Pregnancy toxemia in sheep causing twin lamb disease is a preventable welfare emergency affecting ewes carrying multiple lambs through inadequate nutrition management.
Twin lamb disease causes severe welfare harm through progressive metabolic failure causing neurological dysfunction, weakness, and death. Ewes in advanced pregnancy toxemia experience profound weakness, inability to stand, and disorientation before death. Prevention through appropriate nutrition management based on condition scoring and fetal number is far superior to treatment. Identifying thin ewes early in pregnancy and providing supplementary feeding prevents the cascade from negative energy balance to clinical disease. Rapid recognition and propylene glycol treatment of early cases saves lives and reduces suffering when prevention has failed.