Case report

Peer reviewed

Assessment of sow mortality in a large herd 

Evaluación de la mortalidad de hembras en una piara grande

Évaluation de la mortalité des truies dans un grand troupeau

M. Sanz, DVM; J. D. Roberts , DVM, PhD; C. J. Perfumo, MV, Dr med vet, PhD; R. M. Alvarez, DVM, MS; T. Donovan, DVM;
G. W. Almond, DVM, PhD

MS: College of Veterinary Medicine, Washington State University, Pullman, Washington. JDR, GWA: Department of Population Health and Pathobiology, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina. Dr Roberts is deceased. CJP: Institute of Pathology, Faculty of Veterinary Sciences, La Plata National University, CC 296 B1900 AVW, La Plata, Argentina. RMA: Novartis Animal Health, Basel, Switzerland. TD: Spring Green, Wisconsin. Corresponding author: Dr G. W. Almond, Department of Population Health and Pathobiology, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606; Tel: 919-513-6370; Fax: 919-513-6464; E-mail: Glen_Almond@ncsu.edu.

RIS citationCite as: Sanz M, Roberts JD, Perfumo CJ, et al. Assessment of sow mortality in a large herd. J Swine Health Prod. 2007;15(1):30–36.
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Summary

Causes of sow and gilt death were appraised with postmortem examinations for 20 weeks (May to October) in a 5200-sow herd experiencing higher than expected sow mortality. Complete necropsy findings and data are provided for 107 females. The locomotor, gastrointestinal, reproductive, and urinary systems were affected with lesions presumably causing death; however, lesions affecting the respiratory and circulatory systems also were evident. Sow death was more common during gestation and lactation than in the breeding phase of production. Animals euthanized by farm personnel accounted for approximately 40% of deaths. A group of 88 cull sows was examined at slaughter to discover the distribution of lesions in the surviving population. The proportion of animals with lesions differed between the culled and necropsied sows.

Resumen

En una piara de 5200 hembras experimentando una mortalidad de hembras más alta de lo normal se evaluaron las causas de la muerte de hembras y primerizas mediante exámenes post-mortem durante 20 semanas (Mayo a Octubre). En este artículo se proveen los hallazgos de las necropsias e información completa de 107 hembras. Los sistemas locomotor, gastrointestinal, reproductivo, y urinario fueron afectados por lesiones que presumiblemente causaron la muerte; sin embargo, también fueron evidentes las lesiones que afectaban los sistemas respiratorio y circulatorio. La muerte de las hembras fue más común durante la gestación y lactancia que en la fase de inseminación. Aproximadamente 40% de las muertes provenían de animales sacrificados por el personal de la granja. Se examinó un grupo de 88 hembras de desecho se examinaron en el matadero para descubrir la distribución de las lesiones en la población sobreviviente. La proporción de animales con lesiones difirió entre las hembras desechadas y las que fueron sacrificadas.

Resumé

Les causes de mortalité chez des truies et des cochettes ont été évaluées en effectuant des examens post-mortem durant 20 semaines (mai à octobre) dans un troupeau de 5200 truies au prise avec un problème de mortalité chez des truies supérieur à celui attendu. Les trouvailles complètes de nécropsie et les données sont fournies pour 107 femelles. Les systèmes locomoteur, gastro-intestinal, reproducteur, et urinaire étaient affectés avec des lésions causant apparemment la mort; toutefois, des lésions affectant les systèmes respiratoire et circulatoire semblaient également évidentes. La mortalité chez les truies était plus fréquente pendant les périodes de gestation et de lactation que durant les phases de reproduction et de production. Les animaux euthanasiés par le personnel de la ferme représentaient environ 40% des mortalités. Un groupe de 88 truies réformées a été examiné lors de l’abattage afin de découvrir la distribution des lésions dans la population restante. La proportion des animaux avec lésions différait entre les truies réformées et les truies soumises à une nécropsie.

