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Placentitis...Please help

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  • Placentitis...Please help

    So last weekend my mare was diagnosed with placentitis at 264 days. Has milk dripping but no discharge and no other symptoms. Ultrasound showed slight thickening of placenta. Bloodwork came back “normal”. She was started immediately on SMZs, regumate 2x day and pentoxyfylline. She also received one initial dose of banamine. Mare is a 15 year old maiden. She is being closely monitored day and night. I believe we were able to catch it early. Today she is at 267 days.

    I realize that there have been other posts about placentitis and I’ve read them all. Most of them are from quite a long time ago so I’m wondering if anyone can provide some new insight or stories. I can’t find any statistics anywhere on what the odds are of my mare carrying close enough to term to deliver a healthy foal. I am beside myself with worry and I need some solid information to grasp onto. Any help would be much appreciated.

  • #2
    Last year my mare was diagnosed with ascending placentitis at 262 days and she held that foal for until 345 days and delivered a healthy colt. Since her placenta was so awful (seriously I have shown vets pictures and they were shocked a healthy foal came out of it) we did 10 days of antibiotics on the foal just to be safe. a friend of mine does placentitis research and she told me that if my mare held for the first 48-72 hours after I noticed the problem I had a pretty good chance of getting a live foal.

    Massive jingles for your mare and foal!


    • #3
      I have a mare that was diagnosed with placentitis on Day 259. No dripping milk but her bag suddenly started to fill. She was immediately put on TMS, Pentoxofylline, Banamine and Regumate. She was gradually weaned off of Regumate and Banamine and had her last doses on Day 328. By Day 341, she was fully bagged up and my gut told me to stop the other medications and she foaled a healthy filly on Day 343. I will say that through the entire diagnosis, we were diligent with her medication and never missed any of her doses.

      A great resource for placentitis is the EquineRepro group on Facebook. There are a lot of knowledgeable veterinarians and equine reproduction specialists on there.
      Home of Welsh Cob stallion Goldhills Brandysnap
      Also home to Daventry Equine Appraisals & Equine Expert Witness


      • #4
        I'll weigh in here too with a success story.

        My 14 year old maiden mare developed placentitis at around 260-270 (I don't remember exactly) and started bagging up. Since I was getting conflicting advice (the Repro center where I was going to send her to foal out said "that's her milk vein"), so it was a few days until I called the local repro vet who diagnosed placentitis and put her on Uniprim, Regumate, and Pentoxyfylline; she did an exam and said she had to "push my filly's head back down" because she was already moving up the birth canal! Yikes. She said there was already "partial placental separation", so worse than your mare.

        Of course I was beside myself with worry.

        My mare was at my boarding facility and on night turnout - my BM at the time had no repro experience, and during treatment I worried daily that my mare would foal prematurely in the field and my BM would find them I had trouble sleeping and lost weight (naturally my husband lost his job and my mother got colon cancer the same spring.)

        The weeks went by and my mare responded to treatment; the repro vet came back out to check her and said she was "80% healed"!, Hallelujah! Since I didn't want to take any more unnecessary chances, I trailered her to the Repro center a couple of weeks early so she could be monitored (Foalert was put in and they had a vet on-site), and drove an hour to see her every day, graze her, groom her, watch her stomach, etc.

        She started looking pretty uncomfortable at about day 320 - the filly was bouncing around (she had always been very active in-utero - my poor mare), and the vet said it could be any day. You know how it is with maidens!

        We were hoping she would hold on until day 325, and she did; delivered a healthy filly (now 7 1/2) who is the light of my life <3 She is not a big girl (finished at 15.2), but the mare is 15'3" and the sire (Escudo 2) was barely 16'0 - I WANTED a small horse since I am myself small, so it worked out perfectly. The mare is very healthy and is competing successfully.

        A thought on placentitis: with older mares, the vulva is often a bit sunken, and it only takes one bacterium to infect the uterus. My mare had a partial Caslick done after foaling (she tore a bit), but if I had thought about it, I would have noticed that her vulva was a bit tipped and sunken and asked the vets whether a Caslick would have been a good idea way earlier in the pregnancy.

        In any case, don't despair! If treatment is started promptly there is a good chance she will heal and hold onto the foal until it is "fully cooked."

        Big jingles for you and your mare, and please keep us updated!! Fingers crossed.

        "Hope is a good thing, maybe the best of things, and no good thing ever dies."

        "It's supposed to be hard...the hard is what makes it great!" (Jimmy Dugan, "A League of Their Own")


        • Original Poster

          Thank you all for the stories. I appreciate it! Vet came and did a recheck yesterday and the placenta thickness had reduced by 50%, so I guess all the meds are doing their job! He said he was optimistic, which makes me inclined to move forward with cautious optimism as well. There is a small amount of separation near the cervical star, but not in other areas so that is encouraging as well.


          • #6
            Here is an interesting article;

            Glad to hear your mare is improving.


            • #7
              Ducati, how's your mare doing?

              Mine looks like something's brewing (at day 303 today) and she's on SMZs, Regumate, and Banamine now, with an appointment first thing tomorrow morning. Right now just showing some udder development, but if there is any discharge, she'll go to the University clinic and be seen immediately. Of course I'm worried, especially as this mare foaled a redbag, premature, dummy foal in 2016, likely due to undiagnosed placentitis. That filly is coming 4yo now, and just lovely, but it was a long ordeal and definitely don't want to go through that again.

              So, hopefully your mare is still doing well, and I appreciate everyone's happy-ending stories. Keep 'em coming!
              Last edited by ElementFarm; Feb. 18, 2020, 09:59 AM.
              A good man can make you feel sexy, strong, and able to take on the world.... oh, sorry.... that's does that...



              • Original Poster

                ElementFarm thanks for asking. She is at 276 days today and the vet has been coming bi-weekly to do transrectal ultrasounds to monitor the thickness of the placenta and the amount of separation. They also did a casilisk's on her to prevent any more infection from getting in there, just as a precautionary measure. The last visit was on Monday and he said the placenta was almost back to the "normal" thickness, in other words, it was no longer inflamed. He said to keep her on the SMZs until today, when he is coming back to check yet again, and if everything still looks good then they are going to take her off the SMZs for a week and check again next Friday to make sure nothing is flaring back up. They are doing this because he says it is not good for her to be on SMZs in perpetuity unless it is absolutely necessary, because there are risks to her GI tract and her body in general. So that's the plan as of now. One thing to note is that her udder is still bagged up and slightly dripping milk on and off. But I guess the fact that the placenta is no longer inflamed and the separation is not progressing any further is a good sign. That's all I have to report at the moment! Thanks for your concern. How is your mare doing???


                • #9
                  Ducati, that's great news!

                  My mare seems fine. We took her up to the University clinic, and her placenta and bloodwork all look good. She's heavily pregnant and this point, and they said it looks like she's just going to go on the early side. She's at 311 days today, and we're monitoring closely and continuing regumate until Day 320 when we'll start to slowly wean her off. The State vets weren't too concerned, as long as she holds another 2 weeks or so. I'm crossing my fingers and toes, but for now, things seem to be okay....
                  A good man can make you feel sexy, strong, and able to take on the world.... oh, sorry.... that's does that...