Pregnancy Toxemia

Pregnancy toxemia is a fast-moving, life-threatening condition that affects does in late gestation. In this quick FAQ, uncover the warning signs, causes, and science-backed strategies to protect your herd and act fast when it counts.

What is Pregnancy Toxemia in Goats?

Pregnancy toxemia, also known as pregnancy ketosis or lambing sickness in sheep and goats, is a metabolic disorder primarily affecting pregnant does (female goats). It is characterized by an acute deficiency of glucose (low blood sugar) and an excessive accumulation of ketone bodies in the blood, urine, and milk (hyperketonemia). This condition most frequently occurs in the last two to three weeks of pregnancy, especially in does carrying multiple fetuses, or those that are either too thin or over-conditioned. The underlying cause is a negative energy balance where the animal’s nutritional intake cannot meet the high energy demands of late gestation, leading to the mobilization of fat reserves and the production of ketone bodies.

What are the main clinical signs of Pregnancy Toxemia in goats?

The clinical signs of pregnancy toxemia can vary in severity. Initially, affected goats may show rapid weight loss and loss of appetite (anorexia). A distinct acetone smell may be noticeable on their breath due to the presence of ketone bodies. As the condition progresses, signs can include weakness, nervousness, incoordination, muscle tremors or spasms, and extreme salivation. In more severe or acute cases, goats may become hypertensive, exhibit flaccid paralysis, lie on their sternum, become depressed, or even fall into a coma, eventually leading to death if left untreated. Symptoms can manifest within 6-10 hours from the first signs to death.

How is Pregnancy Toxemia diagnosed in goats?

The gold standard for diagnosing pregnancy toxemia is measuring blood BHBA (beta-hydroxybutyric acid) concentrations in the laboratory. Elevated BHBA levels are a key indicator of hyperketonemia. For field diagnosis, commercial qualitative test strips can be used to detect ketone bodies in urine (ketonuria), serving as a prodromal (early warning) sign. Handheld meters* or Test Strips**, provide reliable and rapid on-site measurements of blood BHBA and glucose concentrations, making early diagnosis more accessible. In goats, subclinical pregnancy toxemia is defined as BHBA levels >0.6 mmol/L, while clinical pregnancy toxemia often involves BHBA levels >1.6 mmol/L.

What are the key biochemical changes observed in goats with Pregnancy Toxemia?

Goats with pregnancy toxemia exhibit significant biochemical alterations. A primary change is hypoglycemia (low blood glucose), as the body struggles to meet energy demands. Conversely, there is a marked increase in Free Fatty Acids (FFA) and beta-hydroxybutyric acid (BHBA) concentrations in the blood, reflecting the mobilization of fat reserves and excessive ketone body production. Studies show that FFA levels in acute and chronic cases are significantly higher than in healthy or recovered goats. Additionally, concentrations of essential minerals like calcium and potassium are significantly lower in affected goats compared to healthy controls, indicating potential electrolyte imbalances. Other reported changes can include elevated cholesterol, triglycerides, and certain liver enzymes (AST, GGT), along with decreased albumin and blood urea nitrogen (BUN) in some cases.

What factors predispose goats to Pregnancy Toxemia?

Several factors can increase a goat’s susceptibility to pregnancy toxemia. These include:

  • Multiple Pregnancies: Does carrying twins or triplets have significantly higher energy demands, making them more prone to negative energy balance.
  • Body Condition: Goats that are either too thin (underfed) or very over-conditioned (excessively fat) are at higher risk. Thin animals lack sufficient reserves, while overly fat animals may have compromised liver function and reduced feed intake capacity.
  • Inadequate Nutrition: Insufficient energy, protein, mineral, and vitamin intake, particularly during late gestation, directly contributes to the condition.
  • Stressors: Any form of stress, such as abrupt changes in feed, poor housing conditions, extreme temperatures, or other diseases, can exacerbate the energy imbalance and trigger pregnancy toxemia.
  • Age: First time dams or older does may also be more susceptible.

How is Pregnancy Toxemia treated in goats?

Treatment for pregnancy toxemia focuses on restoring glucose levels and correcting metabolic imbalances. Oral administration of glucose precursors like propylene glycol or sodium propionate is a common approach, typically given daily for 5-10 days. For more severe cases, intravenous glucose solution can provide a rapid increase in blood sugar. If the animal is not eating, a drench of these substances may be necessary. In cases where hypocalcemia (low calcium) is also present, intravenous or subcutaneous calcium salts may be administered, though care must be taken with the rate of intravenous administration to prevent heart issues. Subsequent treatments might be required, and the goal is for the goat to respond and be able to stand within 30 minutes of IV treatment.

What are the primary strategies for preventing Pregnancy Toxemia?

Prevention of pregnancy toxemia is crucial and revolves around sound nutritional management, especially during the pre-parturient period:

  • Adequate Nutrition: Ensure goats receive sufficient energy, protein, and essential minerals (calcium, phosphorus, magnesium, potassium, sulfur, and trace minerals like selenium, copper, zinc, iodine) and fat-soluble vitamins (A, D, E, K). Nutritional requirements vary based on age, sex, breed, body size, climate, and physiological stage (maintenance, gestation, lactation).
  • Gradual Increase in Concentrates: Gradually increase concentrate levels in the diet before and after kidding to meet rising energy demands. Avoid abrupt changes in forage.
  • Avoid Over- or Under-Conditioning: Maintain an optimal body condition score for pregnant does.
  • High-Quality Forage: Provide high-quality hay and other roughage.
  • Mineral and Vitamin Supplementation: Supplement diets with necessary minerals and vitamins, particularly calcium and phosphorus in a 2:1 ratio. Specific mineral requirements can be assessed by determining the mineral profile of pastures and feed.
  • Stress Reduction: Minimize stressors by providing a clean, fresh, well-ventilated, and warm environment.
  • Monitoring: Regularly monitor at-risk animals, especially those with multiple pregnancies, for early signs of the condition and consider using on-site BHBA testing devices.

Pregnancy toxemia can sneak up quickly but doesn’t have to catch you off guard. With attentive management, solid nutrition, and an eye on energy balance in late gestation, most cases can be prevented or at least caught early enough to act. If you’re raising does through winter pregnancies or managing high-yielding lines with frequent multiples, make regular monitoring and metabolic support a non-negotiable part of your herd care routine. Your vigilance can mean the difference between a healthy delivery and a heartbreaking loss.


*The accuracy of Precision Xtra for measuring blood BHBA concentration in dairy goats is excellent when compared with the gold standard test.
Therefore, producers, veterinary practitioners, and animal scientists may reliably use the Precision Xtra device for monitoring ketonemia in dairy goats. See V. Doré, J. Dubuc, A.M. Bélanger, S. Buczinski,Short communication: Evaluation of the accuracy of an electronic on-farm test to quantify blood β-hydroxybutyrate concentration in dairy goats, Journal of Dairy Science, Volume 96, Issue 7, 2013, Pages 4505-4507, ISSN 0022-0302,
https://doi.org/10.3168/jds.2012-632
**As an Amazon Associate we earn from qualifying purchases.

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