION. hand to handle the left foreleg, and the left hand for the right foreleg. If the head has been well forced into the passage or presented beyond the outlet, the case will have to be handled differently. First secure the head with a well- greased half-inch rope head collar (see Figs. 43 and 44), then grasp the head, and, during the intervals between the labour pains, force it back into the womb; then grasp the legs separately below the knees and raise them up, pressing backward at the knee and forward further down the leg, and in this way bring them into position one at a time. The operator must take hold of the knee and force it back into the womb, while an assistant draws on the rope. In this manner the leg will be forced upward and outward, into the proper position. Then fetch the other limb up in the same manner. 368 (3bstetrics — Domesticated Animals. REVERSED POSITION.— If the young animal is lying upon its back, with the legs turned upward within the womb, it will be impossible to extract it in that posi- tion. It must be turned, which is a difficult task. In this, as in all manipulations of the mother if in a lying position, the hind parts should be raised higher than the fore quarters. Seize the foetus and fasten a small, jreased rope around each fore fetlock, and another around the jaws. Then, if the foetus is slightly turned to the left, let the operator pass his right hand under the left shoulder. Have the rope attached to the right leg, pass out on the left side of the head. Then, at each labour pain, draw tightly upon the rope, and with the hand under the shoul- der, raise up with a rotary movement. In the course of time the little creature will be completely turned around to the proper position. Proceed in a manner precisely the reverse, if the foetus is turned to the right. When the proper position is gained, delivery will be easy. If the mother can be kept in a standing position, the foetus can be much niore easily handled. FORE-LIMBS COMPLETELY RETAINED. The complete retention of one or both of the fore-legs of the foetus within the womb, with head presentation, is often met with. With the Mare, the Foal usually dies be- fore delivery is completed. With the Cow, the danger to the Calf is not so great. The Foal or Calf may be born with the fore-limbs retained, and without injury to the mother or off-spring. But this only occurs when the foetus is small, and the maternal pelvis roomy. However, with the multiparous animals this might almost be designated a normal presentation. On examination, the operator's hand will first come in contact with the head of the foetus, if both limbs are completely retained (Fig. 27) ; the head may be forced well into the vagina, even to the vulva, at each labour pain, but. Obstetrics — Domesticated Animals. 15^ retracting immediately after each pain ceases. Sometimes it is with the greatest difficulty that the fore-legs are reached, owing to the vast dimensions of the womb. When khe fore-limbs of the foetus can be felt, they are usually lying either immediately under its abdomen, or beside the ehest and flanks. In some cases the head is also in an ab- normal position. If only one limb is completely retained,. Fig. 26. ANTERIOR PRESENTATION: ONE FORE-LIMB COM- PLETELY RETAINED (CALF). the other will be in normal position — alongside or under the head. (Fig. 26.) TREATMENT.— Reach the limbs or Hmb with the hand. In order to do this it may be necessary to force the head back within the womb. If so, first place a rope around the neck and another around the lower jaw, then force it back within the womb during the intervals between the labour pains, then pass another rope around the fore- 160 OI5STETRICS — Domesticated Animals. arm of the foetus, pushing it well down toward the knee, and use gentle traction until the knee is brought up to the passage. Then fasten the rope to the fetlock, and have an assistant to use traction upward and outward, while the operator grasps the knee and forces it upward and back- ward into the womb. Next bring the other leg into posi- Fig. 127. ANTERIOR PRESENTATION: BOTH FORE-LIMBS COMPLETELY RETAINED (CALF). tion, in the same way. Now having the limbs in the proper position, next find the head and place the hand under the nose and lower jaw, and have an assistant pull upon the rope which was fixed to the jaw, until the head is brought into position ; only moderate traction will be required after this to complete delivery. (See Traction.) If the head presents as far as the vulva and the foetus is dead, peel the skin back from the head to the neck, al- lowing the skin to remain intact; then remove the head at Obstetrics — Domesticated Animals. 161 the first or second joint of the spine, taking care that the end of the bones are covered with the skin of the head. (This will prevent laceration.) Then fasten a well greased rope to this part, and push back within the womb, the limbs can then be extended, and extraction may be ef- fected. Should delivery still be impossible, then the foetus must be extracted by piecemeal. (See Embry- otomy.) In the Sheep, Goat, Sow, Bitch, and Cat, forced ex- traction is usually practiced with success. (See Traction.) Fig. 28. .ANTERIOR PRESENTATION; DOWNWARD DEVIATION OF THE HEAD (FOAL). DOWNWARD DEVIATION OF THE HEAD, ANTERIOR PRESENTATION. The deviation may be slight (Fig. 28), or it may be great, which is termed extreme downward deviation of the head (Fig. 29). This presentation occurs most frequently when the foetal membranes are prematurely ruptured. On making an examination, the hand of the operator will come in contact first with the feet, and next with the top of the head, which will be recognized by the ears, eyes, nape of the neck, and if a Foal by the forelock and mane. 162 OBSTETRICS — Domesticated x\nimals. The upper ridge of the neck is always a sate guide to fol- low in discovering the direction of the head. TREATMEN T.— When the deviation is slight the operator should, during the intervals of straining, press backward and upward against the top of the head; then pass the hand down under the nose, seize the lower jaw and raise upward and outward, bringing the head into Fig. 20. ANTERIOR PRESENTATION: EXTREME DOWNWARD DEVIATION OF THE HEAD (CALF). the natural position (See Fig. 17). Now bring the head into the passage and complete delivery in the usual way. However, if necessary, a rope may be applied to the upper jaw as described in Extreme Deviation of the Head, which will soon be alluded to. The same procedure is necessary with the Sheep and Scat; while with the Bitch and Cat delivery must be ef- fected by means of forceps. Obstetrics — Domesticated Animals. 163 In Extreme Deviation, with the head bent under the body, the case is most difficult, and especially when there has been delay or much traction on the foetus in attempt- ing to deliver it. The contractions of the closely apphed womb render attempt at delivery almost impossible, by their paralyzing the hand and arm. Large quantities of warm flaxseed tea or warm raw linseed oil must be injected into the vagina. With a crutch or repeller (Figs. 51 and 52) placed at each shoulder of the foetus, push it back within the womb, and passing the running noose (Fig. 42) of a well greased rope around the upper jaw, and while an assistant pulls at this, the operator, by pressing strongly against the top of the head, may bring the nose into the normal position (Fig. 17). Should this fail, then the animal should be thrown on its back; the success which has attended this change of attitude in so many recorded instances, should induce the obstetrist to adopt it without much delay. Very often the altered position of the mother at once disengages the head of the foetus; if this does not happen, then undoubtedly embryotomy will be necessary. (See Embryotomy.) In- deed, it should be resorted to early if the foetus is dead, which is nearly always the case in the Mare. Place a rope around the bend in the neck, and amputate the fore-limbs first, as in many cases the removal of one fore-limb will permit delivery; but it is generally necessary to pull on the rope that was placed around the neck. Sometimes it will be found necessary to amputate both fore-limbs, also the head. These operations are thoroughly explained under Embryotomy (which see.) LATERAL DEVIATION OF THE HEAD TO THE RIGHT OR LEFT. This is a very serious obstacle to birth, and is frequent- ly one of the most difficult to overcome. It is also one of the most frequent deviations. It is due to precipitate or tumultuous labour, •v^'ith the mouth of the womb either im- 164 OnsTr.TRics — Domesticatki) Animals. perfectly or not at all dilated. The contractions of the womb propel the head of the foetus towards the pelvis ; but as the mouth of the womb is not open, and as the impelling force continues, the body pushes the nose against the oc- cluded mouth of the womb, and turns it to one side; then the deviation becomes increased with every contraction. Premature escape of the "waters," spasms of the neck of Fig. 30. ANTERIOR PRESENTATION: LATERAL DEVIATION OF THE HEAD TOWARDS THE SHOULDER (CALF). the womb, and torsion of the womb may also cause it. In some instances there can scarcely be any doubt that the deviation has taken place some time before gestation is completed, as in many Foals at birth the neck cannot be straightened, and the head is distorted. On examination it is not difficult, as a rule, to distin- guish lateral deviation. Usually both fore-feet are in the genital canal, but birth does not progress. An important Obstetrics — Domesticated Animals. 1«5 fact to remember is that one limb — that belonging to the side to which the head is bent — seems to be shorter, or less advanced, than the other. The hand on being passed be- yond these toward the inlet, comes in contact with a con- vex mass, which renders access to the cavity of the womb difficult. Patient exploration discovers this mass to be the bent neck; and if it is a Calf, owing to the shortness of the Fig. 31. ANTERIOR PRESENTATION: LATERAL DEVIATION OF THE HEAD TOWARDS THE ABDOMEN (CALF). neck, the head is soon found, and recognized by the ears, eyes, and often the muffle turned toM'ard the shoulder. With the foal the neck being longer, makes it much more difficult to reach the head. This difficulty is greatly in- creased if the abdomen of the mother is very pendulous. TREATMENT.— If the head can be felt by the hand, catch hold of the cheeks, by slipping the fingers into the mouth, and raise the head into position. If it cannot be 166 Obstetrics — Domesticated Animate. brought into position in this way, then slip a well greased running noose (Fig. 42) around the lower jaw, secure the fore-limbs with ropes and push the foetus back into the womb. Then have an assistant pull on the rope which is attached to the jaw, while the operator pushes inward on the neck just at the bend. Bring the head into the vaginal passage, draw up the feet and complete delivery. In case the feet present and the head cannot be reached by the operator, it will be necessary to fasten small greased •ropes to the fore fetlocks; then return the fore-limbs to the womb, pressing them to the opposite side from that to which the head is bent. Then if the head is turned to the •right, press against the left shoulder; if to the left, press against the right shoulder. With the hand or a crutch, •fasten a rope around the neck, and pass the rope along the neck until as near the head as possible; then twist the rope until it presses deeply into the flesh of the neck, care being taken not to entangle the membranes in the rope. Novr press inward on the shoulder and draw outwards and side- ways on the rope which is around the neck, and the head will be drawn backward toward the natural position. Con- tinue this until the head is reached, when a rope should be fastened to the head or lower jaw, after which it can easily be brought into position. Then draw up the feet and complete delivery. When it is found impossible, or not advisable, to at- tempt adjustment of the head and neck, then recourse must be that of Embryotomy (which see). With the Sheep and Goat, this deviation must be rem- edied by forced extraction with the short blunt hook or finger-hook (Figs. 53 and 54), the fore-limb of the foetus being manipulated so as to push away the unencumbered shoulder into the womb. The smallness of the genital pas- sages in these animals is an obstacle to manipulation, but an intelligent boy with a small hand may be of much ser- vice when acting under the direction of the obstetrist. With the Bitch and Sow these deviations are extremely Obstetrics — Domesticated Animals. 16t rare. When they do occur it will be found that the for- ceps^will generally effect forced extraction; or a piece of strong catgut, or brass or copper wire, may be passed around the bend of the neck. Traction on this will either remove the foetus, or by cutting through the neck permit it to be extracted by the forceps. (vSee Forceps.) ANTERIOR PRESENTATION: DEVIATION OF THE HEAD UPWARDS AND BACKWARDS. DEVIATION OF THE HEAD UPWARD AND J BACKWARD. In this position, the head will be found more or less extended along the back, or slightly deviated to one side, with the lower jaw resting against the mother's back. [This position may lead to rupture of the womb and rectum, and the delivery of the foetus by the rectum. On exploration, the fore-limbs may be found more or less advanced in the vagina. On deeper exploration, the 168 Obstetrics — Domesticated Animals. hand meets the chest, while above it is the front part of the neck, with the wind-pipe leading toward the head. TREATMENT. — It is necessary to force the foetus back within the womb by pressing the chest downward. Should the head not drop down into the natural position, it will be necessary to seize the head by the mouth or lower jaw and bring toward the mouth of the womb, by carrying it downwards and a little to one side if necessary, by a slightly screwing motion. If the head cannot be brought forward with the hand, place a small rope around the lower jaw and have an assistant pull, while the operator guides the head with his hand until it is brought into the natural passage, when delivery will be completed easily. This is »ot a difficult position and can be rectified with ease and safety. Embryotomy is rarely necessary. In the smaller animals — at least in the Bitch — delivery has been effected without bringing the foetus to the natural position. HEAD RETAINED, AND WITH IT ONE OR BOTH OF THE FORELIMBS. These complicated cases are seldom met with. But when they do occur, it is usually preferable to adjust the limbs first, then the head; but it sometimes happens that it is more advantageous to begin with the head — for instance when it is much forward in the womb. But it is really of no great moment which part is first dealt with, so long as the precaution is taken first to cord those which are de- viated. Then the procedure will be the same as described «nder the deviation of that part. NORMAL POSTERIOR PRESENTATION In this position the hind-limbs are fully extended backwards, and are the first to enter the genital canal. This presentation has been explained and illustrated under Normal Parturition (which see.) Obstetrics — Domesticated Animals. 16!^ HOCK PRESENTATION. This presentation usually results when there is a pos- terior presentation, and the womb contractions force the foetus towards the neck of the womb, before the hind- limbs are completely extended. (Fig. 33.) As labour^ad- vances the croup has a tendancy to descend, and with the points of the hocks, to advance through the mouth of the Fig. 33. POSTERIOR PRESENTATION: HOCK (CALF). womb. The double legs and croup, jammed in the inlet. form far too large a mass to advance further. Labour is, therefore, suspended, and the animal becomes exhausted with futile straining. On making an examination, the point of the hock is always the first part the hand of the operator encounters; but it may be found at various depths. Sometimes the / . ^.:s alone are in the canal, the body of the foetus being still in the womb; while in other cases both the hocks and the croup are wedged in the passage. TREATMENT.— With the larger animals at their 170 Obstetrics — Domesticated Animals. full period of pregnancy, birth cannot take place, as a rule until the malpresentation has been rectified; and to at- tempt delivery before this has been done is to expose the Cow or Mare — particularly the Mare — to great danger. With the Sheep, Goat, Sow, and Bitch, the foetus can be and often is, extracted in this malposition by forced ex- traction. With the Mare and Cow it is necessary to give the hind-limbs a favorable direction, by extending them into the genital canal. In adjusting the hind-limbs, it will be necessary to push the foetus as far as possible into the womb. This can be effected without difficulty — even in the Mare — at the commencement of parturition, when the foetus has not yet entered the pelvic inlet, or, at most, the points of the hocks are only engaged. But when la- bour is more advanced, and the hocks with the croup is wedged in the passage, the difficulty is greatly increased in the Cow. and even in the Mare it may be impossible to push the foetus back into the womb. However, it should always be attempted. This is best accomplished by rais- ing the hind-quarters of the mother as much as possible; then the hand should be applied to the buttock of the young creature, the thumb on one hip, the fingers on the other, and immediately below the tail. If the repeller or crutch (Figs. 51 and 52) is used (and it is very convenient in these cases), it should be placed across the thighs. The foetus should be steadily forced back in the intervals be- tween the labour-pains; this force should be directed slightly upward, so as to raise the croup. At first the re- sistence seems to be insurmountable, but gradually the foetus begins to move, and finally is forced sufficiently into the womb to allow the hind-limbs to be seized; the hand may then fasten a small, greased rope on each pastern (by means of the porte-cord (Fig. 49), if necessary). Next flex one limb as completely as possible, commencing witk the lower leg and lifting it well up against the thigh, then the hock is bent; the limb is now seized at the lower end of the cannon-bone, or even at the fetlock, and is then lifted Obstetrics — Domesticated Animals. 171 into the vagina. The same procedure is carried out witk the other leg. With the Foal it sometimes happens that, owing to the length of the limbs, the foot of the foetus jams on the pubis of the mother. In such cases the cord attached to the pastern is most useful, as the operator may allow the foot to pass from his hand, and press the point of the hock towards the womb: while an assistant pulls at the cord at such times, and with the amount of force, as the obstetrist may order. It frequently happens that the foetus cannot be forced back into the womb. When this occurs with the Mare, it may be presumed that the foetus no longer lives, or that it will perish before delivery is completed. There can be no objection, then, in resorting to Embryotomy (whick see), so as to relieve the Mare as quickly as possible. With the Cow, the Calf is very frequently alive, and an important consideration is how to deliver it in this con- dition. Should it be impossible to force the Calf back int© the womb, forced extraction in this malposition should be attempted (See Traction) ; it has often proved successful, and particularly when only one limb was retained. To ef- fect forced extraction with one limb alone flexed, the leff extended in the vagina should be corded at the pastern, or above the hock if this can be reached. A cord is then to be passed around the bent hock by means of the porte-card (Fig. 49), and traction exercised during the labour-pains. When both legs are flexed at the hocks, a cord must be passed around each, as in Fig. 34. The necessary force caa then be exercised. Should forced extraction not succeed, the limbs may be amputated, as with the Mare. (See Em- bryotomy.) In the posterior malpositions, it is well to ascertain the direction of the tail; as it is sometimes thrown back over the croup (as in Fig. 34), and may thus increase the difficulty. It may readily be brought back to its natural position by passing the hand from the root to its extremity and bringing it into the vagina by withdrawing the arm. 172 Obstetrics — Domesticated Animals. In some instances it may be necessary to force the foetus into the womb before the tail can be adjusted. With the Sheep and Goat the same procedure is ap- plicable, but the Bitch, Sow, and Cat, generally does not experience any difficulty in expelling the foetus when in this position. Therefore they do not require any especial attention. pw Fig. 34. HOCK PRESENTATION: HOCK CORDED (CALF). THIGH AND CROUP PRESENTATION. The cause of this malposition is the same as that opera- ting in hock presentation. Authorities are generally unan- imous in asserting that this is one of the most difficult mal- positions the obstetrist can encounter. Very frequently the mother perishes without being delivered; and though Obstetrics — Domesticated Aximals. 173 sometimes a live Calf may be extracted, it is rare that a living Foal is obtained. On examination, the tail and buttocks of the foetus are the first parts that the hand encounters; then the croup and haunches, and below, beneath the pubis, are found the hocks; though, when the limbs are fulh- extended under the body, they are beyond reach. Fig. 35. THIGH AND CROUP PRESENTATION (CALF). ITREATMENT.— The first rational indication is to ex- tend the limbs of the foetus backward. This is often most difficult to fulfill, though it is possible when labour is not too far advanced, and when the foetus can be pushed suf- ficiently from the inlet to allow one Hmb to be seized above the hock, and the thigh and leg flexed as completely as cir- cumstances will permit. Still pushing the foetus off by- means of the repeller (Figs. 51 and 52), the hand is passed 174 Obstetrics — Domesticated Animals. down to the foot, until the toe and front part rest in the palm of the hand; by adopting this precaution, danger of injury to the womb or vagina is averted. Then the foot is brought into the vagina by flexing all the joints on each other. Again pushing the foetus forward, the same manoeuvre is repeated with the other Umb, if necessary; forced extraction has succeeded with only one leg in the passage, and sometimes with little difficulty. But forced extraction of the foetus, without adjustment of one leg, is very serious, and is most always fatal to the mother, as well as the offspring. If the examination is delayed until parturition is some- what advanced, the operator may find the croup well wedged in the pelvic canal and the thighs to have cleared the inlet. When this occurs it is often impossible to force the foetus back within the womb. Throwing the mother on the back or side may effect a change for the better in the position of the foetus; or, if lying, then raise the hind- quarters. Should this fail, there are but two courses open — forced extraction of the foetus in this abnormal position, ©r removing it by Embryotomy. Lecoq's method of forced extraction consists in passing the hand, furnished with a rope, between the pelvic wall of the mother and the body of the foetus, as far as the thigh of the foetus; the rope is then pushed beneath the thigh as far as possible and left there, while the hand is passed above — between the leg and body, so as to bring the end of the rope up around the stifle and back through the vagina. In this way the thigh is encircled by a loop, as in Fig. 36. The other thigh should be secured in the same way by an- other rope. The ends of the ropes being joined together •utside, assistants, under the direction of the operator, pull, with the necessary amount of force (See Traction) ; while the hand of the operator assists in the vagina, either in fuiding the foetus, seizing on and puUing at any part that may offer, or smoothing down the folds of the lining mem- brane in the canal, which might otherwise increase the ob-. Obstetrics — Domesticated Animals. 