Prevalence of Subclinical Pregnancy Toxemia and its Effect on Metabolic Profile of Ewes: A Field Study

Authors

DOI:

https://doi.org/10.24925/turjaf.v13i10.3048-3052.8117

Keywords:

β-hydroxybutyrate, Biochemical markers, Ewes, Negative energy balance, Subclinical pregnancy toxemia

Abstract

This study investigated the prevalence of subclinical pregnancy toxemia (SPT) in pregnant ewes and its effects on biochemical parameters. A total of 114 pregnant ewes were included in the study, and the animals were classified into two groups: healthy and SPT, based on their serum β-hydroxybutyrate (β-HBA) levels. The findings demonstrated a significant increase in β-HBA levels as pregnancy progressed (first trimester: 0.45 mmol/L; second trimester 0.58 mmol/L; third trimester: 0.74 mmol/L), indicating an elevated risk of pregnancy toxemia in later gestational stages. The most notable difference was observed in triglyceride (TRIG) levels, which significantly increased in the SPT group, reaching 51.1 mg/dL (p < 0.05). Although the aspartate aminotransferase (AST) level was not changed statistically, large effect size (0.91) indicates an increase tendency of AST in SPT group. Similarly, total bilirubin (TBILC) levels were elevated in the SPT group with moderate effect size (0.61). No significant differences were found between groups in terms of glucose (GLUC), cholesterol (CHOL), total protein (TP), albumin (ALB), gamma-glutamyl transferase (GGT), or alanine aminotransferase (ALT) levels. These results suggest that SPT exhibits a subclinical nature and causes limited hepatic involvement during the early stages. In conclusion, TRIG levels emerge as a potential supportive biomarker in addition to serum β-HBA for the early diagnosis of subclinical pregnancy toxemia. Therefore, routine monitoring of these parameters may be beneficial for the early detection of SPT and for taking preventive measures before the development of clinical symptoms.

References

Baird, G. D. (1982). Primary ketosis in the high-producing dairy cow: clinical and subclinical disorders, treatment, prevention, and outlook. journal of Dairy Science, 65(1), 1-10. https://doi.org/10.3168/jds.s0022-0302(82)82146-2

Barbagianni, M., et al. (2015). Increased incidence of peri-parturient problems in ewes with pregnancy toxaemia. Small Ruminant Research, 132, 111-114.

Bobe, G., et al. (2004). Invited review: pathology, etiology, prevention, and treatment of fatty liver in dairy cows. journal of Dairy Science, 87(10), 3105-3124. https://doi.org/10.3168/jds.S0022-0302(04)73446-3

Brozos, C., et al. (2011). Treatment and control of peri parturient metabolic diseases: pregnancy toxemia, hypocalcemia, hypomagnesemia. Veterinary Clinics: Food Animal Practice, 27(1), 105-113. https://doi.org/10.1016/j.cvfa.2010.10.004

Chen, J., et al. (2024). Dynamic Changes in the Nutrient Digestibility, Rumen Fermentation, Serum Parameters of Perinatal Ewes and Their Relationship with Rumen Microbiota. Animals, 14(16), 2344.

Ewes, I. (2023). Clinical and Biochemical Study of Pregnancy Toxemia in Iraqı ewes. Archives of Razi Institute, 78(3), 1131-1139.

Ferris, T. F., et al. (1969). Toxemia of pregnancy in sheep: a clinical, physiological, and pathological study. The journal of clinical investigation, 48(9), 1643-1655. https://doi.org/10.1172/JCI106129

Gomez, D. E., et al. (2015). Effect of maternal ketoacidosis on the ovine fetus. The Canadian Veterinary Journal, 56(8), 863-866. https://www.ncbi.nlm.nih.gov/pubmed/26246634

Grünberg W., V. S. R. J., Fthenakis G. (2024). Pregnancy Toxemia in Sheep and Goats

In L. S. Kahn CM (Ed.), The Merck Veterinary Manual. Merck & Co., Inc. https://www.merckvetmanual.com/metabolic-disorders/hepatic-lipidosis/pregnancy-toxemia-in-sheep-and-goats

Gupta, V. K., et al. (2008). Serum enzymes and thyroid hormone in sub-clinical ketosis in goat and sheep reared under organized farming system. The Indian Journal of Animal Sciences, 78(11).

Harmeyer, J., & Schlumbohm, C. (2006). Pregnancy impairs ketone body disposal in late gestating ewes: implications for onset of pregnancy toxaemia. Research in veterinary Science, 81(2), 254-264. https://doi.org/10.1016/j.rvsc.2005.10.010

Irmak, M., et al. (2022). The effect of β-carotene and vitamin E on metabolic profiles in nutritionally flushed sheep. South African Journal of Animal Science, 52(6), 867-872.

