Cordie Update Day 43

Cordie went for her "reverse progesterone" test on April 27th, unfortunately her number was 9.0 (needs to be above 10) and Dr. Williams recommended supplementing with Regumate* through the end of her pregnancy. Cordie started synthetic progesterone today, April 28th. We will follow up with an additional reverse progesterone test Monday or Tuesday to check her levels.

We also preemptively scheduled a c-section for Monday May 13th pending the puppy development and Cordie's situation. She will have an x-ray on Saturday May 11th (Day 57). 

Otherwise Cordie is doing well at Day 43. She is a hungry girl and is enjoying her extra lunchtime meal and home roasted organic chicken and homemade chicken broth. She also gets cottage cheese, sardines, kefir and cooked protein (i.e. salmon). Her kibble mainstay is Farmina N&D Grain-Free Chicken Recipe as well as ZiwiPeak Air Dried Food. 

Cordie has gained 6 lbs so far and is 42 lbs. (and 42.5 lbs. on 4/28!) 

Cute Cordie in the kitchen, Day 43 💓

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*Regumate for Hypoluteodism. Although uncommon, failure to maintain an appropriate serum progesterone level throughout pregnancy is a potential cause of fetal loss. Monitoring of the serum progesterone level allows accurate diagnosis of this problem. Serum progesterone levels above 2 ng/ml are required to maintain pregnancy.

In a normal pregnancy, serum progesterone reaches peak levels of 15-90 ng/ml by 15-30 days post luteinizing hormone (LH) peak. During the last trimester, serum progesterone concentrations decrease to 4-16 ng/ml before dropping below 2 ng/ml approximately one day before parturition. Monitoring of serum progesterone levels can be performed weekly if the levels are 20-50 ng/ml or daily if they are 5-10 ng/ml.

Treatment of hypoluteodism can be performed with injections of progesterone in oil (2-3 mg/kg IM every 24 hours). Alternatively, ally-trenbolone (Regumate, Hoechst-Roussel Agri-Vet Co.) at 0.088 mg/kg PO daily can be given.