CONGRATULATIONS!!!  You have just gotten your mare in foal (or you bought a mare in foal or whatever scenario you are dealing
with)!  Now is the pain staking long wait of 11 months of excitement, worry, joy, and everything else that comes along with a baby on the way!  
Now is also the time to start reading ANYTHING and EVERYTHING related to foaling.  Especially what to look out for so you know if the mare
is in trouble or not.  95% of foalings are normal non-problematic but those other 5 percent can be very dangerous and deadly if not attended to
correctly!  It is HIGHLY advised that you do everything in your power to attend the foaling, whether it be buying some of the commercial
predicting foalings (FoalAlerts, Milk test strips, Foaling monitor halters, Foaling camera, whatever) or just buy lots of caffeine products to stay up
all night.  That's right, most mares will foal at night with the most common foaling times being between 9pm and 2am.  This does NOT guarantee
your mare will foal during these hours, just is more likely as horses are prey animals so they foal at night so the baby has enough time to figure out
it's legs so it can be off and running come sun up when the predators come out.  Now that you know a little bit about timing and trying to attend,
we will go through the normal process of a normal mare.  Every mare is different and every foaling is not the same but this is generally what you
will see:
About one month prior to the expected foaling, one should re-booster their
mare with 4 way or 5 way shot, WNV shot (if you use it), Pneumabort
shot, and finally wormer.  This way it should be transferred into the mare's
colostrum (first milk) so the baby will be inoculated against the common
pathogens.  About 1 month prior to foaling date (the normal gestational
length is 340 days but anything between 320 and 360 days is common),
you will start to notice the mare's udder slowly starting to fill.  It is not
producing milk yet but the hormone secretin is starting to have it's affect
and therefor the udder starts to fill. About two weeks before due date you
will notice the mare's belly shifts down (towards the ground) and back
(towards her tail).  Many say the mare has a V shape.  Also during this time
the mare's butt muscles around the tail start to relax due to the hormone
relaxin.  This is necessary in order for the birth canal to be flexible enough
to allow the passage of the baby.  The muscles will have more of a jello
type feel by the time foaling is imminent.  Right before foaling the mare's
clear discharge from the teats changes to a tint of yellow which progresses
to white.  Once it is white 90 percent of mares will foal within 24 hours.  
Some mares will also wax and or run milk right before foaling (up to 48
hours pre-foaling).  The final sign is the lengthening of the vulva, again to
allow passage of the foal.  The mare should be where she is going to foal at
least 2 weeks (30 days is much more preferable in order for her to gain
antibodies in the colostrum against that area's pathogens).  The two big
rules for a foaling area is CLEAN and LARGE!  By clean meaning minimal
piles of manure and urine, as dust free as possible, and is best if the mare
foaling is the only horse within the stall/paddock.  The bigger the better is
best for foaling stalls, many say the minimum is 14x14.  That allows the
mare enough room to lay down and be able to deliver the baby without the
baby hitting the wall.  Below are a few examples of mares and their look
right before foaling, just to show that they can all be really different!
So now the night of the blessed event is here!  Will now explain what is happening even though in Stage 1, everything is happening internally, but
stages 2 and 3 are external.  I will include photos below that may be construed by some as graphic (just shows a mare foaling) but is helpful to see
what is normal.  As to who determines WHEN the blessed event happens, both the mare and foal play a part in deciding.  The foal determines the
DAY it is ready to be born, the mare determines the HOUR it is born.  That is why mares will often wait till there is no activity at the facility and
they are good at knowing when humans go on a coffee/potty break and usually pick that opportunity to kick the kidlet out :)!  So on to the stages!
Stage 1
As I said earlier, Stage One is mostly all internal.  Mares will exhibit external signs such
as restless/nervousness, frequent lying down/rolling and getting up, pawing at the
ground, start sweating (due to prostaglandin PGF2alpha).  Stage one is when the
uterine contractions begin and the baby finishes getting into position for delivery.  The
baby stretches the front legs forward into the diving position and is now in the dorsal
position.  The length of time highly varies in the mare but usually consists of 1-4
hours, the more foals a mare has had the shorter the period.  Stage One ends when the
mare finally lays down (or stands) and breaks her water (the allantoic fluid). (pictured
at right).
Stage 2- Expulsion of the Foal aka the exciting stage!
This is the stage that you have been waiting the past 11 months for!  
Since there is SO much excitement abounding it can seem like it takes an
eternity but the foaling should take 10-60 minutes with the average
delivery time in 10-20 minutes (18 minutes is most common).  You will
first see the amnion (a little white bulb) which will soon be followed by 1
hoof shortly thereafter the 2nd hoof and in the middle will be the nose).  