Ji, X., et al. (2023). Pregnancy Toxemia in Ewes: A Review of Molecular Metabolic Mechanisms and Management Strategies. Metabolites, 13(2), 149. https://doi.org/10.3390/metabo13020149

Kandil, B., et al. (2025). Comprehensive Evaluation of Changes in Placentomes in the Second and Third Trimesters of Pregnancy in Cross-Bred Hamdani Sheep. Vet Med Sci, 11(1), e70208. https://doi.org/10.1002/vms3.70208

Karaağaç, R. M., & Falakacılar, Ç. P. (2023). Kısıtlı Enerji Alımının Metabolik Etkileri. Sağlık ve Spor Bilimleri Dergisi, 6(3), 73-78.

Kayri, V., & Irmak, M. (2021). Comparison of Serum Selenium, Copper and Cobalt Levels in Newborn Lambs in Siverek and Muş Regions. Van Veterinary Journal, 32(1).

Khan, Y. R., et al. (2021). Determination of hemato-biochemical biomarkers, associated risk factors and therapeutic protocols for pregnancy toxemia in Beetal goats. Kafkas Üniversitesi Veteriner Fakültesi Dergisi, 27(4).

Lowe, D., et al. (2023). Alkaline phosphatase. StatPearls.

Marteniuk, J. V., & Herdt, T. H. (1988). Pregnancy toxemia and ketosis of ewes and does. Veterinary Clinics of North America: Food Animal Practice, 4(2), 307-315.

Mohammadi, V., et al. (2016). Measure of energy related biochemical metabolites changes during peri-partum period in Makouei breed sheep. Veterinary research forum,

Mongini, A., & Van Saun, R. J. (2023). Pregnancy Toxemia in Sheep and Goats. Vet Clin North Am Food Anim Pract, 39(2), 275-291. https://doi.org/10.1016/j.cvfa.2023.02.010

Moyo, M., & Nsahlai, I. V. (2017). Rate of passage of digesta in ruminants; are goats different? In Goat science. IntechOpen.

Purohit, G. (2006). Parturition related disorders in sheep and goats. National Seminar on Innovations and Recent Advances in Reproduction for Augmenting Small Ruminant Production. CSWRI, Jaipur, Rajasthan, India Compendium,

Ruoff, J., et al. (2017). Associations between blood glucose concentration, onset of hyperketonemia, and milk production in early lactation dairy cows. journal of Dairy Science, 100(7), 5462-5467.

Souto, R. J., et al. (2019). Biochemical, endocrine, and histopathological profile of liver and kidneys of sheep with pregnancy toxemia. Pesquisa Veterinária Brasileira, 39, 780-788.

Tiken, M. D., Sarıbay, M. K., Uyanık, G., & Gözer, A. (2024). Koyunlarda Gebelik Toksemisi: Etiyoloji, Patogenez, Önemli Metabolik Profiller, Tedavi ve Korunma. Bahri Dağdaş Hayvancılık Araştırma Dergisi, 13(1), 22-38.

Turgut, A. O., et al. (2025a). Subclinical Pregnancy Toxemia Affects Blood Parameters of Ewes and Impairs Postnatal Growth and Development of Lambs. Vet Med Sci, 11(3), e70259. https://doi.org/10.1002/vms3.70259

Turgut, A. O., et al. (2025b). The Negative Effects of Subclinical Pregnancy Toxaemia on Fetal Skeletal Muscle Development and Evaluation of the Protective Effects of Dietary l‐Carnitine Supplementation in Sheep. Reproduction in Domestic Animals, 60(6), e70088.

Turgut, A. O., et al. (2024). Comparison of blood ΒHBA measurement devices for diagnosis of subclinical pregnancy toxaemia in sheep: A field study. Reproduction in Domestic Animals, 59(5), e14589.

Van Saun, R. J. (2000). Pregnancy toxemia in a flock of sheep. Journal of the American Veterinary Medical Association, 217(10), 1536-1539. https://doi.org/10.2460/javma.2000.217.1536

Varnam, G. C., et al. (1978). Hepatic ketone-body metabolism in developing sheep and pregnant ewes. British Journal of Nutrition, 40(2), 359-367. https://doi.org/10.1079/bjn19780132

Xue, Y. F., et al. (2019). Molecular mechanisms of lipid metabolism disorder in livers of ewes with pregnancy toxemia. Animal, 13(5), 992-999. https://doi.org/10.1017/S1751731118002136

Zou, D., et al. (2021). BHBA regulates the expressions of lipid synthesis and oxidation genes in sheep hepatocytes through the AMPK pathway. Research in veterinary Science, 140, 153-163.

Downloads

Published

13.10.2025

How to Cite

Irmak, M., Turgut, A. O., Eroğlu, M., Koca, D., İrak, K., Keskin, İbrahim H., Doğan, R., & Ünver, A. (2025). Prevalence of Subclinical Pregnancy Toxemia and its Effect on Metabolic Profile of Ewes: A Field Study. Turkish Journal of Agriculture - Food Science and Technology, 13(10), 3048–3052. https://doi.org/10.24925/turjaf.v13i10.3048-3052.8117

Issue

Section

Research Paper