175 stacle. The foetus has been extracted alive by this pro- cedure, but this is a rare occurrence; and more frequently the foetus, or mother and foetus, perish. Therefore, em- bryotomy is usually resorted to in preference to forced extraction. (See Embryotomy.) The Bitch, Sow, and Ewe, may be delivered by the forceps (Fig. 56), small crochet (Figs. 53 and 55), or the tube-noose (Figs. 47-48), which are described under their various headings. Fig. 36. THIGH AND CROUP PRESENTATION: THIGH CORDED (FOAL). TRANSVERSE PRESENTATION The foetus is in a transverse position, when, upon ex- amination, the hand of the operator first encounters th« shoulders, withers, sides, flanks, haunches, loins, back, breast, belly, or all of the limbs collected together. BACK, LOIN AND SHOULDER PRESENTATION. The withers are recognized by the prominences which the spinous processes form at this part; the thin, wedge- shaped outline of the part. The region of the loin may be distinguished by the large and almost level surface it offers. KG Obstetrics — Domesticated Animals. the hollow of the flank leading to the thigh and stifle. The back is discovered by the arches of the ribs springing from each side. After determining which part presents, it is necessary to ascertain the direction in which the head lies, before attempting to rectify the position. TREATMENT.— If the "waters" have escaped and the womb and vagina are dry, inject warm flaxseed tea into them. Now the principal object is to turn the foetus, and convert the transverse position into either an anterior or a posterior presentation, for only in this way can delivery be Fig. 37. TRANSVERSE PRESENTATION (FOAL). effected. If the position of the foetus is such, that the fore- limbs are most convenient, and can with the least difficulty be brought into the pelvic inlet, the position should be con- verted into an anterior presentation. If the hind-limbs are more accessible and can be brought into the inlet with less difficulty, convert the position into a posterior presenta- tion. The flaxseed injections into the womb, together with the contractions of the womb, and the operator forcing the foetus forward within the womb in an oblique direction, opposite that of the part which is to be brought into the inlet, will, in many cases, cause the body of the foetus to glide around the inner surface of the womb, until a convenient part presents. Now the operator must as- Obstetrics — Domesticated Animals. 177 certain if the limbs, and if anterior presentation, the limbs and head, are in the proper position (See Figs. 17 and 18). before bringing them into the passage. If they are not, adjust them and bring into the passage by means of the hand, or if much traction is necessary, a rope may be used with advantage. But in either case it will be necessary to guide the foetus with the hand. The Ewe and Goat TRANSVERSE PRESEXTATIOX WITH SHOULDER AND LOIN PRESENTED (FOAL). will require the same manipulation as the Mare and Cow. With the Bitch and Cat the foetus will be more success- fully turned into a normal presentation by means of the forceps and external abdominal manipulations. BREAST AND ABDOMINAL PRESEXTATIOX. In this position the foetus is placed horizontally across the womb, the legs flexed or extended toward the inlet. On examination, as the operator passes the hand to explore the parts, it first encounters the feet — usually all 178 Obstetrics — Dom esti gated A n i m als. four of them. They may be in the womb doubled against the body of the foetus, or they may be in the genital canal, and even protrude from the vulva. In the majority of cases, either the hind-quarters or the fore-quarters are near the passage, a condition recognized by the legs of that part being further advanced than those of the other. The direc- tion of the head must be ascertained, which is readily de- Fig. 39. TRANSVERSE PRESENTATION: SHOULDER AND LOIN PRESENTED (FOAL). termined if the head can be felt. If this is impossible, then a careful examination of the limbs will be necessary. To distinguish between the hind-limbs and the fore-limbs, read the paragraph explaining this, under How to Make Successful Examinations in Difficult Parturition. It must be remembered that in this presentation, the fore-limbs and hind-limbs are across each other, when engaged in the genital passage. The hind-limbs crossing the fore-limbs, are pointing towards the head or anterior part of the body of the foetus ; while the fore-limbs, crossing the hind-limbs, point toward the posterior part of the foetus. As a rule, this is not a very serious presentation. The gravity of the Obstetrics — Domesticated Animals. 179 case depends somewhat upon the length of time labour has been in progress. It is impossible for birth to occur while the foetus is in this position, and if the mother does not receive the necessary aid in due time, her straining may not only cause the death of the foetus, but the mother will- likewise perish from prostration. TREATMENT.— Generally the operator will find it advantageous to convert the position into a posterior pres- Fig. 40. TRANSVERSE PRESENTATION; BREAST AND ABDOMEN- PRESENTED, HEAD AND FEET ENGAGED (FOAL). entation and deliver the hind feet first. Fasten welt greased ropes around the limbs which are to be extracted? first. If only one hind-foot and one fore-foot are engaged' in the passage, fasten a rope around one hind- foot and search for the other one; secure it, and bring it into the passage. Now return the presenting fore-limb to the womb, forcing it as far in as possible, apply traction andf deliver. If all four feet are presented in the passage, fasten ropes to the hind feet; then return the fore-feet as far as 180 Oi'.STETRics — Domi-:stic.\ti:d Animals. possible within the womb. Sometimes this is more easily accomplished by flexing the fore-limbs at the knee, until the foot rests against the elbow; then force it within the Avomb in a downward direction, while the assistant draws upon the hind-feet. With this manipulation the foetus will generally straighten out, and with slight traction birth Fig. 41. TRANSVERSE PRESENTATION: BREAST AND ABDOMEN PRESEXTi: I), niND-LIMBS MOST ADVANCED, HEAD RETAINED (CALF). will soon b'c complcUd. Bui when the hind-legs, croup, and hips have been delivered, the operator should pass his hand between the belly of the foetus and the floor of the genital canal, to ascertain if the fore-limbs have become cramped or fastened within the inlet. If so, straighten them by pushing them inward, for if not straightened, serious results might follow. Even if the head is engaged Obstetrics — Domesticated Animals. 181 along with all four limbs in the passage, it is preferable to return it to the womb in a downward direction along with the fore-limbs, and that delivery be made with the hind- feet first. It is well that the operator bear in mind the necessity of the back of the foetus being placed against the back of the mother, before attempting delivery, w^hatever the presentation may be. In those cases in which the foetus has the limbs doubled against the body, and can only be touched with the tips of the fingers of the operator, the hind-quarters of the mother should be lowered by placing her on a sloping floor — on the back if necessary; an assistant then manipu- lates the foetus through the abdominal wall, so as to move it toward the inlet, where one or more of its limbs may be secured by the operator. The procedure will then be'the same as the above. In the breast and abdominal presentation, if it is found impossible to force the foetus back into the womb and the foetus is dead, there should be no hesitation about resort- ing to embryotomy (which see). The foregoing indications and treatment are applicable to the Sheep and Goat, as well as the Mare and Cow. With the Bitch and Cat, the foetus can be more successfully turned or converted into a normal presentation, by means of the forceps (Fig. 56), and external abdominal manipu- lation. MALPRESENTATIONS OF TWIxV FOETUSES, Difficult parturition is sometimes present during the delivery of twin foetuses. This is usually due either to one or both presenting in a malposition, or both presenting at the inlet together. As they cannot pass through the canal together, hence the difficulty. For illustration of Twin Foetuses in the Normal Position, see Fig. 11. On examination it is sometimes found that the limbs •182 Obstetrics — Domesticated Animals. of the twins are so interlaced that they are separated only with the greatest difficulty. But they must be seaprated; and then the operator has to determine which one presents the most favorably. If assistance is not afforded before both foetuses become wedged into the pelvic inlet, the operator will experience great difficulty in adjusting them. But if distinguished before entering the inlet, but little trouble need be anticipated. TREATMENT. — After untangling and selecting the foetus which presents the most favorably, fasten ropes to the head and fore-limbs or to the hind-limbs, as the presen- tation may be, and arrange them in a direction proper for delivery. Then an assistant by means of the ropes, draws the foetus toward the outlet, while the operator pushes the 'Other foetus back into the womb. After delivering the first one, search for the other, which probably will be in a malposition, requiring adjustment before it can be bom. The procedure in this case will be the same as if only a single foetus had been delivered. MECHANICAL MEANS AND INSTRUMENTS USED FOR THE EXTRACTION OF THE FOETUS- MECHANICAL DILATION OF THE MOUTH OF THE WOMB. If the fingers and hand are to afford the means for dila- tation of the mouth of the womb, they must be well oiled, or smeared with extract of belladonna, and introduced in the form of a cone, toward the mouth; if they cannot be passed into the canal in this shape, then the insertion of one finger may be attempted, followed by a second, and so on until the hand has been pushed through. Very fre- Ousti-:trics — Domesticated Animals. 188 quently this cannot be accomplished at the first trial, nor yet at the second; but with patience and judgment it rare- ly fails, and if conducted with the care and gentleness which all operations of this kind should receive, such man- ipulations may be attempted without the least danger at intervals of a few hours, until crowned with success. The condition of the mouth of the womb should be ascertained, after a certain period has elapsed since the last attempt, every precaution being adopted to prevent injury; and an Fig. X. WOMB DILATOR. =<39^ entrance to it ought only to be effected when the resistance has greatly diminished, and can easily be overcome. Mechanical dilation of the mouth of the womb by means of the sponge tent has been much and successfully employed. The tent can usually be purchased at the drug- gist's, but if not it is easily made as described in the treat- ment of sterility (which see). Of course, the size of the tent varies according to the size of the animal. The sponge tent is especially indicated when the object is to induce labour. The womb dilator (Fig. X) is very useful, as it dilates the mouth of the womb in the same manner as the natural 184 OusTETRics — Domesticated Ammals. "water-bag." The bag (A) when in an empty condition, is introduced into the mouth of the womb by means of a whalebone sound or director (B), which fits into a small pocket (C) at the side; it is pushed through the canal until the pocket end projects into the womb ; then warm water is steadily injected into it by means of the tube and bulb (D) attached to the other end. When filled with water the bag remains in the mouth of the womb, in consequence of the middle portion being narrower than the two ends. A sim- pler, and perhaps as useful, a contrivance, can be construc- ted from the fresh bladder of an animal securely tied to a bulb syringe and used in the same manner as Fig. X. Also see treatment for Hurried Labour in Normal Parturition. CORDS— ROPES— BANDS. Ropes and bands, are of all mechanical means, the •most useful in veterinary obstetricy. They vary in thick- ness and length; they are usually about five or six feet in length, and if spun rope, from a quarter to half an inch or more thick. At one end may be a loop (Fig. 42), or iron ring (Fig. 50), by which to form a running noose (Fig. 42). If a somewhat stiff loop is required, it is very useful to have a long piece of copper wire twined in the cord. Ropes should be thoroughly cleansed and greased before using. As ropes readily absorb germs and septic matter, it is never safe to use the same rope a second time. Some practitioners are very careless about this, and the result is usually unsatisfactory. For the jaw the cord should be rather thin and soft, but strong. To render a hard cord softer, it may be par- tially untwisted at the part intended to go around a por- tion of the foetus. When running knots or loops are made, these should be so tied that there is no chance of their becoming untied through sHpping, when they come in contact with lubricat- ing fluids and are strained. Whatever is used for this pur- Obstetrics — Domesticated Animals. 185 pose should be very pliable, and yet sufficiently strong to withstand energetic pulling. A very good traction cord is made as illustrated in Fig. 42-B. This is merely a cord with a running noose at one end, and a small piece of round wood at the other, to give the assistant a better hold, and enable him to use more Fig. 42-A. TRACTION CORD AND BAND. THE MANNER OF APPLYING THEM. Fig. 42-B. TRACTION CORD. force. This is applied in the same manner as Fig. 42-A. Either mode. Fig. 42-A or B, will be found very simple and convenient to apply, especially to the Hmbs. MANNER OF APPLYING, FIG 42-A and B.— Gather the fingers together so as to form a kind of cone, on which the running noose of the cord is placed, as in Fig. 42-A. The noose is kept in its place on the fingers, in tightening the cord, by the free portion which passes along the under side of the hand and arm; unless this precaution i« adopted, the noose will be pushed back over the hand wnen introduced into the vagina. The hand and cord be-. 186 Obstetrics — Domesticated Animals. ing oiled, are introduced into the passage, and when the foot is reached it is seized in the fingers; these are then sud- denly bent, so as to shorten the cone and cause the noose to run onto the pastern by a gentle pull of the cord, which can then be tightened and given to an assistant. The neck of the lower jaw is "corded" in a similar manner; the mouth of the foetus being opened, the noose is passed around the neck of the lower jaw, and the knot or loop placed beneath the chin. Fig. 43. HEAD COLLAR. Cords are very useful and can be applied to any por- tion of the body. When long cords are used, and energetic traction is likely to be employed, knots should be tied at intervals, to prevent the hands of the assistant slipping. HEAD-COLLAR, HEAD-CORD, OR HALTER. As before mentioned, the interdental space, or "neck" of the jaw is convenient for the attachment of the cord; but I it will be found in practice, that if the noose does not slip Obstetrics — Do.mesticatkd Animals. 187 off the jaw, which is often the case, should the traction be at all energetic, the bones will probably be smashed, the foetus, if alive, irreparably damaged. It is, therefore, verj important that the head-collar be placed on the foetus whenever it will accomplish the desired effect, in preference to the cording of the jaws. The Head-collar illustrated in Fig. 43 is one of the best patterns, is simple and easily constructed, and can be Fig. 44. HEAD COLLAR PLACED ON CALF'S HEAD, THE RIGHr FORE-PASTERN BEING ALSO CORDED. adjusted to any sized head. It is made from a long piece of cord with a loop or eyelet at one end, and at a certain distance from this — from fourteen to sixteen inches — a sec- ond loop. The other end of the cord is passed through the first loop, so as to make a noose which goes round the neck of the foetus; then through the second loop which goes round the lower part of the head, and may be made large or small. The remaining portion is used for traction. This head-collar is held at its upper part by the index-finger and thumb, passed into the genital canal or womb, where it is placed on the head of the foetus and the sides applied to 188 Obstetrics — Domesticated Animals. the cheeks; the lower portion, which was open, is now closed by running the end of the cord through the second loop, by which the head is firmly secured, as in Fig. -13. (Also see Fig. 44, which is constructed with a metal run- ner.) It is now ready for traction. Fig. -io. WIRE- EXTRACTOR. WIRE EXTRACTOR FOR THE SMALL ANIMALS. With the Sow, Bitch, Cat, and sometimes the Ewe, cords cannot be passed around the head of the foetus, be- cause of the want of space ; and on the same grounds for- ceps are objectionable. With these animals it is essential that the traction force should be apphed behind the head. Therefore the wire extractor will be a very useful appar- Fig. 46. WIRE EXTRACTOR APPLIED. atus for this purpose. It consists merely of two very pli- able copper or brass wires — twisted picture-frame wire has been found to answer admirably — but remember any kind of wire must be thoroughly cleansed before used — about sixteen inches in length, and looped in the middle, so as to be applied to the foetus in the following manner: The first finger of the left hand being passed into the vagina, serves to guide one of the loops towards the summit of and behind OrSTETRICS DOMESTICATKO AxiMAI.S. 189 the foetal head; and it then conducts the loop of the other wire beneath the head behind the jaw. This done, the two wires on each side are twisted by a little machine (Fig. 45) composed of a thin rod in a handle, the other end of which is thickened and pierced by holes running nearly parallel to the stalk. Into these holes the two wires of one side are passed, then the two on the other side into the other ma- chine; the machine on each side is pulled up as close as possible to the head of the foetus, and then, each bdng turned round three or four times, the neck is enclosed in a kind of noose or collar formed by the two wires (Fig. 46). The rods are now withdrawn from the wires and the foetus can be extracted by exercising traction (see Traction) on the ends of the four wires outside the vulva. By this con- trivance, delivery is eflfected without injury to the mother, and, unless it is much decomposed, without separating the head of the foetus. TUBE AND XOOSE. A much simpler and readier apparatus, than the wire extractor, is the tube and noose. In some cases it can be successfully employed with Sows, Ewes, and Goats; but it is especially adapted to the small Bitch and Cat. Fig. 47. TUBE AND XOOSE. The tube consists of a tubular piece of round wood, from four to six inches long, and half an inch thick. The noose consists of catgut or wire, either of copper, brass, or iron (catgut is preferable), about sixteen inches long; this is doubled, passed through the tube to a certain extent .so as to form a loop or noose at the end (Fig. 47). When it is 190 Obstetrics — Domesticated Animals. to be used, the first finger of the left hand carries the loop into the vagina of the mother, and slips it behind the head of the foetus; then the two ends of the wire are passed through the tube, and this is pushed into the vagina under Fig. 48. NOOSE FIXED ON THE FOETUS. the chin of the foetus; the operator now tightens and se- cures the wire, by giving it a turn around the first finger of his right hand, placing his thumb at the end of the tube (Fig. 48). A httle traction then extracts the foetus, and without doing it or the mother the least damage. Even the tiniest toy terriers have been extracted alive in this manner, when aid was given in time. PORTE-CORD OR PASS. The arm of the operator may not be sufficiently long to pass cords to the region where they might be most effec- tively fixed, or the contractions of the womb paralyze the hand of the operator. In such circumstances the porte- cord, or pass-cord is of great service. The instrument is of two shapes, straight and curved. Fig. 49. DARREAU'S REPELLER, ARMED WITH A RUNNING NOOSE. The Straight Porte-cord is usually a rod of three-eighth inch iron, furnished with a wooden handle at one end. and an eyelet or double opening at the other end to receive the cord. It is used to pass the traction cord around the limbs, Obstetrics — Domesticated Animals. 191 or the neck of the lower jaw. After fixing the traction cord to the part, the porte-cord may be removed. And if it is constructed as in Fig. 49. if not removed from the traction cord, it may also be most serviceable as a repeller in push- ing the foetus forward in the womb. Two of these may be used at the same time, on two limbs. The Curved Porte-cord has its uses in certain cases when the straight one cannot be serviceable — as in passing a cord round the head or bent neck, thighs, or loins. Fig. 50. GUNTHER'S CURVED PORTE-CORD AND BLUNT CROTCHET ARMED WITH A CORD AND RING. The curved porte-cord (Fig. 50) is constructed from a rod of three-eighth inch iron. One end is curved and furn- ished with an eyelet through which the traction cord is threaded. The other end is provided with a wooden han- dle. The traction cord to be introduced by the curved porte-cord, has only a loop or ring — no noose — at the end of it. The curved portion is pushed around the part of the foetus to be secured, and the hand, leaving it, is passed to the opposite side of the part, where it searches for the loop or ring, which, when found, is drawn into the genital canal. The porte-cord is then withdrawn, the traction cord re- maining around the part ; the free end of the cord is passed through the loop or ring, and being pulled at, the limb. neck, body, or whatever it may be, is secured in the noose so formed, and traction can be directly exerted upon it. REPELLER, OR CRUTCH. When it is necessary to repel or force the foetus farther into the womb, away from the inlet, it must not be forgot- ten that the hand and arm are the safest and most perfect 192 Oi'.sTETRics — Domesticated Animals. of instruments, and should always be preferred — at least at first — to the repeller or crutch. For the hand feels the parts on which it is placed; it adapts itself more exactly to the surfaces with which it comes in contact; it perceives the resistance they offer, and warns the operator as to the amount of force necessary to effect a certain object ; where- as the presence of a hard and rigid instrument increases the contractions of the womb, and however well applied it may be, it may suddenly glide off rounded and slippery surfaces and cause seriovis injury. Nevertheless, there may be and often are, occasions when the hand cannot accomplish what is necessary in the way of retropulsion, and it is then that the repeller is most useful; an assistant can maintain the body of the foetus some distance from the pelvis by this instrument, while the hand of the operator is making the necessary rectifications; the operator is therefore much relieved, and to some extent he is also exempted from the difficulty and fatigue cau-sed by the contractions of the womb. W^- Fig. 51. JOINT REPELLER CLOSED. The repeller or crutch is constructed of iron, and is between two and three feet in length; it has a handle at one end, and a concave transverse piece, like the head of a crutch at the other. This piece may be either solid or joint- ed. The jointed repeller (Figs. 51 and 52) is preferable, as it can be closed, making it safer and easier to introduce in- to the vagina and womb. The crutch end being carefully carried by one hand through the genital canal, towards the foetus, is applied to the most convenient part of the foetus; while the handle is seized in the other hand, and force can be effected either bv this hand, the breast of the Or.sTETRics — Domesticated Animals. 