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PREGNANCY DIAGNOSIS IN ruminants

1 Introduction

Rectal palptation in small ruminants is of little value due to the size of the pelvis. (Wani, 1981). The caudal artery monitoring, bloatment, non-return to oestrus, udder development and other tests tried have had little success, (Wani & Sahni,1980). The more recent interest in early pregnancy 3. diagnosis of small ruminants is of academic and economic importance (Mellado,2003). A highly valued zygote or embryo when transferred to a less valued surrogate mother (recipient) needs to be closely monitored and the early detection of conception helps in repeated use of baren females. Proper management of pregnant animals also prevents embryonic losses. The method applied should be safe to both offspring and dam and needs to be cheap and easily applied. A review of various methods and techniques used for early pregnancy diagnosis in small ruminants. (sheep and goats) is presented.

.2 Early Signs of Pregnancy

2.1. Maintenance of a functional corpus luteum

It was evident that conception prolongs the life of the CL and prolongation and maintenance of a functional CL is triggered by the developing conceptus. These signals ensure the maintenance of the structural integrity of the CL. Corpus luteum produces progesterone, which maintains the uterine endometrium in a state permitting embryonic development, implantation and foetal-placental development (wani,1984b) . The formation and regression of the corpus luteum (CL) in Muzzaffarinagri ewes and Jamunapari goats was monitored at 3 days intervals for an entire oestruous cycle. Laparotomy and laparoscopic methods were used in these experiments.

The Endometrium undergoes tissue remodeling. This change in Extra cellular Matrix (ECM ) components is needed for successful implantation. Cytokinens 8,18 and 19 have been detected in the caprine endometrium during early pregnancy using immunofluorescence. Thus the presence of these cytokinen at approximately day 15 post conception is indicative of pregnancy in goats.

The implantation process in goats starts around day 18 post mating. During this phase intense type I collagen staining was detected throughout the uterine caruncular and intracaruncular stroma. For embryonic trophoblastic adhesions with endometrium, local control of protease activity is suggested. (Guillomot, 1999).

The earliest signs of pregnancy is the non-regression of the cyclic CL, which can be observed by the following methods:

i. Laparoscopy and Laparotomy approximately day 18-25 post mating. (Wani, 1982, 1988, 1984b,Wani & Buchoo, 1990, Wani & Buchoo, 1993, Cuellar et al, 1990, Wani et al, 2003).

ii. Serum Progesterone values higher than 1 ng/ml e.g 2 to 3 ng/ml. (Wani, 1989; Shreif, 1997, Boscas et al, 2003, Al-Merestani et al, 1999, Zarkawiet et al, 1999). Diagnosis of Pregnancy accurately (100%) predicted on the basis of serum progesterone P4 values around 17-19 days post mating .

iii. Pregnancy associated ovine glycoproteins recorded approximately post mating indicate pregnancy in sheep. (Karen et al, 2003; Verberckmoes, et al, 2004) or secretion of 17 & 22-24 K Da proteins on day 17 post mating in the caprine conceptus. (Guillomot et al, 1998).

iv. Non-return to oestrus (Mellado, 2003)

Some of the other early pregnancy signs detected by various methods are set out in Table 1.

3 Non-rejection of early conceptus

Progesterone maintains the uterine endometrium in a state which allows for embryonic development, implantation and foetal placental development. Details of foetomaternal relationships have been described (Mufti, 1997, Mufti et al, 2000)and are shown illustrated in Fig 1to 5. The presence of an early conceptus prolongs the life of corpus- luteum. These pregnancy signals are secreted as proteins. (Heap et al, 1990). Some of these proteins have been identified as ovine Trophablast protein I (OTP-1) in sheep which prevents the release of PGF2 alpha and thus helps in the maintenance of the corpus luteum. In cyclic ewes (non-pregnant) PGF2 alpha pulses are released in response to oxytocin with receptors being in the endometrium. The earliest signal of pregnancy is detected by a marked reduction in the endometrial oxytocin receptor numbers. The OTP-1 may inhibit synthesis of endometrial receptors for oestrogen and oxytocin. This possibly prevents luteolysis and maintains the dominance of theuterus by progesterone which is pre-requisite for the establishment and maintenance of pregnancy. (Bretzlaft and Romano, 2001; Wani, 1996; Ala cam et al, 1988).

