Research Article
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Effects of Puerperal Metritis on Uterine Blood Flow, Acute Phase Proteins and Selected Biochemical Parameters in Aleppo Goats

Year 2025, Volume: 36 Issue: 3, 187 - 193, 30.11.2025
https://doi.org/10.36483/vanvetj.1717699

Abstract

The aim of this study was to determine the effects of puerperal metritis on uterine blood flow, acute-phase proteins, and certain biochemical parameters in Aleppo goats. In the study, researchers divided 30 multiparous Aleppo goats, which were in the first 10 days postpartum and had not been exposed to any medical treatment, into two equal groups: Group 1 (n=15) included goats with a healthy uterus throughout the postpartum period, whereas Group 2 (n=15) consisted of goats diagnosed with puerperal metritis. Before any intervention, Pulsatility Index (PI) and Resistance Index (RI) were measured using Doppler ultrasonography. Blood samples were then collected to analyze White Blood Cell (WBC) count, Interleukin-6 (IL-6), Tumor Necrosis Factor-Alpha (TNF-α), Serum Amyloid A (SAA), Procalcitonin (PCT), Aspartate Aminotransferase (AST), Gamma-Glutamyl Transferase (GGT), urea, and creatinine levels. The obtained data were evaluated using an independent samples t-test. Body temperature, respiratory rate, heart rate, and WBC values were significantly higher in the puerperal metritis group compared to the control group (p<0.001). In goats with metritis, comparison with the control group revealed that PI and RI values were low (p<0.001), and IL-6, TNF-α, SAA, PCT, AST, GGT, urea and creatinine levels were high (p<0.001). In conclusion, puerperal metritis induces substantial alterations in uterine blood flow and results in marked variations in acute-phase proteins and biochemical markers in goats.

Ethical Statement

This study was approved by the Local Ethics Committee for Animal Experiments of Harran University under permit number 2025/003/10.

