The latest in mare health


This week, Horse and Hound did an article about what’s new regarding mare health. I found this a particularly interesting article and myself I have only ever owned mares. An interesting insight which I hope will enlighten me when in future looking out for my own horse.

Equine metabolic syndrome

The potentially disastrous consequences of uncontrolled equine metabolic syndrome (EMS) in pregnant mares were discussed by Dr Peter Morresey at last year’s American Association of Equine Practitioners convention.

Obese animals with EMS become insulin resistant and have altered levels of insulin and lipids in their blood. This can result in laminitis and even abortion in pregnant mares. Note that mares suffering from EMS before becoming pregnant are particularly at risk of high blood glucose levels due to insulin insensitivity.

Your vet can offer specific drugs that may be used to treat EMS. An owner can also reduce the risks to a pregnant mare suffering from the condition by limiting or prohibiting her access to hard feed and grass, while feeding a high-forage diet based on hay or haylage.

Exercise, as long as it is not prevented by laminitis, can also help control obesity. It is generally safe to exercise a mare until mid-pregnancy, but you should always discuss this with your vet first.

Promoting pre-natal health: Remember too that routine care should not be forgotten in the excitement of getting a mare pregnant and the impending birth. Attention to worm control, foot care and dentistry are all important if you want her foetus to remain well. A full dental examination by an experienced practitioner prior to breeding, or between foaling and rebreeding, will help promote a healthy pregnancy.

Reducing disease risk

Pregnant women are routinely tested for a range of diseases that might pregnant mareaffect their own health and that of their child. In mares, screening for infectious diseases should take place before the mare becomes in-foal.

Whether the mare is being covered naturally or by artificial insemination, it is important that both she and the stallion should first be tested by swabbing for the bacterial venereal diseases contagious equine metritis (CEM), klebsiella pneumoniae and oseudomonas aeroginosa. They should also be blood-tested for equine viral arteritis and infectious anaemia.

If any of the tests are positive, your vet will advise you the necessary treatment. Once the tests are clear, breeding may proceed. Your vet will recommend a suitable vaccination programme to protect your mare against infectious diseases during her pregnancy – including those that can cause abortion, such as equine herpes virus.

Management also has a large part to play. Minimise your mare’s risk of exposure to a disease by keeping her in a small group and around from young horses, those travelling or new yard arrivals.

Clues from the cervix?

Monitoring the cervices of pregnant women using ultrasonography is an accepted technique for predicting whether they may give birth prematurely. In mares, we know that failure of the cervical seal can cause pregnancy loss by allowing bacteria to track through the cervix and into the uterus before reaching the placenta. But ultrasonographical monitoring of mares’ cervices is not a common method of detecting these sorts of problems.

Traditionally, cervices have been assessed either by vaginal palpation or by using a speculum – techniques that run the risk of introducing infection. Palpation via the rectum is another option, but this is less accurate.

A recent study by researchers Dr Stefania Bucca and Ursula Fogarty has established the ultrasonographical appearance of the cervix at different stages of pregnancy in healthy mares. This research is significant because, once we know the standard appearance and measurements; we can use ultrasonography to identify abnormal changes to the cervix. A monitoring technique could then be developed to detect problems early on and to initiate treatment as early as possible.

Mares that have previously aborted due to placentitis – a (usually infectious) inflammation of the placenta – will benefit greatly from ultrasound monitoring of both the cervix and the combined uteroplacental unit during pregnancy. This monitoring will increase the chances of detecting and treating problems early and before external signs of infection, such as vulval discharge or premature mammary development, would have become apparent.

Watching her waistline

feedAn enormous amount of attention is devoted to what pregnant women should and shouldn’t eat and to suitable vitamin and mineral supplements, Undernutrition in pregnancy is known to have a detrimental effect on the health of the offspring in most species – including horses.

For most mares in the UK, however, there is probably a greater risk of owners overfeeding their mares. Because most of the foal’s growth occurs in the last third of a pregnancy, a mare’s nutritional requirements until that time do not differ significantly to those of a non-pregnant mare.

