Published November 21, 2014 Inverted teats (Mammillae invertitae) in gilts – Effect on piglet survival and growth rate H. Chalkias,*1 E. Ekman,† N. Lundeheim,* L. Rydhmer,* and M. Jacobson‡ *Department of Animal Breeding and Genetics, Swedish University of Agricultural Sciences, Box 7023, SE-750 07 Uppsala, Sweden; †Department of Biomedical Sciences and Veterinary Public Health, Swedish University of Agricultural Sciences, Box 7028, SE-750 07 Uppsala, Sweden; and ‡Department of Clinical Sciences, Swedish University of Agricultural Sciences, Box 7054, SE-750 07 Uppsala, Sweden ABSTRACT: In the modern pig industry, the increasing number of piglets born per litter augments the importance of the number of functional teats in the sow. The aim of this study was to evaluate the function and importance of inverted teats during nursing and to analyze structural and functional differences between the mammary glands of inverted teats versus normal teats. Nine farrowing gilts (8 purebred Swedish Yorkshire gilts and 1 cross between Swedish Yorkshire and Norwegian Landrace) and 94 piglets (59 piglets suckling normal teats, 32 piglets suckling protruded teats [i.e., previously inverted], 2 piglets suckling inverted teats, and 3 piglets suckling considerably smaller teats) were included in the study. Teat fidelity (keeping the same teat between the nursings) was registered, excluding the first 48 h postpartum. Piglet weight was recorded daily during the first week of life and thereafter once a week until weaning at 4 wk of age. Weight and growth rate were analyzed using repeated observation mixedmodel analysis of variance. The 2 piglets that suckled the inverted teats were not able to emerge the teats and they were euthanized 4 and 8 d after birth, respectively, due to loss of BW. The average weight at weaning (28 d of age) was 8.1 kg (range 3.2–13.8 kg). In the normal teats (n = 53), the weight of the corresponding mammary gland tissue at necropsy was positively correlated to the piglet average daily weight gain during wk 2 (r = 0.33, P < 0.05), 3 (r = 0.55, P < 0.001), and 4 (r = 0.47, P < 0.001). In the protruded teats (n = 32), the weight of the corresponding mammary gland tissue was positively correlated to the piglet average daily weight gain during wk 2 (r = 0.63, P < 0.001) and 3 (r = 0.43, P < 0.05). Among the piglets nursing normal teats, 82% kept fidelity to its teat and the corresponding percent for the protruded teats was 26%. In 7 of the 9 sows, the weaning weight of the piglets suckling protruded teats was numerically lower compared to the piglets suckling normal teats, although the difference was not statistically significant. Piglets nursing small teats had lower weaning weight (4.8 kg) and the corresponding mammary tissue also had lower weight (335 g). This study indicates the importance of an adequate number of well-developed and well-functioning teats in healthy sows for the growth and development of the piglets but also emphasizes the complexity of the interaction between the nursing sow and her piglets. Key words: functional teats, inverted teats, mammary gland, teat number, Yorkshire breed © 2014 American Society of Animal Science. All rights reserved. J. Anim. Sci. 2014.92:2587–2594 doi:10.2527/jas2013-7387 Introduction Newborn piglets are born with low glucose levels and poor stores of glycogen (Noblet et al., 1997). This energy reserve is rapidly consumed and must be replenished to avoid hypoglycemia (Le Dividich and Noblet, 1981), hypothermia (Herpin et al., 2002), and weakness 1Corresponding author: [email protected] Received November 15, 2013. Accepted March 5, 2014. (Le Dividich and Noblet, 1983). The piglets are born with an immature immune system (Dividich et al., 2005) and the colostrum must be obtained before intestinal closure occurs at 24 h postpartum (p.p.; Danielsen et al., 2011). The piglets’ own synthesis of antibodies will not start until about 1 wk of age (Rooke et al., 2003). The increasing number of live-born piglets results in decreased piglet weight at birth (Roehe, 1999), increased birth weight variability within litter (Wolf et al., 2008), heterogenic maturity at birth (Herpin et al., 1993), variation in growth rate, and increased sibling compe- 2587 2588 Chalkias et al. tition (Andersen et al., 2011). The nursing and suckling behaviors of sows and piglets follow a complex pattern. Therefore, it is important that the teat order is promptly established (Deen and Bilkei, 2004) and the small milk cisterns and the short milk ejection (Fraser, 1980; Verstegen, 1998) will imply that each piglet must have readily access to a functional teat to achieve the amount of milk necessary for nourishment and growth (Jensen et al., 2001; Devillers et al., 2011). Variations in milk yield depending on the position of the teat and the corresponding mammary glands (front, middle, or at the posterior part of the udder) have been reported with higher weight gain in piglets suckling the posterior