Fetal Death Associated With Premature Mammary Gland Development and Lactation in a Mare Treated With Weekly Injections of Long-Acting Progesterone

A 14-year-old, 530-kg, multiparous, pregnant Quarter Horse mare was referred for evaluation of premature mammary gland development and lactation. The mare was in the seventh month of gestation. The mare had a history of subfertility and was receiving weekly injections of long-acting progesterone, prescribed by the referring veterinarian. The last dose had been administered four days before presentation. Upon presentation, the mare had vital signs within normal limits, a moderately developed, nonpainful udder with galactorrhea, and no vulvar discharge. Transrectal palpation revealed a well-toned uterus and cervix and discreetly palpable fetal parts, however, ballottement of the fetus did not result in appreciable fetal movement. Transrectal ultrasound was unremarkable, but transabdominal ultrasound revealed one underdeveloped, immotile fetus in the left uterine horn with no heartbeat. Abortion was induced with repeated doses of cloprostenol. Fifty-four hours after the first cloprostenol injection, the mare displayed signs of labor, the cervix was manually dilated, and the fetus and fetal membranes were expelled with gentle manual manipulation. Standard postabortion care included uterine lavage and oxytocin for 48 hours before being discharged to the care of her owners. Fetal crown-rump length (53 cm) was consistent with a 6-month fetus rather than its gestational age of 7 months. The umbilical cord was edematous, and a distended, fluid-filled structure surrounded the cord at the intersection of the allantoic and amniotic segments of the umbilical cord. This structure was determined to be the severely dilated urachus. Microscopic findings included placental stromal mineralization, distended umbilicus adventitia, and dilated umbilical lymphatics with no other significant findings. Remaining abortion diagnostic tests were unremarkable. The mare recovered well and was discharged to the care of her owner two days after abortion. The following breeding season the mare carried a healthy foal to term.