193 operator, or an assistant. (For Repeller armed with a trac- tion cord, see Fig. 49.) Retropulsion, or the forcing of the foetus away from the inlet or mouth of the womb, should only be effected in the intervals between straining "labour pains;" during Fig. 52. JOINT REPELLER OPEN. these "pains" the foetus should simply be held firmly in place, therefore resisting the expulsive efforts. While the repeller is being employed, one hand of the operator must guide and maintain it against the foetus, to prevent it slipping and injuring the maternal organs. Be- fore retropulsion it is nearly always necessary to secure some part of the foetus — head or limbs- — by cords, so that it may be readily seized again and brought into the pelvic cavity. Again the attention of the operator is called to the fact, that, retropulsion must be eifected in the interval between the labour pains; while traction must be effected during the labour pains. CROTCHETS OR HOOKS. Crotchets or hooks are iron or steel instruments of vari- able dimensions, more or less curved at one end — which is blunt, sharp or pointed — the other end having a ring, or eyelet if short, a handle if long. The long crotchet (Figs. 50 and 55) is from thirty to thirt3^-six inches in length, and acts directly on the foetus without any other appliance in- tervening; while the short hooks (Figs. 53 and 54) have cords attached to them, or they may fit on the finger of the 194 OusTETRics — Domesticated Animals. operator by means of a ring (Fig. 54). When using the long or short sharp pointed crotchets, the hand must act as a guard or shield to prevent the sharp point injuring the maternal organs. If the hand is not found sufficient to guard the instrument during its introduction, it is advis- able to fix the point in a piece of cork or soft wood, to which a long piece of twine is attached; when the crotchet Fig. 53. SHORT BLUNT CROTCHET. is required to be implanted in the foetus, this shield may be removed from the point, and withdrawn from the genital organs by pulling at the end of the twine outside the vulva. The curve of the sharp crotchet should not be very wide; it should not be greater than the hand can cover, as it then can be held in a manner that will obviate injury to the op- Fig. 54. BLUNT FINGER CROTCHET. •erator as well as lo the mother. The curve of the blunt crotchet sliould not be over four inches wide. The blunt crotchets are more particularly resorted to when the foetus is alive, and it is hoped to extract it be- fore it is dead. The finger crotchet may be usefully em- ployed when the hand is fatigued or paralyzed by the con- tractions of the womb. Blunt crotchets of a much smaller size than those required for the larger animals can be most Obstetrics — Domesticated Animals. 195 successfully employed in delivering the Sow, Ewe, Goat, Bitch, or Cat. The crotchet affords a simple means of getting hold of the foetus in regions of its body which the hand cannot possibly reach, or if it did, where it could do very little ser- vice either from the shape of the part, its slipperiness, or the paralyzing effect of the contractions of the womb on the hand and arm of the operator. When it is necessary to implant this instrument into the muscular tissue, the sharp pointed crotchet is usually resorted to. When blunt crotchets are employed in this manner, except in cavities, it will be necessary to make an incision through the skin before they can be inserted. Crotchets may be implanted in the muscular tissues of the croup, thighs, loins, and r^ Fig. 55. LONG POINTED CROTCHET. neck, as the skin offers a good amount of resistance. But from the fragile and yielding nature of the textures, it must be borne in mind that the hand of the operator should never leave the crotchet while traction is made on it, and that its position must be most attentively noted, in order to guard against accidents arising from its tearing away. For should the tissues suddenly give way and the crotchet slip into the maternal organs, serious, if not fatal, injuries may be inflicted; or the hand or arm of the opera- tor may be the part to suffer. Therefore the necessity that the hand of the operator diligently guide the crochet, and note its effects and movements; while at the same time, he must vigilantly exercise his judgment in directing his assistants as to the amount and direction of the force they are to use, so as to proportion it according to the resistance of the tissues in which the crotchet is fixed, and to desist from traction as soon as there is a likelihood of the instru- ment breaking away or slipping. 1}»(j OiiSTETuics — D()mi:sticati-:d Animals. The cavity of the eye affords a good point for implant- ing the blunt crotchet, especially if the foetus is dead, as does also the angle of the lower jaw, and the ear, on par- ticular occasions. But in this, as when implanted into the muscular tissue, the crotchet must be carefully watched, avoiding the tearing of the tissues of these parts. It is astonishing how quickly wounds will heal that have been inflicted in the live foetus by the implanting of the crotchet. When the foetus is dead, and especially if very much decayed, it is advisable to implant the crotchet at a point where it will become fixed beneath some of the bones, as this will prevent it from tearing out so easily. FORCEPS. The Forceps have not yielded much service to the vet- erinary obstetrist, except with the smaller animals. The Bitch forceps (Fig. 56) has in some cases proved service- Fig. 56. BITCH FORCEPS. able with the Ewe, Goat, Sow, Bitch and Cat. The forceps are held in position by one hand, while the other hand or a finger of the other hand (according to the size of the ani- mal) introduces and guides the instrument, and allows the part of the foetus to be seized to be reached by the opera- tor, either with the view of extracting the young creature or changing its position, according to indications. An es- sential which should not be lost sight of in the forceps for such small animals as the Bitch and Cat, is that the blades Obstetrics — Domesticated Animals. 197 should be sufficiently long to seize not only the head, but much, if not all the body of the foetus. For as the neck of the foetus in these animals is almost as thick as its head^ unless the blad-es of the forceps are sufficiently long to grasp a portion of its body, the head will slip from between the blades. . With the small animals the head of the foetus is only a trifle less than the diameter of the pelvis. Therefore, it can be readily seen, that when the blades of the forceps are passed on the head of the foetus, the head and the forceps combined constitute a mass greater than the pelvic cavity will permit to pass through it; so that delivery becomes im- possible. Especially is this the case with the small Bitch and Cat, and for this reason recourse to the forceps is sel- dom indicated; and if delivery is to be effected, a means must be substituted which presents less inconvenience. Therefore it is that the Wire Extractor (Figs. 45 and 46) or the Tube and Noose (Figs. 47 and 48) are to.be pre- ferred in nearly all cases.. TRACTION— THE EMPLOYMENT OF FORCE IN DIFFICULT PARTURITION. •. ■ An important question to be considered is the employ- ment of force in the artificial extractionof the foetus. For as has been shown, more or less energetic traction is very frequently needed to remove it from its parent; and those who are inexperienced in animal obstetrics, are sometimes ■ astonished on hearing of the amount of pulling which the foetus has to undergo, and the parent sustain, before, deliv- ery can be effected in some cases. It is a subject well de- serving theattention.of the obstetrist, and especially the junior practitioner. The, indications for traction have Ueen ■given in the preceding subjects, and will not be alluded to 'fiigain. ••• : . ' ■ ■. •• When traction is requireil, if the patient be a. Mare or Cow, the operator should be. supplied with from six to ten 198 OiJSTF.TRics — Domesticated Animals. assistants; one to be placed at the head of the animal, an- other holding the rope which confines the limbs of the ani- mal and prevents it doing damage, a third to hold the tail, a fourth to assist the operator, and the other two to six (ac- cording to the amount of traction to be employed) to puU at the foetus when necessary. In the Mare and Cow, moderate traction consists of the combined strength of two or three strong men pulling^ steadily together with all their force. Energetic tractiou consists of the combined strength of from three to siK strong men pulling in the same manner. Moderate trac- tion usually is sufficient, if well managed. Energetic trac- tion is always dangerous and should not be resorted to unless absolutely necessary. The operator's assistants should be strong, and have had some experience in handling animals. Precautions should be adopted to prevent accidents — especially to the assistants — from the struggles or defensive movements of the animal; and when traction is employed, there is great danger of dragging the animal backward and causing seri- ous injury. Therefore, it is obvious that it is necessary to render the creature immovable by passing cords, bands, or a sack behind the thighs and above the hocks, bringing the ends against the animal's shoulders, and maintaining them there by attaching them to the manger or any other part sufficiently strong. A wooden bar placed behind the thighs and secured to the stall posts, is also serviceable; as is like- Ivise an ordinary harness breeching, the front parts being secured to rings in the wall or manger. When the operator gives the signal, the assistants should pull together without jerking, in a steady and energetic manner, in a straight line behind the animal. The direction of the traction may, however, be a little downward in the anterior presentation, until the withers have passed the inlet. The operator stands behind the mother, his hands on the sides of the vulvft, which he depresses with the border of one hand, ■while with the back of it he separates the lips of the vulva Obstetrics — Domesticated Aximals. 19f and prevents their being abraded by the traction cord. It is better to engage only one shoulder of the foetus at a time if possible; and when the breast and one shoulder have been carried into the passage, then the other shoulder is brought forward by directing the assistants to pull a trifle to the opposite side. By acting in this way with care, and by slow, though continued efforts while the parent is straining, delivery will be effected, if this be possible by traction. The operator must not act hurriedly or bruesquely, and his hand should carefully attend the advance of the foetus; facilitating its passage, and aiding the progress of the haunches by passing his open hand between them and the maternal pelvis. In the posterior presentation, when at least one assist- ant must be told off to each cord, the traction should b^ moderate, or even gentle at first, until the operator's hand has adjusted the foetus as much as possible. In addition, the operator, besides directing his assistants, must fre- quently himself guide the traction by the disengaged hand, and personally exert himself in the extraction of the young- creature— separating the lips of the vulva, and pressing them towards the pelvis, when they are pushed outwards by the advancing foetus; lubricating the foetus and genital canal when necessary, with flaxseed tea, etc. When powerful traction is required, great attentioa is necessary in guiding the foetus through the genital canal, so as to prevent injury to the parent. The traction should cease in the intervals between the labour pains, and the ef- forts ought not to be continuous; the animal should be al- lowed inten.^als of rest, and time be given the genital canal to dilate and adapt itself to the passage of the foetus. Severe and injudicious traction may be productive of the most serious results. Even when the operation is nearly terminated, care will be required in order to prevent inver- sion of the womb. This accident may be obviated by care- ful manipulation, and abundant injection of emollieat duids, as flaxseed tea. or Unseed jelly. 200 Obstetrics — Domesticated Animals. When energetic traction is required, and it is impos- sible to obtain the proper amount of reliable assistants, hitching the Horse or Ox to the foetus has been resorted to, but this is barbarous and cruel and should never be practiced, as it is impossible to obtain the even traction which is desired (without jerks) with the power of the Horse or Ox; the yoimg creature being simply torn through the maternal passage; therefore the obstetric machine (Fig. 57) will be of the greatest utility, and operators need not hesitate to employ it, as this machine has been tested and receives the highest praise. Not only can a greater .tractile force be developed by it, but this force may be diminished or increased at will, and as gradually as cir- cumstances may require, and without the jerks which are sometimes so troublesome and disastrous, when it is im- possible to persuade five or six men to pull evenly together. The obstetrical machine presses against the hindquarters of the parturient animal, and owing to its construction it cannot only develop a very energetic extractive force in the gentlest and most inoffensive way possible, but itself produces the counter-extension in an exactly proportion- ate degree. The principal parts of the machine are: A kind of horse-collar (Fig. 57, A) with three stalks (B, C, D) in- termediate between this collar, and a broad, fixed, female screw (E), which receives a movable screw rod (H), that bears "a revolving hook and chain (K) at one end; the other end of the chain has also a hook to which the cords or cord fixed on the foetus aire attached. The collar (A) is- made of several pieces of light wood superposed, and bound, to- gether by an iron band applied to the opposite surface of that which is i'obe applied to the animal. This band is per- forated by three screw holes placed in a triangular posi- tion, arid which receive the ircm stalks; • The inner face of the collar is so fashioned as-to fit closely on the hind, parts qf-tlie ariirhal, the space for ihe'-p'assage of th-e foetus being about twenty inches in- diameter. The intermediate stalks Obstetrics — Domesticated Animals. 201 (B, C, D) serve to transmit to the collar the pressure ex- ercised by the female screw; they are about forty inches long, and each is composed of two pieces, one of these be- ing hollow (4, 5, 6), the other solid (1, 2, 3) ; consequently, one fits into the other, and the end opposite the collar enters one of the openings in the flange of the female screw (E) ; a small thumb-screw (7, 8, 9) secures the two portions of the stalk. The female screw (E) is of iron or copper. tTie Fig. 57. OBSTETRIC MACHINE. flange being of wood, and its circumference provided with two handles to hold it firmly when the machine is in use. The male screw (H) is of iron, and screwed to the right; one extremity articulates witli. the turning-hook (I) ; it is screwed in the contrary direction to the principal portion, so, as ijot to become unscrewed duririgthe operation; the othfireijdh^Ls a. four-branched windlass (L), which can be removed at will. ... •. • . To use the machine, the animal is made to lie;'-the tiQ2 Obstetrics — Domesticatkd Aximals. cords are attached to the foetus in the usual manner; the windlass handle is put on its place; the screwed stalk (H) is introduced into the female screw to about as far as J; the collar is applied to the animals' croup, and the three long stalks are fixed — one end in the collar, the other in the flange of the female screw. An assistant keeps the machine in equilibrium by placing one of his hands on one of the forked handles (F. G) of the flange, while the other hand rests firmly on the ground. Another assistant, the cord at- tached to the foetus being fixed in the hook at the end of the chain (K), slowly turns the windlass in such a direc- tion as will bring the extremity of the stalk (I) towards the flange, while the operator superintends the extraction in the same manner as when manual power is employed. Giving the same attention and observing the same pre- cautions. If it is desired to slightly change the direction of traction, as is recommended in some of the presentations, it can be easily varied upwards, downwards, or to one side or the other, by having an assistant press against the cord or cords, so as to give these the necessary direction. With the Ewe, Goat, Sow, Bitch, and Cat, the operator himself applies the needed force, though an assistant is us- ually necessary to hold the creature. Generally, very little traction can be made because of the danger of tearing the foetus in pieces, and what is employed should be gentle and sustained; indeed, the foetus should be held steady, trac- tion only made during the expulsive efforts of the mother, ^nd then lightly and steadily. EMBRYOTOMY. EMBRYOTOMY is the name given to every operation which has for its object the reduction in volume of the foetus at parturition, by mutilating or dividing it; so as to allow it to be extracted by portions when it cannot be de- livered whole. The fact that only one hand can be employed in the Obstetrics — Domesticated Animals. 203 womb, that this organ is applied close to the foetus when the "waters" have escaped for some time, that the mem- branes are adhesive and cling to the fingers, and that the flaccid tissues of the young creature glide away from the cutting instrument — as they can only be rendered tense in cenain circumstances by the cords or crotchets — and as. STRAIGHT EMBRYOTOME. Fig. 59. CURVED EMBRYOTOME. The section of bones, though not frequently, is some- times required; for this purpose chisels and saws are em- ployed. The sharp or cutting edges of these must be- guarded or shielded by the hand when introducing them into the genital canal and womb. PRELIiMINARY ARRANGEMENTS FOR ■ EMBRYOTOMY. :.. Beir^g satisfied that nothing remains to be done to pre- serve the life of the parent but removing tfie. foetus piecc- mtal, the. operator has to decide, from the nature of the Obstetrics — Domesticated Animals. 205 case, how this is to be effected; that is, under the circum- stances, which part of the foetus is to be removed first. The animal must be detached from the manger or rack, and kept, if possible, in a standing attitude ; this posi- tion being the one best suited for such an operation; or it may be tied by the head to a stake, by a rather long head- rope. A rug or blanket should be passed round the hind- quarters, a little above the hocks, the ends being held by Fig. GO. SPATULA. '^J^ Fig. 61. BONE-CHISEL. Fig. 62. BONE SAW. assistants standing towards the shoulders of the animal. This precaution is required to steady the creature, to keep it in a standing position, and to assist it in resisting the traction generally employed in removing the foetus. It may be necessary if the animal is much exhausted, to ad- minister several quarts of meal or flour gruel as a stimu- lant before commencing embryotomy. If the animal is suffering much pain, administer a dose of hydrate of chlor- al about ten or fifteen minutes before commencing the operation. DOSE. — Hydrate of Chloral. — Mare and Cow, one ounce; Ewe and Sow, one drachm; Bitch and Cat, five grains. Dissolve in water and give as a drench. ?Ott DnSTIiTRlCS — DoMIiSTKATHI) AxiMALS. PUXXTURE OF THE CRANIUM, OR SKULL. It is sometimes necessary to puncture the cranium in order to allow the escape of fluids. Especially is this neces- sary when the head is enlarged from an excessive accumu- lation of water or fluid. The puncture may be made by the finger-knife, or even the fingers in certain cases. The fluid having escaped, the thin fragile bones of the cranium read- ily collapse from the pressure they undergo in the pelvic cavity; so that the head and body can be removed by trac- tion. AMPUTATION OF THE HEAD. (DECAPITATION.) Is an operation which consists in separating the head completely from the body, so as to allow these parts to be removed one after the other, is not very often required; and fortunately so, as it is not without great danger to the parent. More frequently the head is only partially re- moved. When wedged in the genital passage, the head may prove a troublesome obstacle to the performance of those manoeuvers necessary for the reduction or adjustment of the other parts; as it may not be possible either to advance or repel it, nor yet to pass the hand between it and the pel- vic walls to search for a deviated limb, for example, or to bring that limb into a proper position. This passage must, therefore, be fi-eed from the obstacle, and this can be ac- compHshed in the following manner: The fore-Hmbs, if present, are corded (Figs. 42, 44), and pushed as far to- wards the womb as possible; then the head is secured b)-- cording the lower jaw, a pointed crotchet fixed into the cavity of each eye, or a head-collar (Figs. 43, 44) over the head if it can be placed. Four or five assistants now pull at the head by these apphances, so as to bring it as near the vulva as circumstances will permit; while another assist- ant keeps the lips of the vulva apart, in order to expose as much of the head as he can, and prevent injury to the or- Obstetrics— Domesticated Animals. 