Early Pregnancy Diagnosis in Sows: A Comparative Evaluation of Ultrasonographic and Progesterone-Based Methods

Early pregnancy diagnosis is a key component of reproductive management in swine production systems. Accurate identification of pregnant and non-pregnant sows within the first 30 days after insemination allows timely reproductive decisions and reduces non-productive days. The present systematic review evaluates the diagnostic efficiency of ultrasonographic and progesterone-based methods used for early detection of pregnancy in sows. A structured literature search was conducted in accordance with the PRISMA Statement guidelines, using major scientific databases. Studies evaluating pregnancy diagnosis in sows within the first 30 days after insemination were included. Diagnostic approaches were analyzed with respect to methodological design, timing of examination, biological sample matrix, and reported indicators of diagnostic accuracy. Ultrasonographic techniques have evolved from early acoustic detection in A-mode to real-time imaging in B-mode and more recently algorithm-assisted interpretation of ultrasound images. Real-time ultrasonography allows direct visualization of gestational structures; in one study, diagnostic accuracy above 95% was reported after approximately 23–24 days of pregnancy under optimal examination conditions. Progesterone-based analyses evaluate luteal endocrine activity and are particularly useful for early identification of non-pregnant animals after luteolysis. The diagnostic efficiency of hormonal assays depends strongly on the timing of sampling and the biological matrix used for analysis, including plasma, serum, dried blood spots, saliva, or feces. The comparative analysis shows that ultrasonography provides morphological confirmation of pregnancy, whereas progesterone analyses serve mainly as functional indicators of luteal activity. These methods play complementary roles in reproductive management. Ultrasonography remains the most reliable method for confirming pregnancy, while progesterone-based analyses are valuable tools for early reproductive screening and identification of non-pregnant sows.