Reproductive
Mare Services
Artificial Insemination
Mares can be artificially inseminated with fresh,
cooled or frozen semen. Breeding fertile mares with cooled or frozen semen of
fertile stallions can be simple and efficient and result in pregnancy rates
similar to fresh semen. Easy access to mares for examination is essential to
achieve good pregnancy rates with artificial insemination. Before mares are
initiated in the breeding program at Bella Vista Equine, a complete reproductive
exam is performed to determine if treatment is necessary. Uterine cysts are
mapped and recorded to avoid confusion during the pregnancy exam. Mares that
fail to get in foal in previous breeding seasons or have an abortion or
dystocia, and older maiden mares may require additional diagnostic exams such as
uterine biopsy. A very small piece of tissue is taken from the uterus and sent
to the laboratory for analysis. Based on the biopsy results we can determine if
there is any inflammation or scar tissue in the uterus and initiate treatment
accordingly.
Mares will be monitored daily at Bella Vista Equine Services
for estrus behavior. Uterine culture swab is obtained to determine if the mare
is carrying an infection. Follicular development and uterine changes are
monitored by rectal palpation and ultrasound and the findings are recorded for
daily follow up. Mares are bred within 48 hours from ovulation for fresh semen,
within 24 hours for cooled semen and within 6 hours from ovulation for frozen
semen. Mares are checked for accumulation of fluid post ovulation and treated
with uterine lavage and/or oxytocin when needed. Mares found to be infected may
also benefit from additional treatment post breeding. Problem breeders may
require additional treatment at the time of breeding, and the treatment may vary
with severity of the sub-fertility. We also provide the deep horn insemination
technique when necessary. The deep horn insemination is a special insemination
technique that allows deposition of the semen very close to the ovary that is
releasing the egg. Therefore, the amount of semen used for insemination can be
decreased. Deep horn insemination can increase pregnancy rates of subfertile
stallions and stallions with a low sperm number. Treatment protocol will be
established on an individual basis to optimize the chances of a viable
pregnancy. New infertility treatments and medications can be discussed with Dr.
Martinsen in advance. A full Embryo Transfer service is also available for mares
that are not able to become pregnant or carry a foal to term.
Insemination with Fresh Semen
Stallions are collected at Bella Vista Equine or at local farms. The semen is checked immediately for motility and concentration and diluted with an appropriate extender. The extenders contain substances that improve quality and survival time of the semen and increase the chance of conception. Stallions with poor semen quality and some problem mares, daily insemination with fresh semen is applicable.
Insemination with Cooled Semen
The farm manager where the stallion is located is informed that the mare is being monitored at Bella Vista Equine. We require a current negative EVA test from the stallion before the semen can be shipped to Bella Vista Equine. Information regarding collection schedule and semen quality is gathered in advance to optimize synchronization of semen shipment with mare ovulation. If we are informed that the quality of the semen is not adequate for next day delivery than we will make arrangements for same day pick up at the airport. Semen shipment will be ordered when the mare has a mature follicle associated with uterine edema and cervical relaxation. Not every mare will show signs of heat at the time of breeding, and therefore ultrasound and palpation expertise is crucial at this time. The size of the follicle at the time of breeding may vary between mares and different horse breeds. For example, Arabian mares tend to ovulate smaller size follicles than Friesian mares. We will make all efforts to order semen via Fedex or UPS for overnight delivery, however under special circumstances same day shipments are required. We will be able to provide a courier for semen airport pickup if necessary. When semen arrives at Bella Vista Equine, concentration and motility are immediately estimated. Pregnancy rates are optimized when insemination occurs within 24 hours pre-ovulation or within 6 hours post-ovulation.