References

  • Abebe W, Getinet A, Mekonnen H (2002). Study on live weight, carcass weight and dressing percentage of Issa camels in Ethiopia. Rev Med Vet, 153, 713–716.
  • Adnane M, Chapwanya A, Kaidi R, Meade KG, O'Farrelly C (2017). Profiling inflammatory biomarkers in cervico-vaginal mucus (CVM) postpartum: Potential early indicators of bovine clinical endometritis? Theriogenology, 103, 117-122.
  • Akkuş T, Yaprakci Ö, Mogulkoc MN et al. (2024). Mastitis in sheep-procalcitonin level as a biomarker for early diagnosis. Acta Sci Vet, 52.
  • Bhadaniya AR, Prasad MC, Savsani HH et al. (2019). Pro-inflammatory cytokine expression studies of subclinical and clinical endometritis in endometrial tissues of buffaloes. Trop Anim Health Prod, 51 (5), 1161-1166.
  • Bobe G, Young JW, Beitz DC (2004). Invited review: pathology, etiology, prevention, and treatment of fatty liver in dairy cows. J Dairy Sci, 87 (10), 3105-3124.
  • Cui L, Wang H, Ding Y, Li J, Li J (2019). Changes in the blood routine, biochemical indexes and the pro-inflammatory cytokine expressions of peripheral leukocytes in postpartum dairy cows with metritis. BMC Vet Res, 15 (1), 157.
  • Debertolis L, Mari G, Merlo B et al. (2016). Effects of induced endometritis on uterine blood flow in cows as evaluated by transrectal Doppler sonography. J Vet Sci, 17 (2), 189-197.
  • Devi S, Nair AS, Mohapatra SK et al. (2024). Relevance of species-specific procalcitonin (PCT) and C-reactive protein (CRP) as clinical biomarkers in goat pneumonia. Indian J Anim Sci, 94 (11), 919-923.
  • Di S, Wang Y, Sun L, Zhao H, Guo L (2020). The value of TLR-4, CRP, PCT and WBC levels in assessing the diagnosis and prognosis of sepsis patients. Int J Clin Exp Med, 13 (12), 9419-28.
  • Doumtsop CLM, Kouamo J, Njintang NY et al. (2021). Prevalence, etiology and risk factors associated with chronic metritis in small ruminants in Adamawa Region (Cameroon). J Reprod Infertil, 9 (4), 147-154.
  • Elmetwally M, Bollwein H (2017). Uterine blood flow in sheep and goats during the peri-parturient period assessed by transrectal Doppler sonography. Anim Reprod Sci, 176, 32-39.
  • Elmetwally M, Rohn K, Tillmann MS (2016). Noninvasive color Doppler sonography of uterine blood flow throughout pregnancy in sheep and goats. Theriogenology, 85 (6), 1070-1079.
  • El-Sayed A, Faraj SH, Marghani BH et al. (2024). The transcript levels and the serum profile of biomarkers associated with clinical endometritis susceptibility in buffalo cows. Vet Sci, 11 (8), 340.
  • Faraz A, Younas M, Waheed A, Yaqoob M, Ishaq K (2019). Growth performance and hair mineral status of Marecha (Camelus dromedarius) calves reared under different management systems. Pak J Zool, 51 (503), 10-17582.
  • Giuliodori MJ, Magnasco RP, Becu-Villalobos D et al. (2013). Metritis in dairy cows: Risk factors and reproductive performance. J Dairy Sci, 96 (6), 3621-3631.
  • González FD, Muiño R, Pereira V, Campos R, Benedito JL (2011). Relationship among blood indicators of lipomobilization and hepatic function during early lactation in high–yielding dairy cows. J Vet Sci, 12 (3), 251–255.
  • Heidarpour M, Mohri M, Fallah‐Rad AH, Shahreza FD, Mohammadi M (2012). Acute-phase protein concentration and metabolic status affect the outcome of treatment in cows with clinical and subclinical endometritis. Vet Rec, 171 (9), 219.
  • Honnens A, Niemann H, Paul V, Meyer HHD, Bollwein H (2008). Doppler sonography of the uterine arteries during a super‐ ovulatory regime in cattle uterine blood flow in superovulated cattle. Theriogenology, 70 (5), 859–867.
  • Joo K, Park W, Lim MJ, Kwon SR, Yoon J (2011). Serum procalcitonin for differentiating bacterial infection from disease flares in patients with autoimmune diseases. J Korean Med Sci, 26 (9), 1147.
  • Karon BS, Tolan NV, Wockenfus AM et al. (2017). Evaluation of lactate, white blood cell count, neutrophil count, procalcitonin and immature granulocyte count as biomarkers for sepsis in emergency department patients. Clin Biochem, 50 (16-17), 956-958.
  • Kaufmann TB, Drillich M, Tenhagen BA, Heuwieser W (2010). Correlations between periparturient serum concentrations of non-esterified fatty acids, beta-hydroxybutyric acid, bilirubin, and urea and the occurrence of clinical and subclinical postpartum bovine endometritis. BMC Vet Res, 6, 1-6.
