Manual rupture versus transvaginal ultrasound-guided aspiration of allanto-amniotic fluid in multiple pregnancies: a clinical approach to embryo reduction in dairy cattle

Effect of elevating luteinizing hormone action using low doses of human chorionic gonadotropin on double ovulation, follicle dynamics, and circulating follicle-stimulating hormone in lactating dairy cows

Double ovulation and twin pregnancy are undesirable traits in dairy cattle. Based on previous physiological observations, we tested the hypothesis that increased LH action [low-dose human chorionic gonadotropin (hCG)] before the expected time of diameter deviation would change circulating FSH concentrations, maximum size of the second largest (F2) and third largest (F3) follicles, and frequency of multiple ovulations in lactating dairy cows with minimal progesterone (P4) concentrations. In replicate 1, multiparous, nonbred lactating Holstein dairy cows (n = 18) had ovulation synchronized. On d 5 after ovulation, all cows had their corpus luteum regressed and were submitted to follicle (≥3 mm) aspiration 24 h later to induce emergence of a new follicular wave. Cows were then randomized to NoP4 (untreated) and NoP4+hCG (100 IU of hCG every 24 h for 4 d after follicle aspiration). Ultrasound evaluations and blood sample collections were performed every 12 h for 7 d after follicle aspiration. All cows were then treated with 200 μg of GnRH to induce ovulation. In replicate 2, cows (n = 16) were resubmitted to similar procedures (i.e., corpus luteum regression, follicle aspiration, randomization, ultrasound evaluations every 12 h, GnRH 7 d after aspiration). However, cows in replicate 2 received an intravaginal P4 device that had been previously used (∼18 d). Only cows with single (n = 15) and double (n = 16) ovulations were used in the analysis. No significant differences were detected for frequency of double ovulation, follicle sizes, and FSH concentrations across replicates (NoP4 vs. LowP4 and NoP4+hCG vs. LowP4+hCG), so data were combined. Double ovulation was 40% for control cows with no hCG (CONT) and 62.5% with hCG (hCG). Double ovulation increased as the maximum size of F2 increased: <9.5 mm and 9.5-11.5 mm (7.7%) and ≥11.5 mm (94.1%). The hCG group had more cows with F2 > 11.5 (69%) than with 9.5 ≥ F2 ≤ 11.5 (25%) and F2 < 9.5 (6%). In agreement, F2 and F3 maximum size were larger in the hCG group, but FSH concentrations were lower after F1 > 8.5 mm compared with CONT. In contrast, FSH concentrations were greater before deviation (F1 closest value to 8.5 mm) in cows with double ovulations than in those with single ovulations, regardless of hCG treatment. In addition, time from aspiration to deviation was shorter in cows with double rather than single ovulation and in cows treated with hCG as a result of faster F1, F2, and F3 growth rates before diameter deviation. In conclusion, greater FSH and follicle growth before deviation seems to be a primary driver of greater frequency of double ovulation in lactating cows with low circulating P4. Moreover, the increase in follicle growth before deviation and in the maximum size of F2 during hCG treatment suggests that increased LH may also have a role in stimulating double ovulation.

Practical Aspects of Twin Pregnancy Diagnosis in Cattle

Simple Summary

This review summarizes the clinical background, possibilities, and limitations of twin pregnancy diagnosis in cattle, with a special emphasis on pregnancy loss aspects. Due to the fact that reproductive performance is strongly affected by twin pregnancy, clinical veterinarians should become familiar with the correct diagnosis of this phenomenon. Thus, each herd must plan a herd-specific management practice to detect twin pregnancies. A highly accurate diagnostic tool is required to detect such pregnancies, already during the first month of gestation. This commentary review focuses on the diagnostic possibilities and limitations on the field.