teats (Nielsen et al., 2001). Furthermore, the milk yield in multiparous sows also depends on if the teat was nursed in the first lactation (Farmer et al., 2012). Failure of the fetal mammary pit to evert before birth will result in an inverted teat. The mechanism behind this failure is unknown but may be related to the connective tissue proliferation (Günther, 1984). The inverted teats are often found near the umbilicus (Beilage et al., 1996) and may emerge when stimulated (Nordby, 1934). Inverted teats limit the pig rearing capacity of the sow and may also increase the vulnerability to mastitis (Jonas et al., 2008). The aim of this study was to evaluate the function and importance of inverted teats during nursing and to analyze structural and functional differences among the mammary glands of inverted teats versus normal teats. Material and methods The study was approved by the Ethics Committee for Animal Experimentation, Uppsala, Sweden (C149/8 and C215/11). Animals A total of 9 farrowing gilts and 94 piglets was included in the study. Eight gilts were purebred Swedish Yorkshire gilts and 1 was a cross between Swedish Yorkshire and Norwegian Landrace. At performance testing (at 100 kg live weight), the 8 purebred gilts had between 1 and 8 inverted teats, 3 gilts also had a small teat (approximately half the size of the normal teat), and 1 had an additional extra teat. The Yorkshire gilts originated from 1 nucleus herd, with well-known health status and within reasonable distance from the research facilities, and were preselected by skilled technicians from the breeding company Nordic Genetics (www.nordicgenetics.se/). The crossbred Yorkshire × Landrace gilt originated from a conventional herd with a high prevalence of inverted teats in their recruitment gilts. This gilt was born by a sow from the nucleus herd and was selected based on the number of inverted teats (8 inverted teats) at 100 kg live weight. All gilts were inseminated with Hampshire semen. Three weeks before expected farrowing, the gilts were transported to the research facilities at the Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala. Feeding and Accommodation The gilts were housed in individual pens, 6.4 m2, with concrete floor without fenders and a piglet area, 2 m2, provided with a heating lamp for the piglets. The pens were bedded with wooded shavings and straw. The gilts were fed a commercial diet (Lantmännen Piggfor Klara, Malmö, Sweden) containing 12.7 MJ/kg ME and 0.7% of lysine, supplemented with hay, twice daily according to the recommendations (Simonsson, 2006). Water was available ad libitum. Teeth grinding was applied on all piglets within 12 h p.p. Iron was supplied individually by oral paste or injection at 2 d of age and from 2 wk of age, as iron flakes (Lantmännen Protect Järn&Torv, Malmö, Sweden) given in the feed. Due to ethical considerations, creep feed (Lantmännen Piggfor Trygge/Parvel, Malmö, Sweden) containing 13.3 MJ/kg ME and 1.0% of lysine was provided in an automatic feeder from the second week. Examinations Ten weeks before expected farrowing, the teats were counted, palpated, and subjected to a thorough inspection (3 of the sows had also been subjected to an extra inspection 1 wk before mating). After parturition, the piglets were counted and marked individually. All excessive, functional posterior teats were blocked with adhesive bandage during the whole nursing period (Fixomull Stretch; Smith & Nephew, Hamburg, Germany), to ensure that the number of available teats equaled to the number of piglets. If a piglet died before the teat order was established, 1 additional posterior teat was blocked. If a piglet died after the teat order was established, the teat used by that particular piglet was blocked. For each piglet, the suckled teat was registered as “inverted,” “protruded” (previously inverted), “small,” or “normal” and the teat pair was registered and numbered from 1 to 8, starting from the front. A “small” teat was of approximately half the size of a normal teat but otherwise with the same proportions. The udder underwent a thorough daily examination and the adhesive bandage was inspected and adjusted if necessary. For each piglet, the weight was recorded daily during the first week and thereafter once a week until weaning at 4 wk of age. The suckling behavior was registered for 6 of the sows by videotaping 2 to 6 times a day until teat order was established. The fidelity to teat was registered, excluding the first 48 h p.p. Fidelity was set as suckling the same teat between all nursings, with allowance of 2 disloyalties. Difference between if the piglet was searching a new teat 2589 Inverted teats in gilts. or loosed its teat was not taken into consideration. The side, left or right, on which the sow was laying during nursing and whether the piglets were suckling the upper teat row or the lower teat row were registered from the video tape. All animals underwent a clinical examination (body