  • Kaya S, Merhan O, Kacar C, Colak A, Bozukluhan K (2016). Determination of ceruloplasmin, some other acute phase proteins, and biochemical parameters in cows with endometritis. Vet World, 9 (10), 1056.
  • Khalid A, Na Y, Jinyou Z, Khudhair N, Guixue Z (2015). Responses of chicken sertoli cells and fibroblasts after transfection with plasmids pEGFP-N3-HNP-1. Pak Vet J, 35 (4), 504-509.
  • Kulsum U, Juli MSB, Zohara BF, Islam MN, Akther M (2020). Incidence of reproductive disorders of goat in Dinajpur district of Bangladesh. Asian J Med Biol Res, 6 (2), 212-221.
  • Kurt S, Salar S, Salar MÖ (2019). Antibiogram and pathogen isolation from vaginal discharge in dairy cows with metritis. Vet Hekim Der Derg, 90 (2), 66-70.
  • Kushibiki S (2011). Tumor necrosis factor‐α‐induced inflammatory responses in cattle. Anim Sci J, 82 (4), 504-511.
  • Madbouly H, El-Shahat KH, Abdelnaby EA, El-Sherbiny HR, Fathi M (2024). Determination of the impacts of supplemental dietary curcumin on post-partum uterine involution using pulsed-wave doppler ultrasonography in Zaraibi goat. BMC Vet Res, 20 (1), 316.
  • Majeed AF (1994). Obstetrical problems and their management in Iraqi goats. Small Rumin Res, 14 (1), 73-78.
  • Miglio A, Moscati L, Scoccia E et al. (2018). Reference values for serum amyloid A, haptoglobin, lysozyme, zinc and iron in healthy lactating Lacaune sheep. Acta Vet Scand, 60 (1), 46.
  • Mikulková K, Kadek R, Filípek J, Illek J (2020). Evaluation of oxidant/antioxidant status, metabolic profile and milk production in cows with metritis. Ir Vet J, 73, 1-11.
  • Moriyama K, Nishida O (2021). Targeting cytokines, pathogen-associated molecular patterns, and damage-associated molecular patterns in sepsis via blood purification. Int J Mol Sci, 22 (16), 8882.
  • Nasreldin N, Ali FAZ, Abd-Elhafeez HH et al. (2020). Characterization of immunological, biochemical and inflammatory response of clinical and subclinical endometritis in ewes in the subtropics. Anim Reprod Sci, 219, 106541.
  • Nazifi S, Esmailnezhad Z, Haghkhah M, Ghadirian S, Mirzaei A (2012). Acute phase response in lame cattle with interdigital dermatitis. World J Microbiol Biotechnol, 28 (4), 1791-1796.
  • Paiano RB, Lahr FC, Silva LS et al. (2019). Haematological and biochemical profiles during the puerperium in dairy cows–Short communication. Acta Vet Hung, 67 (3), 377-384.
  • Perumal P, Chaurasia D, De A et al. (2020). Effect of clinical endometritis on physiological, hematological, biochemical and endocrinological profiles in crossbred cows under tropical island ecosystem. Indian J Anim Res, 90 (9), 1296-1299.
  • Petersen H, Nielsen J, Heegaard PMH (2004). Application of acute phase protein measurements in veterinary clinical chemistry. Vet Res, 35 (2), 163-187.
  • Salama SA, Kamel MW, Diaz-Arrastia CR et al. (2009). Effect of tumor necrosis factor-α on estrogen metabolism and endometrial cells: potential physiological and pathological relevance. J Clin Endocrinol Metab, 94 (1), 285-293.
  • Sayeed A, Khatun MS, Bari S et al. (2020). Prevalence of gynecological disorders of goat and pattern of drug used at Chuadanga, Bangladesh. Res J Agric, 40 (4), 424-429.
  • Schuetz P, Suter-Widmer I, Chaudri A et al. (2011). Prognostic value of procalcitonin in community-acquired pneumonia. Eur Respir J, 37 (2), 384-392.
  • Sharma A, Singh M, Kumar P, Sharma I, Rana A (2021). Mid‐estrus uterine blood flow in endometritic and non‐endometritic dairy cows using transrectal Doppler ultrasonography. Biol Rhythm Res, 1–6.
  • Sheldon IM, Lewis GS, LeBlanc S, Gilbert RO (2006). Defining postpartum uterine disease in cattle. Theriogenology, 65 (8), 1516-1530.
  • Tinkanen H, Kunjansuu E (1992). Doppler ultrasound studies in pelvic inflammatory disease. Gynecol Obstet Invest, 34 (4), 240–242.
  • Tortorella C, Piazzolla G, Matteo M et al. (2014). Interleukin-6, interleukin-1β, and tumor necrosis factor α in menstrual effluents as biomarkers of chronic endometritis. Fertil Steril, 101 (1), 242-247. Trela M, Domańska D, Witkowska-Piłaszewicz O (2022). Diagnostic use of serum amyloid A in dairy cattle. Agriculture, 12 (4), 459.
  • Varughese EE, Brar PS, Dhindsa SS (2013). Uterine blood flow during various stages of pregnancy in dairy buffaloes using transrectal Doppler ultrasonography. Anim Reprod Sci, 140 (1-2), 34-39.

