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This occurs when the '''foal''' is presented with the '''legs forward''' '''without the head'''. The long limbs and relatively slender head of the foal make this posture feasible in the mare. The foot of the foal is directed dorsally by the transverse fold between vagina and vestibule. After a long period of severe non-productive straining, a foot-nape posture may lead to a '''rectovaginal fistula''' or eventually a '''third degree perineal laceration'''. In these cases both the dorsal vaginal wall and rectum are penetrated.
 
This occurs when the '''foal''' is presented with the '''legs forward''' '''without the head'''. The long limbs and relatively slender head of the foal make this posture feasible in the mare. The foot of the foal is directed dorsally by the transverse fold between vagina and vestibule. After a long period of severe non-productive straining, a foot-nape posture may lead to a '''rectovaginal fistula''' or eventually a '''third degree perineal laceration'''. In these cases both the dorsal vaginal wall and rectum are penetrated.
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Recto-Vaginal fistulae can also be congenital.
    
==Signalment==
 
==Signalment==
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