Normal foaling

The expected birth of a foal from a favourite mare is an exciting but worrying time for many horse owners.  Ideally, help and advice should be sought from your veterinary surgeon or someone with experience in foaling mares, in good time before the event.  It is most important to know what is ‘normal’ both in terms of the foaling process and how to expect the foal to behave once born.

How should I prepare my mare for foaling during pregnancy?

Your mare should have been in good condition throughout her pregnancy.  Very poor or over fat mares often produce small foals.  It is wise to vaccinate the mare against tetanus approximately one month prior to foaling as this will boost antibody levels in her colostrum (first milk) which helps to protect her foal against infections during its first few weeks of life.  If your mare is to foal away from home, she should be moved a minimum of four to six weeks prior to foaling so that she can develop specific antibodies to potential infections in her new environment.


If your mare has been caslicked you should arrange for your vet to open this close to her due date (approx 4wks before due). Mares should be foaled where they are comfortable, can be discretely observed and where help can be easily given if problems arise. Ideally a clean paddock if the mare is familiar with this. A fresh clean stable can be ready and bedded with good quality deep straw or rubber if both mare and foal need to be taken inside post foaling.  Shavings are not a good bed for foals they can find their way into foal’s noses and other places that they should not be and are not as insulating as straw.  The stable should be well lit and there should be a readily available supply of clean warm water.  A first aid kit containing scissors, disinfectant, string, a clamp, torch and towels should be on hand.

Foals are born after approximately 11 months gestation (time in the mare’s womb).  Thoroughbred breeders work on an average gestation length of 340 days to work out their ‘due dates’.  Some mares foal earlier and some later.  Foals are not usually viable if born before 300 days.  Some older mares and others with chronic uterine problems sometimes ‘hang on’ to their foals for up to 350 days and, unusually even a full year.  These overdue foals are often poor specimens with signs of intrauterine growth retardation when eventually born.  It is, in fact, the foal which has the most control over gestation length.


Mares have ‘fine control’ and their state of relaxation can determine at what time of day the foal is born.  Most mares foal during the night, an instinctive means of helping to protect their vulnerable newborn foals from predators, but this cannot be relied upon and full term mares should be watched to make sure that they do not get into difficulty.


In the weeks leading up to foaling your mare will start producing milk resulting in gradual enlargement of her udder.  This is called ‘bagging-up’.  During the week before or on her foaling day small amounts of colostrum may ooze from her teats, creating wax-like droplets, which stick to the tip of the teats.  This is called ‘waxing up’.  It is a sign that foaling is imminent, although individual mares can vary enormously in their timing.  The ligaments over the pelvis and under the tail head relax slightly giving a ‘dropped’ appearance to the hindquarters.  During the 24 hours prior to foaling the mare may appear restless and uncomfortable and may rearrange bedding as if ‘nest making’.  These are signs of first stage labour.


The key to good management of foaling is to observe without interfering unnecessarily.  Foaling ‘alarms’ which work on a harness or head collar sensor detect sweating or prolonged lying down are available.  Some mare owners have found these to be helpful.  Small samples of early milk can be collected and tested with ‘dip stick’ tests for calcium and electrolyte concentrations to help determine whether mares are ‘ready for birth’, although this is very rarely done in Australia. However, mares behave very differently as individuals and from pregnancy to pregnancy and cameras, monitors and milk tests cannot be relied upon.  There is no real substitute for experienced ‘sitting up’.



During first stage labour, where the foal gets itself into the final birth position and the mare’s cervix relaxes, the mare will look restless and will get up and go down several times with abdominal discomfort.  The mare will raise and lower her tail and produce small quantities of droppings and urine frequently.  Most mares sweat but some do not.  This stage may last for several minutes to several hours and ends when the mare ‘breaks water’, i.e. the placenta ruptures and allantoic fluid is released.  Placental rupture can be differentiated from urination because the mare does not straddle in the urinating stance and the volume of fluid is too large in consideration of the fact that the mare has already passed small quantities of urine repeatedly.