Halep Keçilerinde Puerperal Metritisin Uterus Kan Akımı, Akut Faz Proteinleri ve Seçilmiş Biyokimyasal Parametreler Üzerine Etkileri

Year 2025, Volume: 36 Issue: 3, 187 - 193, 30.11.2025
https://doi.org/10.36483/vanvetj.1717699

Abstract

Bu çalışmanın amacı, Halep keçilerinde puerpreal metritisin uterus kan akımı, akut faz proteinleri ve bazı biyokimyasal parametreler üzerine etkilerini belirlemektir. Çalışmada, postpartum ilk 10 gün içerisinde bulunan ve herhangi medikal tedaviye maruz kalmamış multipar 30 Halep keçisi eşit iki gruba ayrıldı: Grup 1 (n=15), doğum sonrası dönemde sağlıklı uterusa sahip keçileri içerirken, Grup 2 (n=15), doğum sonrası puerperal metritis tanısı koyulan keçilerden oluşturuldu. Herhangi bir uygulama yapılmadan önce, Doppler ultrasonografi muayenesi yapılarak Pulsatilite İndeksi (PI) ve Rezistans İndeksi (RI) ölçüldü. Daha sonra Beyaz Kan Hücresi (WBC) sayımı, İnterlökin-6 (IL-6), Tümör Nekroz Faktör Alfa (TNF-α), Serum Amiloid A (SAA), Prokalsitonin (PCT), Aspartat Aminotransferaz (AST), Gama-Glutamil Transferaz (GGT), üre ve kreatinin düzeylerini analiz etmek için kan örnekleri toplandı. Elde edilen veriler bağımsız örnekler t-testi kullanılarak değerlendirildi. Vücut sıcaklığı, solunum hızı, kalp hızı ve WBC değerleri puerperal metritis grubunda kontrol grubuna kıyasla anlamlı derecede yüksek belirlendi (p<0.001). Metritisli keçilerde kontrol grubuna kıyasla PI ve RI değerlerinin düşük (p<0.001), IL-6, TNF-α, SAA, PCT, AST, GGT, üre ve kreatinin düzeylerinin yüksek olduğu belirlendi (p<0.001). Sonuç olarak puerperal metritisin keçilerde uterus kan akımında önemli değişikliklere neden olduğu ve akut faz proteinleri ile biyokimyasal belirteçlerde belirgin varyasyonlara yol açtığı görüldü.