The expression of progesterone receptors (PR) in the caprine uterus markedly increases during the peri-implantation period and estrogen –(ER) receptors do not increase in relation to PR, thus signaling the non-rejection of the early conceptus. (Flores et al, 2001). Progesterone in milk too can be found during early fertilization and conception (Cough et al, 1989).

Caprine H-type I antigen expression is unregulated during peri-implantation and progesterone P4 level stimulate it. It may be a useful marker to signal uterine preparations for receiving and retaining pregnancy in goats. (Powell et al, 2000). The caprine pregnancy related glycoprotein (Ca PAG) may help the conceptus to develop and is found around 18-19 day post mating . (Garbayo et al 2000). Endometrial tissue the undergoes remodeling to retain the conceptus in gravid small ruminant females. (Guillomot, 1999)

The dephosphorylated state of caprine uterine myocin in early pregnancy may help the conceptus to grow. Changes in the expression of native myocin, myosin heavy chains (MHCS) and myosin light chains (MLCS) were observed. (Kumar and Katoch, 1997).

For the development of the blastocyst, a proper uterine environment is essential. Besides the maintenance of the corpus luteum, production and availability of progesterone, the non-rejection of conceptus (blastocyst) is another critical feature of this period. The embryo produces interferons (embryo-IFN). This embryo IFN is homologous with – interfersons ( ? –IFN) and Ovine Trophoblast Interferons (OTI) of early pregnancy.

Purified OTP and recombinant OTP (r-oTP) produced in yeast exhibit antiviral activity and these r-OTP and OTP inhibit the release of endometrial PGF2 ? . This helps in the non-regression of the CL and indirectly maintains the early conceptus. Intra uterine r-OTP administered at a dose of 340 µg/ day for a week maintained the C.L in cyclic ewes for a month or so of . The inter- oestruos interval in 80% of the ewes was about a month or more. This dose r-OTP was as a effective as 14-16 day old conceptus. OTP was found to be immunosuppressive in several in-vitro and in-vivo assays. An assay on phytohaemagglutinin A revealed both OTP and r-OTP to be immunosuppressive. This was further verified by the inhibitory activity of r-OTP in Graft Versus Host Reaction. (GVH assays). Trophoblast interferons play a strategic role in the prevention of early pregnancy loss as it inhibits CD + blastogenesis. The role of CD + cells and as helper T lymphocytes and delayed+ Type hyper sensitivity mediators (DTHS) would explain this immuno- suppressive rate of OTP. (ILeri et al, 1996; Karen et al, 2003; Wani, 1996).

3.4 Oestrogen: – Pregesterone ratio (E:P ratio)

The role of oxytocin in inducing uterine PGF2 alpha was discussed earlier. However, the release of PGF2 under the action of oxytocin depends on or is controlled by progesterone and oestradiol. It was further indicated that ewes with a high E:P ratio may generate stronger luteolytic signals. It was demonstrated that low progesterone and high oestradiol combination record the largest and sustained increase in PGF2 alpha following oxytocin injection. Trophoblast interferons act locally to suppress the uterine oxytocin receptors in sheep.(Karen et al, 2003 ).