Keywords: swine, female, mortality, lesions, cull sows
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Received: August 30, 2005
Accepted: June 5, 2006


The United States Department of Agriculture reported that sow mortality ranges from 2.5% to 3.7% each year, depending on herd size.1 It also was stated that annual mortality rates of sows in typical confined-sow herds should not exceed 3%.2 In contrast, some sow herds experience annual losses of at least 10% of inventoried females.3-6 The reasons for sow mortality are poorly understood; however, larger herd size, greater parity, and short lactation length were identified as risk factors.6,7

Pork producers attempt to reduce sow mortality for a variety of reasons, including animal welfare concerns, employees’ morale,5 and financial losses associated with high sow mortality. Financial losses include the value of lost sows and lost pigs, the cost of early female replacement, and depletion of sow herd quality as culling is less intentional.5,8 An increase in sow mortality from 3% to 14% was estimated to impose an annual financial loss of US$63 for every remaining female in the herd.8 A greater understanding of the causes of sow mortality would assist producers’ efforts to reduce sow deaths. Therefore, this case report describes the results of intensive postmortem evaluations of sows in a herd that was experiencing higher than expected sow mortality.

Case herd and management

A 5200-sow herd in North Carolina was chosen for the study. The sows were crossbred Landrace (75%) and Large White (25%) with an average parity of 3.25. The farm has two farrowing barns with 16 rooms per barn. In addition, there are eight breeding-gestation barns. The breeding, gestation, and farrowing buildings are equipped with cool-cell ventilation and stalls for sow housing. Sows received water in common water troughs and feed via individual drop feeders. Piglets were weaned at approximately 20 days of age. Annualized mortality rate averaged > 10% during the investigation. Monthly reports of annualized mortality from the previous year ranged from 7% to 17%. The causes of sow and gilt deaths were appraised with postmortem examinations for 20 weeks between May and October. During the study period, 193 sows died and postmortem examinations were conducted on 130 of them. To evaluate lesions in a subset of the surviving population, a group of cull sows (n = 88) were examined at slaughter. Similar data was recorded for the dead and cull sows.

Classifications of sow death

During this investigation, sow deaths were classified as euthanized, expected deaths, and sudden death. Euthanized deaths were animals that were purposefully terminated for welfare reasons. Expected deaths were animals that were treated and exhibited signs of poor health prior to death. Sudden deaths were animals that were apparently healthy, with no clinical signs prior to death. Individual sow records and clinical histories were used to evaluate factors associated with death.

Necropsy procedures

One investigator was present on the farm for most of the 20 weeks and performed most of the necropsy procedures. Euthanized sows were examined within an hour after death. Overall, sows were examined within 8 hours after death. Necropsy procedures were conducted on a concrete pad located beside the gestation and farrowing facilities and adhered to standard protocols as previously described.9 The cranial cavity was not opened unless a history of nervous signs accompanied the death. A primary cause of death based on gross necropsy findings was determined whenever possible. When two or more lesions were found, they were evaluated in the context of their relationship to the clinical signs observed before death. Some lesions, such as gastric ulcers, were categorized according to severity.10 A modified three-digit coding system was used to classify descriptive information related to the identified lesions.11 The first digit identified the organ system involved, the second digit identified the lesion found in that system, and the last digit identified an etiologic agent confirmed by laboratory diagnostics.11 When etiology was not confirmed, the last digit was assigned a zero. A miscellaneous category was included for classification of lesions of low prevalence. An unknown cause was also reported when no visible lesions were identified.

Diagnostic procedures

When gross findings were lacking or inconclusive, tissues from these cases were submitted to the University of Minnesota Veterinary Diagnostic Laboratory (St Paul, Minnesota) for histopathologic evaluation. Paired specimens from lungs, heart, liver, spleen, kidneys, intestines, urinary bladder, and lymph nodes were collected. One set was preserved in 10% neutral buffered formalin, and the second set was submitted for routine microbiologic procedures in an effort to isolate primary swine pathogens. The eyes from sows with cystitis and pyelonephritis, and from randomly selected sows without urinary tract lesions, were enucleated, packaged, identified, and frozen. The aqueous humour was later used to evaluate urea levels at the time of death.12 Urea concentration in the aqueous humour was measured with an analyser (Roche Hitachi 912; Roche Diagnostics Inc, Indianapolis, Indiana). The procedure was applied to differentiate renal failure as a cause of death.12-16