As the mare contracts more she progresses the foal forward.  The hardest
part for a mare to clear is the shoulders, this is why one foot is slightly in
front of the other, it separates the shoulders allowing one to pass before
the other.  Most people freak at this stage because they see their baby
with the amnion still over the nose and fear the baby can't breathe.  
RELAX!  The baby can not breathe air until their shoulders clear the
birth canal, so at this stage the foal is still getting oxygen from the
umbilicus.  You can clear the amnion from the nose if you are so inclined
but the foal will not suffocate.  So now the mare has passed the
shoulders, the rest of the foal should slide right out.  If the babies legs are
still inside the baby will clear them on their own.  Also when the baby
thrashes its legs or when the mare gets up, the umbilical cord will break
free allowing the separation of mom and baby.  So congratulations, you
have a new four legged critter on the ground!  Stage two is now complete
as it ends with the expulsion of the fetus.  Now on to the final stage and
one of the most important stages for the mare's health, stage 3.  
Amnion protruding
One hoof
Two legs and the nose
Katie welcomes her filly Caitlyn into the world!
Retained Placenta-
This is by far and away the most common issue with Gypsy Horse foaling.  Gypsy Horses seem to follow in their larger cousins (Shires and
Clydesdales) hoof prints in not wanting to let go of the placenta.  Again a retained placenta is a placenta that is not passed within 3 hours.  In
order to try and prevent it is best to tie the placenta/amnion in knots just below where it is coming out of the mare to try and encourage gravity to
take over and make the fibers inside release the placenta.  If this does not work, call the vet and they will administer Oxytocin which will again
stimulate contractions to get the placenta to break.  ANYTHING OVER 6 HOURS RETAINED WILL REQUIRE THE VETS ATTENTION
TO GET THE PLACENTA OUT
AND FLUSH OUT THE UTERUS!!!  The placenta will allow many NASTY pathogens to invade the uterus
which will lead to the mare foundering/laminitis if left untreated.  Uterus infections are always a pain to treat and some can never be rebred again
due to the infection.  Get vet help!  PLEASE DON'T GO TO BED BEFORE PASSAGE OF THE PLACENTA!!!  Your mare's life may be at
risk if left unattended!
Working on clearing the shoulders
Stage 3- Expulsion of the Placenta- Final Stage
The final stage of the foaling process is the passage of the placenta (afterbirth).  This can range anytime between 15 minutes post-foaling to 3
hours post foaling.  A PLACENTA IS CONSIDERED ABNORMALLY RETAINED AFTER 3 HOURS AND VET INTERVENTION IS A
MUST!!!!  Once the baby clears the mare the placenta starts involuting on itself, so the mucous area that once connected the placenta and the
uterus will be on the inside upon passage.  The mare continues to contract due to the hormone oxytocin (which also causes milk let down) which
causes the expulsion of the placenta.  DO NOT GIVE THE MARE BUTE OR BANAMINE FOR PAIN UNTIL THE PLACENTA IS OUT!  
Bute and banamine will relax the contractions that are necessary to get the placenta to separate from the inner body.  When the placenta is
expelled, you can take it and make an F or a Y pattern by spreading it out, you will have the pregnant horn (is the much larger horn), the
non-pregnant horn, the body of the placenta that then connects via the umbilical cord to the baby.  Many people are grossed out by the placenta
and leave it for the vet to check in the morning.  Be nice to your vet.  Put the placenta in a bucket of water and put it in a fridge if possible or at
least cover it to keep the flies out.  Once the placenta is out completely (one must check the NON-PREGNANT horn, ensure it is complete as
this is the most likely part to get retained and a retained placenta is not fun) and the baby has nursed and hopefully passed the meconium (first
manure) you can NOW go to sleep (if you can after all the excitement!) but it is always good to check on the new pair overnight to ensure
everything is still going right.
THANK YOU for taking the time to read this and remember, you can't read enough to be prepared for the blessed event.  
The more prepared you are the more you can help your mare by determining whether she is in trouble or not.  At the end of
the day, there is nothing better than seeing the foal and mom relaxing together after waiting the past 11 months!  Congrats
again and enjoy your foal!
