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1.
Fertility control was part of a herd health and management program on thirty dairy farms in the province of Overijssel. A comparable control group of thirty-one farms was available. After two years of application of the program the improvement in income feedcosts margin per cow on the program farms exceeded that on control farms by Dfl. 176. Within the large variation in income between the farms it was not possible to accurately distinguish the effects of the different aspects of the program, despite the use of detailed techniques such as Factor Analysis: thus another approach to determine the income effect of fertility control was necessary. The total loss per farm due to sub-optimal fertility was determined, using calving interval data, forced replacement data and norm-loss rates. From computation of this loss on program and control farms, the income effect of fertility control was deduced. Excluding the cost of the program, a significant (P less than 0.01) positive effect of fertility control on the total calculated loss due to sub-optimal fertility was determined (average Dfl. 25.50 per cow, or about Dfl. 1,700 per farm, after two years of program application). This income effect differed considerably between farms with an initial good or poor situation regarding fertility. The program contributed more to the improvement of insufficient or moderate fertility than to the prevention of a deterioration in herds with excellent fertility, although on the latter farms the total program had a considerable positive effect.  相似文献   

2.
Cows are culled at a relatively low age, which causes considerable economic loss. The annual culling rate in the Netherlands has increased from 18.8 per cent in 1951 to 25-30 per cent of the average number of cows in more recent years. The productive life is now about 3.5 years. On the thirty farms of the program group and thirty-one farms of the control group, the main reasons for culling were reproductive failure followed by mastitis and teat injuries. About 60 per cent of culling was due to health problems, the other 40 per cent to low productive capacity, old age, poor workability etc. The annual culling rate varied per farm per year but also per month. The moment of culling in the current lactation, the slaughter value and the age differed per reason. The calculated loss of forced replacement consists of reduction in both production prior to culling and slaughter value. Additionally, there is an idle production period due to lack of an immediate replacement. The biggest loss is caused by lost future income. There was a considerable difference per farm in the loss caused by culling for health problems. A low culling rate due to health problems was associated with longer longevity and a relatively lower loss. Tangible effects due to changes in the farm culling policy may not be evident for some years. The reduction in loss of culling in the program farms compared with the controls was small because the duration (2 1/2 years) of the herd health and management program was too short.(ABSTRACT TRUNCATED AT 250 WORDS)  相似文献   

3.
Relationships between herd fertility measurements and financial loss from reproductive failure in dairy herds were studied. Financial losses attributable to prolonged calving interval and forced replacement from reproductive failure were considered. Herd fertility parameters were calculated from artificial insemination and calving data (i.e. calving to first service interval, non-return rate 56 days after first service, percentage of correct inseminations carried out in the interval 18–24 days, fertility status, calving interval, an oestrus index and number of insemination per average cow present in the herd.

The herd fertility parameters were moderately-highly related to loss due to suboptimal calving interval (r=0.20−0.79 in absolute values), but only slightly related to losses due to forced replacement (r<0.17 in absolute values).

Repeatabilities, calculated over a 3-year period, were high for the interval to first service, non-return rate and the oestrus index (0.52−0.67) and moderate for percentage correct reinseminations, fertility status, calving interval and loss due to suboptimal calving interval (0.38−0.48). Repeatability of loss due to forced replacement was low (0.20).

In a regression analysis no herd fertility parameter was fitted with respect to loss from forced replacement. Loss due to suboptimal calving interval at herd level was best estimated by the oestrus index (R2=0.63), the addition of the interval to first service to the regression equation explained a further 10% of the variation between herds. It is suggested that the oestrus index and the interval to first service should be presented as management aids to monitor herd fertility.  相似文献   


4.
A herd health and management program was carried out from May 1974 to May 1977 on thirty Dutch dairy farms which did not have specific herd or management problems. The number of cows per farm varied between 40 and 160. There was a control group of thirty-one comparable farms. The farms were visited every six weeks by the veterinarian of the Animal Health Service Institute, the local agricultural adviser of the NAAS and the local veterinarian. The aim of the program was a whole farm approach. The program had a mainly advisory character and it was up to the farmer to follow the advice given, which was based on the theoretically optimal solution but adjusted to the farm situation. The basis of the administration of herd health was the Herd Fertility Chart. Farm inspection was by detailed observation. The program was primarily practical, and could be carried out by a well-trained local veterinarian. The data of the first (preparatory) year were compared with the results of the following two years. The improvement in income feedcosts margin on the program farms exceeded that on control farms by Dfl. 176 per cow (therefore Dfl. 460 per ha. and Dfl. 12,535 per man). Factor Analysis showed that the herd health and management program influenced especially data concerning fertility. However this did not affect the income feedcosts margin per cow. The program also had an important influence on culling due to health problems and on feedcosts per cow, both of which considerably affected the income feedcosts margin per man.(ABSTRACT TRUNCATED AT 250 WORDS)  相似文献   

