Prolapse (Vaginal / Cervical) & Uterus eversion

Local name : Botbot, Buwa

Cause :
  • Predisposing factors are : Relaxation and increased mobility of the soft tissue structures in the pelvic canal and perineum as parturition approaches.
  • Increased abdominal pressure due to increasing fetal size, intraabdominal fat, or rumen distention.
  • Herediatry factors.
  • Prediposed by :(1) long mesometrial attachment ; (2) violet or strong tensmus ; (3) Arelaxed, atomic, flaxxid uterus ; (4) excessive relaxation of the pelvic and perineal region ; (5) dystocia is likely to result in prolapse of the uterus ; (6) low plane of nutrition ; and (7) confined or stabled cow that calved with their rear parts sloping downwards and hanging over the gutter,


Transmission : Apparently not hereditary although occasionally it maybe seen in dam and daughter.


Clinical signs and lesions :
Everted vagina and cervix protruding and hanging from the female genitalia.
The animal is usually recumbent but may be standing, with the uterus hanging to the hocks.
The uterus is usually enlarge and edematous especially if the condition has exsted for 4 to 6 hours or longer.
The fetal membrance and / or mucus membrance of the uterus is exposed and usually covered with feces, straw, dirt, or blood clots;
Mild to moderate symptoms of tenesmus, restlessness, pain, anxiety, anorexia, and increase in pluse and respiration rate.

Recommendation :
  • Immediate and careful manual manipulation.
  • The handling of prolapse of the uterus in cow can be made much earlier by instituting the following measures : (1) wrap the uterus in a wet towel / cloth or to place it in a plastic bag to keep it moist and clean until replaced ; (2) if the cow is standing, the uterus should be raised and supported same level with vulva until assistance arrives.


Cervico vaginal prolapse
Animal with a case of uterine eversion








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