Insemination with Frozen Semen
The longevity of frozen/thawed semen is shorter than fresh or chilled semen. Therefore, insemination needs to be performed as close as possible to ovulation. In some cases, stallions can impregnate mares inseminated 24 hours prior to ovulation. However, better results are obtained if insemination occurs within 12 hours prior to ovulation and/or within 6 hours post ovulation. Frozen semen inseminations at Bella Vista Equine are performed within 6 hours from ovulation, and in most cases within 4 hours from ovulation. Timing insemination as close as possible to ovulation is the key success for a high pregnancy rate. Bella Vista Equine is proud to offer convenient frozen semen services. Dr. Martinsen resides on the premises and the mares are monitored and inseminated 7 days a week. The Deep Horn insemination technique is used in all mares bred with frozen semen. Not every mare is a good candidate for frozen semen insemination. Some mares bred with frozen semen may have a reaction and develop uterine inflammation and/or uterine fluid. We try to minimize inflammation by breeding our mares post ovulation with only one insemination dose. The mares are checked 12 to 24 hours post breeding and treated if signs of inflammation are present. The frozen semen can be shipped well in advance in the beginning of the breeding season and stored at Bella Vista Equine. The clinic offers permanent semen storage. We encourage our clients to obtain information about the quality of the semen they intend to use for their mares, including post-thaw motility and number of sperm per insemination dose. Knowledge of the stallion pregnancy rates with frozen semen prior to purchase of the frozen semen is very important and it will usually set the expectations for the upcoming breeding. Bella Vista Equine will only accept frozen semen from EVA negative stallions.
Repro Q & A
You can email us your questions at q4u@equinedoctor.com. We will do our best to answer most of them.
Q: I am planning to breed my 5 year old mare for the first time. What should I consider to prepare her for breeding?
A: A uterine culture is recommended for all open mares prior to the breeding season. Since this is a young mare the chances of her having a uterine infection are very small. Still, a culture is the best and cheapest way of ensuring your mare's chances of conception.
Q: : My mare did not get in foal last year. What and when do you recommend checking her for infertility?
A: The best time to investigate any problems or issues with your mare is in the fall. This will allow enough time for treatment prior to the breeding season. We recommend both uterine culture and biopsy. While the uterine culture will determine if your mare is carrying an infection, the uterine biopsy will determine if any inflammation or scar tissue is present. We can treat the uterus for inflammation, however there is nothing that can be done for the scar tissue in the uterus. According to the results of the biopsy, we can determine the chances, in terms of percentage rate, of your mare becoming pregnant and carry a foal to term.
Q: Do you recommend breeding on foal heat?
A: Yes, I do. Unless the mare has uterine fluid at the time of breeding, has a large uterus, or will be ovulating less than 10 days from foaling. If the mare has had any complications at foaling we also skip foal heat breeding.
Q: : I am considering breeding my mare with frozen semen next year. Is the conception rate with frozen semen really low?
A: The conception rate with frozen semen can be as high as the conception rate with fresh/chilled semen. There are many factors involved on the success rate. The first factor to investigate is the semen quality of the stallion you consider using. Some stallions have excellent semen quality post freezing/thawing, while others have very poor quality. Consider using proven stallions and mares with good fertility.
Q: : I would like to do an Embryo Transfer on my 15 year old mare and have the embryo transfered into a 5 year old mare that I have at the farm. The 5 year old mare has very good manners and she would be a perfect mom. What is your opinion ?
A: Even though the mare you have available to use as a recipient is young and she has the qualities of a recipient mare, having only one recipient mare to choose from at the time of the transfer is not the ideal situation. We need to have two or three recipient mares synchronized with the donor mare at the time of breeding. These mares will be checked and selected again later on, based on palpation and ultrasound, at the time of the transfer. The selection of the recipient mare is crucial to accomplish good results in a embryo transfer program.
Q: My mare is 14 years old and the last time she had an ultrasound performed she appeared to have many uterine cysts. Do the uterine cysts interfere with fertility ?
A: Some mares develop uterine cysts after a certain age. The uterine cysts usually do not interfere with fertility directly, unless the number of cysts is too high. The presence of uterine cysts indicate that the mare is getting some age, and older mares may develop other uterine pathology that will have a bigger impact on fertility, for example, scar tissue in the uterus. Excessive number of uterine cysts may prevent movement of the embryo early on (less than 16 days) and therefore prevents the mare from recognizing she is pregnant (early maternal recognition of pregnancy). When the embryo attaches next to the uterine cyst, I recommend starting the mare on progesterone for maybe 2 or 3 weeks, since the embryo could have less absorption of nutrients due to limited contact with the uterine wall.