Your veterinary surgeon should be called if your mare is excessively distressed or is in prolonged, non-productive discomfort.  If the placenta does not rupture, it may appear at the vulva as a red velvety structure.  This is called ‘red bag’ delivery and is a sign that should send you running for the phone to call a vet.  This is because the foal cannot get enough oxygen to survive until its nose is free from the ‘red bag’.  So whilst someone is running to call a vet another person should be using the scissors in the first aid kit to carefully make a hole in the red bag and try to clear the foals nose which will hopefully be just inside.  Foals born from a red bag should be checked by a vet even if you manage to get them out, they often have on going problems.



As soon as the first water bag ruptures, you should carefully and gently examine your mare, initially by looking but if you can’t see anything with a clean hand, to make sure that the foal’s muzzle and two front feet are appearing at the vulva covered by a thin white membrane (amnion).  The feet are just ahead of the muzzle and one foot should be just ahead of the other.  The foal can often be seen to move.  If the head or one or both legs are back, or if more than two feet are present, or if only the foal’s neck or back can be felt, you should call your veterinary surgeon immediately.  While you are waiting for the vet to arrive, keep the mare up and walking around the box to prevent straining and impacting the foal in the birth canal.  This will cause less stress for both mare and foal and the veterinary surgeon will find re-positioning of the foal much easier.  If the foal isn’t out 20mins after the waters first break you should call your vet immediately.  If you need to help the mare, pull one leg at a time when the mare strains.  If you pull both legs together you will maximise the width of the foal across the shoulders and will make passage through the birth canal more difficult than it should be.  Please be very cautious in pulling the foal, only do so if 2 front legs are visible and a head appears to be following normally. Pulling on a foal which is in the incorrect presentation will only make things a lot worse.

Once the placenta has ruptured, most mares will lie down for quite rapid delivery of their foal. With the foal in the normal position foaling should progress normally.


The mare will usually lie on her side to push and the foal’s forelegs, head, trunk and hindquarters should be delivered within a few minutes.  The hindlegs may remain in the birth canal until the mare moves or the foal starts to struggle.  The umbilical cord should rupture naturally at a point of natural constriction which develops just below the umbilicus.  There should be minimal bleeding unless the cord has broken prematurely.  The cord should only be clamped and cut if it is too thick to break naturally or if it breaks prematurely and the foal is haemorrhaging.  The umbilical stump should be treated with disinfectant solution (e.g. 0.5% chlorhexidine or iodine), spray or powder.  The mare will usually turn to see and lick her foal.

Occasionally, mares try to foal standing up.  If this happens the foal should be supported as it is born, at the level of the mare’s vulva, so it does not fall to the ground and while the blood passes through the umbilical cord from the placenta.  When the cord stops pulsing, it can be broken just outside the navel and the foal can be laid in the straw.


During this stage from after the birth of the foal, the uterus contracts, which can cause the mare discomfort until the placenta is passed.  When the mare stands, the placenta can be tied up so that it does not flap around the mare’s hocks and frighten her, she does not walk on it and tear it, and so the extra weight will help its gradual separation from the mare’s uterus (‘cleansing’).  When it drops from the mare it should be checked carefully to make sure that it is complete and, in particular, that both horn tips (blind ‘ends’ corresponding to the tips of the uterine horns) have been expelled and none has been retained inside the mare. If not sure collect in into a bucket so it can be examined by your vet.


The placenta is normally passed within 1 to 3 hours of foaling.  If the placenta has not come away by 3 hours your veterinary surgeon should be called. Retained placenta can result in infection of the uterus, toxaemia, laminitis and even death of the mare.


What happens after the mare has foaled?

The mare usually stands and starts to lick her foal a few minutes after birth.  She may squeal and ‘nicker’ at it and generally make a fuss over it.  This is an important time of instinctive ‘bonding’ and this should not be confused by unnecessary interference.

If the mare’s vulva has torn or if she was stitched, she will need to be re-stitched after foaling, usually during the next day.


Many mares will lie down again soon after foaling.  This may be just to rest or may be because she is in pain (colic).  She may scrape or roll indicating her discomfort.  If this does not pass within an hour, or gets progressively more severe, this may indicate complications (uterine artery haemorrhage, uterine or colonic rupture) and your veterinary surgeon should be called, without delay. The foal should make attempts to stand and suck and should have achieved both within 4 hours of birth, usually within 1-2 hours.  See Newborn foal sheet.


If both mare and foal are bright they can be left in their paddock. Exercise is beneficial to help the mare’s uterus to recover after foaling and to help the foal to strengthen and its legs to straighten.