Demographic factors

The stages of production, namely, lactation, breeding, and gestation, were recorded at the time of death. Stages were recorded using a 20-week code, which assigned breeding as week 1, gestation as weeks 2 to 17, and lactation as weeks 18 to 20. Parities of dead animals also were recorded. The herd distribution by parity was determined to allow comparison of the herd to dead females. Using a five-point scale, one investigator categorized body condition of dead females. A properly conditioned sow was classified as 3; over-conditioned sows were classed as 3.5, 4, or 5; and under-conditioned sows were classed as ≤ 2.5. A lame sow was defined as an animal unable to bear weight on one leg for > 3 days despite treatment. If a lame sow could not be transported to slaughter within 1 week, then the animal was euthanized. Any animal that was lame on two or more legs and failed to respond to 3 days of treatment was euthanized. Identities of females requiring assistance during farrowing or treatment at any time were recorded daily.

Daily high and low temperatures were recorded by a North Carolina Department of Agriculture Weather Station located 16 km from the premises. The high and low daily room temperatures in each farrowing room, breeding barn, and gestation barn also were recorded from existing hi-lo thermometers in the facilities.

Assessment of cull sows

The 88 cull sows were collected during the last few weeks of the investigation and transported to a local abattoir. Reasons for culling included clinical lameness, presence of skin lesions, body condition scores < 2.5, average born alive less than nine during the last three parities, negative ultrasound pregnancy exam at 35 days of gestation, lost pregnancies after a positive ultrasound test, failure to display estrus, failure to conceive after multiple periods of estrus, and parity > 6. These animals were examined at slaughter to evaluate the distribution of lesions in a subset of the surviving population. Examinations were similar to those conducted on dead sows at the farm, except in one sow. In that case, urine constituents were examined microscopically because visible sediment was evident in the bladder.17

Exclusion of animals from the case

An acute outbreak of proliferative enteropathy (ileitis) occurred during the study, affecting only replacement gilts and causing deaths of 23 animals in a short period of time. These deaths were removed from the analysis to avoid biasing the findings. Some animals died at times when the investigators could not perform postmortem examinations, for example, on weekends. In addition, autolysis was too severe in some sows, particularly in the summer, for meaningful examinations. Thus, complete necropsy findings and data are provided for 107 females.

Demographic factors

The demographics of dead sows are shown in Table 1 (stage of production, type of death, and cause of death), Table 2 (primary lesions) and Figure 1 (parity distribution). Forty-seven per cent of sows were euthanized, 28% of deaths were expected, and 25% of sows died unexpectedly. Sudden death appeared to be more common in females of parities 1, 2, and ≥ 6 (Figure 2). During the study, 70 sows died when room temperatures exceeded 32°C (Table 3). In previous reports, outside temperatures > 32°C contributed to mortality rates,16 and the upper critical temperatures for sows were 28°C to 32°C.18

Table 1: Stage of production, type of death, and most common causes of death in each stage of production among 107 sows in a 5200-sow herd during a 20-week period (May to October)*

Stage of
production (%)
Type of death
(%)
Most prevalent affected
system or lesion
(%)
Gestation (40.6) Euthanized (56.8) Locomotor disturbances (64.0)
Gastric ulcer grade 3 (12.0)
Expected to die (25.0) Prolapses (rectal and uterine) (18.2)
Urinary disturbances (18.2)
Sudden death (18.2) Gastric ulcer grade 3 (25.0)
Urinary disturbances (25.0)
Lactation (39.4) Euthanized
(27.9)
Prolapses (rectal and uterine) (33.0)
Respiratory disturbances (13.0)
Expected to die (37.2) Retained piglets (38.0)
Sudden death
(34.9)
Peritonitis (33.0)
Cystitis/pyelonephritis (17.0)
Retained piglets (13.0)
Breeding (20.0) Euthanized (59.1) Locomotor disturbances (38.5)
Circulatory disturbances (23.0)
Respiratory disturbances (23.1)
Expected to die (22.7) No prevalent lesion
Sudden death (18.2) Gastric ulcer grade 3 (75.0 )

* Values are expressed as percentages of the 107 females for the stage of production. For type of death and most prevalent lesion or system, values are percentages within category or subcategory