References

  • Abebe W, Getinet A, Mekonnen H (2002). Study on live weight, carcass weight and dressing percentage of Issa camels in Ethiopia. Rev Med Vet, 153, 713–716.
  • Adnane M, Chapwanya A, Kaidi R, Meade KG, O'Farrelly C (2017). Profiling inflammatory biomarkers in cervico-vaginal mucus (CVM) postpartum: Potential early indicators of bovine clinical endometritis? Theriogenology, 103, 117-122.
  • Akkuş T, Yaprakci Ö, Mogulkoc MN et al. (2024). Mastitis in sheep-procalcitonin level as a biomarker for early diagnosis. Acta Sci Vet, 52.
  • Bhadaniya AR, Prasad MC, Savsani HH et al. (2019). Pro-inflammatory cytokine expression studies of subclinical and clinical endometritis in endometrial tissues of buffaloes. Trop Anim Health Prod, 51 (5), 1161-1166.
  • Bobe G, Young JW, Beitz DC (2004). Invited review: pathology, etiology, prevention, and treatment of fatty liver in dairy cows. J Dairy Sci, 87 (10), 3105-3124.
  • Cui L, Wang H, Ding Y, Li J, Li J (2019). Changes in the blood routine, biochemical indexes and the pro-inflammatory cytokine expressions of peripheral leukocytes in postpartum dairy cows with metritis. BMC Vet Res, 15 (1), 157.
  • Debertolis L, Mari G, Merlo B et al. (2016). Effects of induced endometritis on uterine blood flow in cows as evaluated by transrectal Doppler sonography. J Vet Sci, 17 (2), 189-197.
  • Devi S, Nair AS, Mohapatra SK et al. (2024). Relevance of species-specific procalcitonin (PCT) and C-reactive protein (CRP) as clinical biomarkers in goat pneumonia. Indian J Anim Sci, 94 (11), 919-923.
  • Di S, Wang Y, Sun L, Zhao H, Guo L (2020). The value of TLR-4, CRP, PCT and WBC levels in assessing the diagnosis and prognosis of sepsis patients. Int J Clin Exp Med, 13 (12), 9419-28.
  • Doumtsop CLM, Kouamo J, Njintang NY et al. (2021). Prevalence, etiology and risk factors associated with chronic metritis in small ruminants in Adamawa Region (Cameroon). J Reprod Infertil, 9 (4), 147-154.
  • Elmetwally M, Bollwein H (2017). Uterine blood flow in sheep and goats during the peri-parturient period assessed by transrectal Doppler sonography. Anim Reprod Sci, 176, 32-39.
  • Elmetwally M, Rohn K, Tillmann MS (2016). Noninvasive color Doppler sonography of uterine blood flow throughout pregnancy in sheep and goats. Theriogenology, 85 (6), 1070-1079.
  • El-Sayed A, Faraj SH, Marghani BH et al. (2024). The transcript levels and the serum profile of biomarkers associated with clinical endometritis susceptibility in buffalo cows. Vet Sci, 11 (8), 340.
  • Faraz A, Younas M, Waheed A, Yaqoob M, Ishaq K (2019). Growth performance and hair mineral status of Marecha (Camelus dromedarius) calves reared under different management systems. Pak J Zool, 51 (503), 10-17582.
  • Giuliodori MJ, Magnasco RP, Becu-Villalobos D et al. (2013). Metritis in dairy cows: Risk factors and reproductive performance. J Dairy Sci, 96 (6), 3621-3631.
  • González FD, Muiño R, Pereira V, Campos R, Benedito JL (2011). Relationship among blood indicators of lipomobilization and hepatic function during early lactation in high–yielding dairy cows. J Vet Sci, 12 (3), 251–255.
  • Heidarpour M, Mohri M, Fallah‐Rad AH, Shahreza FD, Mohammadi M (2012). Acute-phase protein concentration and metabolic status affect the outcome of treatment in cows with clinical and subclinical endometritis. Vet Rec, 171 (9), 219.
  • Honnens A, Niemann H, Paul V, Meyer HHD, Bollwein H (2008). Doppler sonography of the uterine arteries during a super‐ ovulatory regime in cattle uterine blood flow in superovulated cattle. Theriogenology, 70 (5), 859–867.
  • Joo K, Park W, Lim MJ, Kwon SR, Yoon J (2011). Serum procalcitonin for differentiating bacterial infection from disease flares in patients with autoimmune diseases. J Korean Med Sci, 26 (9), 1147.
  • Karon BS, Tolan NV, Wockenfus AM et al. (2017). Evaluation of lactate, white blood cell count, neutrophil count, procalcitonin and immature granulocyte count as biomarkers for sepsis in emergency department patients. Clin Biochem, 50 (16-17), 956-958.
  • Kaufmann TB, Drillich M, Tenhagen BA, Heuwieser W (2010). Correlations between periparturient serum concentrations of non-esterified fatty acids, beta-hydroxybutyric acid, bilirubin, and urea and the occurrence of clinical and subclinical postpartum bovine endometritis. BMC Vet Res, 6, 1-6.