Before we progress to stage 3, just a quick run down of the ESSENTIALS come foaling, don't get caught up in the excitement, ensure you
remember the 1-2-3's of foaling and all will be well.  Upon the foal's arrival there are the 1-2-3's:
1) Within ONE hour the foal should be standing
2) Within TWO hours of birth the foal should have nursed, after this point the foal will start getting weak if it has not drank
3) Within THREE hours of birth the mare should have passed a COMPLETE placenta
Post-Foaling Care
It is ideal to have the vet out within 9-12 hours post foaling in order for them to do a physical on both the mare and the foal.  You will also want
to have an IgG test done to ensure passive transfer (ensure the baby got the antibodies from the colostrum to keep it healthy in its new pathogen
filled environment).  Failure of passive transfer (anything 400ppm or less 9-12 hours post is failure of passive transfer) and is best to get a plasma
transfusion for the foal in order to ensure health and survival.  800ppm or greater is ideal and is passive transfer.  The vet should also inspect and
ensure the placenta is complete and healthy.  After this congrats!  Enjoy your time with your new bundle of enjoy!
Most Common Foaling Difficulties:
Baby malpresentation- This one is usually best left to the vets unless you are experienced with foaling and know what to feel/look for.  
Foaling malpresentation is ANY form of presentation other than two front hoofs and the nose in the diving position followed by the back legs
extending backwards.  Most common malpresentations are one front hoof backwards (stuck inside before the cervix rim), the head is bent
backwards, one or both back legs are forward.  Again this is best left to the vets unless you are experienced!  Immediately call the vet if you
think something is wrong and they can either talk you through it or come out and assist!
Red Bag Delivery-
Red bag delivery will NOT look like the delivery above.  Red bag means the placenta is coming out at the same time as the foal and amnion.  It
is CRUCIAL to immediately detect this and get the foal out IMMEDIATELY!  The placenta provides the baby oxygen during the birthing
process, but with red bag, the placenta has cut off prematurely from the uterus which means the foal IS NOT getting oxygen.  Time is of the
essence in these cases and one must help pull the baby out (must coincide with the mare's contractions) immediately to prevent loss of life.  
With Red Bag, you will see the foal inside the amnion which is inside a purplish/deep red colored mucous outer coat which is the placenta that
is NOT involuted.  These foals (if they survive) are almost always dummy (usually don't suckle, don't know where to go for milk, can't get to
their feet easily, etc) and will need LOTS of assistance from both you and the vet.  Call the vet out immediately if you are sure it is red bag.  
TIME IS OF THE ESSENCE!!!!

*Update* In 2010, Desert Jewel had it's first Red Bag Delivery.  The mare for whatever reason seperated the placenta early, Jen & I were
both on hand and immediately saw it, and pulled with the mares contractions and actually foaled the baby with the mare standing up as every
SECOND counts with red bag!  We got the baby out in time and he is completely normal to this day!  With Red Bag, every second matters if
you wish to save both mare's and foal's life!  
***Please note, that if you think your horse is in need of Vet attention it is best to CALL YOUR VET rather than referring to this guide or any
other book.  No literature beats the hands on experience a vet can lend.  Call your vet if you think ANYTHING is wrong!***
Heidi, 11yr Shire mare 5th baby, dropped, relaxed in butt muscles, fully
engorged udder, waxing & running milk on 2/23/09 (foaled same day)
Gypsy mare Dinah with the "V" shape, she foaled 2 weeks after this
photo
Dinah waxed & running milk, foaled 30 minutes later!
Belle, 6yr Clydesdale mare 2nd foal, foaled 13hrs after this photo was taken,
they don't all change a lot physically!
Belle's udder 13 hours before foaling
Dinah, 4yr Gypsy Horse maiden mare, she foaled 14 hours after this photo 3/15/10
Here you can see the dark red on the top side of the amnion,
this is the placenta coming out hte same time as the amnion
The placenta upon passage after a Red Bag Delivery.  Note it is NOT
involuted like in the picture above under normal placenta passage.   
A Gypsy Foaling- Dinah foaling Flint on 3/16/2010
Amnion & front legs
They are EXTREMELY tired after having a baby!
At right is what a placenta should look like at passing.  
The pregnant horn is on the left side of the picture, the
placenta body is the large central part, and on the right
side is both the non-pregnant horn and the umbillical
cord that once supplied the baby with nutrients and
oxygen while in utero.  
Picture of the Mucous Plug on Belle's feather.  The Mucous
Plug blocks the cervix but as foaling approaches breaks down
due to increasing size of the cervix for passage of the foal.  It can
happen right before foaling or up to 2 weeks before foaling.
Shiredale Farm
Specializing in Shire Horses
& Drum Horses
Guide to Equine Foaling
Emphasis on Gypsy & Shire Foalings
Written by Kimberly Oest