Females of most domestic species are sexually receptive (in heat
or estrus) every 17 to 21 days. Failure to return to estrus after a
successful breeding is often the earliest indication of pregnancy in
these animals. In the bitch, the average interval between periods of
estrus is seven months, regardless of whether she becomes pregnant.
Therefore, non-return to estrus is not a reliable indicator of
pregnancy in the canine. Palpation and radiographic or
ultrasonographic imaging of the abdomen are the most common methods
of detecting pregnancy in the bitch.
Abdominal palpation
Palpation of the abdomen is included in any routine physical
examination of the dog. This procedure allows the experienced
examiner to feel normal as well as abnormal structures within the
abdomen. While the dog is standing and depending on the size of the
animal, one or two hands are used to palpate the abdominal organs.
The non-pregnant uterus may be difficult to identify. With
pregnancy, the uterus enlarges and can be more easily palpated.
Embryonic vesicles can be felt as early as 20 days after
ovulation. Usually evenly spaced within the uterus, these spherical
swellings contain the developing embryos with their associated
membranes and fluids. By 20 days after ovulation, the vesicles are
approximately 1 centimeter in diameter. They are more easily
identified in animals that are relaxed and are not overweight.
Embryonic vesicles will increase in size until 32 to 34 days after
ovulation, when they are no longer identifiable as individual
swellings.
Because the uterus becomes uniformly enlarged, pregnancy is more
difficult to determine by palpation. An abnormal condition
(pyometra, mucometra, torsion) may develop that can also cause the
uterus to be enlarged. Such a condition would need to be
distinguished from a pregnant uterus.
Breeding behavior will differ between bitches and mating may take
place from several days before to several days after ovulation. For
this reason, intervals between breeding dates and expected
pregnancy-related events can vary significantly (Table
1). Pregnancy can be determined by abdominal palpation during a
relatively short period of time (20 to 32 days after ovulation). If
breeding dates are used to estimate the stage of embryonic
development, a second examination seven to 10 days after the first
may be necessary to correctly identify a pregnancy. On the other
hand, if the day of ovulation can be established, then the related
gestational events can be more precisely timed (Table 1). Canine
pregnancies range from 64 to 66 days and are similar in length for
all breeds when measured from the time of ovulation.
Table
1
Approximate time of canine pregnancy events in relation to the time
of ovulation and potential fertile matings (adapted from Concannon,
P. W., 1986, p. 492).
Pregnancy-related
event |
Number of days after ovulation |
Number of days after fertile mating |
Onset of estrus |
-6 to +3 |
|
First of multiple matings |
-7 to +5 |
-12 to 0 |
Fertile mating |
-5 to +5 |
0 |
Ovulation |
0 |
-5 to +5 |
Fertilization |
2 to 5 |
0 to 7 |
Vaginal cornification reduced |
5 to 7 |
0 to 12 |
Embryo attachment to uterus |
14 to 16 |
9 to 21 |
Vesicles visible with ultrasound |
15 to 17 |
10 to 22 |
Palpable 1 cm swellings |
20 to 22 |
15 to 27 |
Fetal heartbeat visible (ultrasound) |
22 to 23 |
17 to 28 |
Uterine swelling visible on X-ray |
28 to 30 |
23 to 35 |
Palpability of swellings reduced |
30 to 32 |
25 to 37 |
Earliest X-ray pregnancy diagnosis |
43 to 45 |
39 to 50 |
Fetal pelvis visible on X-ray |
51 to 55 |
46 to 60 |
Fetal teeth visible on X-ray |
56 to 61 |
51 to 66 |
Whelping |
62 to 64 |
57 to 69 |
|
|
Ovulation is estimated to occur five to six days prior to the
first day of diestrus. Diestrus is the stage of the reproductive
cycle that immediately follows estrus. The first day is
characterized by a dramatic change in the cells that line the
vagina. Daily vaginal cytology examinations throughout estrus will
help to identify when this change occurs.
In addition to vaginal cytology, ovulation can be estimated by
measuring serum progesterone levels. Serum levels are low prior to
estrus, but elevate sharply approximately two days before ovulation.
For our purposes here, ovulation will be considered as Day 0 (zero).
Additional pregnancy-related events will be described in terms of
the number of days since ovulation.
Radiography
Radiographic imaging (X-ray) of the abdomen is most accurate for
determining pregnancy during the last trimester (43 to 63 days after
ovulation). After 42 days, the fetal skulls and spines are visible
on radiographs. As pregnancy advances, the bones of the front legs
become visible, followed by the bones of the rear legs, the pelvis
and the ribs. Finally, the fetal teeth become visible around 56 to
61 days after ovulation.
Prior to 40 days, the enlarging uterus may be visible on
radiographs, but it may appear very much like the surrounding
intestines. The contents of the pregnant uterus may be difficult to
distinguish from an abnormal non-pregnant uterus before fetal
skeletons develop. The physical and medical condition of the bitch
will help to identify a diseased or a healthy pregnant uterus.
As the pregnancy nears its end, the number of fetuses can be
determined radiographically by counting fetal skulls. Brachycephalic
breeds (English bulldogs, Boston terriers, boxers, etc.) have an
increased risk for difficult deliveries due to the size and shape of
the fetal skulls. Radiographic evaluations late in pregnancy will
determine if the fetuses are developed sufficiently (teeth visible)
to survive and whether or not a cesarean section should be
performed.
Ultrasonography
Ultrasonography is the application of high-frequency,
low-intensity sound waves to various regions of the body. For the
diagnosis of pregnancy, these sound waves are transmitted into the
tissues of the abdomen. Different tissues reflect the waves back to
the ultrasound machine, which then creates a 2-dimensional grey and
white picture of the abdominal contents on a screen.
For this procedure, the bitch is placed on her back. The belly
hair must be removed. A water-based gel is applied and the
ultrasound transducer (probe) is then positioned on the belly wall.
Unlike radiographs, the contents of the uterus, whether normal or
abnormal, may be identified. Fluid-filled structures will appear
black on the ultrasound screen. Embryonic vesicles can be visualized
15 to 17 days after ovulation. They appear as black circles,
approximately 1 millimeter in diameter within the gray walls of the
uterus. By 19 to 20 days after ovulation, the vesicles are
approximately 3 millimeters in diameter. If the uterine wall is
included in the measurement, the vesicle will measure 1 centimeter
in diameter. An accurate count is not always possible because some
vesicles may not be seen and others may be observed more than once
during the examination.
Ultrasonographic examinations commonly will be performed 24 to 30
days after ovulation, when fetal masses and heartbeats (120 to 150
beats per minute) can be visualized within the vesicles. With the
ultrasound, fetal heartbeats are visible from 22 days after
ovulation through the end of pregnancy. Heartbeats are often used to
evaluate fetal life when complications arise during a delivery.
Summary
Progressive events of pregnancy are listed in Table 1. The
earliest that pregnancy can be detected in the bitch is 15 to 17
days after ovulation. An ultrasonographic examination is required at
this stage. By 28 days after ovulation, uterine swellings can be
palpated or visualized on radiographs. An ultrasonogram at this
stage would identify vesicles with embryonic tissue masses and
heartbeats. After 32 days, palpation is of limited value in
determining pregnancy in the bitch.
Ultrasonography also is beneficial for distinguishing between
abnormal uterine conditions and pregnancy. Radiographic examinations
are most useful during the last trimester of pregnancy, when fetal
development can be evaluated and fetal numbers can be determined.
Jeanette L. Floss
College of Veterinary Medicine
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