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Udder insufflation of cows with parturient paresis : A forgotten treatment with a bright future?

This investigation involved herds from three practices and 310 laboratory confirmed milk fever cases. All cases in two of the practices were treated with intravenous calcium infusion alone and in one practice the calcium treatment was combined with udder insufflation. In the non-insufflated group 35.5 % of the cases relapsed into a second treatment and the group received 1.5 treatments per cow before full restitution or culling while the figures for the insufflated cows were 14.8 % and 1.2, respectively. The effect of the insufflations on the incidence of relapses was significant. The relations between udder insufflation, SCC and milk yield were estimated. Cow level differences in SCC and yield in kg ECM was investigated for the period from at least two months before drying off (-3 r d test day) til at least 90 days after calving (+3 t h test day). For all observed SCC differences at cow level the udder insufflated cows performed best. The udder insuffiated cows produced 0.3 to 1.7 kg more ECM daily. The highest difference was observed between -3 r d test day and +2 r d test day of +1.7 kg ECM. It is concluded that the therapy of udder insufflation stands unchallenged as superior to other forms of milk fever therapies and the common, but undocumented, opinion that udder insufflation should be a threat to udder health is refuted.