temperature, heart and respiratory rate, inspection of visible mucosal membranes, inspection of the fur coat, movements, body condition, and behavior) by a veterinarian and were recorded daily. All piglets that died during the study were subjected to necropsy. The gilts were euthanized immediately after weaning and the mammary gland for each teat was dissected and weighed. Sampling Following euthanization of the gilts, the skin covering the udder was removed, each individual mammary gland was dissected from adjacent tissue (fat and muscle), and weight was recorded. In 8 of the gilts, the length (mm) of the teats was measured. Samples were collected from all inverted, protruded, and small teats, and to each of these teats a normal, control teat was collected. In 6 sows, the sampled teats were longitudinally transected and one-half was fixed in 10% phosphate buffered formalin for histology, and in 3 sows, the entire teat and adjacent mammary tissue were fixed. Histological Examination The formalin-fixed specimens were embedded in paraffin, sectioned, and stained with hematoxylin and eosin. To visualize collagen and smooth muscle Masson’s trichrome stain was used and Weigert’s elastin stain was used to visualize elastic fibers. A total number of 26 teats was examined histologically, 2 inverted, 10 protruded, 3 small, and 10 normal teats, from a total of 6 sows. Statistical Analysis For the analyses SAS software version 9.1 (SAS Inst. Inc., Cary, NC) was used. Due to the low number of still inverted teats and small teats, they were excluded from the statistical analysis. The weight and growth rate were compared between piglets that developed diseases and healthy piglets as well as between healthy sows and sows that developed disease. Piglets that died before weaning were excluded from the statistical analyses. The variation in weight and daily weight gain (DWG) were statistically analyzed using the repeated observation mixed-model ANOVA. Fixed effects included in the statistical model were sow, sex, teat type (normal/ protruded), and day (day after farrowing) for weight and week (week after farrowing) for growth rate and also the interactions day × teat type and week × teat type. Piglet was included as a random effect nested within teat type. Additionally, to decrease the within-litter difference between piglets suckling normal and protruded teats, pairwise analysis with TTEST was used. In the pairwise analysis on weight, 23 within-litter pairs (46 piglets) were included. In the pairs (protruded vs. normal teat) the piglet with a normal teat was selected to achieve a similar birth weight within pair. The mammary gland weight was analyzed using ANOVA (PROC GLM) with sow, teat type (normal vs. protruded), and sex as fixed factors. The correlation between mammary gland weight and piglet weight gain was estimated with Pearson’s correlation. The chi-squared test was used to identify any differences in fidelity between protruded and normal teats. Results Gilts All inverted teats had protruded at farrowing, except for 2 gilts where 1 teat in each of the gilts remained inverted (Table 1). Most of the inverted teats had protruded already in early gestation and some were noted as protruded already at the time of mating. No adverse effects of the blocking of excessive teats with adhesive bandage were noted. On average, 3.4 teats (range 2–5) were blocked with bandage after parturition. Piglets In total 123 piglets were born whereof 118 were liveborn and 5 were stillborn, and in 1 large litter (18 liveborn piglets), 4 small (0.6 kg BW) newborn piglets were euthanized to ensure that the number of piglets equaled the number of teats. Thirteen piglets died during the first 24 h p.p. and 3 piglets died 2 to 5 d p.p. due to crushing. One piglet died due to an acute hypersensitivity reaction induced by treatment of lameness (Day 6), 1 piglet died due to weakness (Day 6), and 2 piglets suckling inverted teats were euthanized (Day 4 and 8). The number of piglets weaned varied between 9 and 12 piglets, with an average of 10.6 piglets per litter. Health Four sows developed fever on Day 0, 3, 7, and 13 p.p., respectively, and were treated with antibiotics. There was a significantly lower weaning weight (P = 0.02) and DWG (P = 0.006) in piglets of treated sows (0.332 kg; 36 g/d), but this difference was not influenced by the type of teat suckled. In total, 15 piglets were treated for lameness, 2 piglets were trampled by 2590 Chalkias et al. Table 1. Characteristics of the 9 studied sows Sow1 1Y 2Y 3 LY 4Y 5Y 6Y 7Y 8Y 9Y Teats at 100 kg Teats at farrowing No. live born piglets No. blocked teats No. piglets weaned 10 normal 10 normal 13 2 12 4 inverted 4 protruded 10 normal 10 normal 13 5 9 4 inverted 3 protruded 1 inverted 6 normal 6 normal 13 5 9 8 inverted 7 protruded 1 inverted 10 normal 10 normal 10 5 9 4 inverted 4 protruded 10 normal 10 normal 12 3 11 5 inverted 5 protruded 8 normal 8 normal 11 4 10 6 inverted 6 protruded 11 normal 11 