VCP 511: Gynaecology and Obstetrics Section

TREATMENT

• Should be conservative.
• Massage and douching of the uterus, attempts to remove the retained fetal membranes should seldom ever be performed in cases of septic metritis.
• Septicemia and toxemia should be overcome before these manipulative procedures are used.
• In early cases 20-40 IU units of oxytocin intramuscular may be of some value in producing tonicity the atonic uterus.
• If the uterus is filled with a large amount of fetid fluid this should be gently siphoned off.
• Siphoning of the uterus in large animals should be done carefully with a sterile rubber hose since the uterine wall may be very friable and easily ruptured.
• One to 3 gm of terramycin solution may be of great value in controlling the infection locally and even systemically by absorption from the uterus.
• Antibiotics and sulphonamide therapy are indicated parenteral. The antibiotics such as procaine penicillin, 10,000 units per Kg/ body weight, daily and streptomycin, 2.5 gm intramuscular; terramycin or tetracycline intravenously at a rate of 5-10 mg /per Kg/ body weight daily, are of definite value.
• In valuable cows, antibiotics and sulphonamides may be combined.
• Other supportive therapy such as saline and glucose solutions may be administered intravenously daily.
• Administration of injection Calcium borogluconate 400ml/i/v seems of value especially in the early cases and may increase the tone of the uterus.
• Antihistamines may be of value.
• Forced feeding may be helpful.
• Good nursing in a suitable stall or other equally comfortable environment is essential.
• If possible should be fed with fresh cut green feed daily.
• If straining is present epidural anaesthesia should be used to control it until the cause of the condition is determined and corrected.
• A favorable recovery is shown by resumption of appetite,less fetid and thick discharge.