It is now well established that IUGR is associated with an increased risk of a range of adult onset diseases, including cardiovascular disease, obesity, and type 2 diabetes. Infants from twin pregnancies are generally born smaller than singletons; therefore, it has been suggested that twins represent a naturally occurring model of IUGR. Although twin gestations contribute significantly to the population burden of preterm birth and small size at birth, whether twins have the same long-term health consequences as IUGR singletons remains unclear. The purpose of this review is to consider what is currently known about the clinical implications of twinning, the differences that exist between the growth and developmental profiles of singleton and twin fetuses, and to use this as a basis for exploring the question of whether fetuses conceived as twins are analogous to IUGR singletons of similar birthweight and gestation. This question is increasingly important in both the clinical and research settings, because the incidence of twinning is increasing and the long-term implications of reduced size at birth are mostly investigated in species which bear multiple offspring.

Key points• Reduced size at birth and shorter gestation length are both associated with increased risks of non-communicable diseases (NCD) in later adult life.• Twins are born both smaller and earlier than singletons and adult twins also are reported to be at increased risk of common NCDs such as diabetes.• The smaller size and shorter gestation length of twins has been presumed to be due to a lack of intrauterine space and/or limitations of placental nutrient supply in late gestation, but there are few data to support this.• We show that size at birth and adult fat mass in twin sheep are determined largely in early gestation.• Knowledge of the mechanisms underlying early pregnancy determination of fetal growth and gestation length in twins are likely to increase understanding of how early pregnancy factors influence lifelong health for offspring from all pregnancies.Abstract Size at birth is related to adult health outcomes. Twins are born smaller than singletons; this has been assumed to be secondary to limited nutrient supply in late gestation. We hypothesised that growth trajectory in twins, and the adult consequences of being conceived a twin, are determined in early gestation. Twin pregnancies in sheep were randomised to reduction of one twin on day 42 of a 148 day pregnancy by intra-thoracic KCl (Reductions, n = 46) or a sham procedure (Twins, n = 22). Singleton-bearing ewes also underwent a sham procedure (n = 27). Ewes lambed spontaneously. Linear measures of size at birth were similar in Twins and Reductions, and significantly less than in Singletons. Birthweight was lower in Twins and Reductions than in Singletons, and less in Twins than in Reductions (means (SEM): Singletons, liveborn n = 23: 6.59 (0.17) kg; Twins, liveborn n = 36: 5.23 (0.16) kg; Reductions, liveborn n = 27: 5.76 (0.15) kg; all comparisons P < 0.05). Reductions grew most rapidly between birth and weaning (Singletons, 20.0 (0.4) g kg −1 day −1 ; Twins, 20.0 (0.3) g kg −1 day −1 ; Reductions, 21.0 (0.3) g kg −1 day −1 , P < 0.05) and were of similar weight as Singletons by weaning; Twins remained smaller by weaning but grew most rapidly thereafter (Singletons, 1.6 (0.1) g kg −1 day −1 ; Twins, 2.1 (0.1) g kg −1 day −1 ; Reductions, 1.6 (0.1) g kg −1 day −1 , P < 0.01), so that all groups had similar weight at 2 years. However, Twins and Reductions had greater percentage fat mass than Singletons at 2 years (Singletons, 11.1 (1.1)%; Twins, 14.8 (1.2)%; Reductions, 15.5 (1.1)%, P < 0.05). Thus, in twins, fetal growth trajectory, linear size at birth and adult fat mass are largely determined in early gestation. If this is also true in humans, there are important implications for interventions aimed at optimising fetal growth and pregnancy outcome. Abbreviations βHBA, beta hydroxybutyrate; CRL, crown-rump length; CV, coefficient of variation; DXA, dual energy X-ray absorptiometry; FFA, free fatty acids; HPA, hypothalamic-pituitary-adrenal; IGF-1, insulin-like growth factor-1; RIA, radioimmunoassay.

