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68° Congresso Nazionale SCIVAC: Le domande più frequenti in ...

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<strong>68°</strong> CONGRESSO NAZIONALE <strong>SCIVAC</strong> 11-13 Marzo 2011 - Milano<br />

LE DOMANDE PIÙ FREQUENTI IN RIPRODUZIONE CANINA E FELINA<br />

Tutto quello che i vostri clienti osano spesso chiedere e a cui voi non sapete rispondere<br />

14 th EVSSAR Congress - Advances <strong>in</strong> Fel<strong>in</strong>e Reproduction - March 11 th 2011<br />

Aglepristone will be the safer and most effective drug to term<strong>in</strong>ate pregnancy<br />

at this early stage. However, when a large or giant-sized bitch is concerned,<br />

due to the relatively high cost of the drug, veter<strong>in</strong>arians will have to<br />

discuss with the owners about the benefit-risk ratio of treat<strong>in</strong>g the bitch at once<br />

or wait<strong>in</strong>g until the pregnancy diagnosis becomes possible.<br />

The earlier the abortive protocol us<strong>in</strong>g aglepristone is performed, the better<br />

the efficacy is. Studies conducted on a large scale have shown that aglepristone<br />

adm<strong>in</strong>istered twice at 24 hours <strong>in</strong>terval before day 21 ensures an efficacy<br />

of 99.6% (<strong>Le</strong>nnoz 2006).<br />

Therefore, when aborted at an early stage, it does not appear necessary to<br />

perform a further confirmation of pregnancy term<strong>in</strong>ation by ultrasound after<br />

day 25 – day 30. Use of PGF2α.<br />

PGF2α are poorly efficacious before days 15 to 25 of pregnancy.<br />

2.2.3. The bitch is brought to consultation<br />

at mid-pregnancy<br />

(Day 22 to Day 40 after mat<strong>in</strong>g)<br />

The ma<strong>in</strong> advantage of act<strong>in</strong>g later <strong>in</strong> pregnancy is that only bitches which<br />

are really pregnant will undergo an abortive protocol. This will save money<br />

for the owners and avoid side effects when medical treatments happen to be<br />

unnecessary.<br />

Therefore the first step is to control whether the bitch is pregnant.<br />

A surgical ovariectomy will be abortive <strong>in</strong> 100% of the cases but the sudden<br />

removal of ovaries bears a high risk of <strong>in</strong>duc<strong>in</strong>g lactation.<br />

Use of aglepristone<br />

The abortive efficacy of aglepristone at mid-pregnancy is good, although<br />

slightly lower than at an earlier stage. Depend<strong>in</strong>g on the publications, it varies<br />

between 94.4 to 96.2%. Prolific bitches may be more predisposed to develop<br />

only a partial abortion at this later stage than when treated earlier <strong>in</strong> pregnancy.<br />

In the case of failure (partial abortion or <strong>in</strong>complete uter<strong>in</strong>e empty<strong>in</strong>g), it<br />

is recommended to hospitalize the bitch and to beg<strong>in</strong> a second course of aglepristone,<br />

<strong>in</strong> association with PGF2α <strong>in</strong>jections.<br />

48

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