Serum calcium and glucose as predictors of postpartum reproductive complications
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Keywords:
Calcium, Dairy Cow, Glucose, Postpartum Diseases, ROC analysisAbstract
Transition period in dairy cows is a critical phase that increases susceptibility to reproductive disorders. The study evaluated whether serum calcium and glucose levels around calving can predict common postpartum complications like retained placenta, metritis, dystocia, and ovarian cysts. Blood samples were collected from 82 multiparous Holstein cows prepartum and at calving. Serum calcium and glucose were compared between healthy and diseased cows using t-tests. ROC analysis was used to establish predictive thresholds. No significant difference was found in serum glucose concentrations between healthy and diseased cows at either time point. Serum calcium was significantly lower at parturition in cows with metritis, retained placenta, and in the overall unhealthy group. ROC analysis identified prepartum glucose and calcium as predictors for dystocia and retained placenta, respectively. Calcium at parturition were predictive of metritis and general health status. Logistic regression revealed that cows with prepartum glucose below 49.5 mg/dL had an 8-fold increased odds of dystocia. Similarly, prepartum calcium below 8.4 mg/dL was associated with an 11-fold increase in the odds of retained placenta. At parturition, calcium levels below 7.85 mg/dL and 7.9 mg/dL increased the odds of metritis and overall morbidity by 10 and 7 times, respectively. Calcium status around calving was a key determinant of postpartum reproductive health in dairy cows. Reduced calcium levels were strongly associated with metritis, retained placenta, and overall morbidity (presence of at least one disorder), while glucose showed limited predictive value except for dystocia. Monitoring calcium dynamics could support early detection, targeted intervention, and improved herd health.
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Ahmed M E, Ahmed F O, Frah E A M and Elfaki I. 2017. Blood biochemical profile of Sudanese crossbred repeat breeder cows. African Journal of Biotechnology 16(8): 366–370. DOI: https://doi.org/10.5897/AJB2016.15372
Akhtar M U, Pasha T N, Avais M, Khan N, Chishti G A, Ali M and Naveed-ul-Haque M. 2022. Effects of peripartal glucose precursor supplementation on lactation performance and metabolic health of primiparous and multiparous dairy cows. Animal Bioscience 36(6): 869. DOI: https://doi.org/10.5713/ab.22.0218
Alrawy I Y. 2024. Impact of retained fetal membranes on concentration of some biochemical parameters and liver enzymes in cattle. Egyptian Journal of Veterinary Sciences 55(4): 1077–1082. DOI: https://doi.org/10.21608/ejvs.2023.240864.1655
Berean D, Bogdan M and Cimpean R. 2025. Subclinical hypocalcemia in dairy cows: reproductive and economic impacts on Eastern European farms. Frontiers in Veterinary Science 12: 1596239. DOI: https://doi.org/10.3389/fvets.2025.1596239
Bicalho M L S, Marques E C, Gilbert R O and Bicalho R C. 2017. The association of plasma glucose, BHBA, and NEFA with postpartum uterine diseases, fertility, and milk production of Holstein dairy cows. Theriogenology 88: 270–282. DOI: https://doi.org/10.1016/j.theriogenology.2016.09.036
Bruinjé T C and LeBlanc S J. 2025. Invited Review: inflammation and health in the transition period influence reproductive function in dairy cows. Animals: MDPI 15(5): 633. DOI: https://doi.org/10.3390/ani15050633
Caixeta L S, Ospina P A, Capel M B and Nydam D V. 2017. Association between subclinical hypocalcemia in the first 3 days of lactation and reproductive performance of dairy cows. Theriogenology 94: 1-7. DOI: https://doi.org/10.1016/j.theriogenology.2017.01.039
Esposito G, Irons P C, Webb E C and Chapwanya A. 2014. Interactions between negative energy balance, metabolic diseases, uterine health and immune response in transition dairy cows. Animal Reproduction Science 144(3–4): 60–71. DOI: https://doi.org/10.1016/j.anireprosci.2013.11.007
Forootan S, Saeb M and Tamadon A. 2020. Folliculogenesis and follicular fluid adiponectin in cows: its alterations and relationships with ovarian function. Veterinarski Arhiv 90(2): 101–110.