Abstract

Twin pregnancies are an economically unwanted phenomenon in dairy cattle, not only because they increase pregnancy losses, but also because antibiotics usage and culling rate of the dam are also dramatically increased due to them, furthermore animal welfare issues are also affected through them. In cattle, under field conditions using an early pregnancy determination tool, the first accurate diagnosis from the pregnancy status is available from around day 28, although further confirmations of pregnancy are required. Twin pregnancy diagnosis is available either by rectal palpation or ultrasonography. The measurement of pregnancy specific proteins are also available to determine gestation, but there is still a long way to go to properly identify twin pregnancies. In this commentary, we compared our own results with the literature data in this field with a special emphasis on the clinical practices.

Twins in Dairy Herds. Is It Better to Maintain or Reduce a Pregnancy?

Simple Summary

In dairy herds, twin or other multiple pregnancies are not desirable as they compromise the health and productive lifespan of the cows. The mean productive lifespan of primiparous and secundiparous dairy cows delivering twins is about 300 and 200 days shorter, respectively, than that of cows delivering singletons. In addition, the long-term negative effects of twinning are not limited to the early lactation but continue for a period of up to 800 days after calving. Herd management options after diagnosing a twin pregnancy are discussed from an animal health and economic perspective.

Abstract

Multiple ovulations and so multiple pregnancies have increased recently in dairy cattle. The incidence of the double ovulation impact in high producers at insemination may be over 20%. Twin pregnancies are undesirable as they seriously compromise the welfare and productive lifespan of the cow and herd economy. Clinical problems extend from the time of pregnancy diagnosis to pregnancy loss, abortion or parturition. Early pregnancy loss or abortion of multiple pregnancies lead in most cases to culling. In cows reaching their term, mean productive lifespan is up to about 300 days shorter for cows delivering twins than for cows delivering singletons. While there is an urgent need to address multiple pregnancy prevention procedures in the foreseeable future, the incidence of twin pregnancies continues to rise in parallel with increased milk production. Herein, we review two contrasting measures proposed for the time of twin pregnancy diagnosis: (1) gonadotropin-releasing hormone treatment for pregnancy maintenance, or (2) embryo reduction. These options are discussed in terms of their implications for individual animal health and herd economy. Our main conclusions find that manual twin reduction has proven to be the best management option, whereas the use of prostaglandin F_2α for inducing abortion may be a better option than doing nothing.

Luteal activity following follicular drainage of subordinate follicles for twin pregnancy prevention in bi-ovular dairy cows

Twin pregnancy is undesirable in dairy cattle. This study examines luteal activity following ultrasound-guided puncture and drainage of the smaller pre-ovulatory follicle at timed AI in cows with a pre-ovulatory follicle in each ovary. Luteal activity was determined through Doppler ultrasonography and plasma progesterone (P4) concentrations. The effects of GnRH treatment on Day 7 post-AI on subsequent luteal activity were also assessed. Two study groups were established: a control group of 29 cows and a follicular drainage (FD) group of 28 cows. After drainage, all cows developed a corpus luteum (CL) in the drained ovary. On Day 21 post-AI, drainage-induced CL and fellow CL were similar in terms of size and vascularization. According to a GLM repeated measures analysis of variance (P < 0.001), non-treated drained cows had lower P4 concentrations on Day 21 post-AI than non-treated non-drained cows, whereas GnRH treated cows, both drained and non-drained, showed the highest P4 concentrations at this time point. Twin pregnancy was recorded in 3 of the 8 pregnant control cows, whereas no twins were observed in the FD group. Our results indicate that luteal structures following follicular drainage were functional. As for the presence of an additional CL, this could suggest a reduced risk of pregnancy loss. In addition, luteal activity was significantly increased following GnRH treatment on Day 7 post-AI in drained cows.