Q: Do you believe that mares benefit from progesterone supplementation?
A: Even though there has not been any scientific data to support the fact the progesterone supplementation will benefit some mares to become pregnant and to carry the pregnancy to term, in practice the benefits from progesterone supplementation are well accepted.
Q: My mare is an everyother year mare, and she will not become pregnant if she has a foal at her side. What causes the everyother year mare ?
A: I believe that the everyother year mare has some type of uterine pathology. After foaling, the uterus fails to return to normal and remains with inflammation. The inflammation then prevents the mare from becoming pregnant. There are also mares that raise their foals so well that they become very thin when lactating. These mares just lack energy and fail to cycle normally and become pregnant.
Q: What does uterine lavage mean? Does the uterine lavage “wash out” the embryo from the uterus ?
A: The uterine lavage is the same as uterine flush. It will flush out debris, discharge and bacteria from the uterus and work as a treatment for acute inflammation in the uterus. Mares that develop inflammation in the uterus post breeding or problem breeders can benefit from uterine lavage. The lavage can be performed as early as 6 hours from breeding and up to 3 days from ovulation without interfering with the transport of the sperm. The embryo will arrive in the uterus on day 5 from ovulation and therefore performing the uterine lavage prior to day 3 should not “wash out the embryo from the uterus.
Stallion Services
Breeding Soundness Exam
Prior to the beginning of the breeding season a Breeding Soundness Exam should be performed in all stallions intended for transported semen. The exam should include semen concentration, motility, morphology and cultures in addition to test cool. The size and consistency of the testicles are also measured and the results recorded for future reference. An EVA test is also performed in all stallions intended for breeding. Stallions with poor semen quality receive special management in order to maximize pregnancy rates. Deep horn insemination performed at Bella Vista Equine allows insemination of mares with stallions that have a low sperm number without a significant decrease on the conception rate.
Test Cool
During the test cool, the semen is diluted with
different extenders at different concentrations and the motility is evaluated
immediately after collection as well as 12 hours, 24 hours and 48 hours later.
According to the test cool we can determine the best extender and the best
concentration ideal for the semen shipments. Extenders provide nutrients,
antibiotics and protection against the variation in temperature during semen
transport. The volume of extender added to the semen has to be at least twice
the volume of the semen. The volume of the extender is very important. If the
semen dose is too concentrated, then it will lack protection and nutrients and
the quality of the semen will be poor 24 hours later.
Shipped Semen
On average, the semen dose shipped should be at least 1 billion in order to account for the abnormal, non-motile sperm at the time of insemination. Stallions are usually collected on Monday, Wednesday and Friday, unless special arrangements are made in advance. < br /> Semen shipments should be requested by 9 AM Eastern Time on Monday, Wednesday and Friday, the day of the collection, for all Fed-Ex shipments. Requests for same day shipments need to be made 24 hours prior to regular collection days. We do not guarantee same day services to all locations since the airlines we use may not service all areas.
Frozen Semen
Many breed registries are now accepting frozen semen inseminations. The advantages of frozen semen are numerous. Stallions can produce foals while they are at shows, performance events or recovering from an injury. The breeding market can be extended to include overseas transactions. The breeding season can be prolonged all year around considering the difference in the seasons in the northern and southern hemispheres. Semen from valuable stallions can be saved as insurance for future use after the death of the stallion. Once the semen is frozen and stored properly, its characteristics remain indefinite.