A 2012 study published in the veterinary record, by Van der Heyden et al, shows that nutrition during pregnancy has a significant effect on whether or not a foal develops osteochondrosis (OCD), which is a form of developmental oorthopaedic disease.

These study results should be interpreted with caution, because no data was available about the composition or the quantity of the foodstuffs being fed to the pregnant mares. But the overall conclusion supports the claims of previous research – that overfeeding mares during pregnancy is detrimental to the orthopaedic health of their offspring.

The message for the owners to take from this is that pregnant mares should have a high-forage duet supplemented by the correct balance of vitamins and minerals, which are available in commercial form from most of the large feed suppliers. She should not be overfed protein or starch, or be allowed to become overweight.

Pregnancy failure – should you try again

Even with the best care, pregnancy in loss rates in mares remains stubbornly high. Around 15% of pregnancies in UK mares confirmed at 15 days post-ovulation do not result in a live foal. For both emotional and financial reasons, many owners of mares who have suffered embryonic or foetal loss want to know whether it’s worth trying to breed again.mare and foal

Where the cause of pregnancy loss can be determined, the attending vet will be able to advise on whether it is likely to recur. In many cases, however, the exact cause and even the timing of embryonic loss remain unknown. This is partly because the loss is often only detected after it has occurred, but also because the mechanisms that cause it are not yet fully understood.

Research carried out last year in South Africa by Shulman et al established a ‘logistical regression model’. This takes into consideration data such as when the mare was foaled, her age and reproductive status, her incidence of early embryonic loss and the number of oestrous cycles in which she has been mated in a given year. This data can then be used to predict whether she is likely to become pregnant, and, if she does, the chances of carrying the foal to term.

Should this model prove applicable to larger mare populations, it may help owners in the future decide whether it is sensible to breed again from a mare.



What’s new in the veterinary world

Is osteochondrosis inherited?

Osteochondrosis (OCD) is a recognised joint disease in young horses. Several joints may be affected, but big hock joints such as the stifle and hock are commonly involved. Fragments or flakes of cartilage and bone become detached from the underlying bone, which usually causes swelling of the affected joint and often lameness. Keyhole surgery is often required to remove these fragments, or ‘chips’. If discovered early, the outlook is often good.

For a number of years, vets have recognised that there is a genetic hockcomponent to OCD development, in that the offspring of some stallions appear to suffer more than others. But this is not a straightforward inherited condition. Other factors such as growth rates, feeding, mineral intake, exercise and some management issues have a big influence.

In Norway, racing trotters are a mixture of either American or French trotter lines. Vets in Oslo examined X-rays from more than 1200 trotter yearlings and looked OCD in hocks and fetlocks, before tracing their pedigrees back to founder lines. This included examination of the breeding of more than 75000 horses.

They wondered whether either the French or American ancestors were more – or less – implicated in the inheritance of OCD and whether the cross-bred population benefitted more from mixed blood. The results showed that just over 16% of the hock joints X-rayed had signs of OCD and, combining all the fetlock joints from the yearlings, about 11% had chips.

Analysis of genetics and breeding revealed that development of hock and OCD appeared to have a greater genetic component than fetlock OCD. But there was no difference between the influences of French or American sires on the disease. The degree of mixing bloodlines made no difference – yearlings with greater diversity of genetic make-up had the same risk of OCD. While this confirms that the cause of the disease has many more factors than simply the breeding of the youngster, the influence of the immediate sire is still considered more important.

How does it affect show jumping performance?

OCD is common in young sport horses, especially warm bloods. After surgery, owners are often left wondering whether the horse will ever reach full potential. To try to shed some light on the subject, in recent years Belgian and Swedish vets have reviewed the performance of 215 stallions presented for admission as sires to the Royal Belgian Sport Horse Society stud book. The stallions had been X-rayed as youngsters and the prevalence of OCD was therefore known, but horses suffering significant lameness had not been admitted to the stud book.

The subsequent show jumping careers of the approved stallions were assessed for both the number of competitions entered and success in the ring. Overall, there was no difference between the stallions that had had OCD in early years and those that had not. But a closer look at the statistics revealed that performance was linked to the particular joint affected by the disease.

