Fetal Malpresentation-Associated Dystocia, Complicated with Secondary Uterine Inertia in a Domestic Shorthair Queen

Abstract

Dystocia in queens is a significant reproductive emergency, with high kitten mortality, often due to stillbirths. This case report describes the management of a 22-months-old pluriparous domestic shorthair breed queen presenting with dystocia after successfully delivering two viable kittens, followed by a retained dead fetus. Clinical examination and ultrasonography confirmed fetal death, with the hanging fetus found in the birth canal. Obstetrical management; digital manipulation failed due to secondary uterine inertia likely caused by fetal malpresentation. As an alternative to cesarean section, an en-bloc ovariohysterectomy was performed to remove both the hanging and intrauterine deceased fetuses, thereby permanently eliminating the queen’s reproductive capability. Postoperative care included antibiotics, analgesics, and wound management. The case accentuates the importance of early diagnosis, timely surgical intervention, and effective post-operative care in managing dystocia, particularly in cases involving fetal death and uterine inertia. The successful use of en-bloc ovariohysterectomy as an alternative to cesarean section demonstrates its effectiveness in resolving severe dystocia and permanently addressing reproductive issues, particularly when conventional obstetric methods such as digital manipulation fail. This surgical approach offers a viable alternative to cesarean section in managing severe dystocia, reducing the risk of further complications such as uterine rupture and infection