Processing Frozen Semen
Frozen semen results vary among stallions. Some stallions have excellent semen quality after freezing while others have very poor results. Different freezing extenders and freezing methods can influence the quality of the frozen semen. The first step in the process is to perform a test freeze. Semen is collected from the stallion and analyzed for volume, concentration, motility, and morphology. If the semen quality is adequate, the freezing process begins. Several different freezing extenders and methods are used to determine which extender/method will result in better semen quality after thawing. The semen is diluted with a milk base extender and centrifuged. Centrifuging the semen separates the sperm from the remainder of the ejaculate. The supernatant is removed and discarded. The pellet containing the sperm is diluted with several different types of freezing extenders. The solution containing the sperm is packed in straws. At least two different freezing techniques are tested. First, the semen is frozen in the nitrogen vapor and then immersed in liquid nitrogen. The straws are placed in large nitrogen tanks and stored until they are used. One straw from each different freezing extender and method is thawed and the motility analyzed and compared. If results are favorable then further semen collections are performed. If results are unfavorable then the freezing technique is adjusted and the semen re-tested. Some stallions will just not freeze well regardless of the technique and their semen should in these cases not be used frozen. Several insemination doses or straws are obtained per semen collection. An average collection can yield 10 to 15 doses of frozen semen, but it can vary from 2 to 18 doses.
Frozen Semen Inseminations
We recommend testing the frozen semen in a few young fertile mares before banking large quantities of semen. Inseminations have to occur as close as possible to ovulation to optimize the results. The mare must be checked several times during the estrus cycle so we can determine precisely when ovulation occurs. Inseminations with frozen semen are performed within 6 hours from ovulation. A maximum of two doses of frozen semen are used per cycle.
Embryo Transfer
Bella Vista Equine Services offers high quality
embryo transfer (ET) services. The technique developed more than two decades ago
has evolved into a well accepted and successful procedure. Many horse registries
accept embryo transfers, however, you should first contact your horse registry
to get an update on their regulations before considering this procedure.
Embryo transfer has many advantages. It allows the production of foals from older sub-fertile mares and from mares that foaled late in the year. High performance mares can produce foals while they are still in training. Occasionally, more than one foal can be obtained from a single mare in a given year.
The success rate of embryo transfer is dependent upon many individual components. For example, age and fertility status of the donor mare and recipients, stallion semen quality, synchronization of both donor and recipients, and handling of the embryo after recovery. In general, the success rate of ET is around 70 - 75%. Sub-fertile mares may require treatment before entering the program to maximize the success rate. Dr. Elizabeth Martinsen can evaluate your mare on an individual basis to give you a better prediction of results.
Embryo Transfer Technique
The donor and recipients
are monitored daily at Bella Vista Equine. At least two recipient mares will be
synchronized with each donor mare. The donor is bred as close as possible to
ovulation to increase the chances of fertilization. Ovulation timing is also
important in order to schedule the day and time for the embryo flush. This
should occur 7 to 8 days after ovulation. During embryo recovery, several liters
of a special solution are placed inside the donor's uterus and the flush is
recovered through a special cup containing an embryo filter. The filter allows
separation of the embryo from the fluid recovered from the uterus. The cup
containing a small amount of this special solution is transferred into a search
dish. The dish is placed under the microscope and the embryo is searched.
Once the embryo is found and determined to be healthy, it is transferred to other dishes containing a holding solution. The embryo is "washed out" of any debris. The embryo is manipulated carefully and placed inside a special embryo transfer pipette. The recipient mares that were synchronized with the donor are palpated and ultrasound performed to determine the recipient that best meets the criteria for the embryo transfer. The recipient mare is prepared and the vulvar area is cleaned for the procedure. The embryo is deposited into the recipient mare's uterus.
Following the embryo transfer, the recipient starts
receiving injectable progesterone. The first pregnancy check occurs at 14 days
(6 days after the embryo transfer, since the embryo was 8 days old at that
time). The recipient is then checked at 25 days for a heart beat and again two
weeks later. The recipient mare can be released from Bella Vista Equine after
the 45 day pregnancy check. Please refer to the contract for additional
requirements that need fulfilled prior to release of recipient mare.
Recipient Mares
Recipient mares are provided
by Bella Vista Equine. We will synchronize at least two recipient mares per
donor mare in case one of the recipients fails to have a normal cycle. The
recipient mare can ovulate a day prior, the same day or up to 3 days after the
donor mare. However, just prior to the embryo transfer, the recipient mare will
undergo another selection. Based on palpation and ultrasound of the ovaries,
uterus and cervix we will determine the recipient that has the best uterine and
cervical tone and is the best candidate to receive the embryo. Choosing a good
recipient mare at the time of the transfer is crucial for the success rate.