5 Maternal recognition of pregnancy

The maternal recognition of pregnancy in sheep and cattle is centered around the production by the trophoblast of type I x interferon (tINF). This tIFN then suppresses uterine oxytocin receptor concentrations (OTr). The oxytocin receptor (OTr) occupancy is associated with oxytocin induced PGF2 alpha release. OTr inhibition may represent the principal antiluteolytic mechanism of tIFN and secretion of the conceptus secretory proteins or bovine recombinant IFN to the uterus reduces OTr. Concentrations in intact and ovarectionized steroid treated ewes . A relationship between the conceptus secretory proteins and the metabolic products and those in the peripheral blood of the dam exists. ( Mufti; 1996; Mufti et al, 2000). There are conflicting reports making the action of oestradiol on oxytocin receptor concentration. (Powell et al, 2000). Trophoblastic cells contain interferon on day 14-17 after mating. During maternal recognition of pregnancy goat interferon was detected on day 18 post mating, its absence signifies pregnancy maintenance has been taken over by the corpus luteum. Thus a very thin line exists between maternal recognition of pregnancy and its maintenance or sustenance by the CL. (Gillomot et al, 1998).

6 The Reliability Pregnancy tests

Various methods used for correctly predicting pregnancy in sheep and goats during gestation have been summarized in Table 2. The accuracy varies from 70 to100% with different ultrasonic equipment. Different models as well as principles involved have been extensively reviewed (Wani, 1991; Wani et al,1998) and other methods of pregnancy detection during this stage e.g serum progesterone determination, vaginal cytology, laparotomy, estrone sulphate are summarized (Table-2). Various techniques were also evaluated in assessing mid-gestation. The various pregnancy signs as quoted by

various researchers using ultrasonography are summarized in Table 3. Of late certain anatomical features in the live, developing conceptus in vivo have been reported. This is reviewed and a summary is presented (Table 4). Various live foetal measurements like Biparietal diameter, Amniotic vesicle diameter, foetal radius and Tibia lengths are reviewed and shown (Table 5). Various pregnancy related images, histological sections and morphology of endometeruim have recently be published (Wani et al 2007, 2006 abc) where images are presented 6-15

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Is it normal to have fatigue in early pregnancy? Read on to discover why fatigue in early pregnancy happens and what you can do to make sure you are not nutritionally depleted.

Pregnancy is an amazing event in a woman’s life. No matter how long or how hard we study pregnancy we will never fully understand why women get so many very early pregnancy symptoms such as pregnancy fatigue.

From the moment of conception, the developing fetus needs lots of vitamins and minerals to ensure normal cell and organ growth and to prevent congenital abnormalities. As the developing fetus grows it also grows a living organ called the placenta, that allows vitamins, minerals, antioxidants, oxygen, nutrients, hormones and blood to cross from the mother’s blood supply to the developing fetus.

Mothers are givers by nature and during pregnancy they unconditionally and continuously give all their reserve nutrients to their offspring in an attempt to grow a healthy baby. Under normal pregnancy this is be a huge physical drain on the mother’s physical energy level and this is why pregnant women are given pre-natal vitamins.

Prior pregnancy many men and women are depleted in vitamins and minerals because of our lifestyles and the food we eat. Vitamins and minerals are essential in building healthy cells and organs. Many miscarriages are caused by abnormal eggs and sperms due to the lack of adequate vitamins and minerals in the cells prior to conception.

A body lacking vitamins and minerals is in a depleted state which can cause physical disease, irritability, depression and fatigue. The stress of pregnancy on top of this depletion results in a lot of pregnancy fatigue.

Pregnant women need more sleep than normal as when they sleep there is less physical stress on the mother’s body. Therefore sleep gives the mother a better chance of adjusting to all the demands of pregnancy.

It is very important as soon as you know you are pregnant to take vitamins and minerals, especially folic acid (600-micrograms) as folic acid helps prevent congenital abnormalities. If you are not already supplementing your diet with vitamins and minerals, then purchase some until you have an appointment with your health care provider.

Better still, if you are planning to get pregnant, start supplementing your diet with vitamins and minerals to make your body more nutritionally sound, reduce miscarriage risk and reduce the degree of fatigue during early pregnancy.