Table 2: Primary lesions in 107 females that died during a 20-week period (May to October) in a herd of 5200 sows

System Lesion
No.
%*
Type of death
Parity
Body
condition
1
2
3
Locomotor
n = 25 (23.4%)*
Arthritis (> 1 affected joints)
18
16.8
0
0
18
2.8
2.6
OCD/DYS‡
3
2.8
0
0
3
3.0
2.5
Miscellaneous
4
3.7
0
0
4
2.0
2.7
Digestive
n = 21 (19.6%)*
Gastric ulcer
11
10.3
2
5
4
3.8
2.7
Peritonitis
4
3.7
2
2
0
4.7
2.5
Rectal prolapse
3
2.8
0
0
3
2.7
3.0
Torsion
1
0.9
0
1
0
3.0
3.0
Miscellaneous
2
1.9
0
2
0
3.7
3.0
Reproductive
n = 20 (18.7%)*
Dystocia
12
11.2
8
2
2
3.5
2.9
Uterine prolapse
5
4.7
3
0
2
3.0
3.0
Miscellaneous
3
2.8
1
2
0
1.0
3.0
Urinary
n = 12 (11.2%)*
Cystitis/pyelonephritis
7
6.5
3
4
0
3.3
2.8
Miscellaneous
5
4.7
0
3
2
2.0
2.7
Respiratory
n = 8 (7.5%)*
Purulent pneumonia
3
2.8
0
0
3
1.7
2.1
Pleuritis
2
1.9
0
0
2
3.0
3.0
Bronchopneumonia
1
0.9
0
0
1
6.0
3.5
Miscellaneous
2
1.9
1
1
0
2.5
2.7
Circulatory
n = 4 (3.7%)*
Pericarditis
2
1.9
0
2
0
3.5
2.7
Myocardial necrosis
1
0.9
0
1
0
4.0
3.0
Congestive heart failure
1
0.9
0
2
0
2.0
2.5
Miscellaneous
n = 5 (4.7%)*
NA‡
5
4.7
0
0
5
2.7
2.7
Unknown
n = 12 (11.2%)*
NA
12
11.2
4
8
0
2.4
2.9

* Percent of all necropsied sows (n = 107).

† Deaths were classified as expected after treatment (1), sudden (2), or euthanasia (3). Parity and body condition scores are averages for the 107 females.

‡ OCD-DYS = osteochondrosis-dyschondroplasia; NA = not applicable.

Figure 1: Parity distribution of dead sows (n = 107) and the surviving herd (5200 sows) during a 20-week period (May to October).

Figure 1

Figure 2: Number of sows, by parity, that were expected deaths, sudden deaths, or euthanized on a 5200-sow farm. During a 20-week investigation (May to October), 107 sows were examined by necropsy. Expected deaths were animals that were treated and exhibited signs of poor health prior to death.

Figure 2

Table 3: Stage of production, type of death, and most common lesions found in 70 necropsied sows that died in a herd of 5200 when room temperature was ≥ 32°C during a 20-week period (May to October)

Category Sows represented (%)
Production stage
Gestation 40
Lactation 34
Breeding 18
Type of death
Euthanized 41
Expected to die 30
Sudden death 29
Most commonly affected systems
Locomotor 20
Digestive 19
Reproductive 17
Urinary 11

Causes of death and observed lesions

Arthritis was the most common finding (Table 2). Death was due to euthanasia in all of these cases. Grade 3 gastric ulcers (hemorrhagic ulcer) were responsible for 11 deaths, and 45.5% of affected sows died suddenly. Cystitis and pyelonephritis were found in seven sows and most of these had died suddenly. Secondary lesions were found in 61 sows (57% of all cases; Table 4). Cystitis and pyelonephritis were the most common secondary lesions found, and 50% of these cases were associated with dystocia (retained piglets) as the primary cause of death. The most common cardiac finding was excess pericardial fluid (> 25 mL). Half of these cases were sows with dystocia as a primary cause of death.