Gareis N C, Rodríguez F M, Moreyra M C, Stassi A F, Angeli E, Etchevers L and Rey F. 2023. Contribution of key elements of nutritional metabolism to the development of cystic ovarian disease in dairy cattle. Theriogenology 197: 209–223. DOI: https://doi.org/10.1016/j.theriogenology.2022.12.003
Karimi Dehkordi M and Yahyaei H. 2020. Determination of diagnostic value of calcium during the transition period in predicting reproductive performance of Holstein dairy cows. Journal of Research in Ruminants 8(3): 95–110.
Karimi Dehkordi M, Kadivar A and Taktaz Hafshejani T. 2016. Critical thresholds of nonesterified fatty acids and β-hydroxybutyrate in transition dairy cows for prediction of first service conception rate. Kafkas Universitesi Veteriner Fakultesi Dergisi 22(2): 191–195.
McArt J A A and Neves R C. 2020. Association of transient, persistent, or delayed subclinical hypocalcemia with early lactation disease, removal, and milk yield in Holstein cows. Journal of Dairy Science 103(1): 690–701. DOI: https://doi.org/10.3168/jds.2019-17191
Menta P R, Fernandes L, Poit D, Celestino M L, Machado V S, Ballou M A and Neves R C. 2021. Association of blood calcium concentration in the first 3 days after parturition and energy balance metabolites at day 3 in milk with disease and production outcomes in multiparous Jersey cows. Journal of Dairy Science 104(5): 5854–5866. DOI: https://doi.org/10.3168/jds.2020-19189
Pishvaei F, Dehkordi M K and Nazem M R. 2021. The the effect of ketones on estrogen, progesterone, ovulatory follicle size, estrus and fertility in Holstein cows. Turkish Journal of Veterinary and Animal Sciences 45(4): 642–648. DOI: https://doi.org/10.3906/vet-2005-123
Sammad A, Khan M Z, Abbas Z, Hu L, Ullah Q, Wang Y and Wang Y. 2022. Major nutritional metabolic alterations influencing the reproductive system of postpartum dairy cows. Metabolites 12(1): 60. DOI: https://doi.org/10.3390/metabo12010060
Seely C R and McArt J A A. 2023. The association of subclinical hypocalcemia at 4 days in milk with reproductive outcomes in multiparous Holstein cows. JDS Communications 4(2): 111–115. DOI: https://doi.org/10.3168/jdsc.2022-0279
Serbetci I, González-Grajales L A, Herrera C, Ibanescu I, Tekin M, Melean M and Scarlet D. 2024. Impact of negative energy balance and postpartum diseases during the transition period on oocyte quality and embryonic development in dairy cows. Frontiers in Veterinary Science 10: 1328700. DOI: https://doi.org/10.3389/fvets.2023.1328700
Serrenho R C, DeVries T J, Duffield T F, LeBlanc S J. 2021. Graduate student literature review: What do we know about the effects of clinical and subclinical hypocalcemia on health and performance of dairy cows?. Journal of Dairy Science 104(5): 6304–6326. DOI: https://doi.org/10.3168/jds.2020-19371
Sheldon I M, Lewis G S, LeBlanc S and Gilbert R O. 2006. Defining postpartum uterine disease in cattle. Theriogenology 65(8): 1516–1530. DOI: https://doi.org/10.1016/j.theriogenology.2005.08.021
Wilkens M R, Nelson C D, Hernandez L L and McArt J A. 2020. Symposium review: Transition cow calcium homeostasis health effects of hypocalcemia and strategies for prevention. Journal of Dairy Science 103(3): 2909–2927. DOI: https://doi.org/10.3168/jds.2019-17268
Yue K, Pu X, Loor J J, Jiang Q, Dong J, Shen T and Li X. 2022. Impaired autophagy aggravates oxidative stress in mammary gland of dairy cows with clinical ketosis. Journal of Dairy Science 105(7): 6030–6040. DOI: https://doi.org/10.3168/jds.2021-21234
Zhou X H, Obuchowski N A and McClish D K. 2014. Statistical methods in diagnostic medicine. John Wiley and Sons.
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