In the early part of the 20th century, veterinarians began to perform Caesarean section (CS) in cows. At first, it was a final remedy to save the calf and/or the cow in more complicated obstetrical cases. As in Belgium, the Belgian Blue (BB) breed has become the predominant beef breed, CS are currently performed on a routine basis in daily practice. The overwhelming success of the breed is based on its hypermuscularity and exceptional carcass characteristics with high killing out (>70%). These and other characteristics made the breed popular and newborn animals valuable. Consequently, farmers do not want to take any risk of losing the calf during birth. This, together with the fact that bovine practitioners perform CS successfully on a routine basis, has made CS an elective operation. It is, however, important to remember that CS is still a major abdominal operation and that complications are not uncommon both during and after the operation. To end up with a good success rate, it is very important to follow a high-quality and sterile surgical procedure. The current paper describes the standard protocol by which CS are performed by the veterinarians of the Ambulatory Clinic of the Department of Reproduction, Obstetrics, and Herd Health of the Faculty of Veterinary Medicine in Ghent (Belgium). The aim of the article is to provide a successful protocol as regards CS. We especially focus on those factors which are known to be limiting for the success of the surgery and highlight the most recent recommendations to optimize the outcome of the operation.

In this article, a simulation model for rectal palpation teaching in cows, Breed'n Betsy, is evaluated. Furthermore, the learning process of rectal palpation is depicted during a training period in live cows. In experiment 1, eight students were trained in live cows (group A) and nine students were trained using Breed'n Betsy (group B). After 25 palpations, their ability to localize and evaluate structures was evaluated in practical tests in live cows. Group A had higher results than group B (p<0.001) and were more skilled at localizing the uterus and localizing and evaluating the ovaries (p<0.05). Group B was better at pregnancy diagnosis (nonsignificant). Results suggest that Breed'n Betsy cannot fully replace training in live cows, but may be a valuable addition to the classical teaching method. Suggestions for future improvement are made. In experiment 2, 10 students were intensely trained in live cows throughout the year and evaluated in practical tests at three time points (September, January, and March). Results were analyzed as a function of time point and the category of experience (1: 0-50 cows; 2: 50-100 cows; 3: 100-150 cows; 4: 150-200 cows; 5: >200 cows). Results increased in time (p<0.05) and were higher in categories 3, 4, and 5 than in category 1 (p<0.05). Although all of the students in the higher categories successfully localized the cervix, uterus, and ovaries, they had difficulties in interpreting these structures, suggesting that palpation of 200 cows is insufficient to reach a consistent level of expertise.

At calving, purebred animals of the Belgian Blue (BB) breed are compromised by the incompatibility in size and shape of the dam and her calf, resulting in a very high incidence of dystocia problems. To clarify which body parts of the calf are of decisive importance to allow natural delivery and to investigate both the mean value as well as the variation among these body sizes within this breed (variation being an important condition for selection), measurements of nine body parts (body weight at birth (BW), body length (BL), length of the head (LH), shoulder width (SW), hip width (HW), heart girth (HG), withers height (WH) and the circumference of the fetlock of both the front (CFF) and the hind leg (CFH)) were assessed in 147 newborn purebred BB calves on 17 farms. Simple and partial correlations were assessed and we examined whether environmental factors (gender of the calf, parity of the cow, type of calving, season of birth and time of measurement after birth) were significantly associated with these specific calf measurements. The mean BW was 49.2 6 7.1 kg. The average BL was 56.4 6 4.5 cm and the mean LH was 24.4 6 2.3 cm. Measurements obtained for SW and HW were 22.4 6 2.2 and 22.9 6 2.1 cm, respectively, whereas the mean WH was 71.1 6 4.7 cm. Measurements of circumferences revealed a CFF of 17.9 6 1.1 cm, a CFH of 18.0 6 1.0 cm and a mean HG of 78.0 6 5.4 cm. Partial correlations of the BW with eight body measurements were significant (P , 0.01) and ranged between 0.17 and 0.85; 0.42 and 0.88; and 0.24 and 0.88 when corrected for gender, parity and type of calving, respectively. BL (P , 0.01) and the CFF and CFH (P , 0.001) are larger in bull calves than in heifer calves. Calves born through caesarean section had broader SW (P , 0.01) and HW (P , 0.01) when compared with calves born after natural calving (defined as born per vaginam without assistance or with slight traction). Sizes of calves born out of multiparous cows were generally larger than of calves born out of heifers (SW: P , 0.001; HW: P , 0.05). As SW and HW are the broadest points of a BB calf, they are both candidates for being the limiting measures for calving ease, but the difference between HW and SW for the total data set was not different from zero (P . 0.05). In contrast to male calves in which no significant difference (between HW and SW) could be found, female calves show the difference between HW and SW that was significantly different from zero (P , 0.001); thus, in female calves, the HW is the most limiting factor of the calf's body. The significant variation in some body measures between the calves and the strong correlation within these sizes raises the possibility of selection towards smaller calves aiming to limit the dystocia problem in the BB breed. Furthermore, on the basis of our results, we were able to build equations for the farmer to use at the moment of calving containing the LH, the CF and the calf's gender to estimate SW and HW, the limiting body parts of the calf to be born naturally. Together with the knowledge o...