Table 4: Secondary lesions, by affected system, in 61 of 70 necropsied sows that died in a herd of 5200 when room temperature was ≥ 32°C during a
20-week period (May to October)

System (% of sows) Lesion Percentage
Urinary (25) Cystitis and pyelonephritis 12
Miscellaneous in kidney 8
Cystitis 5
Digestive (25) Gastric ulcer grade 1 or 2 10
Excess peritoneal fluid 5
Peritonitis 5
Rectal prolapse 2
Miscellaneous 2
Circulatory (18) Excess pericardial fluid 10
Pericarditis 7
Miscellaneous 2
Respiratory (17) Pleuritis 8
Purulent pneumonia 7
Bronchopneumonia 2
Locomotor (12) Arthritis 5
Polyarthritis 5
Miscellaneous 2
Reproductive (3) Retained pigs 3

Laboratory findings

Tissues from 20 sows were submitted to the University of Minnesota Veterinary Diagnostic Laboratory for histopathological evaluation either to confirm the initial gross findings or when gross findings were lacking or inclusive. In two sows with severe cardiomyopathy as the primary lesion, histopathologic lesions were consistent with right heart failure. In these cases, histopathological changes included marked congestion of the red pulp of the spleen and marked diffuse hepatic centrilobular congestion with atrophy of hepatocytes. In two sows, lung abscesses were grossly evident. Microscopic lesions were compatible with purulent pneumonia. Eosinophilic hepatitis due to migration of Ascaris suum larvae, with focal necrosis and fibrosis, was noted in a few livers. Suppurative pyelonephritis was observed in two sows, with Escherichia coli isolated from urine samples in both cases. One case of mild focal interstitial nephritis was also evident. Twenty-one ocular fluid specimens were analyzed for urea nitrogen. As in previous reports,12,13 ocular urea nitrogen concentrations were elevated (13 mg per dL) in the three cases with cystitis and pyelonephritis as primary lesions.

Evaluations of culled sows

Lesions were found in 83% of the cull sows at slaughter. Grade 1 or 2 gastric ulcers were found in 37.3%. Cystitis accounted for 27.1% of lesions. Arthritis and kidney lesions accounted for 23.7% and 20.3% of lesions, respectively. Lesions on serosal membranes, lungs, and reproductive tract comprised 6.8%, 6.8%, and 1.7% of lesions, respectively. With the exception of arthritis, lesions were more prevalent in parity 4 or older sows compared to younger parities. Most culled sows were first parity or greater than fourth parity, with body condition scores usually > 2.5 (Table 5).

Table 5: Parity distribution and body condition among 88 culled sows prior to examination at slaughter

Category Sows represented (%)*
Parity
0 2
1 36
2 10
3 10
≥ 4 42
Body condition†
1.0 - 2.4 5.3
2.5 - 2.9 56
3.0 - > 3 38.7

* Values represent percentages of culled sows within parity or body condition.

† Using a five-point scale, one investigator categorized body condition of dead females. A properly conditioned sow was classified as 3; over-conditioned sows were classed as 3.5, 4, or 5; and under-conditioned sows were classed as < 2.5.

Discussion

Various studies previously examined sow mortality;3,6,13,19 however, few studies involved large-scale systems.16,20,21 Evidently, mortality rates increase with herd size.6,7,15 The causes of sow mortality are poorly understood, as postmortem examinations are rarely conducted on dead sows.15,20 Also, sows with disorders that are obvious to the producer are rarely investigated, resulting in underestimates of mortality rates related to some causes of death.21 Sow mortality for the case farm was comparable to sow losses previously reported.3-6 It must be emphasized that the detailed examination of sow mortality in one herd is not necessarily representative of other herds or other seasons of the year.

As in other reports,4,15,22 arthritis necessitating euthanasia was a common cause of sow death. Average parity of these sows was < 3. In contrast, other investigators reported that sows older than parity 3 were likely to die as a consequence of arthritis.22 However, in this herd, most sows were culled after their sixth parity and older sows could not be evaluated. The precise causes of arthritis in sows are debatable; however, infectious polyarthritis is indicative of a septic focus with bacterial spread to multiple joints.23 The location of the septic focus was not determined in this investigation.

The proportion of dead females with grade 3 gastric ulcers, particularly in parity 3 and older sows, was similar to that previously reported.3,4,6,24 Several risk factors were associated with ulceration of the pars esophagea.10 The sows in this herd were fed once a day during gestation, and thus it is possible that the feeding regimen might have contributed to the high prevalence of gastric ulcers in gestating sows.