5.
An economic assessment of twin births in British dairy herds.   总被引:2,自引:0,他引:2  
The effect of twinning on the subsequent health, production and reproductive performance of dairy cattle was studied by analysing the data derived from 19,755 calvings which occurred during three years on 37 farms. The data formed part of the database of a veterinary practice operating the DAISY dairy cow recording scheme for its dairy farmer clients. The average twinning rate was 2.5 per cent. For first calf heifers the rate was 0.9 per cent, and the rate increased with increasing parity to over 5 per cent for cows calving for their sixth and subsequent lactations. Although they produced more milk than their contemporaries, twin-bearing cows suffered an increased incidence of retained placenta and vulval discharges and their calving to conception interval was extended by 33 days. Furthermore, 35 per cent of these cows were culled compared with 21 per cent of their contemporaries. The benefit of having more calves for sale was reduced owing to 15 per cent of them being born dead. It is calculated that producing twins resulted in an average loss of income of 74 pounds/cow, a deficit of 15 per cent compared with cows having single calves.  相似文献   

6.
The use of the calving index as a measure of herd fertility ignores the proportion of the herd that is culled, generally for failing to conceive. It is more important to consider the total cost of long calving intervals, high culling rate and even low pregnancy rates in an integrated index that reflects inefficient management, than to have to cope with balancing a number of separate physical indicators. In a study of 91 herds containing 14,524 cows a full range of physical indices was examined. The average herd calving interval was 380.3 days, with a culling rate of 23.1 per cent. Of the cows calving, 76.9 per cent recalved, a figure which when adjusted for the calving interval (CIA calving rate) became 73.8 per cent. In quartiles split on the basis of CIA calving rate, the top quartile achieved 82 per cent with a calving index of 375.2, and a culling rate of 16.7 per cent. These standards were achieved by serving 91.9 per cent of the cows after calving, at an interval to first service of 67.2 days. The submission rate for artificial insemination in the first 24 days after the earliest service date was 57.5 per cent and the overall pregnancy rate was 51.2 per cent. As a result 92.1 per cent of the cows served, and 85.3 per cent of those which calved, conceived again, with an average of 1.9 services per conception. Assessing fertility on a financial basis, with costs attributed to calving interval, culling rate and pregnancy rate to give a fertility index, the average herd was losing pounds 62/cow/year, compared with target levels.(ABSTRACT TRUNCATED AT 250 WORDS)  相似文献   

7.
Summary

A herd health and management program was carried out from May 1974 to May 1977 on thirty Dutch dairy farms which did not have specific herd or management problems. The number of cows per farm varied between 40 and 160. There was a control group of thirty‐one comparable farms. The farms were visited every six weeks by the veterinarian of the Animal Health Service Institute, the local agricultural adviser of the NAAS and the local veterinarian.

The aim of the program was a whole farm approach. The program had a mainly advisory character and it was up to the farmer to follow the advice given, which was based on the theoretically optimal solution but adjusted to the farm situation. The basis of the administration of herd health was the Herd Fertility Chart. Farm inspection was by detailed observation. The program was primarily practical, and could be carried out by a well‐trained local veterinarian.

The data of the first (preparatory) year were compared with the results of the following two years.

