MMA syndrome is a set of symptoms of diseases: mastitis (MASTITIS), metritis (METRITIS) and loss of milk (AGALACTIA).


The sows have about 10-18 breasts (ie 5 – 9 pairs), the milk is secreted out through 2-3 milk ducts.

Figures 1, 2, 3: normal breast (normal lactation)

Figure 4: Poor functioning breasts

Figure 5: Damaged breasts, necrosis (loss of milk)

  • Mastitis: Inflammation of the breast with a lobe or whole bacteria that develops into inflammatory foci. The animal has a pain response when pressing the breast, the amount of milk decreases. If the disease is mild, the breast will not be swollen, but the milk is thin or lumpy. The animal has a fever, eats little or stops eating
    Cataract mastitis: the epidermal cells disfigure and slough off. In the inflammatory foci of hemorrhage, this fluid and white blood cells create a thin film covering the lining of the ducts. When milking this membrane sloughs off to form residue or lumps that block the milk jet. In this body usually the breast is not swollen, but the nipple is tight, feeling the soft lump inside.
    Purulent mastitis: Dairy cows infected with a number of purulent bacteria will create widespread inflammation in the mammary gland, this inflammation originates from catapults.
    Acute form: Cows appear with symptoms of the whole body such as high fever of 40-410C, fatigue, poor appetite. The breasts and nipples are swollen red in each gland or whole. Feel hot to touch, press on animals with pain response. Milk volume decreased or stopped completely. The first dilute milk is then pink and then mixed with yellow lumps of milk and pus. When a lot of pus compresses, it can block the ducts.
    Chronic: less red, swollen breasts and less painful. The amount of milk is small and thin with a yellowish residue.
    Inflammation of bloody mastitis: the disease is usually acute, the animals have a high fever of 40-410C for weeks, fatigue, poor appetite. Touching the breasts of animals feels pain, the amount of milk is reduced or lost, pink due to hemorrhagic milk glands.
  • After 12-18 hours after birth, cattle had high fever, fatigue, stopped eating, reduced water intake, constipation, often lying on their stomach and did not breastfeed due to inflammation, swelling and pain.The breasts are swollen, hard to touch and painful.

    Effects of the disease on piglets: pigs / cows do not eat, scream, dry skin, loosen up and most have diarrhea.



    Mastitis – Metritis – Agalactia (MMA – Mastitis – Agalactia) is a complex syndrome of sow etiologies, usually occurring during the sow stage before and after farrowing. As its name suggests, the syndrome includes sow mastitis (in the prenatal period), inflammatory disease of the sow uterus (about 1 week postpartum), and milk loss in pigs. sow (during the sow-nursing stage). This syndrome is in the group of managed diseases, so it can be completely controlled.

    The main cause of mastitis in dairy cows is caused by bacteria: Streptococcus agalactiae (streptococci), Staphylococcus aureus (staphylococcus) and bacillus pyogenes, E.coli … due to poor barn hygiene, pre- and post-milking hygiene, succession from inflammatory diseases of the uterus, contiguous disease, infectious diseases, improper milking, breed, season, and stress problems. ..


    Before and after milking (on cow / goat), the udders must be cleaned.

    The milking machine and the tools in the milking must be sterile and clean. Use the milking machine to be careful not to damage the breasts.

    Periodically clean barns, sanitation facilities, and grazing grounds.

    Cattle stables must always be clean and dry.

    IODINE mixed with water at the rate of 1:25, spraying and disinfecting barn and tools 2 times / week.

    TERRAMYCIN LA: 1 ml / 20 kg body weight intramuscularly once after birth.

    Intramuscular KETOCEF can be used in pets with mastitis. As for the treatment using KETOCEF, it is still safe to collect milk in cattle.

    Provide adequate clean water for children to drink during pregnancy and lactation.

    The diet of the sow before giving birth should reduce carbohydrates, protein, increase fiber (green vegetables).


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