normal 15 2 12 2 inverted 2 protruded 1 small 1 small 13 normal 13 normal 16 4 11 1 inverted 1 protruded 1 small 1 small 13 normal 13 normal 18 3 12 1 inverted 1 protruded 1 small 1 small 1Y = Yorkshire Video No No. weighed mammary glands 8 No 8 No 10 Yes 9 Yes 11 Yes 10 Yes 12 Yes 11 Yes 11 sow; LY = crossbred sow (Landrace × Yorkshire). the sow and therefore treated with antibiotics, and 1 piglet developed fever and an infection of unknown etiology in the eye. Furthermore, 13 piglets suffered from congenital tremor. The 2 piglets that suckled the inverted teats were not able to emerge the teats by stimulation and were euthanized 4 and 8 d after birth, respectively, due to loss of BW between the 2 last weighings (–150 and –80 g, respectively). As recorded by the video tape, both these piglets were still fighting for other teats the day they were euthanized and the health registration also revealed a lot of facial lesions on the piglets and lesions on the teats. At necropsy, empty intestines and sparse amount of feed in the stomach were noted. Videotape Recording The teat order, when all piglets used the same teat in between sucklings, was on average established Day 8. One of the sows that still had an inverted teat at farrowing terminated all of the observed nursings by assuming a sternal position: 15% before milk let-down, 15% before postejection massage, and 70% of the nursings after a short postejection massage. After euthanization of the 2 piglets suckling the inverted teats, the sows seemed less interrupted, accepted complete nursings and no further fighting among the piglets was noted on the video tape. One sow had an extra teat in between teat pair 3 and 4. The videotape showed that the piglets tried to nurse this teat the first 2 d p.p. Thereafter, the teat un- derwent involution, and no further interaction was seen. Piglets that nursed normal teats kept the fidelity in 82% of the video tape observations as compared to the piglets that nursed protruded teats that kept the fidelity in 26% of the cases (P < 0.0001). Piglet Weight Of 123 born piglets, 94 piglets (40 males and 54 females) were included in the statistical analyzes of weight (59 piglets suckled normal teats, 32 piglets suckled protruded teats, and 3 piglets suckled small teats). There was no significant difference in weight gain during the first 4 wk p.p. between treated piglets and healthy piglets and therefore the treated piglets were also included in the analysis. The average live weight at birth was 1.4 kg (range 0.58–1.95 kg). The average weight at weaning was 8.1 kg (range 3.2–13.8). Within the litters with 2 or more protruded (previously inverted) teats, the difference in weight between piglets suckling normal and protruded teats varied (Fig. 1). In 7 of the 9 sows, the weaning weight of the piglets suckling protruded teats (i.e., previously inverted teats) was numerically lower as compared to the piglets suckling normal teats, although the difference was not significant. A significant difference in growth rate of 27 g/d (P = 0.04) was seen between the 2 groups during wk 1 but not during the following weeks (2–4). The piglets (n = 3) suckling small teats had a lower weight at weaning (average 4.8 kg) as compared to the piglets suckling normal or protruded teats. In the pairwise statistical analysis, 23 pairs 2591 Inverted teats in gilts. Table 2. The correlation between the individual mammary gland weight at necropsy and the daily weight gain (DWG) during wk 1 through 4 in piglets suckling protruded teats (i.e., previously inverted) and in piglets suckling the corresponding normal teats Daily weight gain DWG 1 DWG 2 DWG 3 DWG 4 Mammary weight normal teats –0.11 NS1 0.33 * 0.55 *** 0.48 *** Mammary weight protruded teats 0.34 NS 0.63 *** 0.43 * 0.28 NS 1NS Figure 1. The mean weight of piglets suckling protruded teats was compared to the mean weight of piglets suckling normal teats (given the relative value 0 kg) within each litter. Litters with 2 or more protruded teats were included. p.p. = postpartum; D0 = day of birth; D6 = 6 days p.p.; D14 = 14 days p.p.; D21 = 21 days p.p.; D28 = 28 days p.p. (46 pigs) were included with an average of 2.8 pairs from each sow (range 1 to 4 pairs). Significant differences in DWG were seen during wk 1 (P = 0.008) and 2 (P = 0.04) with 20 g higher average weight gain in the controls as compared to the piglets suckling protruded teats, but no difference was noted during wk 3 and 4. Mammary Glands The average weight of 88 mammary glands was 594 g (range 283 to 921). For glands of normal teats the average weight was 597 g (range 326 to 912) and for glands with protruded teats the average weight was 614 g (range 327 to 921). The average mammary gland weight in the small teats, 335 g (range 283 to 377), was lower than for normal and protruded teats. The amount of mammary gland tissue at necropsy was positively correlated to the average DWG during wk 2 through 4 (r = 0.33, r = 0.55, and r = 0.48, P-value = 