An economic evaluation of management strategies to mitigate the negative effect of twinning in dairy herds

Our objectives were to develop an economic model to estimate the economic impact of twinning in dairy cows and to evaluate management strategies to mitigate the negative economic impact of twinning in dairy herds. A probabilistic tree considering spontaneous embryo reduction, early pregnancy loss, abortion, metritis, retained placenta, and culling rate at 120 d of the second, at the end of the second, and at the end of the third lactation was developed for a single pregnancy; we also developed 3 management options upon diagnosis of a twin pregnancy: (1) do nothing, (2) induce abortion using PGF_2α, or (3) attempt manual embryo reduction. A value was given to each branch of the tree by simulating cow states on a farm for 1,400 d to encompass 4 consecutive lactations. The incomes considered in the simulations included milk income over feed cost, income from calves, and slaughter value upon culling. The expenses taken into account depending on each branch included additional inseminations and synchronization protocols, embryo reduction, induction of abortion, replacement heifers, and costs due to metritis and retained placenta. The gross value for a singleton pregnancy and the 3 management options upon diagnosis of a twin pregnancy were calculated by adding the value of all braches multiplied by their probability. The costs for the 3 management options were calculated by subtracting its gross value minus the gross value of a singleton pregnancy. The negative economic impact of a twin pregnancy ranged from $97 to $225 depending on the type of twin pregnancy (unilateral vs. bilateral), parity, and DIM when the twin pregnancy occurred. The overall negative economic impact of twinning on dairy farm profitability in the United States was estimated to be $96 million per year. Attempting manual embryo reduction early during gestation upon diagnosis of a twin pregnancy was the optimal management strategy for mitigating the negative economic impact of twinning under a wide variety of scenarios.

Puncture and drainage of the subordinate follicles at timed artificial insemination prevents the risk of twin pregnancy in dairy cows

The objective of this study was to determine whether fluid drainage from the subordinate follicles by ovum pickup procedures prevents the risk of twin pregnancy without reducing the fertility of the cow. Lactating dairy cows with at least two follicles over 12 mm diameter located one on each ovary and selected from synchronized groups for fixed-time insemination were assigned to a Control (n = 49) or Drainage (n = 49) group. The largest follicle was considered as the dominant follicle. Draining of all subordinate follicles (≥10 mm) was performed in the Drainage group. All drained follicles developed as a corpus luteum 7 days later. In the Control cows, the presence of two corpora lutea (55.1%) was lower (p = .003) than those in the Drainage cows (87.8%), whereas the incidence of twin pregnancies was 50% and 0% for the Control and Drainage groups, respectively (p < .001). Draining did not affect the pregnancy rate. These results indicate that puncture and drainage of the subordinate follicles at insemination may eliminate the risk of twin pregnancies and reduce the risk of subsequent pregnancy loss by increasing the incidence of additional corpora lutea.

Accuracy of diagnosing double corpora lutea and twin pregnancy by measuring serum progesterone and bovine pregnancy-associated glycoprotein 1 in the first trimester of gestation in dairy cows

Progesterone (P4) and bovine pregnancy-associated glycoprotein 1 (bPAG-1) concentrations during gestation are dependent on the number of CL and fetuses, respectively. The objective of this present study was to measure and evaluate the usefulness of measuring the P4 and bPAG-1 concentrations in cases of single versus twin pregnancies and one versus two CL at the first 4 months of gestation. We hypothesized that both the number of the CL and the number of fetus might have an effect on P4 and pregnancy protein concentrations, and we can set up clinically useful threshold levels to predict twin gestations. Eighty-four Holstein-Friesian dairy cows were enrolled in this prospective observational clinical trial. Blood was collected at time point 1: between Days 29 and 42, time point 2: between Days 57 and 70, time point 3: between Days 85 and 98, and time point 4: between Days 113 and 126 of gestation, and bPAG-1 and P4 concentrations were measured. Binary logistic regression analyzing serum P4 concentrations differed at time point 2 compared with baseline level, but the area under the curve (AUC) had low sensitivity. The bPAG-1 concentrations were statistically different at each time point of gestation. The AUC cutoff values of serum bPAG-1 concentrations were sufficiently sensitive to differentiate between twin gestations from singleton ones. At time points 3 (cutoff value of 3.4 ng/mL) and 4 (cutoff value of 56.5 ng/mL), statistically significant differences with low sensitivity, high specificity, and a high AUC were found. On the basis of these results, the diagnosis of twin pregnancy using pregnancy protein measurements is clinically insufficient before Day 85 of gestation; however, the ability to confirm the early twin pregnancy diagnosis with bPAG-1 measurements appears to be promising. To achieve high sensitivity, further studies are required.