The combination of cystitis and pyelonephritis was an important cause of death in sow farms.14,25 In our case, 30% of sows had cystitis and pyelonephritis as primary or secondary lesions. Ascending urinary tract infections were noted in > 25% of gestating sows using a common water trough.17 Therefore, the high incidence of cystitis and pyelonephritis in sows in this herd may reflect inadequate water consumption. Previous studies indicated that old age was an important factor in cystitis and pyelonephritis in sows;24-26 however, the average parity of sows with cystitis and pyelonephritis lesions was 2.1 in our investigation. Since cystitis and pyelonephritis are associated with greater duration of parturition and more farrowing complications,25 it was not surprising that 50% of our postmortem cases had cystitis and pyelonephritis as secondary lesions when farrowing complications were considered the primary cause of death.

Approximately 50% of sow mortality occurs during the 3 weeks following parturition.5,24 We found similar numbers of dead sows in lactation and gestation. However, fewer sows are in lactation at any given time, and thus, sows were more likely to die during lactation than during gestation.

The association of parity and mortality is difficult to interpret. Sixty-three percent of the dead sows were parity 3 or less, confirming previous reports.5,20 The fact that 75% of the herd population was parity 3 or younger may contribute to this observation. For this particular herd, it also was evident that euthanasia was common for parity 1 to 4 animals. Personnel apparently were proactive and willing to make the difficult decision to terminate animals.

When females die on hot days (> 32°C), tissues are not often submitted to diagnostic laboratories.6,27 However, sow mortality is seasonal, with mortality rates increasing in the summer.5,6,24 Outside temperatures > 32°C were identified as critical to mortality rates.18,27 Our investigation was conducted primarily during the summer, and most sow deaths occurred when barn temperatures were > 32°C. Therefore, management of ambient temperature through various cooling devices is essential to reduce sow mortality.

The lesions in cull sows were not necessarily consistent with those associated with sow deaths. Common lesions in cull sows were gastric ulcers (grades 1 and 2). Grade 3 ulcers typically cause death, and thus were rare in surviving cull sows. Collectively, it was evident that urinary tract lesions were common in the cull sows and this represents a potential herd problem, such as insufficient water intake.17 It was apparent that locomotor dysfunction also represents an important factor in sow attrition for this farm. To clarify the causes of locomotor dysfunction, it would be necessary to conduct a more thorough evaluation of flooring, nutrition, and other factors for this particular farm.

Slaughterhouse examinations of cull sows provided some insight into locomotor, digestive, and urinary system lesions. However, several other lesions evident in on-farm sows were not observed in cull sows. Perhaps the greatest limitation of examining cull sows is that lesions associated with the peripartum period are not observed.

Implications

  • Elucidation of the causes of sow mortality is challenging.
  • The causes of sow deaths are variable; however, lesions affecting the locomotor, digestive, reproductive, and urinary systems are common.
  • Culling practices influence on-farm sow mortality.
  • Slaughterhouse examinations of cull sows do not necessarily reflect the causes of sow mortality.

References

1. United States Department of Agriculture. 2001. Part I: Reference of Swine Health and Management in the United States, 2000, National Animal Health Monitoring System. Fort Collins, Colorado. # N338.0801.

2. Dial GD, Marsh W, Polson D, Vaillancourt JP. Reproductive failure: differential diagnosis. In:Leman AD, Straw BE, Mengeling WL, D’Allaire S, Taylor DJ, eds. Diseases of Swine. 7th ed. Ames, Iowa: Iowa State University Press; 1992:88–137.

3. Marco E. Sudden death in sows. Pig J. 1995;35:157–163.

*4. Irwin C, Geiger J, Pretzer S, Henry S. Identifying causes of sow mortality. Proc IPVS. Melbourne, Australia; 2000:290.

*5. Deen J, Xue J. Sow mortality in the US: An industry-wide perspective. Proc AD Leman Swine Conf. St Paul, Minnesota. 1999;26:91–94.

6. Duran O. Sow mortality. Comp Cont Ed Pract Vet. 2001;23:S76–S84.

7. Koketsu Y. Retrospective analysis of trends and production factors associated with sow mortality on swine-breeding farms in the USA. Prev Vet Med. 2000;46:249–256.