0.0192, P-value < 0.0001, and P-value = 0.0003, n = 57; Table 2) in the piglets suckling normal teats and during wk 2 through 3 in the piglets suckling protruded teats (r = 0.63 and r = 0.43, P-value = 0.0001 and P-value = 0.014, n = 32; Table 2). The correlation between mammary gland weight and teat pair number was negative and weak (r = –0.06, n = 85, P = 0.05), showing a tendency to heavier mammary gland weight at the front teat pairs. The average length of the normal teats was 3.9 (SD = 0.75) cm and for protruded teats it was 3.6 (SD = 0.57) cm. Histological Examination The 2 inverted teats were shorter than the normal teats and the protruded teats and broader than the small teats. No obvious morphological differences in arrangement of the connective tissue or smooth muscles fas- = not significant. *P < 0.05; ***P < 0.001. cicles or in the presence of vessels in the subcutaneous tissue was observed between the groups. The elastin content in the connective tissue was similar in normal teats, protruded teats, inverted teats, and the small teats. Focal ulcerations of the stratified squamous epithelium covering the teat, with infiltration of inflammatory cells in the adjacent tissue, were present in 5 teats (2 normal, 2 protruded, and 1 inverted). Furthermore, a pyogranulomatous inflammation in the dermis was present in 1 protruded teat and in 1 of the small teats an inflamed lactiferous duct was observed with infiltration of lymphocytes, neutrophils, and eosinophils. Discussion This study indicates the importance of an adequate number of well-developed and well-functioning teats in sows for the growth and development of the piglets. Furthermore, the results emphasize the complexity of the interaction between the nursing sow and her piglets. To our knowledge, this is the first study that investigates the relationship between piglet growth and the presence of inverted teats. Since pigs with inverted teats are usually culled before mating, there is no information on the occurrence or frequency of inverted or protruded teats in sows. According to the literature, the inverted teat can sometimes protrude at farrowing (Nordby, 1934) but in the present study, most of the inverted teats protruded already in early gestation. However, at 100 kg live weight, it was not possible to predict whether the teats would protrude before farrowing or not. If the teat is still inverted at farrowing, it is of no value to the suckling piglets. Furthermore, the small teats clearly had less corresponding mammary tissue and the piglet growth rate was also lower. One of the sows with an inverted teat at farrowing terminated all her nursings during early lactation. This might indicate that the sow was disturbed by the fighting and the shrill screaming, since Wallenbeck et al. (2008) demonstrated that sows usually only terminate 30% of the nursings in early lactation. 2592 Chalkias et al. There was no significant difference in growth rate between the entire control group and the piglets suckling protruded teats. However, in the pairwise analysis of piglets with similar birth weight, differences were noted during wk 1 and 2. It is possible, that the older piglets compensated for a poor access to milk, either by additional suckling attempts in between nursings or by eating creep feed. Since we lack 24-h video recordings, these differences were not possible to further analyze. The considerable variation in birth weight (Milligan et al., 2001) and thereby the high SD in piglet weight further argue for a careful interpretation of the results. In the present study, the fidelity to the teat was higher among piglets nursing normal teats and thereby at the anterior and posterior parts of the udder, as also shown by Fraser and Thomsson (1986). In line with Skok and Škorjanc (2013), the teat fidelity in the present study was established at the last in the middle part of the udder. This could indicate that the piglets were less satisfied with the teats near the umbilicus or that these teats may have been harder to access. Fights occur among the piglets to access the functional teats and to keep teat fidelity and with increased litter size the sibling competition and piglet mortality also increases (Andersen et al., 2011). De Passillé et al. (1988) further showed that piglets that were frequently fighting during nursing were less prone to keep the teat fidelity. Interestingly, lesions were also more common in the small and protruded teats than in the normal teats. Observations made on the sow with the extra teat as well as of 1 sow with an inverted teat showed that the piglets spent unavailing time and energy trying to suckle these teats. However, in most studies on nursing behavior, the quality of the teats and the corresponding mammary glands have not been validated, thus disregarding the fact that some nursing behavior may be related to the quality of the teats and mammary glands. The difference in the mammary gland weight between normal and