Gebe bir köpekte meydana gelen vajinal doku prolapsusunun doğum sürecine etkisi

Prolapsus vajina ödemli vajina dokusunun vagina lumeninde ve çoğunlukla da vulva dudakları arasında görülmesi olarak tanımlanmaktadır. Köpeklerde prolapsus vajina olgusu genellikle proöstrus ile östrus dönemlerinde ve gebeliğin sonuna doğru plazma östrojen düzeyinin yükselmesi ile ilişkilidir. Prolapsus vajina gebe köpeklerde nadir olarak görülmektedir. Sunulan çalışmanın amacı gebeliğin son döneminde meydana gelen vajinal doku prolapsusun doğum sürecine etkisini araştırmaktı. Çalışmanın materyalini gebeliğinin son döneminde prolapsus vajina şikayeti ile getirilen 1 yaşlı, 29 kg ağırlığındaki Dogo Argentino ırkı bir köpek oluşturdu. Klinik muayeneler sonucunda olgu vajinal katların prolapsusu olarak teşhis edildi. Transabdominal ultrasonografi uygulaması ile yapılan gebelik muayenesi sonucunda canlı ve sağlıklı fetüsler tespit edildi. Muayenelerden sonra vajinal kitle temizlenerek ret edildi. Hematolojik testler için kan örnekleri alındı. Tam kan sayımı sonuçları normal sınırlardaydı. Serum östrojen ve progesteron düzeyi sırasıyala 6.93 pg/ml ve 23.27 ng/ml olarak ölçüldü. Doğum spontan olarak başladı ve bir canlı yavru doğdu. Daha sonra doğmayan 7 yavru sezaryen operasyonu ile alındı. Sonuç olarak; gebeliğin son döneminde meydana gelen prolapsus vajina olgusunun doğumun başlaması üzerine bir etkisinin olmadığı anlaşılmıştır. Ancak bu tür olgularda anne ve yavruların sağlığı için doğum sürecinin takip edilmesi gerekli görülmüştür.

Effect of vaginal fold prolapse occurrence in a pregnant bitch on parturition process

Vaginal prolapse is defined as a protrusion of edematous vaginal tissue into the vaginal lumen and often through the vulvar lips of the bitches. Vaginal prolapse is frequently related to the increase in plasma estrogen level during the proestrus, estrus period and at the end of the pregnancy. In the pregnant bitches, however, vaginal prolapse is a rare condition. The objective of this case was to determine the effect vaginal fold prolapse events occurred during the last period of pregnancy on parturition. This article describes a 1-year-old Dogo Argentino bitch, weighing 29kg, presented due to vaginal prolapse which occurred during the last trimester of pregnancy. On clinical examination, the case was diagnosed as vaginal fold prolapse with about diameter of 50mm. Transabdominal ultrasonography was performed to evaluate the bitch's pregnancy status and revealed live fetuses in the uterus. The bitch and fetuses were healthy in performed examinations. And then the vaginal mass was cleaned and placed into normal position. Blood samples were taken for hematological tests. The results of complete blood count were within normal range. Serum estradiol and progesterone levels were 6.93 pg/ml and 23.27 ng/ml, respectively. Parturition was started spontaneously 58 days after mating and a healthy puppy was born. Unborn puppies were detected and C-section was performed. Seven live puppies were removed from the uterus. In conclusion; it was determined that the vaginal fold prolapse event that occurred during the last period of pregnancy was no effect to start of parturition. And also, it was concluded that monitoring of the parturition process would be beneficial for the health of the mother and the puppies.

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  • Ajadi TA, Ajayi OL, Adeniyi AA, Ajadi RA (2016): Vaginal wall hyperplasia with fold prolapse in an eight-month-old Cane Corso dog. Bulg. J. Vet. Med. 19(3): 252-258.
  • Alan M, Cetin Y, Sendag S, Eski F (2007): True vaginal prolapse in a bitch. Anim Reprod Sci 100(3): 411-414.
  • Antonov AL, Atanassov AS, Georgiev PI (2009): A modified technique for prolapsed fold excision in a bitch with vaginal hyperplasia. Bulg. J. Vet. Med. 12(4): 260-264.
  • Barstow C, Wilborn R, Johnson A (2018): Breeding soundness examination of the bitch. Veterinary Clinics of North America: Small Animal Practice. Doi: 10.1016/j.cvsm.2018.02.004
  • Darbaz I, Ergene O, Canooglu E, Gultekin C, Aslan S (2017): The assessment of diagnostic and ultrasonographic findings in a bitch with true vaginal prolapse. Kafkas Univ Vet Fak Derg 23(5): 843-846
  • Gouletsou PG, Galatos AD, Apostolidis K, Sideri AI (2009): Vaginal fold prolapse during the last third of pregnancy, followed by normal parturition, in a bitch. Anim Reprod Sci 112(3): 371-376.
  • Johnston SD, Kustritz MV, Olson PS (2001): Canine and feline theriogenology.233-235. Saunders.
  • Musal B, Ağaoğlu AR (2013): Gebelik ve Fizyolojisi. 345-358. In: Kaymaz M, Fındık M, Rişvanlı A, Köker A (Ed), Köpek ve Kedilerde Doğum ve Jinekoloji, Medipres, Malatya.
  • Sarrafzadeh-Rezaei F, Saifzadeh S, Mazaheri R, Behfar M (2008): First report of vaginal prolapse in a bitch treated with oestrogen. Anim Reprod Sci 106(1): 194-199.
  • Simon MS, Gupta C, Sankar P, Ramprabhu R, Pazhanivel N, Prathaban S (2016): Surgical management of recurrent vaginal prolapse in bitches–A review of five cases. Indian Vet. J., 93(11): 54-56.
  • Veiga GAL, Silva LCG, Lúcio CF, Rodrigues JA, Furtado PV, Oliveira CA, Vannucchi CI (2009): Oxytocin and estrogen profile throughout pregnancy and parturition in bitches. World Small Animal Veterinary Association World Congress Proceedings. Department of Animal Reproduction, FMVZ-USP, São Paulo, Brazil.
  • Zedda MT, Bogliolo L, Ariu F, Ledda M, Falchi L, Pinna-Parpaglia ML, Pau S (2016): Vaginal fold prolapse in a dog with pyometra and ovarian papillary cystadenocarcinoma. Journal of the American Veterinary Medical Association, 248(7), 822-826.