Bovine prolapsed uterus

Prolapsed uterus in a cow

Prolapsed uterus occurs in cows when the uterus is pushed out of the cow's vulva within the 24 hours following calving. The prolapsed uterus hangs down behind the cow; this can be fatal if not promptly treated, as rupture of major blood vessels may occur.^[1]

Veterinary assistance is required to replace the uterus. Prior to the arrival of the veterinarian, the uterus should be wrapped in a clean, moist, warm cloth or towel to protect it, while keeping the cow calm and restrained. The veterinarian will give the cow an epidural anesthetic, or a sedative, prior to replacement of the uterus.^[2] In order to prevent recurrence, the uterus must be completely replaced, and turned back the right way all the way to the ends of each horn.^[1] The prognosis is generally favorable if the cow survives having the uterus replaced, and most cows survive into the long term.^[1]

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