207 gans of the parent. The operator, with a convenient knife (Fig. 59 is at this time very useful), incises the skin around the neck — first one side, then the other — close to the head, passes his fingers between the skin and the muscles be- neath, and pushes the skin well back on the neck — the as- sistant pulling at the head at the same time, facilitates this separation. A few cuts now divide the soft tissues down to the spinal bone, and nothing more remains to be done than to produce disarticulation by vigorous traction and a twisting movement of the head at the same time; the ligaments gradually yield and tear, the head extends and at last comes away, and the body of the foetus recedes more or less suddenly. If the limbs have been previously secured with cords, they are brought into the passage by the cords attached to them; or if they are not so accessible, they must be sought for in the way already indicated under the different presentations, and delivery completed;, it is very important that especial care be taken to cover the exposed bones of the neck by the surplus skin, while the foetus is being brought through the passage. It is always preferable, if possible, to remove one of the fore-limbs, as it is easier, quicker, and less dangerous. But decapitation must sometimes be performed, and then the above instructions will be found useful. AMPUTATION OF THE LIMBS. When the limbs are so deviated that they cannot be straightened, or when by their presence in the genital pas- sage they prevent the necessary manoeuvres for the adjust- ment of other parts of the foetus, then it may be necessary to amputate or disarticulate one or more of the extrem- ities. AMPUTATION OF THE FORE-LIMBS. In order to amputate a fore-limb, it must be more or less advanced in the vagina, or partially beyond the vulva. So that if it is still in the womb, it must be brought into the •v^08 OliSTIiTK I CS — DoM KSTICATEI) A X 1 M ALS. canal. If both limbs are to be removed, they must be se- cured b}'^ cords around the pastern in the ordinary manner (See Fig. 44), the cord of the one which is to be first am- putated being pulled at by two, three or four assistants, so .as to draw it near, or as much beyond, the vulva as pos- sible. Another assistant then keeps the lips of the vulva wide apart, in order to allow the operator more rooin. A circular incision is made above the fetlock — or. better still, the knee, taking care not to go deeper than the skin. From this incision, gliding his hand into the vagina, along the outer side of the limb, the operator makes a longitudinal incision, extending higher up as the leg becomes elongated by the traction. This longitudinal incision being made, the skin is sep- arated from the muscles beneath, either by means of the fingers or the spatula (Fig. 60) — pushing the skin up to- wards the shoulder as it is detached, until at length, as the leg becomes more stretched, the incision and the detached skin are as high as the shoulder. The dissection being then deemed sufificient, and the limb being only retained by the muscles which attach it to the chest, the operator, either by his hand or the crutch (Fig. 51, 52), makes pressure on the foetus, while the assistants are ordered to pull ener- getically at the cord on the pastern, and in a kind of jerk- ing manner. Soon slight cracking sounds are heard, the muscles are rupturing and giving way, and in a very short time the entire limb — shoulder blade and all — is removed. The removal of one limb usually leaves a considerable space in the genital canal, and this allows delivery to be completed. Sometimes, however, and particularly when the head of the foetus is deviated towards the flank, it is necessary to remove the other limb; and this when effected, permits the head to be sought for and rectified, etc., ac- cording to the requirements of the case. ^ With the Sheep and Goat, amputation of the fore- limbs of the foetus are very rarely required, though, if Obstetrics — Domesticated Animals. 20f necessary, it can be eft'ected. The same remark aggljes to the Bitch and Cat. ^ " ■'"' " ' ' AMPUTATIOX OF THE HIXD-LIMBS. . When the foetus makes a posterior p resent atiofi--(Fi^. 18). and a hind-Hmb appears at the vulva, it may be nec- essary to amputate this limb ; or with the hind-limbs flexed at the hocks (Fig. 33), and so firmly wedged in the canal that they cannot be extended backwards, not yet -stlffi- ciently bent to permit delivery^ — which frequently -occurs in the Mare — these joints must be disarticulated. - - • When they are flexed at the hocks, amputation is ac- complished by passing a running noose (Fi^. ^2-Aj B) round each leg, above the hock, and tying it firmly there; Powerful traction (see Traction) made on one of the cords by four or five assistants, will bring the point, of one of the hocks to the vulva, the lips of which are held apart by an assistant, while the operator divides the back tendons and side ligaments of the joint, so as to produce complete disarticulation. The lower leg is then pushed into the va- gina, the other limb is amputated in the same ^ky, and birth is accomplished by pulling at both cords, which re- main attached to the lower end of the leg bone'. """*''. "-°'' ' '-■■'! ids i^ ■:•.■•• When the limbs are completely retained irt the poster- ior presentation (Fig. 35), a long incision is rhade through the skin and muscles behind the hip-joint; the hand re- moves all the muscles around the upper part of the thigh- bone, round which a cord is then fixed (Fig. 36) and pulled by two assistants, while the operator cuts through the at- " taching muscles and ligaments. In this way the Joint' is disarticulated, and a circular incision through the skin completes the task, as traction will remove the limb. It is to be remembered that it is always more difficult to ampu- tate a hind-limb than a fore-limb. "- -'"--* ..-c... 810 Opstktrics — Domesticated Animals. DIVISION OF THE BODY OF THE FOETUS.— (DETRUNCATION.) When one-half of the body of the foetus has more or less passed through the pelvic canal, and the other half is retained, so that it is impossible to extract or return it, it is recommended to cut the trunk in two. If the hind-parts are retained, and the head and fore- limbs are not much beyond the vulva — if so far — cords should be placed on each pastern, and a head-stall on the head, and slow, gradual, but strong traction exerted on them, so as to expose as much of the body of the young creature as possible. This done, the operator, with a sharp •mbryotome (Fig. 58), incises the body in a circular man- ner as close to the vulva of the mother as is convenient (the Hps of the vulva being kept well away by an assistant) — the incision commencing below, which allows the elonga- tion of the spine; then the skin and muscles on the sides are divided. When the bones of the spine are reached, the embryotome is passed between them, and as close to the )oins as possible ; slight pulling and twisting will then com- plete the division. It is a good plan to incise the skin at some distance in front of the place where it is intended to divide the spine or any bone, and to separate and push it back over the por- tion of the trunk in the genital canal. When the division is effected, this superfluous skin is pulled over the remain- ing part and sewn together, so as to enclose the exposed bones completely, thus preventing injury to the parent. Then vigorous pressure is appHed to the divided end of the spine of the remaining part, forcing it back within the womb. Now the operator can secure the hind-pasterns with cords and delivery can be easily effected. REDUCTION OF THE CHEST AND ABDOMEN. If the obstacle to delivery is an enlarged chest or ab- domen, these parts can be reduced by opening them and removing the internal organs or viscera. Obstetrics — Domesticated Animals, 811 ARTIFICIAL PREMATURE BIRTH. This is, birth effected, when the foetus has attained such a stage of development as to be capable of living, but before the period of normal parturition has been reached. vSuch a procedure may be necessary when there is deform- ity of the maternal pelvis, or tumors thereon or therein, or when the mother is becoming exhausted from sustaining too many foetuses. It is estimated that the foetus would be capable of liv- ing, and yet notably less in size and weight than when born at full term, if removed from the Mare 20 to 40 days be- fore that period; from the Cow 15 to 30 days; and from the Bitch 10 to 15 days. OPERATION.— The operator has merely to dilate the neck of the womb, which has already been described in treating of sterility, and rigidity of spasm of the neck of the womb, also mechanical dilation of the womb (which see) ; then the "water-bag" is extruded, the womb commences to contract, the animal also begins to strain, and the foetus is expelled. With the smaller animals the sponge tent, or a long probe is preferable for dilating the neck of the womb. ATTENTION TO THE MOTHER AND OFF-SPRING AFTER DIFFICULT PARTURITION. The mother and offspring should receive the same at- tention after difficult parturition as they would after nor- mal parturition (which see). With regard to the young anmial, it sometimes receives slight wounds which soon heal; but fractures of bones are more serious, and generally necessitate slaughter of the ani- mal. If looking healthy, yet cannot get up or stand when lifted up, this is in all probability owing to the strain of the limbs, and passes off in the course of a few days. When apparently dead, though the heart is contracting rapidly and violently, place near the open door, and ad- ?1,2 ( )i:sti;tkics — Domesticatfj) Aximals. minister a small quantity of brandy, and respiration will soon be established. Sometimes there is much swelling of the head, especially of the tongue, which projects from the mouth, making respiration very difficult. Scarification of the tongue when in this condition, or leeches applied to it, with turpentine or mustard rubbed on the limbs, soon bring relief. RETENTION OF THE FOETAL MEMBRANES OR ENVELOPS AFTER ABORTION, NORMAL, AND DIFFICULT PARTURITION— RETENTION OF THE AFTER-BIRTH. The retention of the foetal envelops, or "after-birth," beyond a certain time after the expulsion of the foetus from the womb, must be looked upon as serious and re- quires attention. When parturition has been normal, when the animal does not appear to sufifer pain or inconvenience, when the "straining" is unfrequent and slight, the appetitie good and the secretion of milk established, and particularly when, during a low or moderate temperature a portion of the membrane protrudes beyond the vulva, then there is no great reason for interference until a week, or even more, has elapsed. But if, on' the contrary, the external tem-" perature is high, if the labour has been difficult, the genital organs irritated or abraded, and if fever, restlessness, and suffering are noted, with strong and frequent straining, especially if there are foul-smelling discharges from the vagina, then treatment is called for, no matter whether the time which has elapsed since delivery is long or short. TREATMENT. — Manual Traction may be employed when a portion of the membranes are visible or hanging from the vulva. This is seized either by the hands, or by means of a towel, or whisp of hay or straw, and gently pulled at — particularly when the animal strains — twisting it at the same time, until the whole mass is removed from Orstetkics — Domesticated A^•I.^[.\Ls. -llS the cavity of the womb. This traction is not likely to be productive of much injury to the Mare, Sow, Bitch or Cat. as the adhesion of the after-birth is not great, and is usually limited to a few points. With the Cow, Ew^e, and Goat, however, it is not so. owang to the numerous and often strong attachments of the after-birth and its fragile texture, wdiich renders it easily torn if too much force be emplo3-ed; if it does not give way. and the traction is ener- getic, then there is risk of irritating the womb, and produc- ing partial or complete inversion of the horn of the womb, or even of the entire womb. Should the after-birth be torn in two by immoderate traction, this may lead to greater difficulty in removing what is left of it in the womb. For these reasons, some practitioners discountenance this mode of removing the after-birth; but there can be no doubt that if the traction is moderate and judicious, the mem- branes not very adherent to the interior of the womb, and a good part of them beyond the mouth of womb, the opera- tion is quite justifiable and will be successful. When, how- ever, the resistance is marked, or the membranes begin to tear, it is better to desist, and resort to the same manipula- tion as recommended when the after-birth is completely retained. ■.COMPLETE RETENTION OF THE AFTER- BIRTH. — After the birth of the foetus, if nothing w^hat- ever is discernible externally, there is reason to surmise that the after-birth is completely retained. In this case it is advisable, in order to prevent imprisonment for some time, through the closure of the mouth of the womb, to-in- troduce the hand into the womb, and if the after-birth is already partially detached, to extract it. If it remains firmly adherent, however, it is better to gather as much as can be seized into a single mass, carry it through the hiouth of the womb into the vagina, and tying it there by a long piece of cord, to leave the latter hanging outside the vulva. This prevents the mouth of the womb closing, while the cord will assist in effecting artificial removal at a later '21'i: Obstetrics — Domesticated Animals. period, should such be required. However, by giving the following recipe, manipluation will seldom be required: Laurel Berries .... three and two-thirds drachms. Aniseed one and two-thirds drachms. Bicarbonate of Soda, three and two-thirds drachms. Make an infusion by pouring two quarts of boiling water over these and stirring occasionally until cooled. DOSE. — Mare and Cow, one-half of the infusion; Ewe and Sow, one-quarter; Bitch and Cat, one-sixth. Repeat the dose in six hours, also on the following day, if neces- sary; but, as a rule, the membranes are expelled within twenty-four hours after the last dose has been given. This infusion should always be given before resorting to manip- ulation and force, as it has rendered excellent service, suc- ceeding in 60 per cent, of cases of retention, and is general- ly administered in preference to the recipe that has al- ready been alluded to in treatment of Sporadic Abortion. However, should the above remedy fail, then direct ex- traction will be necessary. When direct extraction should take place will depend upon circumstances previously alluded to, as well as the species of animal. With the Mare — an animal peculiarly liable to septic infection — direct extraction of the after- birth is indicated within two or three hours after delivery, if it has not been expelled by this time. The injection of warm water will materially facilitate the operation. With the Sow, Bitch, and Cat, it is preferable to await the result of the second dose of the foregoing recipe, before re- sorting to direct extraction of the after-birth. With the Cow, Ewe and Goat, it will generally be found that direct extraction will not be successful before the third day, as in these animals the after-births are too closely and firmly at- tached to allow their disunion without injurious force, which may bring about inversion of the womb, or haem- orrhage. About the third day (if in the meantime the in- fusion has failed) is generally a favorable period, as the Obstetrics — Domesticated Animals. 215 neck of the womb is still sufficiently relaxed to pass the hand through the mouth of the womb, into the womb without difficulty. During the operation of direct extraction of the after- birth, an assistant holds the tail of the animal to one side, while the well oiled hand and arm of the operator are passed into the vagina; if a portion of the membranes is in the canal, then the operation will not be so difficult, as the mouth of the womb will be more or less relaxed, while the membranes will serve as a guide for the hand. When, however, nothing of the envelops is to be found outside the mouth of the womb, and that opening is firmly closed — as happens four or six days after delivery — then it may be very difficult to reach the interior of the womb. To be en- abled to accomplish this (see Mechanical Means for Dilat- ing the Mouth of the Womb) . When the hand reaches the interior of the womb, it is pressed forward between the membrane lining the womb and the outer envelop (chor- ion) of the after-birth — the palm towards the after-birth — separating them as it advances. This is not so very diffi- cult in the Mare, but with the Ewe, Cow and Goat, the tediousness of the operation will be inferred when it is known that in these animals there are sometimes more than a hundred after-births (cotyledons) to be detached. (See Figs. 7, 8, and 9, and observe difference in formation.) The hand must pass from one to another, effecting dis- union as rapidly, yet carefully, as possible. Some of these — the maternal after-births — may be detached from the membranes, while others are still embedded in them, as it were, through their foetal after-births. These foetal after- births have to be enucleated; and to effect this, the after- birth is gently pressed at its base between the thumb and index finger, and, if necessary, the fingers are moved over each other, as if removing a button from its buttonhole. At times an after-birth will be met with which adheres so firmly that it cannot be detached in the way just men- tioned. Then the nail of the thumb or other finger must ma ( )Ksri:TRics — DoNjKSTiCATKi) Animai.s. be gently insinuated at the border, so as to gradually raise it, and pass the finger over the entire surface. The opera- tor is oftentimes so greatly fatigued, that the right and left hja^nd.haye to be employed alternately. When a cer- tain number of after-births are detached, the portion of envelops so. released is carried into the vagina and beyond tbje.yuLya, where the other hand, or an assistant, seizes and pulls gently on it. As the bulk of this increases by the detachment of more after-births, the pulling may cease, and the mass will require to be supported so as to prevent tearing the membranes, or painful dragging on the body of the wpmb. As the hand reaches the horn of the womb (JPigS. 3 and 4) the after-births increase, and it becomes difficult to reach them, because of the insufficient length of the arm. Moderate traction, however, on the part just detached will bring the others nearer, and facilitate the task; but the traction must be judiciously managed, so as to avoid tearing the membranes. If there is any likeli- hood of the membranes tearing, tie them near the vulva and cut away the parts beyond, and be content to await ^their natural separation, generally occurring in from two to five days. After the removal, or direct extraction of the after-birth from any of the domesticated animals, wash out the. interior of the womb with tepid water, and inject tji^ fpUowing solution : - Warm Water one pint. Garboiie Acid thirt}'- drops. Keeping the animal in well-lighted and properly ven- tilated qua,rters, with a blanket over the body if the tem- ■peratureis low, a raw linseed oil injection into the rectum, if constipation threatens; and a light laxative diet, with bran, oatmeal, or linseed gruel, are usually all that is nec- essary. \'(^hen the after-birth has putrefied in the womb, tlarough. delay in removing it, and an abundant and foul smelling discharge flows from the vulva, then the case is Obstetrics — Domesticated Animals. 217 .K0JI5T '.';■ ■' iCOOJ i serious and requires instant attention. The womb must be cleared without delay of its contents, and in order to ac- complish this the hand must be passed into the womb, and everything removed which it can possibly seize. Before do- ing this, however, the hand and arm should be well and fre- quently smeared with carbolized lard, to prevent septic in- fection in the operator: if there are wounds or abrasions on the hand of arm, the greatest care should be taken in this respect — indeed, it is questionable whether they should be introduced at all if the skin is not intact. ■' When everything has been taken away which the hand can remove, then the interior of the womb should be thor- oughly cleansed by the continuous injection of tepid water from a large bulb syringe (if the tube of the syringe is not of sufficient length, fasten a rubber tube around the noz- zle>, until the fluid comes away pertectly clear. Then in- ject a three per cent, solution of permanganate of potash. Should the discharge continue, this treatment should be re- peated daily until it ceases : also give small doses of carbolic acid. DOSE.— CARBOLIC ACID.— Mare and Cow, 15 grains; Ewe and Sow. 5 grains; Bitch, half grain. Dissolve and dilute in water and give as a drench twice daily as long as necessary. ■"-''' "'" The hands and afiiis of the operator should be thor- oughly washed as soon as possible after the womb has been emptied ; for this purpose nothing is better than carbolized soap. On the slightest sensation of uneasiness in the arm, Advice should be taken in regard to it, as a breaking out of the skin from this cause is often a serious affair, and has -necessitated the amputation of fingers, and even the great- er portion of the arm. 218 Obstetrics — Domesticated Animals. FLOODING AFTER DELIVERY OR AFTER ABORTION. POST PARTUM HAEMORRHAGE. The symptoms of haemorrhage after abortion or after delivery are, as a rule, not very well marked unless the blood passes away in fluid or clots, which is not always the case. The general symptoms are: The quick, weak, run- ning-down pulse, which becomes imperceptible as death approaches, and the throbbing, irregular pulsations of the heart; rapidly increasing prostration of the animal, with the unsteady staggering gait on movement; haggard ex- pression; with chilliness of the surface, cold clammy per- spiration breaking out over the body; and, finally, the re- cumbent position, convulsions and death. TREATMENT.— If the after-birth has not been ex- pelled, it must be removed without delay — yet as gently as possible (see Retention of the After-birth) — after which the womb will generally contract. If the after-birth has been expelled, then with the hand clear the womb of the clots of blood, wash the interior of the womb with cold water injections, and, if necessary, introduce a large sponge or towel (to which has been tied a long cord, the end of which is to remain outside the vulva), saturated with vin- egar-and-water, or a 15 per cent, solution of perchloride of iron, into the vagina, or even into the womb, and allow to remain for two or three hours. Should the haemorrhage persist, apply mustard plasters to the chest, neck, and limbs and give internally the tincture of perchloride of iron. DOSE.— TINCTURE PERCHLORIDE OF IRON. Mare and Cow, one and one-half ounces; Ewe and Sow, twenty drops; Bitch, ten drops; Cat, five drops. Dilute in water and give as a drench. Obstetrics — Domesticated Aximals. 219 INVERSION— PROLAPSUS OF THE WOMB AFTER PARTURITION. A displacement or kind of hernia of the womb, which is partially or completely turned inside out. When the in- version is partial, nothing whatever is seen externally, and an exploration alone reveals the existence of the accident; if more developed, the womb appears as a round tumor be- tween the lips of the vulva when the animal is lying. When inversion is complete, the womb has the form of an enor- mous pear-shaped tumor hanging between the hind-limbs, and sometimes as low as the hocks. At the very com- mencement of this grave accident, the animal is uneasy and anxious looking; it paws with the fore or stamps with the hind-feet; switches the tail as if driving off insects; lies down and gets up frequently, finding no ease in either at- titude; and strains more or less energetically, thus adding to the extruded mass. At first there is no perceptible fever -and the animal may even eat. This state is not of long duration; for soon after inversion is complete, indications of fever become manifest — quickened pulse and respira- tion, and an expression of pain. The straining becomes more frequent and energetic ; the animal maintains the re- cumbent position and soon succumbs. TREATMENT.— The animal is made to stand if this is possible, and the hind-quarters should be raised. If the accident is recent — of an hour or two — the womb may be returned at once; but should a longer interval have elapsed it is well to empty the rectum and bladder if they are filled or distended. Should the foetal membranes still be adher- ent to the surface of the womb — wholly or partially — they must be carefully removed. Also torn or gangrenous por- tions of mucous membrane are to be removed with the knife or scissors. This done, the womb should be cleansed from matters adhering to its surface — such as litter, mud, dirt, filth, or blood — by placing it into a large vessel of cold water, to which has been added a tablespoonful of 2?f> OnsTpyiRics — l)o.Mi:sTic.