The improvement in income feedcosts margin on the program farms exceeded that on control farms by Dfl. 176 per cow (therefore Dfl. 460 per ha. and Dfl. 12,535 per man). Factor Analysis showed that the herd health and management program influenced especially data concerning fertility. However this did not affect the income feedcosts margin per cow. The program also had an important influence on culling due to health problems and on feedcosts per cow, both of which considerably affected the income feedcosts margin per man. The results obtained may be considered to be minimal and might be higher on farms with herd health and management problems. The expenses involved in a program similar to that described, would appear to be a good choice of investment for farmers.  相似文献   

8.
The study involved 110 randomly selected dairy farms located in the Ontario, Canada counties of Bruce, Grey, Huron, Oxford, Perth, Waterloo and Wellington. Herds were classified as "intensive" and "extensive". On extensive farms, data were collected at the herd level only, while on intensive farms, data were recorded at both the individual animal and herd level. Data collection continued for approximately two and one-half years. At each visit, technicians collected production data from the most recent production recording scheme report and from the "daily log" maintained by each producer. As well as the ongoing data collection procedures, a number of supplementary data collections were made. The average 305 day milk production increased gradually during the three calendar years from 6224.6 kg in 1981 to 6443.7 kg in 1983. The average calving interval was stable at 13.2 months for all three years. The majority of cows removed from the herds were culled for beef (0.243 per animal year). The next highest removal rate was for domestic sale, followed by death, export sale and destroyed. The highest disease rate, for those conditions whose rates were based on calving, was for retained placenta (0.09 per calving), while clinical mastitis was highest for those conditions whose rates were based on animal years (0.37 per animal year). The overall crude antimicrobial dosage rate, that is, including any antimicrobial used for either prophylactic or therapeutic purposes, was 3.85 doses per animal year. The rate for therapeutic purposes only was 3.6 doses per animal year. Penicillin/streptomycin was used most often with a rate of 1.45 doses per animal year.  相似文献   

9.
A comprehensive database was established on the milk production and reproductive performance of dairy cows in 19 selected herds in Northern Ireland, varying in size, management system and genetic merit. Data were obtained for 2471 cows, 1775 of which calved in a second year, and 693 were culled from the herd for specific reasons. The estimated mean rate of heat detection (assessed by the interheat interval during the main breeding season) in all the herds was 71 per cent, with a range from 53 to 92 per cent The average conception rate to first insemination was 37.1 per cent (range 21 to 66 per cent). The average calving interval for the retained cows was 407.2 days (range 359 to 448 days). Twenty-eight per cent of the cows that calved were culled, with infertility being the largest single reason (26.8 per cent of the cows culled). There were major differences in reproductive performance between the herds, but heat detection rate, conception rate and calving interval did not appear to be affeded by a herd's genetic merit. The herds with shorter calving intervals were characterised by better heat detection efficiency (83 v 61 per cent, P<0.01), a shorter interval from calving to first insemination (74 v 97 days; P<0.05), a higher conception rate to first insemination (45 v 34 per cent, P>0.10) and a lower removal rate (23 v 37 per cent, P<0.01). Furthermore, the cows in these herds had lower body condition scores (BCS) in the dry period (3.0 v 3.3; P<0.05) but lost less body condition in early lactation (0.3 v 0.6 BCS units, P<0.05). These results show that dairy herd fertility in Northern Ireland is generally low and similar to that previously reported for England and the USA, but that in some herds changes in herd management practices improved the cows' fertility.  相似文献   

10.
The study was undertaken to determine the trends in the reproductive performance of Holstein dairy cows in Iran during 1994 to 2008. Reproductive performance data for 528,034 lactations of 246,132 cows in 1,822 Holstein dairy herds of Iran were used. The potential effect of calving season, herd, parity, calving year, as well as herd size and 305-day milk production on reproductive performance traits was investigated using multiple regression models. The least squares means of age at first calving decreased by 3.1 (±0.06) days per year from 806.5 (±96.3) days in 1994 to 788 (±89.9) days in 2008. The least squares means of calving interval increased 1.02 (±0.03) days per year from 394.1 (±65) days in 1994 to 413.2 (±81) days in 2008. Greater 305-day milk production was associated with an average increase of 6.55 (±0.08) days in calving interval per 1,000-kg increase in milk yield. Larger herd size was associated with an average decrease of 0.22 (±0.02) days in calving interval per 50 cows per herd. The mean number of days dry was 88.6 (±51.3) days and increased by 0.82 (±0.02) days per year. In conclusion, reproductive performance in Holstein dairy herds has generally decreased, whereas herd size and milk production have increased over time. Producers may make significant improvements in herd reproduction by reviewing management strategies including the sire selection, reproductive management, inseminator training and techniques, and improved estrous detection. Moreover, it may be advisable for the fertility traits to be included in the genetic selection indices to reduce the rate of reproductive decline.  相似文献   