How ultrasound technologies have expanded and revolutionized research in reproduction in large animals

Gray-scale ultrasonic imaging (UI) was introduced in 1980 and initially was used to examine clinically the reproductive tract of mares. By 1983 in mares and 1984 in heifers/cows, UI had become a tool for basic research. In each species, transrectal gray-scale UI has been used extensively to characterize follicle dynamics and investigate the gonadotropic control and hormonal role of the follicles. However, the use of transrectal UI has also disclosed and characterized many other aspects of reproduction in each species, including (1) endometrial echotexture as a biological indicator of circulating estradiol concentrations, (2) relative location of the genital tubercle for fetal gender diagnosis by Days 50 to 60, and (3) timing of follicle evacuation during ovulation. Discoveries in mares include (1) embryo mobility wherein the spherical conceptus (6-16 mm) travels to all parts of the uterus on Days 11 to 15, (2) how one embryo of a twin set eliminates the other without self-inflicted damage, and (3) serration of the granulosum of the preovulatory follicle opposite to the future rupture site as an indicator of imminent ovulation. Studies with color-Doppler UI have shown that vascular perfusion of the endometrium follows the equine embryo back and forth between uterine horns and follows the expansion of the bovine allantochorion throughout each horn. In heifers, blood flow in the CL increases during the ascending portion of an individual pulse of PGF2α metabolite and then decreases. These examples highlight the power of UI in reproduction research. Without UI, it is likely that these and many other findings would still be unknown.

Effects of twinning on the subsequent reproductive performance and productive lifespan of high-producing dairy cows

This study was designed to determine the effects of twinning on the subsequent reproductive performance and productive lifespan of high milk-producing dairy cows. The data analyzed were taken from complete reproductive records for 4861 Holstein Friesian cows comprising a commercial herd, including data for 12 587 calving events from April 1, 2001 to March 31, 2012. The twinning rate was 5.6%, and 9.6% of the cows delivered twins at least once during their life. Conception rates before Days 90, 120, and 300 postpartum were 20.8%, 36.9%, and 74.5%, and 34.2%, 51.8%, and 85.0% for cows delivering twins and singletons, respectively. Cox regression analysis revealed that twinning reduced the chances of conception before Day 90 by a factor of 0.76. Also, the median calving to conception interval was significantly longer for cows calving twins (134 ± 4.5 days) than for cows delivering singletons (108 ± 0.8 days; P < 0.001). Moreover, in cows in which conception was successful, the risk of abortion was higher for cows that calved twins than for those calving singletons (13.7% vs. 10.3%, respectively; P = 0.01). Culling rates before Days 90, 120, and 300 postpartum were 15.6%, 16.1%, and 28.6%, and 7.6%, 8.7%, and 15.9% for cows calving twins and singletons, respectively. Cox regression analysis of the factors affecting the culling rate before Day 300 postpartum revealed a 1.41 times greater hazard ratio of culling for cows calving twins than cows calving singletons. Further, mean productive lifespan was almost 300 days shorter for primiparous twinners (N = 48, 602 ± 493 days) than for nontwinners (N = 2592; 899 ± 581 days; P < 0.01), and 200 days shorter for secundiparous twinners (N = 126, 914 ± 429 days) than for nontwinners undergoing at least two lactations (N = 1936, 1101 ± 522 days; P < 0.01). Kaplan-Meier survival curves for productive lifespan differed between primiparous twinners and non-twinners (P < 0.001), and between secundiparous twinners and nontwinners having at least two lactations (P = 0.017). Differences in culling patterns for twinners and nontwinners were not restricted to the subsequent lactation but continued as long as 800 days after first calving, strongly suggesting long-term negative effects of twinning. As an economic implication of our findings, we suggest that twin embryo reduction at the moment of pregnancy diagnosis could be a profitable strategy to cut twinning rates and abolish their detrimental effects on subsequent reproductive performance and productive lifespan.