If the stallion had had OCD of one or both hocks as a youngster, both the number of competitions entered and the results appeared unaffected when compared with OCD- free stallions. Yet stallions with OCD of the front fetlock ended up going to fewer competitions in their careers. Those with OCD of the stifle appeared to have the lowest success results overall – they went to fewer competitions and achieved poorer results.

There were also individual stallions with OCD that had outstanding careers and statistical risk is not the same as a firm prognosis for an individual horse. The results appear to show, however, that we can be more confident about the outlook for youngsters with OCD of the hocks than those with the disease in fetlocks or stifles.

Testing tongue-ties

When horses fail to finish a race because of breathing difficulties, commentators and trainers often use phrases like ‘he’s swallowed his tongue’ or ‘he’s choked up’. This is semantics – horses cannot swallow their tongue, but they do suffer upper airway restrictions caused by a variety of problems, including difficulties with the soft palate and larynx.

tongue tieWhere this has happened, trainers frequently resort to the use of a tongue-tie – a strap or band of material that literally ties the tongue to the lower jaw beneath the bit. The tie can be made of leather, but it is often a piece of soft, elastic bandage or even a length cut from a pair of ladies nylon tights.

Racecourse vets will check that any tongue-tie used in a race is comfortable and properly applied before the horse races, but does it work? Does is improve breathing during strenuous exercise? Vets at Guelph University, Canada, used ultrasound scanners on 12 racing standardbreds to measure the position and alignment of the thin hyoid bones that support the larynx.

These bones loosely link the larynx to the base of the skull and to the back of the tongue by means muscle, ligament and cartilage. The arrangement is very mobile and moves backwards and forwards as the horse gallops and breathes. Three sets of data were measured while the horses were stationary; with no tack, with a full racing bridle and tack and finally with a tongue-tie applied.

The results showed that adding a tongue-tie alters the position of the hyoid bones and therefore of the larynx and base of the tongue. This does not prove that the airway is open, or that is improved, but it does reveal that the tongue-tie in its various guises has a definite effect on the anatomy of the throat.

Rolling before rising – part of the routine?

Animal behaviour scientists in Denmark have been studying the way in which horses get up on their feet after a period spent lying down. We’re all familiar with the tendency for horses to stretch after rising – the scientists suggested that this is a sign that horses are relaxed and not stressed by their environment.

They also discovered that the majority of horses observed had a roll of somerolling kind before getting up. If they had been lying upright, on their sternum, they either flopped on to their side or rolled on to their back before rising. If they were already flat-out, resting on their side, they either rolled on to their back or even right over before getting to their feet.

This pre-rising roll was fairly consistent. It made no difference whether the horses were stabled or in a paddock, but the stabled horses tended to be more careful and to roll on their side. Researchers concluded that this behaviour is another indication of a normal, relaxed horse who is happy with his surroundings. What we can learn is that we should expect our horses to roll before they rise 0 and that putting big horses in small stables or tying them in stalls limits their ability to relax in a natural way.

Mimicking nature

In the wild, horses move a lot and eat almost continuously. But we typically confine our horses, feed them concentrate meals two or three times a day and then wonder why they suffer metabolic problems associated with obesity and a sedentary lifestyle. Australian vets pondered this in relation to the bare summer paddocks of Queensland, where horses and ponies simply hang around the hay feeders.

horses in fieldThey devised a box-shaped hay feeder, which could open on two opposite sides to give access to the hair. When the motorised door on one side open, the other side closed automatically. Each side open for five minutes before switching over, which forced the horses to swap from side to side to get the hay. The vets fixed a 10m long fence to the feeder, sticking out into the paddock, which the horses had to walk around to access both sides.

Ten horses were shown how the feeder worked before being fitted with GPS tracking collars. In a series of experiments, some horses were kept in a paddock with an open feeder and others in the paddock with the automated version. The amount they moved around was recorded. In a 4hour period, the horses with the motorised feeder walked on average 630m compared to the 117m covered by those with the regular feeder. This proves that if the source of food is moved, horses will move to find it – as they would in the wild.