11.
To set productivity standards and targets, and investigate inter-relationships between key measurements in swine breeding herds, farm productivity measurements were analyzed on 87 Japanese commercial farms in 14 prefectures. The 87 herds were ranked on the basis of number of pigs weaned per mated female per year (PWMFY), and 23 herds in the upper 25th percentile of this ranking were designated as high-performing farms. Productivity measurements on the high-performing farms were compared with values for the remaining farms. The high-performing farms had shorter farrowing intervals, greater litters per mated female per year (LMFY), greater pigs weaned per sow (PWS), and greater mean parity of culled sows than the remaining farms (P<0.01). No difference in lactation duration was found between the two groups (P>0.10). For both farm groups, correlations of key reproductive measurements were determined. Lactation duration was not correlated with LMFY, PWS and PWMFY on the high-performing farms, while short lactation duration was correlated with greater LMFY and PWMFY on the remaining farms (P<0.01). In contrast to lactation duration, farrowing interval was correlated with PWS on the high-performing farms, but not on the remaining farms. Mean parity of culled sows were correlated to PWS and pigs born alive per sow on the high performing farms, but not with any measurements on the remaining farms. These results suggest that high-performing farms have used different herd management from the remaining farms.  相似文献   

12.
Until now, economic research to support the dairy farmer's policy with respect to the replacement decision has mainly been concerned with culling for production. However, in most cases the replacement decision for cows suffering from ill health or the after-effects thereof is also an economic one. In this paper the question approached is: how long is it profitable to continue inseminating dairy cows with poor fertility, and differing in age and productive capacity, before the decision to cull them must be made? At each heat, the criterion for the decision is that a cow should be inseminated with the aim of retention if the sum of expected differences in profits during her remaining expected life in the case of pregnancy, compared with replacement at the optimal stage of the current lactation, still exceeds zero.This criterion has been expressed in an economic replacement model for dairy cows. The essence of the model is a comparison of expected incomes of a cow present in the herd with an average herd life of 4 lactations, an average calving interval of 365 days, age and stage of lactation) below which it is not profitable to inseminate empty cows has been calculated. This was done at 10 stages in each lactation, from 65 to 245 days after calving at 20-day intervals. In the first instance, these calculations were made within a herd with an average herd life of 4 lactations, an average claving interval of 365 days, an average milk production of slightly more than 5300 kg per cow per year and a genetic increase in milk production of 1% per year. Moreover, a time preference was assumed for present over future income (discounting).In this basic situation, it appeared to be profitable to continue inseminating cows with poor fertility for a long time: even up to 8–9 months after calving in young cows with an average production level or higher. It was concluded from a sensitivity analysis that the calculated critical production levels were practically independent of several factors, especially those (e.g., milk price) that affect the expected income of both the cow present in the herd and the replacement cow. Factors which did have a considerable influence were persistence of milk production during lactation, and repeatability of a longer calving interval of the cow concerned.Finally, the possible use of the present model for the replacement decision with respect to other diseases is discussed.  相似文献   

13.
The goal of this study was to compare production variables and veterinary costs between dairy herds enrolled in an integrated herd health program and herds with a conventional, non-computerized herd management. Four variables were used to assess the performance of the herds, including calving interval, milk production per lactation, as well as the product of calving interval x veterinary costs per year and the ratio of production to veterinary costs per year. A total of 22 dairy herds, serviced by the ambulatory clinic, University of Zurich, were investigated. There were 11 experimental herds that had been enrolled in an integrated herd health program, INTERHERD?, and 11 control herds. Data of the latter were derived from a computerized accounting system, OBLON DATA?. A total of 92'350 records from the years 1999 - 2005 were analyzed retrospectively. During the investigation period the calving interval did not significantly increase in experimental herds, whereas milk production steadily increased in both groups. The integrated herd health program did not result in additional costs when the dairy farms have no problems on a herd basis. From our study, differences in farms with and without herd health program are only marginal.  相似文献   