  • Kaya S, Merhan O, Kacar C, Colak A, Bozukluhan K (2016). Determination of ceruloplasmin, some other acute phase proteins, and biochemical parameters in cows with endometritis. Vet World, 9 (10), 1056.
  • Khalid A, Na Y, Jinyou Z, Khudhair N, Guixue Z (2015). Responses of chicken sertoli cells and fibroblasts after transfection with plasmids pEGFP-N3-HNP-1. Pak Vet J, 35 (4), 504-509.
  • Kulsum U, Juli MSB, Zohara BF, Islam MN, Akther M (2020). Incidence of reproductive disorders of goat in Dinajpur district of Bangladesh. Asian J Med Biol Res, 6 (2), 212-221.
  • Kurt S, Salar S, Salar MÖ (2019). Antibiogram and pathogen isolation from vaginal discharge in dairy cows with metritis. Vet Hekim Der Derg, 90 (2), 66-70.
  • Kushibiki S (2011). Tumor necrosis factor‐α‐induced inflammatory responses in cattle. Anim Sci J, 82 (4), 504-511.
  • Madbouly H, El-Shahat KH, Abdelnaby EA, El-Sherbiny HR, Fathi M (2024). Determination of the impacts of supplemental dietary curcumin on post-partum uterine involution using pulsed-wave doppler ultrasonography in Zaraibi goat. BMC Vet Res, 20 (1), 316.
  • Majeed AF (1994). Obstetrical problems and their management in Iraqi goats. Small Rumin Res, 14 (1), 73-78.
  • Miglio A, Moscati L, Scoccia E et al. (2018). Reference values for serum amyloid A, haptoglobin, lysozyme, zinc and iron in healthy lactating Lacaune sheep. Acta Vet Scand, 60 (1), 46.
  • Mikulková K, Kadek R, Filípek J, Illek J (2020). Evaluation of oxidant/antioxidant status, metabolic profile and milk production in cows with metritis. Ir Vet J, 73, 1-11.
  • Moriyama K, Nishida O (2021). Targeting cytokines, pathogen-associated molecular patterns, and damage-associated molecular patterns in sepsis via blood purification. Int J Mol Sci, 22 (16), 8882.
  • Nasreldin N, Ali FAZ, Abd-Elhafeez HH et al. (2020). Characterization of immunological, biochemical and inflammatory response of clinical and subclinical endometritis in ewes in the subtropics. Anim Reprod Sci, 219, 106541.
  • Nazifi S, Esmailnezhad Z, Haghkhah M, Ghadirian S, Mirzaei A (2012). Acute phase response in lame cattle with interdigital dermatitis. World J Microbiol Biotechnol, 28 (4), 1791-1796.
  • Paiano RB, Lahr FC, Silva LS et al. (2019). Haematological and biochemical profiles during the puerperium in dairy cows–Short communication. Acta Vet Hung, 67 (3), 377-384.
  • Perumal P, Chaurasia D, De A et al. (2020). Effect of clinical endometritis on physiological, hematological, biochemical and endocrinological profiles in crossbred cows under tropical island ecosystem. Indian J Anim Res, 90 (9), 1296-1299.
  • Petersen H, Nielsen J, Heegaard PMH (2004). Application of acute phase protein measurements in veterinary clinical chemistry. Vet Res, 35 (2), 163-187.
  • Salama SA, Kamel MW, Diaz-Arrastia CR et al. (2009). Effect of tumor necrosis factor-α on estrogen metabolism and endometrial cells: potential physiological and pathological relevance. J Clin Endocrinol Metab, 94 (1), 285-293.
  • Sayeed A, Khatun MS, Bari S et al. (2020). Prevalence of gynecological disorders of goat and pattern of drug used at Chuadanga, Bangladesh. Res J Agric, 40 (4), 424-429.
  • Schuetz P, Suter-Widmer I, Chaudri A et al. (2011). Prognostic value of procalcitonin in community-acquired pneumonia. Eur Respir J, 37 (2), 384-392.
  • Sharma A, Singh M, Kumar P, Sharma I, Rana A (2021). Mid‐estrus uterine blood flow in endometritic and non‐endometritic dairy cows using transrectal Doppler ultrasonography. Biol Rhythm Res, 1–6.
  • Sheldon IM, Lewis GS, LeBlanc S, Gilbert RO (2006). Defining postpartum uterine disease in cattle. Theriogenology, 65 (8), 1516-1530.
  • Tinkanen H, Kunjansuu E (1992). Doppler ultrasound studies in pelvic inflammatory disease. Gynecol Obstet Invest, 34 (4), 240–242.
  • Tortorella C, Piazzolla G, Matteo M et al. (2014). Interleukin-6, interleukin-1β, and tumor necrosis factor α in menstrual effluents as biomarkers of chronic endometritis. Fertil Steril, 101 (1), 242-247. Trela M, Domańska D, Witkowska-Piłaszewicz O (2022). Diagnostic use of serum amyloid A in dairy cattle. Agriculture, 12 (4), 459.
  • Varughese EE, Brar PS, Dhindsa SS (2013). Uterine blood flow during various stages of pregnancy in dairy buffaloes using transrectal Doppler ultrasonography. Anim Reprod Sci, 140 (1-2), 34-39.
There are 44 citations in total.

