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Friday, August 30, 2013

Bovine uterine involution

Key words: bovine, involution, uterus, cycling, estrous, cycles, postpartum, palpation

The uterus of a cow, two weeks after calving, opened to show the state of involution. At this stage of involution, the areas of the endometrium have already involuted (this occurs by about 10 days after calving) but the caruncles themselves have not even sloughed their epithelium completely. It is only by 12 to 14 days that (at about the stage the uterus in this image) that the sloughing process reaches the capillary beds, releasing red blood cells into the lumen. It also at this time, that neutrophils enter the lumen, attracted by chemotaxis to the contaminated lochia. Therefore lochia that are somewhat purulent and blood tinged at this time are normal.

The contents of the uterus are normally contaminated (not infected) by bacteria up until 25 to 30 days postpartum. The bacterial swab in the inset has been added as a reminder to this fact. Uterine cultures taken before this time being of limited value.



Image size: 1229 x 1162px

During transrectal palpation, it only possible to grasp the cranial border of the uterus by about this stage of involution i.e. 10 to 14 days after calving; much later than in mares. The size of an average human hand is given to scale to allow one to appreciate that challenge. Depending on management and health of  animal it has returned to its pre-pregnancy size by about 35 days after calving; in some reports as early as 25 days; in others, as late as 50 days. It is easily retracted at that time. After calving, the uterus of a cow is always larger than that of a heifer.

Although the corpus luteum of pregnancy is visible for several weeks after parturition (see the inset at right above) it has ceased to function at the time of calving.

Uterine involution is for all practical purposes, disconnected from ovarian function in cattle. It is also disconnected from estrous behavior. In dairy cows (where human interference prevents calves from suckling) the first ovulations after calving often occur before 20 days postpartum but those ovulations are seldom accompanied by signs of estrus. Over the next two to three ovulations (which occur at increasing intervals between one another) estrous display becomes more obvious. Interestingly, the process of uterine involution is slower than both the resumption of normal ovarian activity and estrous display.

Although the epithelial regeneration over the caruncles is largely complete by 30 to 35 days postpartum, global involution of the uterus continues over the next 10 to 15 days. Certainly, the uterus is completely involuted by 70 to 75 days, when the first inseminations start occur after calving in most dairy cattle i.e. the "voluntary waiting period". In beef animals, where suckling occurs, and breed and energy intake can also have profound negative effects on postpartum anestrous intervals, uterine involution is complete long before re-breeding occurs and is seldom a limiting factor in postpartum fertility.

Note of interest: Although the complex physiology of postpartum anestrus (nutrition, breed, presence of milk in the udder, calf contact etc) is still not completely understood, one of the cornerstones of anestrus appears to be a lack of LH secretion. Strangely, FSH secretion is a not a limiting factor in the resumption of cyclicity, well developed follicle populations being plentiful well before the first ovulations occur. A major negative effect on LH secretion is that of endogenous opioids (endorphins). This is not only true for cattle in the postpartum period but for mammals in general, including humans. LH secretion increases almost immediately after morphine antagonists such as naloxone and naltrexone are administered.