Recipients are usually young (less than 10 years old) and free of any
reproductive pathology.
Foaling
Foaling Services are provided to mare
owners that intend to breed their mares at Bella Vista Equine after foaling. We
use the foal alert system to monitor Foaling. This system contains a small
device which is attached to the vulvar lips a few days before the mare’s due
date. Upon foaling, the device will transmit a signal to an automatic dialer
that notifies the veterinarian on call. The mare is monitored until she passes
the placenta and the foal stands up for nursing. We supervise nursing frequency
for the first 24 hours and perform a blood test on the foal to determine if
colostrum intake has been adequate.
The following article was presented
in Horses Magazine April 2009:
Prior to foaling:
Caring for
the newborn foal starts with the broodmare care. Appropriate nutrition and
pre-foaling vaccinations of the broodmare are crucial in producing a healthy
foal. The pregnant broodmare should receive her pre-foaling shots 4 to 6 weeks
prior to the mare’s due date to ensure appropriate level of immunity in the
colostrum. Bella Vista Equine* does not recommend the administration of modified
live vaccines to any pregnant mares. If you plan to move your mare to a large
breeding farm for foaling, you may be required to give additional pre-foaling
vaccinations to protect the mare and the newborn foal against organisms that may
be common in large breeding farm operations. You should always discuss with your
veterinarian about the pre-foaling vaccines recommended for your region.
At foaling:
Foaling frequently occurs during the
early morning hours. Farm personnel should be observant and call a veterinarian
for assistance if a problem arises. Intervention by the owner or farm personnel
may be necessary and the level of intervention depends on the handler’s
experience. Too much intervention during a normal foaling could be detrimental
to the mare and foal. It is important to understand the normal turn of events so
that you can recognize any problems early on. Foaling is divided into 3 stages.
During the first stage the mare will have uterine contractions that will
position the foal and move it towards the birth canal. This stage lasts between
1 to 2 hours and sometimes may go unnoticed by the observer. The fetal membranes
will be visible and the sac breaks initiating the second stage. The mare starts
delivering the foal during the second stage. If the mare does not progress
delivering the foal during this second stage or if the delivery lasts more than
30 minutes then you must call your veterinarian. Should you suspect that the
position of the foal is abnormal, such as hoof soles in the upward position or
only seeing one front leg at delivery, you need to immediately call in your
veterinarian. After the delivery of the foal, the third stage of labor begins.
During this stage the placenta will be expelled. Expulsion of the placenta may
take up to 3 hours. Any delay beyond this point is a concern. Another worry is
“redbag”. A “redbag” may occur during foaling, when the placenta separates from
the uterus prematurely and the oxygen supply of the foal is compromised. During
the course of a “redbag” delivery, the mare starts foaling with the intact red
bright placenta attached to the foal and covering the foal’s airways. If the
mare is presented with a “redbag” at foaling then direct intervention is
necessary. The foal may die asphyxiated if the placenta is not broken on time
and if the foal is not delivered immediately. However, some foals may look
normal for the first 12 to 24 hours only to turn into dummy foals 36 hours
post-foaling. “Redbag” foals should always be examined by a veterinarian. It is
not recommended to cut the umbilical cord with scissors since it can cause
excessive bleeding of the umbilical stump. The umbilical cord can be left alone
or separated manually by holding it firmly with 2 hands and twisting and pulling
on it, so that it breaks about one inch from the foal’s abdomen. After the
umbilical cord is ruptured, the blood vessels will shrink and it should stop
bleeding by itself. Tying the cord is not recommended. By tying the cord you may
prevent the natural closure of the blood vessels and predispose the umbilical
stump to infection. Assuming a normal foal delivery and everything appearing
normal, allow the mare and the foal time to bind alone.
First 24
hours:
If the foal seems weak and not acting normal you should
contact your veterinarian. A normal foal will stand and move around within the
first 2 hours, and by 3 hours it should have located the teat and have nursed.
Foals that fail to locate the teat and don’t nurse within 3 hours will need some
assistance. It is highly recommended to administer a foal enema to every foal as
soon the foal is able to stand.