OK I have spoken a lot about vitamins, minerals and antioxidants and you may be wondering how could you be nutritionally depleted or even be tired if you already supplement. Well the truth is most people supplement with vitamins only and they supplement with a pill delivery system which has a very poor absorption rate. The best way to supplement is a liquid delivery system which has about a 95% absorption rate. Vitamins alone are not good enough, the body needs minerals for optimal health and minerals are necessary to absorb vitamins. For information about a high quality vitamin, mineral and antioxidant product view

http://www.PregnancySuccessCoach.com

You may also be very interested in an amazing message that was telepathically dictated to me for humanity from my son when he was seven-weeks old. Yes you read correctly! I have the ability to communicate with baby’s emotions from inside and outside the womb. Down load this AMAZING MESSAGE FREE at

http://www.PregnancySuccessCoach.com/Message_For_Humanity.html

If you wish to ask me a personal question about your pregnancy or an issue in your life then visit http://www.PregnancySuccessCoach.com/Ask_Hannah_Section.html

Hannah Bajor. C.N.M.,M.S.N.

Certified Nurse Midwife

Pregnancy Success Coach

Headaches during pregnancy are very challenging as over the counter pain killers are not recommended. Read on to see what you can do to relieve the pain from your headaches during pregnancy.

First of all let’s address why some pregnant women suffer from headaches during pregnancy. Within the first 12 weeks of pregnancy the surging hormones play a part in the development of pregnancy headaches. The 40% increase in blood volume that occurs during pregnancy increases pressure within the blood vessels and this itself can cause pregnancy headaches. Headaches during the last month of pregnancy may also be caused by a condition called preeclampsia, which is associated with high blood pressure, swelling and protein in the urine.

It is normal to have headaches during pregnancy because of the above reasons plus the following:

Stress

Lack of sleep

Vomiting

Low blood sugar

Dehydration

Caffeine withdrawal

Nicotine withdrawal

Poor posture

Pregnancy related vision changes

What you can do to ease your pregnancy headaches:

Reduce stress.

Get more sleep.

Treat your early morning sickness.

Eat regularly to avoid low blood sugar levels.

Drink adequate amounts of high quality water.

Get chiropractic adjustments and advice to correct your posture.

Avoid over the counter medication especially during the first 12 weeks of pregnancy.

Consult a homeopath or an acupuncturist for treatments to relieve your pain.

Pregnancy headaches are sometimes relieved with either hot or cold compress around your forehead and on the back of your neck.

Have someone massage your shoulders and neck during acute pregnancy headaches.

Rest in a dark room and practice deep relaxation breathing.

Relaxing in a warm bath or shower sometimes reduces the stress and tension.

The fruit mangosteen is well known to support every system in the body. It is all natural and can relieve and prevent pregnancy headaches.

You tried all the above and you still have a pregnancy headache:

At this point it would be appropriate to call your doctor or midwife for advice.

Have your eyesight checked as you may need glasses or a change in glasses.

 If you experience any of these symptoms below with a headache call your physician or midwife immediately as these are signs of a severe pregnancy complication called pre-eclampsia:

Blurred vision

Right sided abdomen pain

Swollen hands and face

Sudden weight gain

Feeling very agitated or restless

 Pregnancy headaches can be very painful and very frustrating, as it is not recommended that you use over the counter medication during pregnancy. I have assisted pregnant women in the past to make their headaches a little more manageable or made them go away with a one on one coaching-healing phone sessions.

Many of my pregnant clients have experienced improvement of their pregnancy headaches by taking mangosteen juice. Mangosteen is present in different quantities in different products. For a high quality mangosteen and information on my one on one coaching-healing session visit http://www.VemmaMidwife.com

You may also be very interested in an amazing message that was telepathically dictated to me for humanity from my son when he was seven-weeks old. Yes you read correctly! I have the ability to communicate with baby’s emotions from inside and outside the womb. Down load this AMAZING MESSAGE FREE at http://www.PregnancySuccessCoach.com/Message_For_Humanity.html

If you wish to ask me a personal question about your pregnancy or an issue in your life then visit http://www.PregnancySuccessCoach.com/Ask_Hannah_Section.html

Hannah Bajor. C.N.M.,M.S.N.

Certified Nurse Midwife

Pregnancy Success Coach