protruded teats at slaughter was not significant. Furthermore, the length of the teat was similar and no morphological differences between protruded teats and normal teats were observed by histology. Experimentally, a proliferation of capillaries and fibroblasts in the subcutaneous tissue has been described following distraction of the inverted teats, but the changes reverted after 4 wk (Zhou et al., 2012). No such alterations were observed in the present study. It may still be possible that the teat has successively protruded during the suckling period, thereby affecting the suckling of these teats during the first 2 wk. In agreement with previous studies (Kim et al., 2000; Nielsen et al., 2001), a positive correlation was found between mammary gland weight and piglet DWG. Milk production is at a maximum in wk 3 through 4 (Hurley, 2001; Hansen et al., 2012) but already in the second week p.p. it will become a limiting factor for piglet growth especially in large litters (Auldist et al., 1998), although the milk yield may increase by a frequent nursing (Auldist et al., 2000). The low but significant correlation between mammary gland weight and the position of the teat pair is in agreement Nielsen et al. (2001). According to Orihuela and Solano (1995), the presence of heavier glands at the anterior part of the udder may also depend on the piglet birth weight, since heavier piglets may massage the udder more vigorously, achieve a greater blood flow, and thereby increase the oxytocin release (Fraser, 1984; King et al., 1997). Poor udder health is an important cause of the sow removal in commercial herds (Engblom et al., 2007), thus emphasizing the importance of the sow’s lactating performance. Furthermore, our results clearly demonstrated the importance of the health status of the sows especially during lactation. During the period 1992 through 2012, the mean total number of teats increased from 14.4 to 14.6 in the Swedish Yorkshire sow. Parallel with the selection for increased litter size, 14 functional teats has been the threshold for further selection since the 1980s. This threshold selection might have increased the number of functional teats but not the total number. Furthermore, a genetic correlation between the litter size and the number of teats has not been proven and thus an increase of the litter size will not automatically increase the number of teats (Zhang et al., 2000; Lundeheim et al., 2013). Number of nonfunctional teats in gilts at 100 kg live weight is a heritable trait (Chalkias et al., 2013) but figures on the heritability of inverted teats in the Swedish Yorkshire is lacking. Long et al. (2010) estimated the heritability of the number of inverted teats in the Norwegian Landrace to 0.3 in gilts and slightly lower in boars. Therefore, it is adequate to emphasize the importance of this trait in the breeding herds and consequently to cull the animals with inverted teats, to avoid the risk of accumulation in the population. Inverted teat is a complex trait. The phenotype may occur in various teat pairs, at varying frequencies, and to different degrees. The development of the mammary and teat tissue in pigs occurs at 3 main stages, regulated by hormones and growth factors: embryonic, pubertal, and adult (Mikkola and Millar, 2006; Watson and Khaled, 2008). At 3 mo of age, the mammary gland and the teat have an increased phase of development and at mating, the mammary gland is small but with a well-developed ductal system. The breeding organizations register the teat status in the gilts at an approximate weigh of 100 kg at about 5 mo of age. The last major development takes place during the last month of gestation. In the present study, some of the inverted teats had protruded already at the time of mating, and most had protruded in early gestation. The mammary growth is regulated by hormones such as estrogen, both indirectly through the act of other Inverted teats in gilts. hormones and directly on the mammary epithelial cells (Zhang et al., 2002; Robinson, 2007). In addition, diets based on, for example, soybeans contain estrogenic compounds and may also contribute to the mammary gland development and may in addition also affect the fetus. It is possible that the protrusion of the teat is depending on the development of the mesenchyme during fetal life and, later, on the development of the tissue in the single mammary gland (Thomsen et al., 2006; Latendresse et al., 2009). The teat will thus not protrude until the gland tissue has achieved a certain level of development and a less developed gland might also result in a lower weight gain in the piglet suckling that particular gland. Conclusion This study clearly shows the importance of an adequate number of well-developed and well-functioning teats in sows for the growth and development of the piglets but also emphasizes the complexity of the interaction between the nursing sow and its piglets. 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