At times foals refuse to nurse just
because they have not passed enough meconium (first dark stool), even without
showing obvious signs of a meconium impaction. Bottle feeding the foal with the
mare’s colostrum or frozen colostrum may be an alternative if the foal fails to
nurse on its own within the first 5-6 hours from foaling. At this time you
should contact your veterinarian for advice. The foal may require tube feeding
with colostrum by your veterinarian if it fails to nurse by 8 hours from
foaling. The goal is to have adequate colostrum intake before the first 12
hours. The volume of colostrum necessary for the first 12 hours depends on the
quality of the available colostrum and the size of the foal. Normally, a volume
intake of 1,000 ml of colostrum in the first 12 to 16 hours is adequate. At
birth, the foal’s intestinal cells are able to absorb the large immunoglobulin
molecules from the colostrum. However, after 12 hours there is very little or
maybe no absorption of colostrum. This is why early intervention is important!
Intake of colostrum during the first 24 hours is also important to protect the
foal’s intestine against diarrhea. Commercial colostrum sold in stores should
only be used as a supplementation and not as a replacement of colostrum.
Colostrum from other species will not provide adequate immunity to newborn
foals. The newborn foal is immunologically naive at birth. The placenta of the
mare does not allow the transfer of large immunoglobulin molecules that would
provide resistance to infections. Therefore, the newborn foal needs the
colostrum intake in order to obtain the immunoglobulins to fight any infections.
A foal that fails to obtain the passive immunity from the mare is at risk of
becoming sick and may eventually die. A very simple blood test can be performed
by your veterinarian when the foal is 16 -24 hours old to check for adequate
colostrum intake. Foals that have failure of passive transfer or poor colostrum
intake can be treated by receiving a plasma transfusion. Leakage of colostrum
prior to foaling can also affect the quality of colostrum intake by the foal and
it should be discussed with your veterinarian. Navels are treated every 8 hours
for the first 24 hours. It is recommended to dip the navel with either a diluted
0.5% chlorhexidine solution (the number one choice) or a diluted betadine
solution while avoiding strong iodine preparations. If iodine is the only
solution available then you need to make sure that the solution is 2% diluted
iodine. Stronger iodine solutions are likely to cause burning and necrosis of
the navel and predispose navel infection and patent urachus (urine dripping from
the navel). Remember that newborn foals don’t roll. If the newborn foal is
rolling, switching the tail, or positioning the legs flexed when lying down and
restless a likely cause is colic. The most common cause of colic in the newborn
foal is meconium impaction. The meconium impaction can occur up to 24 hours from
foaling even if the foal has already passed some meconium. Signs of colic in the
newborn may also be a sign of a ruptured bladder or a discomfort that precedes
diarrhea. If you notice any signs of discomfort in your foal do not hesitate
calling your veterinarian for care instructions.
After 24
hours:
To
prevent complications a foal navel should be checked regularly. A wet navel
after the foal is more than 48 hours old is a worrisome signal and you need to
contact your veterinarian. Watch the newborn foal frequently to see if it is
bright and alert. The foal should constantly nurse and is often followed by a
nap. Foals that wonder off and that are not interested in nursing can be a
concern. If the foal is not nursing, the mare’s udder may remain full. Always
check the mare’s udder to see if the foal is consuming enough milk. Be concerned
when the mare’s udder is too full or too small. Mares that do not produce enough
milk will have udders that are frequently small in size. In these cases the foal
will be back to nurse too often and it may also skip nap time. You may think
that the foal is nursing well when in fact it is seeking the mare non-stop
because it is hungry. Some newborn foals have weak legs and are down in the
pasterns. The legs should become stronger with time. If you notice any limb
deformities in the newborn contact you veterinarian to discuss any treatments or
recommendations for the condition. When the foal is about 10 to 14 days old it
may present diarrhea associated with the mare being in heat (foal heat
diarrhea). Generally, this type of diarrhea does not require any treatment.