\TiiD Animals. boric acid, allowing tlie organ to remain in it as long as ten minutes. This will also help to diminish its size. When complete inversion has taken place, one assist- ant should be placed at the head of the animal, another at each side to steady it. The womb must be placed on a cloth or sheet in two or three folds and well moistened, the ends being held by two assistants at the croup, so that the organ may be Hfted as high as the vulva. vShould the ani- mal strain very severely and continuously, it is useful to constrain the chest as much as possible by a girth. It may even be necessary to give a draught of chloral. DOSE OF CHLORAL.— Marc and Cow. one ounce; Ewe and Sow, one drachm; Bitch and Cat, five grains. Now, the best method undoubtedly is, to return first the parts of the organ nearest the vulva, and not act direct- ly on the body of the womb until the greater portion has been replaced in the pelvis. To accomplish this, the opera- tor gently presses with open hands at each side on the parts close to the vulvar opening, in order to force them gradual- ly into it. By acting in this way with care and patience, and preventing, as well as he can, the expulsion of those portions he has already reduced, the womb by degrees be- comes diminished. After two-thirds or three-fourths of the total mass has been carried into the pelvic cavity; for it is then more expeditious, and quite as safe, to proceed in the same manner as if only partial inversion had occurrred; that is, to apply the closed fist to the extremity of the womb, or tumor, as it is more properly called, and push it directly into the vagina and abdomen. In some instances it will be found that, towards the termination of reduction, the organ itself returns to its normal position, and often ■quite suddenly, as if it had been thrown forward by a spring. Sometimes it is most useful to have an assistant pressing on the extremity of the womb, while the operator manipulates near the vulva. At all times great care is necessary in exerting the Or.sTi:TRics — Domksticated Animals. 221 pressure, which should noi be appHed while the animal is straining. During expulsive efforts the operator must be content to wait, merely keeping the parts where he has car- ried them, until the straining has ceased. The presstire must be steady and well directed, so as not to bruise or lac- erate the womb. When a portion is got within the vulva, it is held there by one hand, while the other manipulates the next part to be returned. At this time the pad or the cup-shaped pessary (Figs. G3, 64) will aid the operator; the round end is applied to the body of the womb, and pres- , sure is made at the other end of the instrument by the .' chest or abdomen of the operator, whose hands are thus at liberty to direct the expelled parts into the vagina. When the womb has been returned to the abdominal cavity, ' should straining continue, it is then essential that the han€t% of the operator should explore the interior of the wombf as \ it sometimes happens that one of the horns remains^uf^d. v;' in itself to a certain extent, causing renewed straining, and in all probability bring about rein version. It is generally advisable to keep the hand in the womb for a short time until the womb begins to contract freely; if this is not done, the organ may again become inverted. With the smaller animals, replacing the womb, is ren- dered difficult because of the pelvis not admitting the ■ hand; and with some of them, and particularly the Sow, replacing of the prolapsed horn of the womb is often a seri- ous matter. The horn must be replaced in the manner al- ready indicated, the finger, or even a tallow candle, being employed to adjust them; then the body of the womb should follow; a small pessary with a handle may be used to complete the operation. (See pessaries.) It should be observed that replacement of the womb has been effected in large and small animals by elevating the hind-quarters until they are almost vertical, the weight of the womb, with careful manipulation on the part of the operator, carrying it down to its normal situation. 322 Obstetrics — Domesticated Animals. MECHANICAL MEANS FOR THE RETENTION OF THE WOMB AFTER IT HAS BEEN REPLACED. — After the womb has been properly replaced in the ab- dominal cavity, it will be quite necessary to apply some means to retain it in position, thereby avoiding reinversion ©f the organ. This precaution must be observed, no mat- ter how quickly the animal manifest improvement. After slight or PARTIAL INVERSION of the WOMB, the pessary is usually all that will be required. Either of the following described pessaries will be very beneficial for this purpose. The dimensions given will be for the Mare and Cow; for the smaller animals they must be made in proportion to their size. Fig. 63. PAD PESSARY. PAD PESSARY (Fig. 63) is a round piece of wood, from twenty to twenty-five inches in length, with a hole in one end. through which passes a loop of strong cord six to eight inches long; at the other end is a round pad, three or four inches in diameter, composed of tow or rags, covered by a piece of soft cloth or oiled silk, and firmly tied to the stalk by a piece of twine fixed in a small circular groove therein. In using this pessary, the pad is placed in oil or melted lard until it becomes thoroughly saturated; it is then carefully introduced into the vagina, placed against the neck of the womb, and cords from each side of the loop at the other end, attached to a surcingle round the chest. keep it firmly in its place. RING PESSARY (Fig. 64) is composed of a wooden or iron ring, about wo and one-half inches in diameter, and of a strong wooden stem about twenty inches in length, cleft in two as far as the middle, where it is tied by a piece of twine. The ends of the two branches are firmly tenoned Obstetrics — Dom esticated Animals. 323 in the mortises of the ring; and the other end of the stalk (B) is flat, and passes through the central opening of a transverse piece (T T), which is about eight inches long, and has at each end a small block (O O), to prevent the Fig. 64. RING PESSARY cords from slipping off. When required for use, the ring is wrapped in a narrow piece of fine linen, which is rolled round it in a uniform manner, so that it may not irritate the neck of the womb, with which it has to come in contact. This part is well oiled, and being passed through the va- gina, is so placed against the womb that the neck of the ^84 Obstetrics — Domesticated Animals. womb will be in the middle of the ring. It is secured by means of cords or straps at the end of the transverse por- tion, in a similar manner to the pad pessary. CUP-AND-BALL PESSARY (Fig. Go) is composed of a round iron or steel ring (A A), about two and one-half Fig.m..l,. CUP-AND-BALL PESSARY. inciies in diameter; from this arises three stalks (B B B); these unite about six or seven inches from the ring into a single stalk (T T), which is screwed from a little beyond this union to the end. On this screwed portion moves a transverse piece (C C), by its middle opening or female screw (E) ; this piece has openings (G G) at its extremities in which are to be fastened straps or cords. To use it, the ring and the three branches are dipped in melted wax, then cooled, and again and again dipped and cooled, until the OBSTETRICS — Domesticated Animals. 225 instrumentl^has acquired a sufficient volume, and the mid- dle of the ring is reduced to about one and one-half inches. This prevents it injuring the genital organs, when it is to be Fig. 66. LOOP OF ROPE TRUSS WHICH EXTENDS AROUND THE VULVA. ,-; Fig. 67. ROPE TRUSS APPLIED. applied 'exactly in the same manner as the preceding pes- sary — the neck of the womb being in the center of the ring. After COMPLETE INVERSION of the WOMB the truss is to be adopted and is preferred to any other method for the retention of the womb in its normal position. ROPE TRUSS. — The most useful and readily made 226 Obstetrics — Domesticated Animals. trusses are composed of light rope or thick cord — some- thing like a clothes-line, about thirty feet long, and a leath- er strap which buckles around the neck. In order to apply the bandage, the neck-strap or collar is first to be put on; the cord is then to be doubled in equal parts and put across the back, behind the withers, so that each portion may fall behind the shoulders, to be passed under the chest In front of the chest, the two portions are crossed, the left passing to the right and the right to the left. Each side is Fig. 68. LEATHER TRUSS APPLIED. carried through the collar, and back over the front of the shoulder, at the top of which both are tied in a simple knot, so as to be easily untied when required. At ten or twelve inches from this, a firmer knot is tied, then several others beyond it towards the loins — according to the length of the animal — and at nearly equal distances as far as the root of the tail, where a sipiple knot is tied. The cords are then united by a loop in such a manner that an oval space (a, Fig. 66) sufficient to admit the vulva, and compress it lat- erally, is formed — the lower angle of the vulva being left free, to allow the escape of urine, and discharges from the womb, should there be any. The loop should be wrapped Obstetrics — Domesticated Animals. 227 in tow or cloth, to prevent chafing to the parts under the tail. The cords are now carried between the hind-legs, brought up by the flank towards the loins on each side, and tied over the back to one of the loops there, as shown in Fig. 67. This truss can be made as easy or tight as neces- sary. The simplicity and usefulness of this truss are to be ' recommended. LEATHER TRUSS.— A very efficient and useful truss is that made of a piece of stout leather, with a round open- ing in it above, corresponding with the anus, and an oblong opening beneath this, through which the vulva passes. The leather is so shaped as to embrace and lie close to the root of the tail and between the buttocks, extending for some distance below the vulva, as in Fig. 68. It is main- tained in position by four long leather straps — two above and two below — which pass on each side to a surcingle around the chest, which may again be attached to a collar or breast strap, should the straining be violent. AFTER TREATMENT.— The animal should stand with the hind parts well raised, and it ought not to be al- lowed to lie down for a day or so. A weak solution of boric- acid should be injected into the cavity of the womb once a day for two or three days. Great attention should be paid to the diet : For the first day, only oatmeal gruel with bar- ley water — both tepid — should be allowed in small, but fre- quent quantities. For some days, easily digested, sloppy food should be given, though the quantity should not be large at any time until all danger is passed. Should there be a tendency to constipation, soap-and- water injectionss mav be administered. 228 Obstetrics — Domesticated Animals. FALL OR INVERSION OF THE VAGINA AFTER PAR- TURITION. Inversion, Prolapsus, or Fall of the Vagina, is a hernia of this part through the vulvar opening, analogous to in- version of the womb, and with which it may be complica- ted. SYMPTOMS. — The chief symptoms of this accident is the presence of a tumor protruding from between the lips of the vulva, and which may hang for some distance below that opening. In this respect it resembles inversion of the womb, though the differences are otherwise very marked. In the majority of cases the tumor is most vol- uminous when the animal is lying, and can then be best examined. It is circular in outline, varies in size from that of an apple to the dimensions of a large melon, and is not unlike a sausage in shape; the surface is smooth. TREATMENT.— The cleansing, replacing of the parts in the cavity, mechanical appliances, and care of the animal is the same as that for inversion of the womb (which see). RUPTURE OF THE WOMB AFTER PARTURITION. It is somewhat remarkable that laceration or rupture of the womb at this time is far from being serious. TREATMENT. — Beyond the cleansing of the lacerat- ed part with a three per cent, solution of permanganate of potassium, little more has to be observed. Some author- ities have closed the rent by stitches; but very many have not, and the termination has been as favorable in the one series of cases as the other. Unless the rupture is on the lower wall of the womb, stitches are at least superfluous. Obstetrics — Domesticated Animals. 229 RUPTURE OF THE VAGINA. THE SYMPTOMS of injury to the vagina and neigh- boring organs will vary with their nature and extent. Much constitutional disturbance is generally only mani- fested when the rupture is serious, or when poisonous in- fection has taken place. Then acute fever, infiltration, and other grave symptoms may supervene. TREATMENT. — When rupture of the vagina is re- cognized during parturition, delivery should be effected as speedily as possible, and with every care, in order to pre- vent the laceration extending and the foetus or some part ef the foetus, passing into it, which undoubtedly would result in injury to the adjoining organs. ^The foetal mem- branes should also be extracted as soon as possible. If there is haemorrhage or bleeding from the vagina, this may be suppressed by injections of cold water; should this fail to stop the bleeding, then a sponge or a cloth soaked in cold water, to which has been added a small portion of perchloride of iron, should be placed in the canal. Should there be hernia of the bladder or intestines, these must be replaced at once. In all cases of wounds, abrasions, or rupture of the vagina, every precaution should be observed with a view to the prevention of poisonous infection. With this object the greatest cleanliness must be observed, all de- composing matters, or those likely to decompose, should, if possible, be scrupulously removed, and injections or "swabbings" of a three per cent, solution of permanganate of potassium should be administered. A solution of car- bolic acid (20 drops of the acid to one pint of water) will be as serviceable. 230 Obstetrics — Domesticated Animals. RUPTURE OF THE PERINAEUM This accident is usually caused by malposition of the foetus. The laceration sometimes extends from the upper angle of the vulva to the anus, in which case the poor ani- mal often presents a painful and repulsive spectacle; the dung and flatus escape involuntarily. TREATMENT.— If the bleeding is sHght, cold water may check it; but if severe, the water must have perchlo- ride of iron added to it. The lacerated margins, if much torn, must be freed from shreds which are likely to lose, or have already lost their vitality. They must then be brought together by stitches — either of metal, carbolized silk, or cat-gut. Cold-water dressings may then be ap- plied; or carboHzed glycerine may be employed. The parts must be kept as clean as possible, and the animal not disturbrd or allowed to lie down until union has been effected. With this object a narrow stall is to be pre- ferred. Raw linseed oil should be injected into the rectum twice daily to keep the dung soft. vSloppy food should be given as diet. INFLAMMATION OF THE VAGINA When this inflammation takes place after parturition it is generally due to protracted and laborious delivery. In very exceptional instances, it may be due to the action of cold on the skin, or drinking of very cold water. It may lead to, or be complicated with, ulceration, gangrene, or mortification to a greater or less extent. SYMPTOMS.— The Hps of the vulva and the lining membrane of tlie vagina are more or less swollen, the latter being of a bright-red, brown, or livid hue; urination is gen- erally painful and difficult, constipation is often present, and there is sometimes much itching in the region of the vulva, which is indicated by the continued attempts the animal makes to rub that part. When the inflammation Obstetrics — Domesticated Animals. ^■Sl has existed for one or two days, the mucus secreted by the membranes is greatly increased in quantity ; it is at first a limpid fluid, sometimes streaked with blood; then it grad- ually becomes thicker and purulent, soiling the tail, thighs, and hocks, sometimes causing removal of the hair and irritating the skin of those parts. TREATMENT. — Cleanhness, attention to diet, and injections of cold or tepid water into the vagina, generally succeed in subduing the inflammation; if the injections in- duce straining they should only be administered in small quantity. When, however, there is any tendency t» ulceration, or even abrasions, carbolic acid should be added to the injection in the proportion of 20 drops of the acid to a pint of water. WHITES (LEUCORRHOEA.) Leucorrhoea is chronic inflammation of the vagina. When this disease is present there is a loss of condition and appetite. There is a white, glutinous discharge, which may be odorless or it may be very foul-smelling. Fecun- dation does not take place so readily, and if it does occur,, the chances are that the full period of pregnancy will not be reached. TREATMENT.— The treatment will consist of injec- tions, the same as recommended in inflammation of the Vagina (which see). In addition to this it will be neces- sary to tone the condition of the animal with good food, t» which has been added the following tonic: Milk of Sulphur two ounces. Nitrate of Potassium two ounces. Foenugreek two ounces. Armenian Bole one ounce. Powdered Aniseed one ounce. Gentian half ounce. Ginger half ounce. ?32 Obstetrics — Domesticated Animals. Mix thoroughly, and give once daily mixed in the food the following dose: Mare and Cow, one ounce; Sheep and Sow, two drachms; Bitch, half drachm. If the discharge continues after two or three weeks' treatment, it may be found useful to apply a blister to the loins, croup, or thighs. INFLAMMATION OF THE WOMB (Metritis), AND PARTURIENT FEVER. Inflammation of the womb, with, or without blood- poisoning (parturient septicaemia), may ensue very soon after delivery — rarely before the second day with the Cow and Ewe, and seldom beyond the eighth day. With the Mare, Bitch, Goat, Sow, and Cat it may appear later. SYMPTOMS. — Immediately after parturition the ani- mal may appear to have quite recovered from the effects of that act. When simple inflammation of the womb com- mences to take place, the vulva becomes swollen, with heat and redness of the vagina, fever, straining, difficulty in urination, diminution or suppression of the milk secretion, poor appetite and dullness. With, and sometimes with- out, treatment, this condition passes off in a few days. Should the inflammation increase, which it frequently does, and especially if the womb has received any wounds, the same smyptoms are observable, but more marked. The animal grinds its teeth, and betrays the existence of colicky pains by lying down and getting up, stamping, striking at the belly and turning the head towards the flanks, and making more or less energetic expulsive efforts. Signs of pain or lameness in the hind-limbs become ap- parent. When the womb is more inflamed the larger animals do not lie down, because of the increased pain produced by pressure on the abdomen, only lying down as death approaches, or when the hind-quarters become paralyzed. The smaller animals, however, maintain the Obstetrics — Domesticated Animals. 333 recumbent position. At first, the discharge from the vagina is thin; then it becomes gradually thicker and more abundant. Examination of the vagina discovers it to be very hot and sensitive, particularly towards the neck of the womb. A very marked symptom is swelling of the vulva, the lips of which are separated. This is a serious disease and frequently terminates in death in from two to six days. Therefore, it should re- ceive immediate attention as soon as it makes its appear- ance. TREATMENT. — First, remove from the womb and vagina any putrid matters they may contain; then the genital canal should be thoroughly cleansed by injections of warm water (80° to 100° Fahr.), and the wounds dressed with the following solution: Salycilic Acid one ounce. Spirits of Wine one pint. Warm Water one and one-half pints. Mix and apply to the wounds by means of a very soft brush or feather. After the interior of the womb has been cleansed by injections of warm water, an injection into the vagina of two quarts of warm water to which has been added three drachms of carbolic acid should be administered every day. and the wounds, if accessible, dressed at the same time with the above solution of salycilic acid. The external treatment must be hot fomentations and mustard plasters to the surface of the abdomen. The smaller animals may have linseed-meal poultices applied. Salycilic acid must be administered internally to neu- tralize the action of the poisonous matters in the blood and tissues. DOSE. — Salycilic Acid. Mare and Cow, 2 drachms; Ewe, 1 drachm; Sow, one-half drachm; Bitch and Cat, 5 grains. To be given in water every four hours. The food should be of a laxative and sloppy nature. ^34 Obstetrics — Domesticated Animals. The bowels must be kept free by the administration of raw Hnseed oil, either internally or by injection, or both if necessary. When recovery is taking place, good food and a good tonic must be allowed. (For tonic see Leu- corrhoea, or Whites.) No person who has been handling a creature suffering from inflammation of the womb or any decomposing ani- mal matter, should be allowed to assist animals in parturi- tion; and the same rule ought to be observed with regard to instruments and obstetrical appliances, unless they have been thoroughly cleansed. When a case of this inflam- mation occurs where there are other pregnant animals, or animals which have quite recently brought forth, these should be immediately removed. MILK FEVER (PARTURIENT APOPLEXY.) This disease is seen in all breeds of cattle and generally attacks Cows which give large quantities of rich milk. It is seldom seen during the first, second, or third calving period, but usually from that time on, and almost always in cows that are highly fed and in good flesh. It usually occurs within three days after calving, and is very fatal — fully one-half of those attacked die. If recovery does result great care should be taken at the next time of calving, as a recurrence of the attack at that time fre- quently and generally proves fatal. SYMPTOMS.— Usually between the first and third day after calving, the Cow will stand around, dull and stupid ; appetite, rumination, and milk will be suspended — or only a slight flow of milk present ; the Cow walks as if weak across the back, staggers around shaking her head; as the disease advances she falls to the ground, unable to rise again. She may rest in a recumbent position with her head carried around to her side, or she may lie stretched out upon her side, with her head lying upon the grouud. Sometimes the head is shaken viciously from side to side, Obstetrics — Domesticated Animals. 