Infectious Contagious Abortion in Horses: Bacterial Pregnancy Loss Causes
- Infectious contagious abortion in horses usually refers to pregnancy loss caused by infection of the placenta or fetus, most often bacterial placentitis.
- Common bacterial causes include ascending placentitis from Streptococcus zooepidemicus and other opportunistic bacteria, plus less common causes such as Leptospira spp., nocardioform placentitis, Salmonella, and E. coli.
- Many mares do not look sick. Early warning signs can include premature udder development, vulvar discharge, increased placental thickness on ultrasound, premature lactation, or late-term abortion.
- See your vet promptly if a pregnant mare develops vaginal discharge, starts making milk early, or aborts. The fetus and placenta should be saved for testing because diagnosis often depends on lab work.
- Fast isolation, hygiene, and herd-level biosecurity matter because some infectious causes can spread through contaminated fluids, fetal tissues, urine, or reproductive secretions.
What Is Infectious Contagious Abortion in Horses?
Infectious contagious abortion in horses means a mare loses her pregnancy because an infectious organism damages the placenta, fetus, or both. In bacterial cases, the problem is often placentitis, which is inflammation and infection of the placenta. The placenta is the foal's lifeline, so when it becomes inflamed, oxygen and nutrient delivery can fall quickly.
In mares, bacterial placentitis is one of the most commonly diagnosed infectious causes of late-term abortion. Most bacterial cases are ascending infections, meaning bacteria move upward through the cervix and infect the placenta near the cervical star. Less common patterns include blood-borne infection, such as Leptospira reaching the placenta from the bloodstream, and nocardioform placentitis, which tends to affect a different area of the placenta.
One challenging part is that some mares show few outward signs until the problem is advanced. A mare may seem normal, then develop udder enlargement too early, vaginal discharge, or abort late in gestation. In other cases, the foal is born weak or premature rather than being aborted.
This is not something to monitor at home without veterinary guidance. If a pregnant mare shows suspicious changes, your vet can help confirm whether the pregnancy is still viable, whether infection is likely, and which care options fit the mare, foal, farm setup, and budget.
Symptoms of Infectious Contagious Abortion in Horses
- Premature udder development or early milk dripping
- Mucous or mucopurulent vaginal discharge
- Late-term abortion, stillbirth, or delivery of a weak premature foal
- Placenta that looks thickened, discolored, or abnormal after abortion or foaling
- Reduced fetal movement or abnormal fetal ultrasound findings
- Mare appears normal despite pregnancy trouble
- Fever, depression, diarrhea, or other signs of systemic illness in some infectious causes
Call your vet the same day if a pregnant mare develops vaginal discharge, starts bagging up early, leaks milk, or seems to be laboring before term. These signs can point to placentitis, and early treatment may help some mares stay pregnant longer.
See your vet immediately if the mare aborts, delivers a weak foal, or has a retained placenta. Keep the fetus and placenta clean, cool, and available for testing if your vet instructs you to do so. That information can be important for the mare's future breeding plans and for protecting other horses on the property.
What Causes Infectious Contagious Abortion in Horses?
The most common bacterial pathway is ascending placentitis. In these cases, bacteria from the mare's lower reproductive tract move through a relaxed or compromised cervix and infect the placenta. Merck notes that, aside from Leptospira spp. and nocardioform infections, most bacterial placentitis in mares is ascending. Organisms reported in ascending placentitis include Streptococcus equi subsp. zooepidemicus and other streptococci, along with bacteria such as E. coli, Klebsiella, Pseudomonas, Staphylococcus, and Actinobacillus.
Other bacterial pregnancy losses happen differently. Leptospira can spread through the bloodstream after exposure to urine-contaminated water or wildlife reservoirs, then infect the placenta and fetus. In endemic areas, leptospiral abortion can make up a meaningful share of infectious equine abortions. Nocardioform placentitis affects a different placental region and may lead to abortion, stillbirth, or a weak foal at term.
Some mares are at higher risk if they have poor vulvar conformation, cervical incompetence, twins reduced late, previous reproductive tract damage, or environmental conditions that increase exposure to contaminated water, urine, or infectious reproductive fluids. Farm-level spread risk depends on the organism involved. Some causes are more opportunistic than truly horse-to-horse contagious, while others raise stronger herd biosecurity concerns.
Because abortion in mares can also be caused by viruses, fungi, twins, umbilical cord problems, and noninfectious placental disease, it is important not to assume the cause from signs alone. Your vet may recommend testing the mare, fetus, and placenta before making breeding or herd-management decisions.
How Is Infectious Contagious Abortion in Horses Diagnosed?
Diagnosis starts with history and timing. Your vet will want to know the mare's gestation stage, vaccination status, recent travel, herd reproductive history, discharge, premature udder development, and whether any other horses are ill or aborting. A physical exam is usually paired with reproductive ultrasound to assess fetal heartbeat, placental thickness, fetal fluids, and signs of placental separation.