14.
In certain production environments, beef cows are mated during a breeding season that starts in early summer. Cows found not to be pregnant at the end of the breeding season could either be culled or retained and remated the following summer. Alternatively, nonpregnant cows could be mated in the winter. This option would result in having both a spring and a fall calving herd. The purpose of our study was to determine the optimal replacement policy (maximizing long-run average net returns) for a specific production environment by determining for each age of cow, reproductive status (nonpregnant or pregnant), and season of pregnancy checking (spring or fall) whether the cow should be retained to the next breeding season (summer or winter) or be replaced by a pregnant heifer. The problem was formulated as a Markovian decision process and the optimal policy was found by linear programming. The optimal policy was one in which nonpregnant cows were always culled and replaced by heifers in the summer breeding herd, resulting in spring calving only.  相似文献   

15.
Path analysis was used to determine the interrelationships between ambient temperature, age at calving, postpartum reproductive events and reproductive performance in dairy cows. The data used in the analysis were collected on 226 Holstein-Friesian cows calving in a commercial dairy herd during a 17 month period (May 1, 1981 to October 1, 1982). The data were obtained from a double blind study evaluating the effects of gonadotrophin releasing hormone and cloprostenol in postpartum cows. Rectal palpation to assess uterine involution and ovarian activity was performed on each cow on days 15, 24 and 28 postpartum. At the same time, blood samples were collected for subsequent progesterone assay. Data were recorded on the occurrence of reproductive diseases and events from the time of parturition until the diagnosis of pregnancy or until the cow left the herd in the case of culled cows. There was an increase in the incidence of retained placenta, in the percentage of cows with abnormal vaginal discharge in the early postpartum period as well as a delay in uterine involution during the winter months. In addition, cows calving during the winter had prolonged intervals to first estrus, first service and conception compared to cows calving during the summer. (Cows calving during the warmest months, on average, were seen in estrus 24 days sooner, received first service 42 days sooner and conceived 27 days sooner than cows calving during the coldest months of the year).(ABSTRACT TRUNCATED AT 250 WORDS)  相似文献   

16.
The objective of this retrospective cohort study was to clarify the effect of re-modelling the breeding unit on farrowing rate. The original study population included 63 sow herds that participated in the Finnish herd surveillance system. In these herds, the breeding units were re-modelled between 1995 and 2002. Information about the production system and other herd data for the last year before and the second year after re-modelling were available for 47 herds. The herds had an average of 68.5 (SD 45) sows per herd. Data were collected during one farm visit per herd. Initially, all herds had individual cages in their breeding units. The piggeries had either re-modelled their cages or switched to a group housing system with deep-litter, solid or slatted (partly or totally) floors. Farrowing rates were gathered from the national database, and data were tested with a linear regression model. Re-modelling did not have an effect on farrowing rate if initial reproductive performance of the herd was neglected. However, when farms were stratified according to performance prior to the beginning of study, namely into 'farms with initially high farrowing rate' (HF) and 'farms with initially low farrowing rate' (LF), the re-modelling had a significant effect on farrowing rate. In the HF farms, re-modelling caused a decrease in farrowing rate. Correspondingly, farrowing rate increased after remodelling in the LF farms. Farrowing rate was also influenced by mean parity of sows and by proportion of sows culled because of leg problems. This study could not show a profound impact of the design of the breeding unit on the fertility of the sow in the modern commercial production environment if the farm's reproductive performance before re-modelling was neglected. However, when initial performance was taken into account, re-modelling revealed significant, although varying effects on farrowing rate.  相似文献   

17.
The use of imported semen within the Holstein-Friesian cattle population in Kenya has contributed to increased milk production per cow, however, information on how this has impacted on functional traits, particularly early life survival and reproductive performance is scarce. This study evaluated age at first calving (AFC), survival to age at first calving, and survival to four years of age using survival analyses techniques, in Holstein-Friesian cattle on four dairy farms in Kenya. The heritability estimate obtained for AFC was 0.15 ± 0.06 for an average AFC of 1058 days. Animals sired by New Zealand and Australian born bulls had the earliest average AFC (907 days). On average, 25% of all the heifers born were culled prior to attaining a first calving, while 34% were culled prior to four years of age. Though the highest proportion of losses was due to unspecified reasons, the relative risk of being culled was highest when an animal had a specific disease, and the first 60 days of life were the most critical for survival. Daughters of sires from South-Africa and Israel tended to have better survival rates than those sired by bulls originating from other regions. Unfavourable selection towards animals sired by Kenyan born bulls was evident. The economic implications of the high rate of early mortality need to be evaluated in order to assist livestock producers make informed decisions on choice of sires for breeding.  相似文献   