335 endangering those about her and being Hable to break off her horns. Occasionally, but not often, a few kicks witk the feet are given. The eyes become glassy and staring, soon growing insensible to the touch, with total blindness. Sometimes the eye-lids will quiver and jerk for some time. The pulse, at first full and soft, later on becomes slower and feebler, gradually becoming almost imperceptible. The breathing, at first almost normal, becomes generally slower, prolonged and difficult; and frequently a rattling sound is heard within the wind-pipe. At the commence- ment of the attack, the temperature will range from 103 to 104 degrees Fahr., and as the disease progresses will gradually sink to 3 or 4 degrees below normal. At first the bowels may appear loose, but soon become constipat- ed, and the urine is usually retained within the bladder. TREATMENT. — It is the desire to impress upon the reader's mind that to be successful in the treatment of parturient apoplexy demands persistent attendance until death actually occurs. There have been cases, where the owner considered treatment useless and momentarily- looked for death, make complete recovery. If the patient is seen when the pulse is still full and strong, bleed to the amount of six quarts; but if the pulse is weak and the animal down, with the eyes insensible to light, do not bleed. As soon as possible give the following physic: Epsom Salt twenty ounces. Calomel one drachm. Croton Oil twenty drops. Warm Beer one-half gallon. Mix. If the animal has become unconscious, give very slow- ly, as it is liable to run down the wind pipe. Then draw away the urine by means of a catheter, or by slipping the finger, well oiled, into the neck of the bladder, the urine will frequently be passed. Give injections of warm water «very hour. Constantly apply cloths wrung out of hot 336 Obstetrics — Domesticated Animals. water over the loins and apply ice-cold water or ice bags to the head, as the brain is badly congested. Frequently draw away the milk and keep the body and limbs warm, by friction and blankets; keep the animal in a position as nearly erect as possible, and give the proper amount of the following recipe every two hours until recovery begins, when the time should be lenghtened: Aromatic Spirits of Ammonia eight ounces. Spirits Nitrous Ether .four ounces. Tincture Nux Vomica two ounces. Tincture Gentian six ounces. Mix. Give four ounces in a quart of warm beer or water, or a half pint of hot whisky every two hours. This may seem like heavy dosing with stimulants, but it is the proper thing to do. Should the physic operate and the animal begin to appear conscious of her surroundings, feed on soft and sloppy diet, until convalescence has been established. Prevention is the best and safest treatment for parturient apoplexy. When the animal is known to be a heavy milker and is fleshy or plethoric in condition, she should be fed previous to calving, on a laxative diet — as linseed cake, bran mash, etc. — and but sparingly. The milk should be drawn away for ten days previous to calving; immediately after calving give the following drench: Epsom Salt twelve ounces. Glauber's Salt six ounces. Ginger one-half ounce. Foenugreek one-half ounce. Water one-half gallon. Mix. If the above directions are followed parturient apo- plexy will be prevented. Obstetrics — Domesticated Animals. 237 INFLAMMATION OF THE UDDER The animal does not at first appear to be much af- fected, and the swollen gland or glands are evidently not very painful. The skin is tense and shining, though per- haps not reddened; the teat is greatly enlarged, hard, and sometimes somewhat sensitive to manipulation. The deeper tissue of the gland is found to be somewhat harder, and towards the teat rather lumpy. With careful and frequent milking, and attention to the diet and hygiene, complete recovery may take place in three or four days. If neglected, however, or mismanaged in treatment, the inflammation may become more serious and attack the milk vesicles. Then the secretion of milk is greatly dim- inished in the gland, and what is withdrawn, contains mucus, pus, and clots. If this catarrhal condition is per- mitted to continue, milk abscesses form within the udder; death may result from the absorption of this poison int» the blood or from gangrene. TREATMEXT.— However slight the attack or mild the form of inflammation of the udder may be, in view of the serious consequences which it may entail, treatment should be prompt and judicious; as in two or three days alterations may be produced in the secretory apparatus of the gland which medical skill may be unable to amend. When the udder or quarter is simply engorged witk milk, nothing more has to be done than to thoroughly re- move this fluid. This, of course, cannot be accomplished at once, and it may be necessary to milk the animal several times during the day — five or six times. When this cause* pain, the milking should be performed gently; and if pres- sure on the teat causes so much disturbance that the milk cannot be withdrawn by hand, then the teat syphon (Fig. 69), well oiled, should be passed into the milk-duct (see Fig. 2) ; should it be necessary to retain it there, this caa be effected by a cord or tape being passed through the rings and tied over the animal's loins. In all cases in 238 Obstetrics — Domesticated Animals. which hand milking causes pain, and is likely to increase the evil it is intended to avert, the teat syphon should be- resorted to. The progeny should only be allowed access to the healthy quarters of the udder. Applications of Vinegar to the udder is highly recommended to allay the pain. When the pain has diminished, it is generally ad- visable to allow the progeny to withdraw the milk. The animal should not be exposed to cold or draughts. If lumps or coagula be detected, they must be removed, by moving the lumps up and down, when possible, by care- ful and gentle pressure. When they can be easily dis- placed, they may then be pushed down to the end of the Fig. 69. RING TEAT-SYPHON. teat, and passed through. A lump as large as a nut has been extracted from the Cow in this manner. Should the lump prove to be too large to remove in this way, it may be necessary to introduce a sound carefully into the canal, in order to break it up. When the mass is very large and dense it may be necessary to incise the teat before it can be removed. Nothing can equal the success of the follou-ing lotion to prevent the formation of these lumps in the ud- der. This lotion has obtained more success than aay other, and should be applied to the udder as soon as there are any indications of inflammation of that organ. Al- though it will be very beneficial if applied any time before the inflammation has attained its greatest intensity: Potash one ounce. Water two ounces. Olive Oil five ounces. These are to be well mixed, and then four or five ounces more water are to be added. Often, after five or six hours, Obstetrics — Domesticated Animals. 239 during which nothing could be drawn from the teat except a small quantity of thin, curdled milk, there is obtained a whitish-yellow fluid, more like pus than milk, which is a favorable sign. Should abscesses form they must be opened in the usual manner. Retention of the milk is sometimes due to obliteration of the milk canal (which see.) As a preventative measure when infection is appre- hended — as in retention of the after-birth, etc. — it is ad- visable to inject a two and one-half per cent, solution of carbolic acid up the teat by means of a glass syringe, always after milking; the solution should be at a tem- perature of 95 degrees Fahr. ABSENCE OF MILK. (AGALACTIA ) Absence of milk is more frequently met with in the Mare and Cow. In some instances the milk gradually ap- pears some time after parturition, but in the majority of cases it is either not produced at all, or only in very small quantity. This condition is very unfortunats for the progeny, which will suffer from hunger if not observed, and must either be artificially reared, or put to another animal to be suckled. CAUSES. — This may be due to some chronic disease of the udder; but it is generally the result of exhaustion following disease; severe labour; insufficient food, either during or immediately after pregnancy; natural debility, emaciation, etc. TREATMENT. — The treatment of this condition fre- quently proves unsuccessful. It must chiefly consist in giving good food to which has been added the proper- quantity of the following recipe : Powdered Gentian one pound. Powdered Aniseed one pound. Mix thoroughly. ■240 Ohstktrics — Dom esticati:ij Animals. DOSE. — Mare and Cow, two ounces; Ewe and Sow, two drachms; Bitch and Cat, ten grains. Give in the food three times a day, or mix with water and give as a drench. It is well to remember that aniseed or fennel-seed is a great stimulant to the secretory functions of the udder. The teats should be frequently stripped and the udder rubbed with brandy. In a serious case in which the udder was rubbed with brandy, friction applied to the abdomen, and warm milk and fennel-seeds administered internally, in two days the milk began to appear. DOSE. — Fennel-seeds. — Mare and Cow, one and one- half ounces; Ewe and Sow, two drachms; Bitch, fifteen grains; Cat, ten grains. CRACKS OR FISSURES IN THE TEATS. These should not be neglected, however slight they may appear to be. TREATMENT.— There is nothing better than clean- liness and the application of carbolized glycerine (1 to 20) for this trouble. The progeny must not be allowed access to the teat until it is thoroughly healed. OBLITERATION OF THE MILK DUCT. If the udder becomes distended immediately before or after parturition, but no milk issues from the teat or teats, it is an indication of obliteration or obstruction of the milk canal. TREATMENT.— If the obstruction is due merely to the formation of skin over the opening, a small incision should be made in two directions in the skin where the opening should be, with a sharp pointed knife or lancet. To prevent the wound closing, a small bougie is intro- duced into the canal for four or five days until the wound has healed; it should only be taken out at milking-time. If the obstruction is immediately within the opening, a Obstetrics — Domesticated Animals. ^ii fine trocar or stocking-needle, previously cleaned in boiling water and dipped in carbolic acid solution, must be passed into it and through the obstruction, when the milk will flow. If the canal is only partly obstructed, and particu- larly if a wart is the cause of the obstruction. Fig. 70 will be very beneficial in removing the obstruction. This sound is an iron wire, having a ring at one end, and at the other a steel cone screwed to it. This cone has a very Fig. 70. PERFORATING SOUND. Half the Natural Size. sharp point, and both sides have cutting edges at the base or widest part. It is passed into the opening of the teat, pushed through the obstacle, and then gently turned round from side to side until no resistance is felt. Then it is withdrawn, and the bougie or teat-syphon (Fig. 69), or a piece of catgut, introduced. In all cutting operations on the teat, every precaution. must be adopted for the prevention of inflammation; and this chiefly consists in cleaning all instruments in a solu- tion of carbolic acid before using them. Obstetrics — Domesticated Animals. 248 Diseases and Abnormalities of the Young Animal SUFFOCATION (ASPHYXIA) OF THE NEW-BORN ANIMAL. (See Suspended Animation.) BLEEDING FROM THE NAVEL. (UMBILICAL HAEMORRHAGE.) When the bleeding is trifling and not likely to con- tinue long, little, if anything, requires to be done; but when it is copious and continuous, active and prompt treatment must be adopted. TREATMENT. — If the cord is extremely short, alum, tannic acid or the perchloride of iron should be applied to the navel. Should these fail the actual cautery must be applied. If. however, the cord is sufficiently long, it is better to tie it with a Hgature ; this will check the bleeding, and the cord will slough away in four or five days. In applying the ligature, the operator must be careful not to include a portion of the intestine within it, and by squeez- ing the cord with the fingers, as much serum should be got rid of as possible. Artificial respiration is required when there is suspended animation (which see), and this alone often causes the haemorrhage to cease. •j^-i Obstetrics — Domesticated Animals. FLOW OF URINE FROM THE NAVEL— PERSISTENCE OF THE URACHUS. The Urachus is a canal which passes through the um- bilical or navel ring, and during foetal life communicates with the bladder, from which it conveys the urine into the ailantoid sac (Fig. 7. Also read Navel Cord). After ibirth this canal is obliterated, its walls become a thin cord, and the bladder is retracted within the pelvic cavity, the urine then passing through the uretha. TREATMENT. — In some cases scarcely anytreatment 'is necessary, the escape of urine ceasing in a few days after ibirth; and when treatment is demanded, a cure can gen- erally be effected in a short time. When the urachus protrudes sufficiently from the um- Ibiiicai ring, a ligature may be fastened securely around it. fff it is too short to be tied by a ligature, it must be secured tby a curved needle. The animal is thrown on its left side, and the operator, holding the threaded needle in his right 'hand, seizes the urachus — which is covered by the skin — ibetween the thumb and index-finger of the left hand, and rpulls it outwards; the needle is then passed through be- fhind the canal, including as little of the skin as possible, and the ends tied. However, before adopting remedial •measures, it is best to ascertain if the uretha is open. If •it is not, an opening must be made before the urachus is closed or death will result in a few days from retention of the urine. In those cases in which the urachus cannot be secured 'by the needle, applications of sulphate of copper may be successfully employed. In very obstinate cases the actual cautery must be employed. NAVEL (UMBILICAL) HERNIA. SYMPTOMS. — There is a round tumor situated in the region of the navel, varying in size in different individuals and species — from that of a pigeon's egg to a child's head. Obstetrics — Domesticated Animals. 245 or even larger. The size also varies in the saine individual' at different times, according as the digestive organs are full or empty, the attitude standing or recumbent, or the duration of the hernia — the older it is the larger the tumor. It is usually soft, fluctuating, easily depressed by the fin- ger, and as readily resuming its ordinary size and shape; at first, however, it is often tense and not depressible. Sometimes it has a doughy feel and fluctuates much, and' at other times it is flaccid, according as the portion of- intestines which it contains is empty or filled. On apply- ing the open hand against the tumor, the worm-like move- ments of the intestines can be ascertained. :>-^-->^ Fig. 71. TRUSS APPLIED FOR NAVAL (UMBILICAL) HERNIA. TREATMENT. — Hernia in young animals often dis- appears spontaneously. Especially, does this frequently occur, soon after the young animal has been weaned, and' its diet changed from milk to other food. This is due t4> the natural changes which take place in the digestive apparatus at this time. If the hernia is rapidly increasing or becoming trouble- some in any way whatever, it is not advisable to wait until* weaning time, as by that time the hernia might prove to be very serious. Therefore it is always advisable, in a case ofv hernia, to apply a truss before complications are manifest. Fig. 71 is an exceedingly useful truss, and is easily con- 24:6 Obstetrics — Domesticated Animals. structed and applied. It is constructed of two girths — one of which is of canvas webbing, and passes around the chest; the other, of India-rubber webbing, goes around the belly — at which point it is wider — and maintains a pad against the navel. This pad is a wide, but not very thick, cushion, stuffed with horsehair. The girth passing around the belly is kept in position by the longitudinal bands pass- ing from it to the chest girth. Another strap passes from around the tail over the back, through the belly girth, to the chest girth, where it is attached. The straps and girth should be arranged with buckle fastenings so as to allow Fig. 72. NAVEL (UMBILICAL) CLAM. of their being shortened or lengthened to fit the animal. Before the truss is applied, it is necessary to place the animal on its back, and with the fingers carefully reduce the hernia. When it has all been forced back within the abdominal cavity, place the pad exactly over the navel and adjust the balance of the truss as previously directed. The truss should be drawn rather tight, and allowed to remain on the animal for about three months. When hernia has not received the proper treatment in due time, it frequently becomes very serious. In these cases the truss sometimes fails to effect a cure, and the clam must be resorted to. The iron screw clam (Fig. 72) is gen- erally recommended as being the most useful. One branch has a long, deep groove, and into this fits a narrow projecting ridge on the opposite branch. To apply the Obstetrics — Domesticated Animals. 247 clam the animal is placed on its back. The skin over the rupture is drawn together by the fingers in a flat fold, cor- responding with the central longitudinal line through the abdomen (linea alba), and elevated from the parts beneath. The clam is then put over the skin, as close to the abdomen as possible, and the screws at the end of the clam tightened. The pressure must not be too severe, or the parts will drop off too soon, and possibly the intestines may escape. The operation, therefore, requires to be carefully watched. When the hernia cannot be reduced, or if strangulation has taken place, then it will be necessary to carefully open the sac. Should adhesion have taken place between the sac and the intestines, this must be broken up ; if the navel ring has to be incised in order to return the membranes, this may be effected by a blunt pointed knife. The inci- sion should be no longer than is absolutely requisite. With regard to the diet: Easily digested food, in small quantity and frequently, should be given until the cure is efiEected. DROPSICAL SWELLING AROUND THE NAVEL. (OEDEMA OF THE UMBILICUS.) This is usually produced by laceration of the part dur- ing birth, though it may also be caused by one young crea- ture sucking and pulling at the remains of the navel cord of another. It may also be due to chronic inflammation of this part. The accident is readily recognized; the swelling is often very considerable, and always cold to the touch. It often persists a long time in calves, and constitutes a grave defect in young bulls, which it mechanically prevents from copulating. TREATMENT. — Cold applications and compresses have been recommended in the way of treatment, as well 24eS Obstetrics — Domesticated Animals. as lotions of arnica, camphorated spirits of wine, prepara- tions of iodine, mercury, etc. These often fail, however, and it is generally better to resort to scarifications or leeches at once, to be succeeded by hot fomentations. When the swelling is chronic and due to a blood clot, open it and remove the clot of blood. INFLAMMATION OF THE NAVEL (UMBILICAL) CORD (OMPHALITIS ) INFLAMMATION OF THE NAVEL (the so-called "navel-ill" of shepherds), is a serious accident, and often terminates fatally. It consists essentially in inflammation of the umbilical vein, which sooner or later involves the adjoining tissues, and is often followed by suppuration and purulent infection (pyaemia), which causes the death of the young creature. SYMPTOMS. — The inflammation commences soon after birth. The remains of the navel cord, in the normal condition quickly dries up and withers, in a few days after the young animal is born. When inflamed, however, the part appears to be moist, and projects from the abdomen as an enlarged, compact, and hard mass, from the center of which flows a small quantity of thin, unhealthy, purulent- looking fluid that soils the surrounding skin. The peculiar tap-like appearance of the navel cord, its density and high temperature, with the discharge therefrom, will lead the careful observer to recognize the existence of inflamma- tion of the navel cord. A probe can be readily passed into the umbilical vein, which remains open to a considerable extent. The local symptoms are often overlooked at the commencement, and the first general signs of inflammation of the navel cord observed are usually dullness, arched back, indifferent to the teat and to surrounding objects, persistently lying down fever, and hurried panting respiration when general infec- tion takes place, and coagulation of blood in the lungs is Obstetrics — Domesticated Animals. ^49 occurring. As the malady progresses, great prostration is manifest; there is swelHng at the navel, and intense pain on manipulation of that region; the eyes are dull and red, the mouth very hot and dry; the pulse is so small and quick as to be scarcely perceptible; the bowels may be constipated and the dung scanty, or obstinate diarrhoea may supervene ; the urine is greatly diminished in quantity; the mucus membranes frequently assume a yellowish tint; soft, fluctuating swellings, containing a yellow gelatinous fluid, often appear on various parts of the body; the creature refuses to suck; indications of colic or inflammation of the bowels are sometimes mani- fested. After this occurence, in the majority of cases, death rapidly ensues. Not infrequently the inflammation of the inner mem- brane of the vein is most intense near the navel opening, and the pus, instead of freely escaping, accumulates in the canal to such a degree as to form a large swelling at the navel ring, which might be mistaken at the first glance for a hernia. When this swelling has been opened, about half a pint of pus escapes in some instances. When a fatal termination does not quickly follow aft€r the serious symptoms are manifested, we may have chronic morbid conditions of a purulent character set up, which are characterized by inflammation of the serous membranes in various parts of the body, and particularly of the joints. Indeed, it is now recognized by the highest Continental veterinarians, that the destructive arthritis, or "joint disease" of Foals, Calves, and Lambs is attributable to internal inflammation of the navel cord. Inflammation of the joints — especially of the hocks — has often been pro- duced by the inflammation excited through ligaturing the navel cord. CAUSES. — The causes are numerous, and may be enumerated as follows: The admission of air or foreign matters to the interior of the navel vessels; bruises or injury to the navel, either during birth or afterwards;; :250 Obstetrics — Domesticated Animals. irritation of this part, either by the litter, manure, or urine; the habit which certain females have of licking the navel of their progeny, or of young creatures to suck the remains of the navel cord of each other; rupture of the cord close to, or within the abdomen; improper food given to the mother; exposure to cold and wet; over-crowding — it has been observed that, sometimes, of ten to fifteen young animals born within a few days of each other and kept together, half the number have become affected with inflammation of the navel. Another principal cause is infection. The discharge from one diseased navel may afford sufficient material to infect a great many newly-born animals. Not only may contamination take place through actual contact with ob- jects soiled or impregnated by such infective material — as the secretions from the diseased navel of some young animal, the secretions or expelled membranes of an animal that has aborted, or a putrid after-birth which has been retained after parturition — but the air itself, or flies, may prove a medium for its conveyance to the navel. When the remains of the navel cord are once fairly dried and shriveled, inflammation is very seldom, if ever, witnessed. TREATMENT.