The transition period (3 weeks before to 3 weeks after calving) is the highest-risk welfare period in the dairy cow's production cycle, with metabolic diseases including ketosis, hypocalcaemia, and displaced abomasum causing severe suffering.
Cows with clinical ketosis experience anorexia, weakness, and neurological signs causing the typical 'nervous ketosis' or simple production decline over weeks. The energy deficit of early lactation is extreme in high-producing cows whose milk production far exceeds their voluntary dry matter intake. Hypocalcaemia causes rapid-onset recumbency that is life-threatening without rapid treatment. Displaced abomasum surgery is performed under local anaesthesia in standing cows — a significant painful procedure. Prevention through nutritional management is far preferable to treatment for these metabolic conditions.