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Basics

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BASICS

Overview!!navigator!!

  • 2 major forms—rejection of the foal's attempts to suckle and overt aggression toward the foal
  • Because a mare's identification of her foal largely depends on smell, iatrogenic foal rejection can occur if the foal's odor changes because of extensive clinical treatments
  • Can occur without any physical pathology; however, any painful condition (e.g. mastitis) may cause this behavior
  • Systems affected—nervous: central nervous system; mechanism unknown.

Signalment!!navigator!!

  • More common in primiparous and Arabian mares but can occur in any breed at any age
  • Most common immediately postpartum but can occur hours or months after initial acceptance

Signs!!navigator!!

  • Rejection of attempts to suckle—squealing by mare and signs of fear and avoidance, including repeatedly moving the hindquarters away from the foal or walking away from the foal, especially when the foal moves its head toward the teats
  • Aggressive rejection—squealing by mare, head-threat (i.e. ears laid back against the neck), threatening to bite, biting, threatening to kick, kicking, threatening to strike, and striking

Causes and Risk Factors!!navigator!!

  • Genetics may be a contributing factor; the problem has been identified as being more common in Arabians and in certain pedigrees
  • Turgid udders and lack of experience in primiparous mares probably are the most relevant factors in failure to allow suckling with a first birth; the mare has not yet learned that allowing the foal to suckle relieves her discomfort
  • First birth
  • Arabians, especially if relatives have exhibited this behavior
  • Previous foal rejection
  • A highly disrupted environment or unusual circumstances at the time of birth

Diagnosis

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DIAGNOSIS

Differential Diagnosis!!navigator!!

Any pathologic condition that might cause pain or discomfort (e.g. mastitis or musculoskeletal disease).

CBC/Biochemistry/Urinalysis!!navigator!!

  • Should be normal if the problem is purely behavioral
  • Abnormalities supporting the diagnosis of a physical pathology suggest that rejecting behavior is secondary to pain

Other Laboratory Tests!!navigator!!

N/A

Imaging!!navigator!!

N/A

Other Diagnostic Procedures!!navigator!!

N/A

Treatment

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TREATMENT

Primiparous Mares!!navigator!!

  • Restraining the mare until the foal can suckle allows the mare to learn that suckling relieves the discomfort in her udder and familiarizes her with the process of standing for nursing
  • Do not immediately remove the placenta and fluids from the area of birth, as odors from them stimulate normal maternal behavior
  • Do not punish the mare. She is already fearful and punishment will exacerbate her fear

Aggressive Mares!!navigator!!

  • Restrain the mare to prevent injury of the foal. Cross-tying the mare still allows the mare to kick. Separating the foal and mare with a pole or partition allows the foal to reach under to suckle while the mare is held in place and reduces the likelihood she can kick the foal
  • Provide close supervision for at least the first 24 h
  • Restrain the mare during all interactions with the foal for at least 3 days; if the mare's behavior does not improve in 7 days, acceptance of the foal is unlikely
  • If it is impossible for the foal to nurse during the first 8 h postpartum it must be given colostrum

Medications

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MEDICATIONS

Drug(s) of Choice!!navigator!!

  • Acepromazine (0.02–0.06 mg/kg IV, IM, or SC every 2–4 h to effect)
  • Butorphanol (0.05 mg/kg IV) to relieve pain from turgid udder; if no complicating painful conditions are present, do not repeat

Contraindications/Possible Interactions!!navigator!!

  • Benzodiazepines (e.g. diazepam) are contraindicated in aggressive animals because these drugs may disinhibit aggression
  • Administration of anxiolytics and progestins for foal rejection constitutes extra-label use, and owners should be so informed
  • Review all side effects, and prepare an informed consent form for the owner to sign

Alternative Drugs!!navigator!!

  • Anxiolytics (e.g. diazepam) may help with fearful mares
  • Progestins may help with aggressive mares

Follow-up

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FOLLOW-UP

Patient Monitoring!!navigator!!

Intensive monitoring until the mare consistently allows the foal to suckle and fails to show aggression for several hours.

Possible Complications!!navigator!!

Inadequate supervision and restraint of an aggressive mare may result in injury to or death of the foal.

Miscellaneous

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MISCELLANEOUS

Associated Conditions!!navigator!!

Mastitis

Age-Related Factors!!navigator!!

Most common in primiparous mares.

Zoonotic Potential!!navigator!!

N/A

Pregnancy/Fertility/Breeding!!navigator!!

N/A

Synonyms!!navigator!!

N/A

See Also!!navigator!!

Aggression

Suggested Reading

Crowell-Davis SL, Houpt KA. Maternal behavior. Vet Clin North Am Equine Pract 1986;2:557571.

Houpt KA. Foal rejection and other behavioral problems in the postpartum period. Compend Contin Educ Pract Vet 1984;6:S144S148.

Houpt KA. Foal rejection—a review of 23 cases. Equine Pract 1984;6:3840.

Houpt KA, Lieb S. A survey of foal rejecting mares. Appl Anim Behav Sci 1994;39:188.

Juarbe-Diaz SV, Houpt KA, Kusunose R. Prevalence and characteristics of foal rejection in Arabian mares. Equine Vet J 1998;30:424428.

Tajik J, Kheirandish R. Aggression to a foal after 4 months of nursing. J Vet Behav 2014;9(3):136139.

Author(s)

Author: Sharon L. Crowell-Davis

Consulting Editor: Victoria L. Voith