— PREVENTIVE TREATMENT is most important in this malady. Therefore it is well to ob- serve the following precautions: Cleanliness is absolutely necessary, and the young creature should be protected from every possible source of poisonous (septic) infection. The danger will be greatly obviated if the extremity of the navel cord is dressed immediately after birth with a con- centrated solution of carbolic acid, which destroys germs, keeps away flies, and renders putrid matter innocuous, while it quickly shrivels up the cord itself. In all cases caution must be observed in applying the acid: it is to be applied to the extremity of the navel cord only; and not to the parts surrounding the navel. This preventive treat- ment is strongly to be recommended at all times, but par- Obstetrics — Domesticated Animals. 251 ticularly so when abortion has recentl}" occurred among some of the animals. CURATIVE TREATMENT.— At the commencement it should be chiefly local, and the application most likely to prove beneficial is a 5 per cent, solution of carbolic acid. If the fever runs high, a 5 per cent, solution of salicylic acid is preferable. These to be applied twice or thrice daily for the first few^ days. If the umbilical vein is readily accessible, by placing the animal on its back, either of the above lotions may be introduced into it (the dis- tance of nearly ten inches in the Foal or Calf; other ani- mals according to the proportionate length of this vessel.) ; with a fine probe wrapped round with lint. The syringe used by some practitioners is not generally approved of, because of the danger of injuring the portal vein. When the inflammation is very intense, tartarized anti- mony ointment should be applied. The ointment is pre- pared as the following: Tartar Emetic one-half ounce. Lard six ounces. Mix thoroughly and apply sufficient quantity. When there is danger of general infection, or this has already occurred, then the internal administration of the salicylate of soda must be resorted to. DOSE— SALICYLATE OF SODA.— Foal and Calf, 15 grains Troy; Lamb, 7 grains; Pig, 4 grains; Puppy and Kitten, one-half grain. Dissolve in water and give every hour. Constipation may be averted by castor-oil or a suitable diet — skimmed milk alternately with new milk; hot water fomentations ought to be applied to the abdomen, and the animal should be kept in a clean, cool place. After the occurrence of this inflammation, the quarters occupied by the young animal should be thoroughly disinfected in the same manner as recommended in Enzootic Abortion (which see). 252 Obstetrics — Domesticated Animals. ARTHRITIS— JOINT DISEASE— JOINT ILL Disease of the joints of young animals, occurring soon after birth, has been for a long time recorded in districts where breeding is largely carried on. In some years it pre- vails very extensively, and appears to be almost enzootic. CAUSES. — Some practitioners persist in their belief that joint disease is due to the insufficiency of certain in- gredients in the mother's milk. But Bollinger's observa- tions have been generally accepted. He insists, that the lameness or disease of the joints which attacks the young animal during the first week after birth, are due to inflam- mation of the navel and navel vessels (which see) . Bollin- ger lays great stress on the neglect of the navel cord in newly-born animals, and compares this neglect with the scrupulous attention paid to that of infants, which is severed and bandaged immediately after birth; while the young animals have to lie in all kinds of filth, and are thus readily exposed to inoculation with poisonous or injurious matters, which cannot be excluded even from stables built especially for the purpose, and kept thoroughly clean. If the navel cord of an infant were exposed to the filth which young animals have to lie in, it would be quite as liable to blood-poisoning as animals, and to the consequent affec- tion of the joints. Bollinger contests the influence of food in the produc- tion of this disease, as strong, as well as weak, animals are attacked; it also appears when every kind of diet is given to the parent. SYMPTOMS. — The principal symptom of this form of joint disease, is the extreme difficulty in moving. The movements are painfully and reluctantly performed, so that the young creature generally persists in lying. Around and near the joints there are hot and painful swell- ings. From the very commencement the symptoms arc most acute, and similar to those of ordinary arthritis in older animals; and they are rendered more marked by the Obstetrics — Domesticated Animals. 253 least movement, the lameness being then extremely great; generally all the joints are involved. The fever is extreme, the respiration hurried, and the visible lining membranes highly injected with blood; sometimes, and especially with Lambs, the thirst is intense, and the suffering crea- ture will often be observed dragging itself along the ground to reach water or the teat of its mother. Frequently there is diarrhoea or dysentery, and sometimes a purulent dis- charge from the nose. The progress of this disease varies. It sometimes is very rapid, death occuring in twenty-four or forty-eight hours, while in other instances the animal may live twenty or thirty days, or even longer. Recovery is rare, and death is usually the termination. The malady usually ends in suppuration, which nearly always becomes general, numerous abscesses forming around the joints, which con- tain pus; there are also purulent deposits in other regions of the body. Generally after the fourth day, when the joints are greatly swollen, the hair falls off these parts, and a yellowish or citron-colored fluid, then pus, begins to exude through the skin, which sloughs away; the liga- ments are also involved in this sloughing process, and at last, in some cases, the limb is only retained by remains of tendons, the bones being exposed, and the odor almost insupportable. TREATMENT.— As it may be considered that this disease is always caused by inflammation of the navel, the PREVENTIVE TREATMENT will, therefore, be the same as for that disease. (See Inflammation of the Navel) CURATIVE TREATMENT.— The treatment, under the most favorable circumstances, is very unsatisfactory unless it is adopted at the very commencement. This treatment should be the same as that for inflammation of the navel (which see). Before the suppuration period, the tincture of iodine applied to the inflamed joints is bene- ficial. When suppuration is established, the abscess should be opened as soon as it is soft to the touch. If 254 Obstetrics — Domesticated Animals. much pain is evinced, give small doses of Dover's powder. DOSE. — Dover's Powder. — Calf and Foal, 20 grains; Lamb, 5 grains. The following lotion applied to the inflamed parts will also allay the pain. Fluid Extract of Aconite 40 parts. Chloroform Liniment 60 parts. Apply externally over the seat of pain. Care must be exercised to prevent undue absorption and poisoning. The salicylate of soda should be given the same as in inflammation of the navel. In addition to this, adminis- ter cod-liver-oil three times a day in the following doses: DOSE.— Cod-liver-oil.— Foal and Calf, 2 drachms; Lamb, one-half drachm. It is to be remembered that the mortality of this dis- ease is as high as 90 per cent., and even when the life of the creature afifected with joint disease is preserved, only too frequent its health and condition are irretrievably impaired. It is also well to remember, that joint disease is of the same nature as that which leads to abortion, and is capable of producing that accident. Therefore, owing to the above reasons, it is advisable when a young animal is born with joint disease, to destroy it and burn the body, or cover with lime and bury deep. If, however, the young animal is suffered to live, it should be separated from preg- nant animals before the swellings suppurate or become sores. The stables and sheds in which this disease has been present should be disinfected the same as recommend- ed in Enzootic Abortion (which see). INDIGESTION IN YOUNG ANIMALS This is most frequently observed in Calves, especially high-bred Calves. The principal cause would appear to be too rich milk, or even milk difficult of digestion from its. Obstetrics — Domesticated Animals. , 255 poorness, or it may be due to the allowance of an over- quantity of milk. SYMPTOMS.— The young animal looks dull and de- jected, and evinces uneasiness or suffering; the move- ments are torpid; the coat dry and staring; it yawns now and again, and there are sharp gaseous eructations which cause it to elevate its head. Soon it refuses to suck or par- take of its food ; there may be vomiting of coagulated milk ; the breath has an acid odor, and the tongue is coated with a white or greyish fur; the abdomen is swollen, and pres- sure made towards the upper part of the right side causes pain ; and at this period symptoms of colic are often noted. Constipation or diarrhoea may be present. If diarrhoea is not persistent, it is a better indication than when con- stipation exists. Indigestion runs its course rapidly in the young animal — in the majority of cases only occupying two, three, or four days. It may be considered a serious condition, as death often occurs. TREATMENT.— PREVENTATIVE TREATMENT. — Over-repletion with milk should be guarded against, and if the animal is being reared artificially, great care must be paid to its diet. If at the teat, the food and water of the mother should be attended to, and if the milk is too rich, this may be remedied by giving less stimulating food to the mother. With Mares which are worked during the suck- ing period, the milk is often retained for a long time in the udder, and becomes altered; the Foal is ravenously hun- gry, and when given the opportunity over-gorges itself with the unhealthy fluid. The preventative measures are obvious in such a case. The indigestion may be due to an insufficiency of oily matters in the milk of the mother; here the diet of the mothers must be altered. CURATIVE TREATMENT.— In mild cases, a spoon- ful of rennet is all that will be required to effect a speedy cure. When the digestion is due to acidity of the stomach. '.^yij OiisTKTKics — Domesticated Animals. administer baking soda (bicarbonate of soda) in the fol- lowing dose: DOSE.— Baking Soda.— Foal and Calf, one-half drachm; Lamb and Pig, 4 grains; Puppy and Kitten, 1 grain. The Soda is to be followed with a mild purgative — such as castor oil — even when diarrhoea has set in. If constipation persists, an injection of soap and water will be beneficial. Much success has attended the administration, to the Calf and Foal, of a spoonful of finely-powdered vegetable charcoal, given twice a day, mixed with water, in which an egg has been beaten up. DIARRHOEA— DYSENTERY IN YOUNG ANI- MALS (DYSENTERIA NEONATORUM.) Epizootic abortion and this fatal malady have been noted to co-exist, and it has been supposed there is some relationship between the two maladies. It generally appears within a few days after birth — from the first to the third; beyond the fourth day it is much less frequent. In some instances the young creatures are afifected before they have sucked; so that the milk could not have had any influence in its production, which is evidence of its infectious nature. SYMPYOMS. — This disease usually appears within three days after birth. The animals are dull and restless, and the bowel movements consist of mucus, or fluid with an extreme bad odor. (With the Calf the fluid expelled is usually white, and very often streaked with blood.) The eyes become sunk in their orbits; the breath has a foetid odor; great debility and convulsions set in. Thirst is in- tense; exhaustion is rapid and the creature cannot rise. Toward the end the creature lies immovable, and dies without a struggle in from one to three days; though in some cases death may ensue in a few hours. Obstetrics — Domesticated Animals. . 357 With allusion to its fatality, it may be said, that from 50 to 100 per cent, die from this destructive disease.. Especially is this the percentage with the Calf, and in many outbreaks it kills all the Calves in an establishment; if any chance to survive an attack, they are sickly an^ feeble for a long time. TREATMENT. — As with every other animal malady, PREVENTIVE TREATMENT is the most important with regard to this dysentery of young animals. Atten- tion to hygiene is very necessary at all times, and mpre so when the disease has shown itself in a stable or shed. Itis. much the safer plan, however, to remove all pregnant animals from the dwelling in which it has appeared, and • the longer the interval which elapses between their, removal and the occurrence of parturition, so the more likehhood there is of their progeny escaping. If moved in three to six weeks before parturition, their safety may be fairly assured. The stable or shed in which the malady has occurred should be well disinfected, the same as after Enzootic Abortion (which see), and, if possible, left t^n- occupied during the grazing season. CURATIVE TREATMENT.— This disease has gen- erally been considered incurable. But if the medical treat- ment is commenced with a sHght laxative— such as castor- oil—to be followed by the following recipe (which may be considered almost a specific) many animals may be saved, if the treatment has not been delayed too long: Pulverized Rhubarb Root one-half drachm. Carbonate of Magnesium fifteen grains. Pulverized Opium fifteen grains. This is to be given to the Foal or Calf in one ounce of whisky — the dose to be repeated in one hour, and again repeated in twelve hours if necessary. To the Lamb give one-third and to the Pig one-sixth of the above dose, and repeat in the same namner. Also inject into the rectum, from three to six drachms (according to the size of the ani- 258 Obstetrics — Domesticated Animals. mal) of tepid water, to which has been added one grain of permanganate of potassium to each drachm of water. If the animal can take food it should be given in small quantities, and. each meal of milk is to be diluted with about one-fourth of lime-water, to prevent the formation of curd in the stomach. In more serious cases, milk should be withheld, and instead of it may be substituted well-boiled gruel made with wheaten flour, or even eggs and beef-tea may be administered. The patient should be kept warm and comfortable; warm baths have some- times proved useful. ^CONSTIPATION— RETENTION OF MECONIUM. The contents of the intestines — the meconium — are generally expelled immediately after birth, when the navel (umbilical) circulation is first interrupted. When the meconium is retained much longer it is abnormal; and this, perhaps, occurs more frequently with the Foal than other creatuces. The prolonged retention of the-,meconium gives rise to constipation, 4nd this is often a seirtweakly, and not well developed.' •• CAUSES. — Retention of the meconium is usually observed in animals which are born in February or March, and whose dams have been fed exclusively on dry fodder during the winter; as this renders the milk deficient in those purgative qualities which are so necessary for the new-born animal. . SYMPTOMS. — One or two days after birth the young animal appears to be uneasy, refuses to suck, has spasms, makes efforts to expel dung, exhibits symptoms of colic, rolls on the ground, and often looks towards the abdomen; the back is arched, urination is suspended, pulse and respir- ation are frequent, the eyes are injected with blood, and Obstetrics — Domesticated Animals. 259 there is grinding of the teeth. Inflammation of the bowels sets in, and death takes in struggles and convulsions. TREATMENT. — THE PREVENTIVE TREAT- MENT consists in attending to the feeding and condition of the pregnant animal some time before parturition. The young creature should be fed on the first milk its parent yields; if this cannot be given, then the animal should have a dose of castor-oil. DOSE— CASTOR-OIL.— Foal and Calf, one ounce; Lamb and Pig, one drachm; Puppy and Kitten, twenty drops. THE CURATIVE TREATMENT must be directed towards removing the meconium from the intestines. This may be effected by a soap or oil injection, or previously re- moving as much as is accessible to a well-oiled* finger. That which is beyond reach of the finger can be brought away by means of a flexible, but not too weak, noose of wire (Fig. 47). The mother should have an abundance of fluid to drink, to which should be added the following dose of sulphate of soda: DOSE. — Sulphate of Soda (Glauber's Salt). — Cow, one pound; Mare, three ounces; Sheep and Pig, two ounces. If the constipation persists in the young animal, ad- minister castor-oil. If there is much pain, give the fol- lowing dose of chlorodyne in a little water : DOSE. — Chlorodyne. — Foal and Calf, fifteen drops; Lamb, eight drops; Pig, five drops; Puppy and Kitten, two drops. The above treatment will be equally beneficial when- ever constipation manifests itself in the young animal up to the time of weaning. ECLAMPSIA IN YOUNG ANIMALS. This nervous affection has been observed in the Calf, Pig, and Dog within a variable period after birth. 260 Obstetrics — Domesticated Animals. SYMPTOMS. — The animal appears dull and unsteady on its limbs, when soon after it is suddenly and violently seized with spasms; all the limbs become rigid, the jaws are convulsively champed, and foam flows from the mouth; in a few minutes the creature begins to cry loudly and repeatedly, and to perform strange antics — jumping forward, and heedless of injury. The eye looks haggard and wild, and the respiration is hurried. The animal may die from the first or second attack — rarely it survives more than two: and if it does, it lies in a state of extreme lassi- tude for a long time ; then it gradually regains its faculties, and in the course of some days is well again; but for some months it does not look thriving, and not infrequently there is a renewal of the attacks. TREATMENT.— Little can be done for this disease in such young animals, beyond attention to the diet of both mother and off-spring, and if constipation is present it may be combatted by the means already mentioned. (See Constipation in Young Animals.) SPASMS. (TETANUS AGNORUM.) Spasms are frequently witnessed in Lambs, and some- times is so prevalent that it is regarded as enzootic. It most frequently aflfects Lambs of the finer breeds, and us- ually during the first two or three weeks after birth. CAUSES. — In many outbreaks, the Lambs are predis- posed to the disease through the improper feeding and management of the Ewes. SYMPTOMS. — The earliest symptoms are weakness, loss of vivacity, and diminished appetite; the limbs be- come stiff and the gait stilty, the back is arched, and the neck and legs undergo convulsive contortions, so that there is difficulty in rising or walking. The cramps extend gradually to other parts of the body, until at last the ani- mal cannot move, and to obtain food it has to be carried to the mother's teat, where it needs to be supported. Gen- Obstetrics — Domesticated Animals. 361 erally, if the animal does not receive attention, it will succumb in about eight or ten days. The fatal termina- tion is sometimes preceded by grinding of the teeth, diarrhoea, convulsions and complete paralysis. TREATMENT. — PREVENTIVE TREATMENT must be directed to keeping the Ewes in a healthy condi- tion by proper feeding, and sheltering them from the weather if this be severe at lambing time. The Lambs should also be kept from cold winds and wet. CURATIVE TREATMENT.— A dose of castor-oil should be given at the onset of the disease, and especially if there is any reason to apprehend that the meconium is retained in the intestines (see Constipation in Young Ani- mals) . Chlorodyne may be given in five drop doses every four hours in a little water. Friction should be applied to the limbs, either with or without whisky. IMPERFORATE ANUS. This condition is very serious unless surgical aid is quickly afforded, and even then the young creatures are not always saved. '^ This occlusion or imperforation may exist in various degree: There may be merely a membrane covering and occluding the anal opening; the borders of the anus may be adherent to a greater or less extent; the rectum may be more or less absent or incomplete; or it may open into the genito-urinary passages instead of the anus. SYMPTOMS. — When no dung can be expelled, us- ually towards the second or third day after birth, uneasi- ness and symptoms of acute colic are manifested ; the ani- mal does not suck, the abdomen becomes distended, ejtpulsive efforts and pawing are observed, yet nothing passed. The animal shows signs of great pain and misery, and if help is not afforded it dies in agony. TREATMENT.— If the obstruction is other than a simple membrane occluding the anus, but little can be §63 Obstetrics — Domesticated Animals. done. But when this membrane, which is really the skin, projects like a large vesicle, owing to the pressure made upon it by the dung, is the obstacle, all that has to be done is to incise the membrane both vertically and transverse ; care being taken not to allow the knife to pass too deep. No sooner is this incision made than the meconium escapes ; then the pointed ends of the membrane may be clipped off with a pair of sharp scissors. The index finger should be introduced as far as possible into the intestine, to make certain that all is right there. The lips of the wound should be lubricated by a little carbolic vaseline. Should the opening have a tendency to grow together, a tent may be introduced into the rectum, and withdrawn every now and again in order to allow the dung to be expelled. IMPERFORATE VULVA. This is frequently observed in new-born animals, and is serious, as the urine cannot escape unless it is expelled through the urachus by navel opening. TREATMENT.— The Hps of the vulva are to be sep- arated vertically with a knife, using the same precautions, and after treatment as in imperforate anus (which see). IMPERFORATE PREPUCE OF PENIS. This is of unusual occurrence, but does sometimes oc- cur in the Foal, causing an obstruction to the passage of urine, which is very serious. TREATMENT. — An artificial opening is to be made in the prepuce, where the natural aperture should be; the lips of the wound should be kept apart and the precautions and treatment the same as in Imperforate Anus (which see). This operation is successful only when the urethral canal is open throughout its length; when it is occluded also, the operation will no longer be attended with benefit, Obstetrics — Domesticated Animals. 263 and the operator must then endeavor to discover where the obstruction is, and either overcome it, or make an opening somewhere for the escape of the urine. The point of obstruction can be easily discovered by introduc- ing into the penis a very small sound or catheter. On reaching the point of obstruction with the instrument, gentle force will usually overcome it. The catheter must be well oiled and allowed to remain in the canal of the penis for several days, to prevent the reuniting of the broken tissues. OCCLUSION OF THE EYELIDS. Occlusion of the eyelids has been witnessed in Foals. Calves, and other young animals. Of course, the follow- ing treatment is not to be applied in the natural occlusion of the eyelids of Puppies, Kittens, and young Rabbits. Accidental occlusion of the ej'elids presents itself in two forms; in one, the margins of the upper and lower eyelids are only adherent; and in the other the eyelids are, in addition, adherent to the eye itself throughout the entire surface. TREATMENT.