The transition period - 3 weeks before to 3 weeks after calving - is the most welfare-critical phase of a dairy cow's productive life. Getting management right prevents most metabolic diseases.
Transition period diseases including milk fever, ketosis, retained placenta, and displaced abomasum cause significant suffering. Many cows experience multiple concurrent problems in the first weeks post-calving. The welfare cost is compounded by reduced ability to care for calves and by the invasive treatments required. Prevention through proactive transition cow management is more welfare-positive than treating established disease.