18.
A retrospective analysis of the reproductive parameters was conducted in 15 dairy farms using a herd health monitoring system between 1995 and 1998. Five of these farms have used this monitoring process for many years (group 1) while 10 of them only initiated the process in 1996 (group 2). It was the aim of this study to evaluate the economic gain of the farms in each group due to the herd health monitoring program throughout the three year study period, by using Value Based Management (VBM), a model from the economic sciences. The mean calving to conception interval decreased from 93.3 to 84.0 days and from 104.9 to 86.7 days throughout the study period in groups 1 (P>0.05) and 2 (P < 0.05), respectively. The mean percentage of cows with calving to conception intervals below 115 days varied between 68.2% and 82.0% in group 1, while there was an increase form 65.2% to 78.6% in group 2 (P<0.05). There were no apparent trends in the reproductive culling rate throughout the study period (P>0.05), and the majority fell below 10%. Likewise, the first service conception rate varied between 52.7% and 56.6% and between 41.2% and 50.0%, in group 1 and 2, respectively. The number of services per conception varied between 1.6 and 1.8 and between 1.8 and 1.9, in groups 1 and 2, respectively. The number of days between calving and first service varied between 62.7 and 64.8 days in group 1, while it decreased significantly from 69.2 to 59.2 in group 2 (P<0.05). The time between first service and conception decreased from 30.6 to 22.0 days, and from 35.7 to 28.0 days in groups 1 and 2, respectively (P<0.05). Although there was an apparent increase of the detection rate of oestrus from 57.8% to 68.2% throughout the study period in group 1, it was not significant (P > 0.05). In group 2, however, the oestrus detection rate increased significantly from 53.0% to 69.9% (P < 0.05). The percent of detected oestrus within 42 days post partum increased from 33.1% to 38.1%, and from 24.1% to 40.9% in groups 1 and 2, respectively (P < 0.05). By 1998, four out of five farms in group 1, and five out of the eight farms where information was avail- year study period of CHF 25.- to CHF 609.- per cow and year. The calving to conception interval and the reproductive culling rate were the two most important parameters to determine the reproductive performance of the herd and the economic benefit of the herd health monitoring program. These findings support the implementation of a herd health monitoring program.  相似文献   

19.
The objective of this study was to estimate the annual losses from Mycobacterium avium subspecies paratuberculosis (MAP) for an average, MAP-seropositive, Canadian dairy herd. A partial-budget simulation model was developed with 4 components of direct production losses (decreased milk production, premature voluntary culling, mortality, and reproductive losses). Input values were obtained primarily from a national seroprevalence survey of 373 Canadian dairy farms in 8 of 10 provinces. The model took into account the variability and uncertainty of the required input values; consequently, it produced probability distributions of the estimated losses. For an average Canadian dairy herd with 12.7% of 61 cows seropositive for MAP, the mean loss was $2992 (95% C.I., $143 to $9741) annually, or $49 per cow per year. Additional culling, decreased milk production, mortality, and reproductive losses accounted for 46%, 9%, 16%, and 29% of the losses, respectively. Canadian dairy producers should use best management practices to reduce these substantial annual losses.  相似文献   

20.
Breeding and production data were collected from 20 town-supply dairy herds in the Manawatu/Horowhenua region. Calving interval, calving to first service interval, first service to conception interval, inter-service interval, calving rate to first service and services per cow calving were 384, 85, 11, 43 days, 51% and 1.7, respectively, for the pooled population of 12, 056 calvings. The mean milk yield was 3730 litres per cow and the mean lactation length 291 days. Age, herd, season within year, and year, had statistically significant effects on reproductive performance, although the amount of variation due to these variables was small. The younger cows (2-year-olds) were relatively poor performers. Reproductive performance was best during the spring. Days from calving to first service, and from first service to conception, were of similar importance in determining differences in calving interval. A high incidence (25%)of return intervals of more than 49 days was found between first and second service. It was concluded from the data that a programme for breeding each cow as she comes into oestrus 46–66 days post-partum is a simple and appropriate procedure for achieving a 365-day calving interval. Such a programme is more likely to be successful if continued attention is paid to both heat-detection procedures and the nutritional requirements of animals during rearing, late pregnancy and early lactation, and if routine pregnancy testing 6 to 8 weeks after service is used to recognise the problems of post-service anoestrus.  相似文献   

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