Diarrhea in the newborn that is not associated with the mare’s foal heat should
be discussed with your veterinarian and treated accordingly. Newborn foals from
mares that receive the appropriate foaling shots require no additional
vaccinations. In this case the first vaccinations can be performed after 3 to 4
months of age. Foals can obtain their first wormer at 30 days. Finally, always
keep the lines of communication open with your veterinarian and take the time to
ask when you are in doubt. Foaling and taking care of the newborn foal is a
worrisome period but after a few foaling experiences you will become familiar
the foaling process. Soon you will be able to start enjoying your new additions
instead.
*Bella Vista Equine is a specialized reproductive clinic located in
central Ohio that provides breeding and management of problem mares, complete
embryo transfer services, on-site foaling facilities and comprehensive stallion
work-up.
Lameness
Bella Vista Equine is committed to provide time and expertise while working with our clients to establish the diagnosis and treatment plan of all horses suffering from lameness issues. Our goal is to help horse owners safely return their horses to work and to maintain the wellbeing of the horses-in-training. Bella Vista Equine offers the latest diagnostic imaging and new treatment plans like the shockwave, stem cell and PRP therapies. All radiographs taken are reviewed by a Board Certified Radiologist specialized in equine lameness. Dr. Peter Meuse uses conventional treatments in conjunction with acupuncture and chiropractic care in order to help the treatment of musculoskeletal disorders and pain management.
Integrative Medicine
Integrative Medicine
Integrative Medicine
Integrative medicine is the combination of both conventional and alternative approaches to stimulate the horse’s natural healing potential. Integrative medicine allows for the development of a more comprehensive treatment plan from which doctors at Bella Vista Equine can establish the diagnostic and treatment program that will best suit the specific need of the horse and its owner. Bella Vista Equine offers both chiropractic care and acupuncture in conjunction with conventional treatments. Dr. Peter Meuse can evaluate each case on an individual basis and will determine when integrative medicine is the best approach to use in order to best meet the horse’s wellness needs.
Acupuncture
Acupuncture
Acupuncture is based on Chinese traditional medicine, where fine needles are used in specific areas of the body’s surface to stimulate energy balance and to promote healing. Acupuncture has been shown to treat pain through its effects on peripheral, central and autonomic nervous systems. The needles are placed in specific points along certain meridians that balance the energy flow in that area. Acupuncture promotes balance of the body’s energy flow and helps with the release of tension, stress and pain. Not only can acupuncture be useful in the treatment and relief of back pain, it can benefit the organ functions, immune function and circulation in a horse. Acupuncture in horses should be performed by a licensed veterinarian certified in acupuncture. Dr. Peter Meuse often performs acupuncture in conjunction with other treatments to optimize the health and performance of your horse.
Chiropractic
Chiropractic
The purpose of chiropractic care is to locate and to adjust musculoskeletal areas of the body that are not functioning properly and to restore normal function of the muscles, joints and nerves. This type of therapy usually involves adjustment of the spine and other areas of the body. Chiropractic care on horses should be performed by only a licensed veterinarian or chiropractor following a preliminary diagnosis based on the animal’s gait, posture, joints and neurological evaluation. Please consult Dr. Peter Meuse to determine if chiropractic care is the right treatment for your horse.
General
In addition to specialized reproductive and lameness services Bella Vista Equine
also provides general veterinary services at the clinic facility and ambulatory practice.
We perform routine on-farm calls in Central Ohio extending as far as fifty miles from our clinic.
General services we offer to clients include routine equine medicine such as vaccinations, de-worming, general
herd health management, teeth floating, sheath cleaning, lacerations, wound management, colic services, castrations
and minor surgeries, not excluding the management and treatment of internal medicine cases.
Emergency services are by nature offered closer to home and in most cases for our existing clients only.
We would like you to know that due to the busy case load that we encounter, especially during the Spring and
Summer seasons, our general and emergency services may be limited to in-house work.





Elizabeth Martinsen, DVM, MS, Dipl. ACT
Peter Meuse, DVM
Nick Hudson















"Embryo Transfer", July 2010, Brazilian Veterinarian Congress (CONBRAVET), Rio de Janeiro, Brazil .