The transition period surrounding calving — from three weeks before to three weeks after birth — is the highest welfare risk period in a dairy cow life, with metabolic diseases concentrated in this window causing significant suffering if not managed carefully.
Transition period metabolic disease causes genuine suffering: cows with clinical ketosis are depressed, anorexic, and lethargic; milk fever causes recumbency and an inability to rise that is both painful and distressing; displaced abomasum creates abdominal pain that persists until surgical correction. The welfare significance is amplified by the high prevalence — in some herds, the majority of cows experience some degree of metabolic compromise around calving — and by the tendency for subclinical disease to go untreated because it is not visible to routine observation. Proactive metabolic monitoring through blood sampling, combined with nutritional management before calving, substantially reduces disease incidence. Welfare-conscious dairy management treats the transition period as the highest-priority welfare risk window and invests accordingly in prevention and early detection.