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An interesting case of early pregnancy loss in a mare with persistent endometrial cups

机译:一个有趣的案例,在一个持续使用子宫内膜杯的母马中,早期妊娠流产

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A recent extensive survey of efficiency on Thoroughbred studfarms throughout England revealed overall pregnancy loss rates of around 8% between Days 15 and 40 after ovulation, 4% between Day 40 and the traditional 1 st October pregnancy check around Day 150, and a further 2% between October and term (Allen et al. 2007). Possible noninfective causes of the preimplantation Days 15-40 losses include accidental misalignment of chromosomes at the time of fertilisation, failure of maternal recognition of pregnancy, perhaps due to obstruction of embryonic mobility by the presence of endometrial cysts (Bracher et al. 1992), persisting bacterial or fungal endometritis (Asbury and Lyle 1993), or inadequate production of histotroph for nidation of the embryo due to age-related degenerative changes in the endometrial glands (Kenney and Doig 1986). Possible causes of mid-gestation losses between Days 40 and 150 might include lethal karyotypic abnormalities inhibiting embryogenesis and fetal development, a failure of fetomaternal interdigitation and placental development (Allen 1982), or inadequate primary and/or secondary luteal development and function (Squires and Ginther 1975). Excessive torsion of the umbilical cord causing a vascular crisis (Whitwell 1975), or ascending bacterial or fungal placentitis (LeBlanc et al. 2002), are common causes of late stage abortion.
机译:最近对英格兰全血种马场的效率进行的广泛调查显示,排卵后第15天至第40天之间的总体妊娠流失率约为8%,第40天和传统的10月1日妊娠检查之间的总流失率约为150%,第40天为2%在十月至学期之间(Allen等,2007)。植入前15-40天的损失可能是非感染性原因,包括受精时意外的染色体错位,母体无法识别怀孕,可能是由于子宫内膜囊肿的存在阻碍了胚胎的活动性(Bracher等,1992),细菌或真菌子宫内膜炎持续存在(Asbury and Lyle 1993),或由于年龄相关的子宫内膜腺变性变化而导致组织营养物质不足以使胚胎消融(Kenney and Doig 1986)。在第40天至第150天之间的中期妊娠损失的可能原因可能包括致命的核型异常,其抑制胚胎发生和胎儿发育,Fetomaternal趾间指交失败和胎盘发育失败(Allen 1982),或者原发和/或继发性黄体发育和功能不足(Squires和Ginther(1975)。脐带过度扭曲引起血管危机(Whitwell 1975),或细菌或真菌性胎盘炎上升(LeBlanc等,2002),是晚期流产的常见原因。

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