Penanganan Maserasi Fetus pada Kucing (case report)

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Judul : Penanganan Maserasi Fetus pada Kucing (case report)
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Penanganan Maserasi Fetus pada Kucing (case report)

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1.1  the background
                        Indonesia, like all countries with great biological diversity, has a rich and healthy variety of biological natural resources. In Indonesia's biodiversity, the most outstanding leader in the world is the Brazilian cheetah. Biodiversity, like all crops and agricultural products in Indonesia, is vital to human well-being. Handicrafts from Indonesian handicrafts include purapa verangan and fruit.

People grow these agricultural products for food. In addition, humans also use animals as menstrual companions for entertainment and psychological purposes. One of the animals that people make friends with is a cat. 

Cats as one of the penitang animals for humans. After all, the cat-bear is friendly and gets along with the owner. Keeping a cat as a pet has many benefits, namely as a playmate that provides physical comfort and reduces stress.
A cat is welcomed into any home with open arms, loved and loved for the same reasons.

                        The growing interest in the domestic cat breed has forced veterinarians to optimize the walking of this species. Vets need to be able to continually improve  The sexual behavior of cats for the development of general reproductive questions about the number of reproductive physiology, the period of estrus and sexuality in more complex individuals. One barrier that helps cats is fetal maceration.

Maceration of the fetus is a pathological reproductive condition during pregnancy, due to the accumulation of gases in the uterus, the health of the fetus is exposed to infection. Most cases of fetal maturity occur on the 40th day of pregnancy. (Juneidi, 2013). Clinical signs commonly seen in parents are signs of infection. (Juneidi, 2013).

                        One of the treatments developed to deal with this scar is an ovarian hysterectomy. Ovarihysterectomy is a surgical operation to confirm the recovery of the ovaries and uterus, estrus, sterilization, suspicious tumors, pyometria-manganese, metritis, neoplasia, cysts, trauma, uterine torsion, uterine prolapse, prolapse, separation and caesarean section 20. , treatment is discussed fetal maceration by cystectomy of the ovary.

1.2. the target
Learn how to use Akodas, a case of fetal maceration in cats.

1.3 Benefits
The benefit of writing this report is to provide ongoing nutrition related to cat housing and pet maintenance.


                        When the embryo dies, it enters the reabsorption phase, and if there are no signs of fertilization or conception in the womb, the animal comes into heat again. If death occurs before pregnancy is detected, the estrous period will not be extended. But if you detect an amer, then the estrus period will be extended.

If the eyes of the embryo are infected with pinworms, but the embryonic material is swallowed when swallowing, pyometra is present. This condition is characterized by a persistent corpora lutea, closed opening of the cervix, an accumulation of pus (pus) in the body of the uterus in the horns of the uterus.

If the fetus dies after ossification , the fetus cannot be resorbed, then mummification occurs and the fetus becomes infected (Arthur, 2001).

2.1.            fetal maceration

                 Fetal or fetal maceration can be detected in any pregnancy. Early death of the embryo during maceration due to numerous airborne microorganisms that are present in the uterus and usually suffer from trichomoniasis and vibriosis.

Fetal maceration may occur when fetal death is associated with retention of the corpus luteum followed by cervical dilatation into pustules of autolytic bacteria and other uterine bacteria.

The fetus ends up rotting in its soft tissues in the uterus - tissues that break down when we are in Segaga's fetid paste. In many cases, the tumor can get too close to the cervix through the opening in the cervix and end up staying in the uterus, preventing normal fertilization.

Bone fragments eventually become lodged in the endometrium, in some cases causing endometritis. Fetal maceration can also occur if the fetus is old, stillborn, or has left the mother's womb (Jackson, 2004).

2.2.            etiology
                 Maceration of the fetus is the ripening of the fetus in the middle or at the end of pregnancy without inhibition of the corpus luteum. The reason why the fetus is still in the womb is because there is still a living fetus or corpus luteum and there is no relation to one or more fetuses.