Lamb survival is an important welfare and productivity issue for sheep industries worldwide. Lower lamb survival has been reported for primiparous ewes, but the causes of this are not well studied. The aim of this study was to determine causes of perinatal deaths for lambs born to primiparous ewes in Western Australia, and identify if infectious diseases are implicated. Lamb mortality from birth to marking were determined for 11 primiparous ewe flocks on 10 farms in Western Australia. Lamb mortality from birth to marking averaged 14% for single-born and 26% for multiple-born lambs. Lamb necropsies (n = 298) identified starvation–mismosthering–exposure (34%), dystocia (24%) and stillbirth (15%) as the most common causes of perinatal lamb death. There was no evidence of exotic abortigenic pathogens in aborted and stillborn lambs (n = 35). Chlamydia pecorum was detected by qPCR in 15/35 aborted and stillborn lambs on 5/6 farms. Preliminary molecular characterisation of C. pecorum detected in samples from aborted and stillborn lambs (n = 8) using both Multilocus Sequence Typing and ompA genotyping indicated all strains were genetically identical to previously described pathogenic livestock strains, denoted ST23, and dissimilar to gastrointestinal strains. High frequency of detection of a pathogenic C. pecorum strains ST23 associated with ovine abortion and stillbirth on multiple farms located across a wide geographic area has not been previously reported. Chlamydia pecorum may contribute to reproductive wastage for primiparous sheep in Western Australia. Further investigation to understand C. pecorum epidemiology and impact on sheep reproduction is warranted.

The contribution of abortions to the overall mortality of lambs born to maiden (primiparous) ewes in Australia remains unclear. This cohort study aimed to quantify abortion and lamb mortality for ewe lambs and maiden Merino two-tooth ewes. Lamb mortality from pregnancy scanning to marking were determined for 19 ewe lamb and 11 Merino two-tooth ewe flocks across southern Australia. Average lamb mortality from scanning to marking was 35.8% (range 14.3–71.1%) for the ewe lambs and 29.4% (range 19.7–52.7%) for the two-tooth ewes. Mid-pregnancy abortion was detected in 5.7% of ewes (range 0–50%) in the ewe lamb flocks and 0.9% of ewes (range 0–4.4%) in the two-tooth ewe flocks. Mid-pregnancy abortion affecting ≥2% of ewes was observed in 6/19 ewe lamb flocks and 2/11 two-tooth ewe flocks. Lamb mortality from birth to marking represented the greatest contributor to foetal and lamb mortality after scanning, but mid-pregnancy abortion was an important contributor to lamb mortality in some ewe lamb flocks. Variability between the flocks indicates scope to improve the overall reproductive performance for maiden ewes by reducing foetal and lamb losses. Addressing mid-pregnancy abortion may improve the reproductive performance in some flocks.

Grazing vegetative wheat, barley and oats (both dual-purpose and traditional spring varieties) is becoming an important strategic and tactical grazing option on farms where crops and livestock coexist. However, metabolic disorders have been reported and many producers avoid grazing these crops with reproducing ewes because of the risk. A recent survey of 18 farms grazing crops with pregnant ewes indicated a high proportion of grazed crops had forage calcium (Ca), sodium (Na) and magnesium (Mg) below published requirements and potassium (K) above the published maximum tolerable level. Many ewes grazing these crops had concentrations of Ca in plasma and urine indicative of a low or marginal Ca status. The aims of the present study were to further investigate the changes in mineral status that occur in ewes grazing vegetative crops during late pregnancy and to measure the effectiveness of mineral supplements for improving Ca and Mg status. On each of six farms, a paddock growing cereals in the vegetative stage was subdivided into three plots. Three groups of 30 pregnant ewes were selected and each group allocated to one plot. Forage was provided as wheat on four farms, barley on one farm and oats on one farm. Ewes were mature (3–7 years), in the last third of pregnancy (between 108 and 129 days after the start of mating) and were mostly twin-bearing. They grazed the crops for 21 days. One group of ewes was given no supplement (Control), a second was provided with an industry standard supplement (Standard) [Causmag (MgO):limestone (CaCO3):salt (NaCl), 40:40:20] at 30 g/day, whereas the third group was provided with a low dietary cation-anion difference (DCAD) supplement (New) (MgCl2.6H2O:CaSO4.2H2O:NaCl, 12.5:32.5:55.0) also at 30 g/day. Both Ca supplements improved Ca and, to a lesser extent, Mg status. The supplemented ewes showed significant increases in Ca concentration in urine, plasma and Ca fractional excretion on all but one of the six farms. There were no consistent differences between the two supplemented groups of ewes. It is concluded that the Ca status of ewes grazing vegetative cereal crops in late pregnancy can be improved by providing supplements containing Ca, Mg and Na. As the literature indicates the relationship between Ca status and susceptibility to hypocalcaemia is still inconclusive, additional research on a commercial scale is required to determine if supplements decrease the incidence of metabolic disorders when pregnant ewes graze cereal crops.