Details

Primary Language English
Subjects Veterinary Obstetrics and Gynecology
Journal Section Research Article
Authors

Ömer Yaprakcı 0000-0002-7784-9438

Tuğra Akkuş 0000-0002-6002-5942

Early Pub Date November 30, 2025
Publication Date November 30, 2025
Submission Date June 11, 2025
Acceptance Date September 11, 2025
Published in Issue Year 2025 Volume: 36 Issue: 3

Cite

APA Yaprakcı, Ö., & Akkuş, T. (2025). Effects of Puerperal Metritis on Uterine Blood Flow, Acute Phase Proteins and Selected Biochemical Parameters in Aleppo Goats. Van Veterinary Journal, 36(3), 187-193. https://doi.org/10.36483/vanvetj.1717699
AMA Yaprakcı Ö, Akkuş T. Effects of Puerperal Metritis on Uterine Blood Flow, Acute Phase Proteins and Selected Biochemical Parameters in Aleppo Goats. Van Vet J. November 2025;36(3):187-193. doi:10.36483/vanvetj.1717699
Chicago Yaprakcı, Ömer, and Tuğra Akkuş. “Effects of Puerperal Metritis on Uterine Blood Flow, Acute Phase Proteins and Selected Biochemical Parameters in Aleppo Goats”. Van Veterinary Journal 36, no. 3 (November 2025): 187-93. https://doi.org/10.36483/vanvetj.1717699.
EndNote Yaprakcı Ö, Akkuş T (November 1, 2025) Effects of Puerperal Metritis on Uterine Blood Flow, Acute Phase Proteins and Selected Biochemical Parameters in Aleppo Goats. Van Veterinary Journal 36 3 187–193.
IEEE Ö. Yaprakcı and T. Akkuş, “Effects of Puerperal Metritis on Uterine Blood Flow, Acute Phase Proteins and Selected Biochemical Parameters in Aleppo Goats”, Van Vet J, vol. 36, no. 3, pp. 187–193, 2025, doi: 10.36483/vanvetj.1717699.
ISNAD Yaprakcı, Ömer - Akkuş, Tuğra. “Effects of Puerperal Metritis on Uterine Blood Flow, Acute Phase Proteins and Selected Biochemical Parameters in Aleppo Goats”. Van Veterinary Journal 36/3 (November2025), 187-193. https://doi.org/10.36483/vanvetj.1717699.
JAMA Yaprakcı Ö, Akkuş T. Effects of Puerperal Metritis on Uterine Blood Flow, Acute Phase Proteins and Selected Biochemical Parameters in Aleppo Goats. Van Vet J. 2025;36:187–193.
MLA Yaprakcı, Ömer and Tuğra Akkuş. “Effects of Puerperal Metritis on Uterine Blood Flow, Acute Phase Proteins and Selected Biochemical Parameters in Aleppo Goats”. Van Veterinary Journal, vol. 36, no. 3, 2025, pp. 187-93, doi:10.36483/vanvetj.1717699.
Vancouver Yaprakcı Ö, Akkuş T. Effects of Puerperal Metritis on Uterine Blood Flow, Acute Phase Proteins and Selected Biochemical Parameters in Aleppo Goats. Van Vet J. 2025;36(3):187-93.

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