In this prospective cohort study, Holstein cows considered to be at high risk of developing metritis (dystocia, twins, stillbirth, retained placenta, or their combination) were matched with herdmates at low risk of developing metritis (normal calving) and monitored daily for rectal temperature and uterine discharge during the first 12 d in milk (DIM). Blood was sampled on d 0, 1, and 3 postpartum for assessment of neutrophil phagocytic and oxidative burst activities. Blood was also sampled at 0, 1, 2, 3, 4, 7, and 12 DIM for determination of serum concentrations of Ca, K, Mg, nonesterified fatty acids, β-hydroxybutyrate, and glucose. On the basis of receiver operator characteristic curves, subclinical hypocalcemia (SCH) was defined as a serum Ca concentration ≤8.59 mg/dL in at least 1 sample in the first 3 DIM. The overall incidences of metritis and puerperal metritis were 47.3 and 30%, respectively. Concentration in blood and percentages of neutrophils undergoing phagocytosis and oxidative burst were all reduced in cows with SCH compared with normocalcemic cows. Cows with SCH were at a greater risk of developing fever, metritis, and puerperal metritis compared with normocalcemic cows. Among cows at low risk of developing metritis, those with SCH had a greater incidence of metritis (40.7%) compared with normocalcemic cows (14.3%). Similarly, among cows at high risk of developing metritis, cows with SCH had a greater incidence of metritis (77.8%) compared with normocalcemic cows (20.0%). Cows with SCH had elevated concentrations of nonesterified fatty acids and β-hydroxybutyrate compared with normocalcemic cows. The relative risk of developing metritis decreased by 22% for every 1mg/dL increase in serum Ca. Neither metritis nor SCH influenced the resumption of estrous cyclicity by 38 DIM, but cows with SCH had a reduced pregnancy rate and a longer interval to pregnancy compared with normocalcemic cows. Finally, the population risk to develop uterine diseases attributable to SCH was 66.6% for metritis and 91.3% for puerperal metritis in the present study.

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The objective of this observational field study was to validate the relationship of serum concentrations of nonesterified fatty acids (NEFA), β-hydroxybutyrate (BHBA), and calcium with disease in early lactation across different management systems. Fifty-five Holstein freestall dairy herds located across the United States and Canada were selected and visited weekly for blood sample collection from 2,365 cows. Only diseases that were consistently recorded across herds and blood samples collected before the disease occurred were considered. Metabolite concentrations in serum in wk -1 relative to calving were considered as predictors of retained placenta (RP) and metritis, and metabolite concentrations in serum in wk -1 and wk +1 relative to calving were considered as predictors of displaced abomasum (DA). For each disease, each metabolite, and week of sampling in the case of DA, a critical threshold was calculated based on the highest combined sensitivity and specificity and used to categorize the serum concentrations into high and low risk categories. Multivariable logistic regression models were built for each disease of interest and week of sampling, considering cow as the experimental unit and herd as a random effect. Cows with precalving serum NEFA concentrations ≥ 0.3 mEq/L were more likely to develop RP [odds ratio (OR) = 1.8; 95% confidence interval (CI) = 1.3 to 2.6] and metritis (OR = 1.8; 95% CI = 1.5 to 2.9) after calving than cows with lower NEFA concentrations. Precalving NEFA ≥ 0.5 mEq/L (OR = 2.4; 95% CI = 1.5 to 3.7), postcalving NEFA ≥ 1.0 mEq/L (OR = 2.7; 95% CI = 1.7 to 4.4), and postcalving calcium ≤ 2.2 mmol/L (OR = 3.1; 95% CI = 1.9 to 5.0) were associated with subsequent risk of DA. In conclusion, elevated serum NEFA concentrations within 1 wk before calving were associated with increased risk of RP, metritis, and DA after calving. Serum NEFA and calcium concentrations in the 2 wk around calving in combination were associated with the risk of DA.

The objective was to examine milk production, health, and economic performance among Holstein heifers during first lactation on 3 commercial dairy farms in California. Heifers (n = 1905) were moved to the breeding group between 360 and 390 d of age and grouped retrospectively according to age at first calving (AFC) as low (< or =700 d), medium (701 to 750 d), and high (> or =751 d). Within farm, growing heifers were managed similarly, as were lactating primiparous cows, for the first 310 d in lactation. Heifers were fed to gain 0.70 to 0.80 kg/d from 4 mo of age to breeding, and 0.8 to 0.9 kg/d from breeding to 252 to 258 d of pregnancy. First calving at <700 d was associated with reduced yields of milk and milk components. Cows in the high age group produced more milk fat and true protein than medium and low cows. Incidence of stillbirths was highest for cows in the low group (19.8%), but stillbirths were also a concern for those calving at medium (16.1%) or high age groups (13.5%). Both low and high cows had lower conception rates at first postpartum AI, and abortions averaged 9.8% across groups. Days open and number of inseminations were lower for medium than low cows. Incidence of mastitis and lameness was lowest for cows in the medium group. Culling and mortality rates were not affected by AFC, but among those that died, cows in the low group tended to die earlier postpartum than cows in the high group. Heifers in the medium group had an adjusted income value numerically higher by 138.33 dollars and 98.81 dollars compared with those in the low and high groups, respectively. First calving at <700 d compromised first lactation yields of milk and milk components and impaired reproductive performance. However, extending AFC beyond 750 d did not improve lactation, reproduction, or health of primiparous cows. Although not preassigned to age groups before start of breeding, Holstein heifers managed as in this study had the highest economic return when calving between 23 and 24.5 mo of age.

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