If the mare is still pregnant, your vet may recommend transrectal and sometimes transabdominal ultrasound, bloodwork, and in selected cases vaginal examination or culture. Ultrasound measurement of the combined thickness of uterus and placenta can help support a diagnosis of placentitis, especially when paired with clinical signs.
If abortion has already happened, the most useful samples are often the entire placenta and fetus submitted for necropsy, histopathology, culture, and targeted PCR or special testing. Merck notes that leptospiral abortion is best confirmed with tests such as fluorescent antibody testing or immunohistochemistry on placenta, umbilical cord, fetal liver, or fetal kidney. Depending on the case, your vet may also request bacterial culture, antimicrobial susceptibility testing, and testing for viral causes that can mimic bacterial abortion.
Costs vary widely by region and how much testing is pursued. A farm call and exam may run about $75-$250, reproductive ultrasound often adds $150-$300, and laboratory abortion workups commonly range from about $250-$350+ for a basic panel, with additional pathology, culture, PCR, shipping, and emergency care increasing the total.
Treatment Options for Infectious Contagious Abortion in Horses
Spectrum of Care means you have options. Here are treatment tiers at different price points.
Budget-Conscious Care
- Farm call or clinic exam
- Pregnancy check and focused ultrasound
- Basic anti-inflammatory and antimicrobial plan if your vet suspects placentitis
- Strict stall or paddock rest as directed
- Isolation from pregnant mares
- Basic handling of aborted fetus and placenta for selective testing or refrigerated storage pending your vet's instructions
Recommended Standard Treatment
- Exam plus repeat reproductive ultrasound monitoring
- Targeted diagnostics for mare, fetus, placenta, or discharge
- Common placentitis treatment plan directed by your vet, often including antimicrobials, anti-inflammatory medication, and hormone support when appropriate
- Monitoring for fetal viability and placental thickness
- Submission of fetus and placenta for necropsy, histopathology, culture, and selected PCR if abortion occurs
- Farm biosecurity guidance for isolation, cleaning, and handling of contaminated bedding and fluids
Advanced / Critical Care
- Referral or intensive reproductive management
- Frequent ultrasound reassessment and high-risk pregnancy monitoring
- Expanded laboratory testing, including culture, susceptibility testing, pathology, and organism-specific assays
- Hospitalization when the mare is systemically ill or the pregnancy is unstable
- Neonatal planning for a premature or compromised foal
- Enhanced outbreak control if multiple mares are affected
Cost estimates as of 2026-03. Actual costs vary by location, clinic, and individual case.
Questions to Ask Your Vet About Infectious Contagious Abortion in Horses
Bring these questions to your vet appointment to get the most out of your visit.
- Based on this mare's signs and ultrasound, how likely is placentitis versus another cause of pregnancy loss?
- What samples should we collect from the mare, fetus, and placenta to give us the best chance of finding the cause?
- Does this case raise concern for a contagious disease that could affect other pregnant mares on the farm?
- What isolation and cleaning steps should we start today, and how long should they stay in place?
- What treatment options fit this mare's stage of pregnancy and our cost range?
- How often should we repeat ultrasound monitoring if the mare is still pregnant?
- If this mare aborts or foals early, what should we do with the placenta, bedding, and fetal tissues before you arrive?
- What does this diagnosis mean for future breeding and the risk of this happening again?
How to Prevent Infectious Contagious Abortion in Horses
Prevention starts with breeding management and mare conformation. Mares with poor vulvar seal, cervical problems, or a history that suggests ascending infection may benefit from closer reproductive monitoring before and during pregnancy. Good perineal conformation, prompt attention to vaginal discharge, and regular pregnancy checks can help your vet catch problems earlier.
Farm hygiene also matters. Isolate mares that abort until your vet advises otherwise, and handle aborted fetuses, placentas, fluids, and contaminated bedding as potentially infectious. Use gloves, dedicated equipment, and careful cleaning and disinfection. Limit nose-to-nose contact and unnecessary movement of horses if an infectious abortion is suspected.
Reducing environmental exposure is especially important for Leptospira. Clean water sources, control standing water when possible, and reduce contact with wildlife or rodent urine contamination around feed and barns. In breeding operations, quarantine new arrivals when feasible and review vaccination and reproductive records before mixing horses.
No prevention plan removes all risk. The most practical approach is a layered one: good broodmare management, timely veterinary exams, fast response to early warning signs, and diagnostic testing after any abortion event. That combination helps protect the current mare, future pregnancies, and the rest of the herd.
Medical Disclaimer
The information provided on this page is for general informational and educational purposes only and is not intended as a substitute for professional veterinary advice, diagnosis, or treatment. This content is not a diagnostic tool. Symptoms described may indicate multiple conditions, and only a licensed veterinarian can provide an accurate diagnosis after examining your animal. Never disregard professional veterinary advice or delay seeking it because of something you have read on this website. Always seek the guidance of a qualified, licensed veterinarian with any questions you may have regarding your pet’s health or a medical condition. Use of this website does not create a veterinarian-client-patient relationship (VCPR) between you and SpectrumCare or any veterinary professional. If you believe your pet may have a medical emergency, contact your veterinarian or local emergency animal hospital immediately.