Maceration associated with the corpus luteum is preserved. As the fetus is supported by progesterone produced by the corpus luteum, there are other types of progesterone produced by the placenta and fetus after termination of pregnancy. Maceration of the fetus can also cause the mummified fetus to spill out, which is afraid of invading the uterus and causes uterine maceration.

According to Kustritz (2003), fetal maceration can also lead to side effects of progesterone dosage, age and type of patient. Administration of progesterone during pregnancy leads to masculinization of the female fetus, fetal intercourse, maceration or mummification.

            Maceration of the fetus can be observed in all species of animals, but is more common in cattle, and the observed behavior is noted in dogs and cats. This eventually occurs due to fetal loss due to uterine inertia. The bacteria then enter the uterus through the dilated cervix, the combination of putrefaction and autolysis destroys the soft tissue and leaves the fetal bone mass in the uterus. Sometimes this band can stick to the uterine wall and be difficult to remove (Arthur, 2001).

2.3.            branded clinic
                 A clinical symptom called foul-smelling vaginal discharge during pregnancy. In cattle, when placed directly in the uterus, large pieces of bone can be felt. Bone fragments can also come from bones that protrude into the cervix. Maceration can be performed using ultrasound of the fetus. They allow X-rays (x-rays) to be detected. (Jackson, 2004 ). .

2.4.            forecast
               The prognosis for treating cases of fetal maceration is doubtful . The cure (recovery) rate is good, but the fertility of the animal is reduced and Esedigi is wary of breeding again (Jackson, 2004).

Youngquist and Threlfall (2007) reported that endometrial damage by bone fragments during fetal maceration leads to a poor prognosis for fertility recovery. Januaidi (2013) reported that 21% of cats with reproductive problems do not develop embryos.

2.5.            treatment

                Srangong therapy gives satisfactory results, it is difficult to remove systemic bone fragments in the uterus. If the fingers can enter the cervix like air , it means that the bone fragments can be sucked out and cleared through the uterus in a healthy way .

Local prostaglandin injections have been reported in various reports to provide satisfactory results in cervical dilatation (Jackson, 2004). Stillbestrol or estradiol have also been reported to cause cervical relaxation and regression of the corpus luteum. ± 80% maceration of estrogen regulates estrogen and varies from 37 to 72 years in the fetus. A single high dose of estrogen maltose causes cervical dilation or expulsion of the fetus within 24-36 hours. (Warning, 2006)

                 With a hysterectomy, it is possible to remove the ovaries ( caesarean section), but this is done for economic reasons. In small animals, a hysterectomy or small ovary hysterectomy or carercardo is also performed to combat toxicity from primary uterine inertia (Jackson, 2004).


3.1        ingredient
3.1.1.    in the air
a.  history
According to the owner, discharge appeared 5 days ago, the stomach was swollen, a month ago he gave birth control pills (progesterone, progestin @ ). The cat has a change in appetite, feels pain in the abdominal area and has not been treated before.

b.    signs are in the air
the name is in the air                    : Mimi
Rise into the air                     : Cat
Run                        : Persian, Middle
the color of the feathers                     : Black
gender                   : Always
Body weight                    : 4.8 kg
age                               : 5 days             

Figure 1. Patience

c.     Current situation
the cross                                          : 2 seconds
temperature                                          : 39oC
respiratory rate                          : 30×/min
frequency                       :128×/min

I mean.  symptom clinic 
               In this case, the cat's clinical signs were loss of appetite, thick, foul-smelling discharge, abdominal distention, and the cat was wild on palpation in this area. Physical examination findings include:

the skin
: Normal
respiratory system
: Normal
: Normal
circulatory system
: Normal
in the urine
: Normal
nervous system
: Normal
an old member
: Normal
reproductive system
: Bad bug on the way out

Figure 2. If we remove the cloudy rotten willow in Leller, the stomach grows

d.           testing laboratory
               Additional laboratory tests (ordinary hematological) are necessary to determine the presence of anemia and signs of infection . Results of planned hematological studies:

Table 1 Scheduled hematological examination
Hematological regime
The results
reference value
in one
103 / mm3
10 6 /mm 3

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