— The first mentioned variety is alone curable, and in order to disunite the eyelids, the opierator, after producing local insensibility by the application of cocaine, proceeds as follows: Securing the head of the creature in the hands of an assistant, the upper eyelid is elevated by another assistant by means of a pair of forceps. The operator himself seizes the lower lid with a forceps, and pulls it as far as possible from the eyeball beneatti; then, taking a small, sharp pair of scissors in his right haricl, a small puncture or notch is to be made betv.'een the mar- gins of the eyelids, in such a manner as not to injure either lid, if possible, and much less to wound the eye'. Tlhie scissors is now passed along to separate the lids asiitrsis the inner corner of the eye, and then to the outer corner. All that is required after the operation, is to apply a very 264: Obstetrics — Domesticated Animals. little lard to the borders of the lids, using care not to get any into the eye, as it might cause inflammation of that organ. OCCLUSION OF THE EAR. When this condition exists, deafness is the consequence, as well as dumbness. It is the dumb condition which most frequently attracts attention, and leads to the dis- covery that the real defect is deafness. TREATMENT. — A small prominent tumor is detected in the place of the ear, or where the external auditory canal should be. This tumor is rather soft, and can be readily seized by forceps, when it may be punctured by a sharp- pointed knife, and a vertical, as well as a transverse, inci- sion made through it. When the membrane is opened, a quantity of grey cerumen is found obstructing the canal; this can be extruded by pressure, injections of tepid water, or a small scoop. To prevent the closure to the canal, a little morsel of lint or fine tow is placed in the ear, and retained there by a bandage round the head. If both ears are affected, only one should be operated upon at a time; and, as a rule, it is better to wait until the slight inflammation which follows the operation subsides, before the other ear undergoes the same treatment. TONGUE-TIE. TiiC fraenum linguae is a triangular formed mucus membrane of the mouth, and situated between the lower part of that cavity and the lower surface of the tongue. When the fraenum is too narrow from above to below, or if it extends as far forward as the extremity of the tongue, it cramps the tongue's movement, interferes with sucking and swallowing of fluids; the animal, if drinking out of a bucket, vainly plunges its face into the fluid as far »s the eyes. The teat is seized with difficulty, and the Obstetrics — Domesticated Animals. 265 tongue is so limited in its movements that it cannot be protrudedlto lick the nostrils. The defect is often un- perceived, and the young creature loses condition, becomes weak, and eventually succumbs. TREATMENT.— The treatment is very simple. It consists merely in dividing the fraenum to such an extent that the organ may recover its liberty of movement. Im- mediately after the operation, the creature protrudes its tongue to lick the blood which escapes from the incision; it can now drink with ease, and the wound will heal in a few days without any precautions. TABLE OF ILLUSTRATIONS Fig. Page. 1. The Generative Organs of the Mare 8 2. Section of Udder of Cow ■ 13 3. Generative Organs of the Mare: Isolated and Partly Opened 16 4. Womb, Fallopian Tubes, and Horns of the Sheep 19 5. Ovary Opened Vertically 24 6. Portion of Ovary of a Pig 24 7. Foetal Membranes of Cow at Mid-term. Womb opened on its left side 36 8. Foetal Membranes of the Goat at Full Time : Twins 37 9. Foetus of Mare and its Envelops 39 10. Pregnant Womb of a Multiple-bearing and Single-bearing animal 42 11. Twin Pregnancy ; Cow 57 12. Impregnating Tube 67 13. Section of Impregnating Tube 67 14. Dilator of Neck of the Womb 116 15. Normal Position of the Foetus in the Mare at the First Stage of Parturition 117 16. Normal Position of the Foetus in the Mare at the Second Stage of Parturition 120 17. Normal Position of the Foetus in the Mare at the Third Stage of Parturition 121 IS. Posterior Po.sition of the Foetus at the Third Stage of Normal Parturition 122 19. Standing Position of the Cow, in the Act of Parturition. . . . 123 20. Recumbent Position of the Mare, in the Act of Parturi- tion 124 21. Diameters of the Pelvis 149 22. Deviation of the Hind- Limbs in the Anterior Presentation. 153 23. Fore-limbs Crossed over the Neck in the Anterior Present- ation 155 24. Fore-limbs Flexed at the Knees in the Anterior Presenta- tion 156 25. Extending the Fore-limbs in the Anterior Presentation. . . . 157 26. Anterior Presentation: One Fore-limb Completely Re- tained 159 Table of Illustrations. 267 Fig. Page. 27. Anterior Presentation: Both Fore-limbs Completely Re- tained 160 28. Anterior Presentation : Downward Deviation of the Head . 161 29. Anterior Presentation: Extreme Downward Deviation of the Head 162 30. Anterior Presentation: Lateral Deviation of the Head toward the Shoulder 164 31. Anterior Presentation: Lateral Deviation of the Head to- ward the Abdomen 165 32. Anterior Presentation: Deviation of the Head Upward and Backward 167 33. Posterior Presentation : Hock 169 34. Hock Presentation: Hock Corded I'S 35. Thigh and Croup Presentation 173 36. Thigh and Croup Presentation : Thigh Corded 175 37. Transverse Presentation 176 38. Transverse Presentation: Shoulder and Loin Presented ... 177 39. Transverse Presentation : Shoulder and Loin Presented ... 178 40. Transverse Presentation: Breast and Abdomen Presented, Head and Feet Engaged 1 ' ■' 41. Transverse Presentation. Breast and Abdomen Presented, Hind-limbs most advanced, Head retained 180 X. Womb Dilator ■ • ■ l^'^ 42-A. Traction Cord and Band, and the Manner of Applying Them 1S5 42-B. Traction Cord 185 43. Head Collar ' 186 44. Head Collar placed on Calf's Head, the right Fore-pastern being Corded also 1°' 45. Wire Extractor ISS 46. Wire-Extractor AppHed 188 47. Tube and Noose 189 40. Noose Fixed on the Foetus 190 49. Darreau's Repeller, Armed with a Running Noose 190 50. Gunther's Curved Porte-Cord and Blunt Crotchet Armed with a Cord and Ring 191 51. Joint Repeller Closed 1^2 52. Joint Repeller Open 19'*^ 63. Short Blunt Crotchet or Hook 194 54. Blunt Finger Crotchet or Hook ' 194 55. Long Pointed Crotchet or Hook 195 56. Bitch Forceps 196 57. Obstetric Machine 201 268 Table of Illustrations. Pig. Page. 58. Straight Embryotome 204 59. Curved Embryotome 204 60. Spatula 205 61. Bone-Chisel 205 62. Bone Saw 205 63. Pad Pessary 222 64. Ring Pessary 223 66. Cup-and-Ball Pessary 224 66. Loop of Rope Truss which extends around the vulva. . . . 225 67. Rope Truss Applied 225 68. Leather Truss Applied 226 69. Ring Teat-Syphon 238 70. Perforating Sound 241 71. Truss Applied for Navel (Umbilical) Hernia 245 72. Navel (Umbilical) Clam 246 INDEX A. Page. Abdominal explorations or examination 50 Abnormal retention of the foetus 86 Abortion 90 Abortion, accidental 91 Abortion, epizootic or enzootic 105 Abortion, sporadic 91 Abortion, flooding (haemorrhage) after 218, Abortion, retention of the after-birth after 213 Absence of milk 239 Accidents of pregnancy 80 After-birth 37 After-birth, functions of 38 After-birth, retention of 212 After-pains 144 Agalactia, absence of milk 239 Amputation of the fore-Hmbs of the foetus 207 Amputation of the head of the foetus 206 Amputation of the hind-limbs of the foetus 209 Amputation of the limbs of the foetus 207 Angles of the vulva 8. Anus, imperforate 261 Arthritis 252 Artificial premature birth 211 Attention to the mother after normal parturition 142 Attention to the mother after difficult parturition 211 Attention to the mother during the first two stages of natural labour 128 Attention to the mother during the third stage of natural labour 133 Attention to the off-spring immediately after natural delivery . has taken place 136 . Attention to the off-spring after difficult parturition 211 B. Bandages, trusses 225, 245, Bands 184^ 270 Index. Page. Barrenness 62 Barrenness in the female 64 Barrenness in the male 62 Birth, premature artificial 211 Bleeding (haemorrhage) from the womb before parturition ... 85 Body -of foetus, division of 210 Breast and abdominal presentation 177 Broad ligaments 20 Bulb, the 10 C. * Causes of death of foetus 132 Causes of parturition 113 Caution of the operator 136 Chest of foetus, reduction of 112 Colic during pregnancy 73 Constipation during pregnancy 72 Constipation in young animals 258 Contraction of the womb after normal parturition 146 Copulation 29 Cords, ropes, bands 184 Cornua 20 Cough during pregnancy 79 Cracks in the teats 240 Cramp during pregnancy 79 Crotchets 193 Crutch 191 Cup-and-Ball pessary 224 D. Death of foetus 131 Decapitation 206 Delivery, difficult 147 DeHvery difficult, attention to the mother and off-spring after. . 211 Delivery difficult, from malpresentations or malpositions of the foetus 152 DeHvery difficult, how to make examinations in 147 Delivery difficult, retention of after-birth after 212 Delivery, disorders of the mother after 144 Delivery, flooding (haemorrhage) after 218 Delivery, duration of 125 Delivery, natural 113 Delivery natural, attention to the mother after 142 Delivery natural, attention to the ofEspring after 136 Index. 271 Page. Delivery natural, how to make examinations in (see examina- tions.) Delivery natural, necessary aids in 127 Delivery natural, signs and course of 117 Delivery, position assumed daring 120 Detruncation 210 Development of ovaries and ova 26 Deviation of the head upwards and backwards 167 Deviation of the hind-limbs in the anterior presentation 153 Division of the body of the foetus 210 Diarrhoea in young animals 256 Difficult labour, birth, parturition 147 Diseases incidental to pregnancy 70 Disorders of the mother after delivery 144 Downward deviation of the head, anterior presentation 162 Dropsical swelling around the navel (umbilical) cord 247 Dropsical swellings of the legs during pregnancy 73 Duration of delivery 125 Duration of pregnancy 54 Dysentery in young animals 256 Dystokia 147 E. Ear, occlusion of 264 Eclampsia in young animals 259 Embryotomy 202 Embryotomy instruments 203 Embrj'otomy, preliminary arrangements for 204 Enzootic, Epizootic, abortion 105 Examination, exploration abdominal 60 Examination, exploration rectal 62 Examination, exploration vaginal 53 Examinations, how to make successfully 50, 52, 53, 136, 147 Excessive amount of milk before parturition 80 Excessive waters (hydrops amnii) 74 External organs of generation 7 Extractor wire, for small animals 188 Eyelids, occlusion of 263 F. Fall of vagina before parturition 80 Fall or inversion of the vagina after parturition 228 Fallopian tubes 22 Fallopian tubes, functions of 23 272 Index. Page. Fecundation 28, 34 Female generative organs 7 Fissures in the teats 240 Flooding (haemorrhage) after abortion 218 Flooding (haemorrhage) after delivery 218 Foetal membranes, retention of 212 Foetus, abnormal retention of 86 Foetus, cause of death of 132 Foetus, death of 131 Foetus, mal-presentation or Mal-position of 152 Foetus, traction of, or drawing on 134 Foetus, traction of in twin pregnancy 135 Foetuses twin, mal-presentations and positions of 181 Food for pregnant animals 60> Forced extraction of the foetus 197 Force employment of, in difficult partvtrition — traction 197 Forceps 196 Fore-limbs of foetus, amputation of 207 Fore-limbs completely retained, anterior presentation. . 158- Fore-limbs crossed over the neck, anterior presentation 154 Fore-limbs flexed at the knees, anterior presentation 156 Functions of the after-bir^h 38 G. General care of the young after delivery 138 Generation 29 Generative organs, external 7 Generative organs, female 7 Generative organs, internal 15 Gestation 29, 40 Halter 7^:^,^.^^^ 186 Head-collar ^^f^ 186 Head-cord 186 Head of foetus, amputation of 207 Head retained, and with it one or both of the fore-limbs 168 Heat 31 Hind-limbs of foetus, amputation of 209 Hock presentation 169 Hooks 193 Horns of womb 20 How to make successful examinations in difficult parturition. . 147 Hurried (tumultuous) labour in normal parturition 129 Index. 273 Page. Hygiene of pregnant animals 58 I. Imperforate anus 261 Imperforate prepuce of penis 262 Imperofrate vulva 262 Indigestion 254 Infectious abortion 109 Infecundity q9 Inflammation of the navel (umbilical) cord 248 Inflammation of the udder 237 Inflammation of the vagina 230 Inflammation of the womb (metritis) " 232 Influence of pregnancy on ordinary diseases 69 Instruments, embryotomy 203 Instruments for the extraction of the foetus 182 Internal organs of generation 15 Inversion of the vagina 228 Inversion of the womb 219 J. Joint disease 252 Joint-ill ' ' 252 L. Labour, natural, normal 113 Labour, natural, attention to the mother during the first two stages 128 Labour, difficult I47 Labour difficult, how to make examinations in 147 Labour, hurried (tumultuous) in normal parturition 130 Labour natural, attention to the mother during the third stage. . 133 Labour natural, expelHng powers II4 Labour natural, necessary aid in 127 Labour natural, signs and course of 117 Labour natural, signs and course of preliminary stage 118 Labour natural, signs and course of second stage 119 Labour natural, signs and course of third stage 120 Labour natural signs and course of the fourth stage 126 Labour protracted I3O Lactation l^g Lateral deviation of head of foetus to right or left 163 Leather truss 227 Leucorrhoea 231 274 Index. Page. Limbs of foetus, amputation of 207 Lips of vulva 7 Liquor amnii 35 Lochia 144 Lochia, to prevent the untimely cessation of 145 Loss of appetite 71 M. Malpresentations and malpositions of the foetus 152 Malpresentation of twin foetuses 181 Mammae 11 Material signs of pregnancy 46 Mechanical dilation of the mouth of the womb 182 Mechanical means and instruments employed in the extraction of the foetus 182 Mechanical means for the retention of the womb after inver- sion 222 Meconium, retention of 258 Menstruation 31 Metritis 232 Milk, absence of 239 Milk duct, obliteration of 240 Milk, excessive amount of before parturition 80 Milk fever 145, 234 Miscarriage 90 Mother, attention to after difficult parturition 211 Mother, attention to during the first two stages of natural labour 1 28 Mother, attention to during the third stage of natural labour . . . 133 Mother, attention to immediately after delivery 136 Mother, disorders of after delivery 144 Mouth of the womb 20 Multiple pregnancy 55 N. Natural birth, delivery, labour, parturition 113 Natural measurements of the pelvis 149 Natural parturition, expelling powers 114 Natural presentation of foetus, anterior 152 Natural presentation of foetus, posterior 168 Navel cord, inflammation of 248 Navel, dropsical swelling around 247 Navel, rupture (hernia) of 244 Navel-string (umbilical cord) 40 Index. 275 Page. Necessary aid in normal parturition 127 Noose and tube 189 Noose running, and manner of applying 185 Normal parturition 1 13 O. Obliteration of the milk duct 240 Obstetrical physiology 28 Occlusion of the ear 264 Occlusion of the eyelids 263 Oedema of the umbilicus 247 Off-spring, attention to immediately after natural birth 136 Off- spring, attention to immediately after difficult birth 211 Omphalitis 248 Operator the, caution to 136 Ovaries, the 24 Ovaries and ova, development of 26 Oviducts 22 Ovum 25 P. Pad pessary 222 Pains, after 144 Paralysis of the hind-quarters (paraphlegia) 76 Parturient apoplexy 145, 234 Parturient fever 232 Parturition 29 Parturition, artificial premature 211 Parturition, difficult 147 Parturition, difficult, attention to the mother after 211 Parturition, difficult, attention to the off-spring after 211 Parturition difficult, flooding (haemorrhage) after 218 Parturition difficult, forced extraction in 197 Parturition difficult, how to make successful examinations in . 147 Parturition difficult, retention of the after-birth after 212 Parturition difficult, twin foetuses in 181 Parturition, disorders of the mother after 144 Parturition, duration of 125 Parturition, fall or inversion of the vagina after 228 Parturition, inversion or prolapsus of the womb after 219 Parturition natural, normal 113 Parturition normal, attention to the mother after 142 376 Index. Page. Parturition normal, attention to the mother during first two stages of 133 Parturition normal, attention to the oflf-spring immediately after 136 Parturition normal, expelling powers 114 Parturition normal, flooding (haemorrhage) after 218 Parturition normal, how to make examinations in 147 Parturition normal, hurried (tumultuous) labour during 129 Parturition normal, necessary aid in 127 Parturition normal, retention of the after-birth after 212 Parturition normal, signs and course of 117 Partiirition normal, signs and course of preliminary stage. ... 118 Parturition normal, signs and course of second stage 119 Parturition normal, signs and course of third stage 120 Parturition normal, signs and course of fourth stage 126 Parturition, position assumed during 123 Parturition, rupture of the womb after 228 Pass 190 Pathological disturbances incidental to pregnancy 69 Pathology of pregnancy 69 Pelvis, natural measurements of 149 Penis, imperforate prepuce of 262 Perinaeum, the j ^,„'rr7TT':^. 10 Perinaeum, rupture of . * \ 230 Persistance of the urachus 244 Pessary, cup-and-ball 224 Pessary, pad 222 Pessary, ring 223 Physiology, obstetrical 28 Pica, loss of appetite 71 Placenta i 37 Position assumed during delivery .* 123 Position of foetuses in multiple pregnancy 56 Post partum haemorrhage , 218 Porte-cord \ 191 Pregnancy !. 29, 40 Pregnancy, accidents of ,' 80 Pregnancy, diseases incidental to i 70 Pregnancy, dropsical swellings of the legs during 73 Pregnancy, duration of 54 Pregnancy, influence of on ordinary diseases 69 Pregnancy, material signs of 49 Pregnancy, multiple 55 Index. 277 Page. Pregnancy, multiple, position of foetuses in 56 Pregnancy, pathology of 69 Pregnancy, pathological disturbances incidental to 69 Pregnancy, rational signs of 46 Pregnancy, sensible signs of 50 Pregnancy, signs of 46 Pregnancy, twin 55 Pregnant animals, dwellings for 61 Pregnant animals, food for 60 Pregnant animals, hygiene of 68 Pregnant animals, tranquility of 61 Pregnant animals, water for 60 Preliminary arrangements for embryotomy 204 Presentation anterior, deviation of the head upward and back- ward 167 Presentation anterior, deviation of the hind-hmbs 153 Presentation anterior, downward deviation of the head. ...... 162 Presentation anterior, fore-limbs completely retained 159 Presentation anterior, fore-Hmbs crossed over the neck 155 Presentation anterior, fore-limbs flexed at the knees 156 Presentation anterior, head retained and with it one or both of the fore-limbs 168 Presentation anterior, lateral deviation of the head to the right or left 163 Presentation anterior, natural 152 Presentation, posterior, hock 169 Presentation, posterior, natural 168 Presentation posterior, thigh and croup 175 Presentation, transverse 176 Presentation, transverse back, loin and shoulder presented . . . 178 Presentation transverse, breast and abdominal 179 Prolapsus of the vagina before parturition 80 Prolapsus of the womb after parturition 219 Protracted labour during the first two stages of normal par- turition 130 Protrusion of the vagina before parturition 80 Puberity 29 Puncture of the cranium or skull of foetus 206 R. Rational signs of pregnancy 46 Reduction of the abdomen of the foetus 210 Reduction of the chest of the foetus 210 278 Index. Page. Rectal examination or exploration 52 Repeller or crutch 191 Reproduction 28 Retention of the after-birth after abortion 212 Retention of the after-birth after parturition 212 Retention of the foetal membranes or envelops 212 Retention of the meconium 258 Rickets and softening of the bones 71 Ring pessary 223 Ropes — cords 184 Rope truss 225 Running noose and manner of applying 185 Rupture of the navel 244 Rupture of the perinaeum 230 Rupture of the vagina 229 Rupture of the water-bag 133 Rupture of the womb before parturition 84 Rupture of the womb after parturition 84 Rut 31 S. Sensible signs of pregnancy 50 Signs and course of normal parturition 117 Signs and course of the preliminary stage of normal parturi- tion 118 Signs and course of second stage of normal parturition 119 Signs and course of third stage of normal parturition 120 Signs and course of fourth stage of normal parturition 126 Signs of pregnancy 46 Skull of foetus, puncture of 206 Softening of the bones 71 Spasms in young animals 260 Sporadic abortion 91 SteriHty 62 Sterility in the female 64 Sterility in the male 62 Suspended animation in the new born animal 137 Suspended hfe in the new-born animal 137 Suspensory ligaments 20 T. Teats, cracks and fissures in 240 Teats, obstruction of (obliteration of the milk duct) 240 Tetanus agnorum 260 Index. 279 Page. Thigh and croup presentation 175 Tongue-tie 264 Traction cords, ropes, and bands 184, 185, 186 Traction — employment of force in parturition 197 Traction of, or drawing on the foetus 134 Traction of the foetus in twin pregnancy 135 TranquiHty of pregnant animals 61 Transverse presentation 177 Truss, leather 224 Truss, rope 225 Tube and noose 189 Twin foetuses, malpresentation of 181 Twin pregnancy , 55 Twin pregnancy, natural position of foetuses in 56 Twin pregnancy, traction of the foetus in 135 U. Udder, the 11 Udder, functions of 15 Udder, inflammation of 237 Udder, modifications of at puberty and before parturition. ... 12 Umbilical cord 40 Umbilical hernia 244 Umbilicus, inflammation of 248 Urachus, persistence of 244 Uterus 18 Utricular glands 20 V. Vaginal examinations or explorations 53 Vagina, fall or inversion of after parturition 228 Vagina, inflammation of 230 Vagina, protrusion (prolapsus) of before parturition 80 Vagina, rupture of 229 Vagina, the 15 Vulva 7 Vulva, imperforate 262 W. Water-bag, rupture of 133 Waters, excessive 74 Waters, the (liquor amnii) 35 Whites 23 1 Wire extractor for small animals 188 380 Index. Page. Womb, the 18 Womb, body of 19 Womb, cavity of 20 Womb, contraction of after delivery 146 Womb, bleeding (haemorrhage) from after parturition 218 Womb, bleeding (haemorrhage) from before parturition 85 Womb, inflammation of 232 Womb, inversion or prolapsus of after parturition 219 Womb, mouth of 20 Womb, rupture during and after parturition 228 Womb, rupture of before parturition 83 Young Young Young Young Young Young Young Young Young Young Young Young Young Young Young Young Young Young Young Young Young Young Young Young Young Young Young anima anima anima anima anima anima anima anima anima anima anima anima anima anima anima anima anima anima anima anima anima anima anima anima anima anima anima attention to after difficult delivery 211 attention to immediately after natural delivery 136 arthritis in the . . . 252 asphyxia of 243 constipation in the 258 death of, before delivery 131 diarrhoea, dysentery in the 256 diseases and abnormalities of the 243 eclampsia in the 259 imperforate anus in the 261 imperforate prepuce of penis in the 262 imperforate vtilva in the 262 indigestion in the 254 joint disease, joint ill in the 252 navel-bleeding (heamorrhage) from 243 navel-dropsical swelling around 247 navel flow of urine from 244 navel-inflammation of 248 navel-rupture, hernia of 244 navel-string of the 40 occlusion of the ear 264 occlusion of the eyelids of the 263 retention of the meconium in the 258 spasms in the 260 suflocation of the 243 suspended life — suspended animation in the. . . 137 tongue-tie in the 264 \