*8. Sanz M, Roberts J, Almond G, Alvarez R, Donovan T, Perfumo C. What we see with sow mortality. Proc AD Leman Swine Conf. St Paul, Minnesota. 2002;181–184.

9. Straw BE, Meuten DJ, Thacker BJ. Physical examination. In: Straw BE, D´Allaire S, Mengeling WL, Taylor DJ, eds. Diseases of Swine. 8th ed. Ames, Iowa: Iowa State University Press; 1999:3–18.

10. Friendship R. Gastric ulcers. In: Straw BE, D´Allaire S, Mengeling WL, Taylor DJ, eds. Diseases of Swine, 8th ed. Ames, Iowa: Iowa State University Press; 1999:685–694.

11. Christensen J, Ellegaard B, Kirkegaard Petersen B, Mousing J. Pig health and production surveillance in Denmark: sampling design, data recording and measures of disease frequency. Prev Vet Med. 1994;20:47–61.

12. Drolet R, D’Allaire S, Chagnon M. The evaluation of postmortem ocular fluid analysis as a diagnostic aid in sows. J Vet Diagn Invest. 1990;2:9–13.

13. Arauz S, Perfumo CJ. Comparación de la concentración de urea en el humor acuoso de cerdas muertas por cistitis y pielonefritis y por otras causas [A comparison on the urea concentration of the aqueous humor in dead sows due to cystitis and pyelonephritis and other causes]. Rev Med Vet. 2000;81:342–344.

14. Carr J, Walton J, Done S. Cystitis and ascending pyelonephritis in the sow. In Pract. 1995;17:71–79.

15. Christensen G, Vraa Andersen L, Mousing J. Causes of mortality among sows in Danish pig herds. Vet Rec. 1995;137:395–399.

16. Drolet R, D’Allaire S, Chagnon M. Some observations on cardiac failure in sows. Can Vet J. 1992;33:325–329.

17. Almond GW, Stevens JB. Urinalysis techniques for swine practitioners. Comp Cont Ed for Pract Vet. 1995;17:121–129.

18. Clark JA, McArthur AJ. Thermal exchanges. In: Wathes CM, Charles DR, eds. Livestock Housing. Wallingford, UK: CAB International. 1994:97–122.

19. Perfumo CJ, Sanguinetti HR, Idiart JR, Massone AM, Vigo G, Machuca M, Moredo F, Giacoboni G. Hallazgos anatomopatológicos asociados a la muerte de reproductoras porcinas en dos granjas con manejo intensivo en confinamiento [Anatomorphological findings associated with sow death in two intensive farms]. Rev Med Vet. 2003;84:84–88.

20. D´Allaire S, Drolet R, Chagnon M. The causes of sow mortality: a retrospective study. Can Vet J. 1991;32:241–243.

*21. Geiger G, Irwin C, Pretzer S. Assessing sow mortality. Proc AD Leman Swine Conf. St Paul, Minnesota. 1999;84–87.

22. Svendsen J, Nielsen C, Bille N, Riising J. Causes of culling and death in sows. Nord Vet Med. 1975;27:604–615.

23. Hill MA, Hilley HD, Penny RHC. Skeletal system. In: Leman AD, Glock RD, Mengeling WL, Penny RHC, Scholl E, Straw BE, eds. Diseases of Swine. 6th ed. Ames, Iowa: Iowa State Univ Press; 1986:183–197.

24. Chagnon M, D’Allaire S, Drolet R. A prospective study of sow mortality in breeding herds. Can J Vet Res. 1991;55:180–184.

*25. Sobestiansky J, Peruzo FB, Dalla Costa O, Went M. Infeccao urinaria de origem multifactorial na femea suina em producao [Multifactorial urinary infection in the productive sow]. EMBRAPA-CNPSA. 1995;4:1–9.

*26. Madec F. Urinary disorders in intensive pig herds. Pig News Info. 1984;5:90–93.

27. D’Allaire S, Drolet R, Brodeur D. Sow mortality associated with high ambient temperatures. Can Vet J. 1996;37:237–239.

* Non-refereed references.