Diagnostic imaging: an essential tool in the successful management of canine dystocia

Runcan, Erin E.

doi:10.1136/vr.l855

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…The results of the current audit suggest that dystocia case management broadly improved through each audit phase, including a significant increase in the use and recording of neonatal monitoring via fetal heart rate assessment during ultrasonography. This is encouraging, as diagnostic imaging is reported as a critical tool for successful management of canine dystocia 66 . Another area of improvement identified was better prescribing practice.…”

Section: Discussionmentioning

confidence: 76%

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Applying clinical audit for quality improvement in canine dystocia cases seen at a UK primary‐care emergency practice

et al. 2023

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Background: The paucity of published veterinary clinical audits suggests that clinical audit is an under-used tool for quality improvement (QI) in the veterinary profession. Therefore, a continuous QI process was designed and implemented at a UK multisite small animal emergency practice, focusing on audit of clinical management of canine dystocia. Methods: Data collection phases were undertaken in 2014, 2019 and 2021, with intervening knowledge dissemination activities. Nine variables relating to clinical management of canine dystocia were selected as audit criteria in the initial dataset, and 21 variables were measured in each subsequent phase. Results: Between 2014 and 2021, statistically significant increases (p < 0.05) were demonstrated in recording of bodyweight, use of diagnostic imaging, use of ultrasonography, recording of fetal heart rates, use of calcium gluconate, and use during caesarean section of intravenous fluid therapy, multimodal analgesia, full agonist opioids, paracetamol and local anaesthesia. Statistically significant decreases were demonstrated in median first quantity and median first dose of oxytocin, and in the use of NSAIDs during caesarean section. A clinical audit planning template was created for future audits. Limitations: Typical case presentation and management of canine dystocia cases may vary between dedicated emergency and non-emergency primarycare settings. Conclusion:This study demonstrates the feasibility of large-scale veterinary clinical audit and suggests that the application of the clinical audit process promotes learning within the veterinary team and improved clinical outcomes.

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Section: Discussionmentioning

confidence: 76%

“…This is encouraging, as diagnostic imaging is reported as a critical tool for successful management of canine dystocia. 66 Another area of improvement identified was better prescribing practice. Improved pharmacovigilance and safer prescribing practice were noted progressively in each audit phase.…”

Section: Discussionmentioning

confidence: 99%

Applying clinical audit for quality improvement in canine dystocia cases seen at a UK primary‐care emergency practice

et al. 2023

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“…Radiography is especially essential for determining foetal number, foetal misplacement and foetal-maternal incompatibility [15]. English Bulldogs are a brachycephalic breed and it is discussed that the breed's large head in relation to a narrow pelvis is the main reason for obstructive dystocia.…”

Section: Discussionmentioning

confidence: 99%

Radiographic Pelvimetry in Relation to Dystocia in Bulldogs

Horňáková,

Pettersen,

Horňák

et al. 2023

Folia Veterinaria

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Dystocia is a common complication of parturition in the breed of English Bulldogs, where most females are not able to have a natural parturition and many litters are delivered by caesarean section. The aim of this study was to evaluate the diameter of the pelvis of 11 females of English Bulldogs through radiographic pelvimetry and do proper measurements to observe if there are any correlations between a narrow pelvic canal and dystocia detected in the breed. The external parameters were also assessed to look for any differences between weight, height, and length in relation to the dystocia in the breed. The mean weight of the dogs with natural parturition was 21.25 ± 0.91 kg, whereas the females which had undergone caesarean section was 25.16 ± 1.44 kg (P = 0.0004). A P-value shows strong evidence for the hypothesis of this study as a possible factor of dystocia of the breed. The values of height and length in the category of dams which had undergone natural parturition were in cm 44.8 ± 2.48 (length) and 36.1 ± 0.98 (height). In the category of dogs which had undergone caesarean section, the parameters were in cm 45.4 ± 2.60 and 36.0 ± 1.58, respectively. The P-value for length were 0.72 for length and P-value for height were 0.83. Difference between the diameter of the pelvis in the two groups of English Bulldog females was P = 0.12, so there is no significant evidence. However, it could be significant for a possible future study with a higher number of animals for measuring pelvic diameter.

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Diagnostic imaging: an essential tool in the successful management of canine dystocia

Cited by 2 publications

References 9 publications

Applying clinical audit for quality improvement in canine dystocia cases seen at a UK primary‐care emergency practice

Applying clinical audit for quality improvement in canine dystocia cases seen at a UK primary‐care emergency practice

Radiographic Pelvimetry in Relation to Dystocia in Bulldogs

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