Things that go bump in the prepartum mare.
Pregnancy is not without its challenges. There are several hazards the mare must avoid or overcome. Rupture of and subsequent hemorrhage from the mid-uterine artery is the most common cause of death in mares post partum. The external iliac artery, utero-ovarian artery, and uterine artery have also been implicated. 1 Uterine contractions and obstetrical manipulations further increase stress on the vessel wall. 2 Although usually considered a problem of the postpartum period, reports exist of cases in the peripartum period. 1, 3 Peripartum hemorrhage has been reported to occur at any age, however older mares are considered to be at greater risk due to age-related degeneration of arterial vessels. 4 Hemorrhage can occur into the peritoneal cavity, within the broad ligament of the uterus, within the uterine wall (mural hemorrhage), or into the uterine lumen. Combinations of these may occur. Hemorrhage into the peritoneal cavity leads...