Abstract: Daily rumination time (RT; min/d) is recognized as an important tool for assessing the health of dairy cows, which may depend on the disease, lactation stage and individual cows. Using a systematic review-meta-analysis, this study evaluated whether the variation in RT is effective for early detection of metritis and subclinical ketosis (SCK) in dairy cows in the pre and post-partum periods (from three weeks before to three weeks after calving). The research was carried out in four electronic databases - Scopus, Science Direct, Pubmed and Web of Science. The main inclusion criteria were original research; evaluation of RT in dairy cows; and use of RT for early identification of metritis and/or SCK in post-partum dairy cows. A random effect meta-analysis (MA) was conducted for each disease (metritis and SCK) separately, with the RT means of healthy and sick groups, measured in the pre and post-partum. The effect size used was the mean difference (MD).Twenty-two trials from six studies were included in the MA, involving 1494 dairy cows. For metritis, four trials from three studies in the pre-partum period were considered as well as five trials from four studies in the post-partum. For SCK, six trials from four studies pre-partum and seven trials from five studies in the post-partum period were taken into consideration. The heterogeneity between studies for metritis was null (I2 = 0%) and low (I2 = 5.7 %) in the pre-partum and in the post-partum, respectively. The MD of RT between healthy cows and those with metritis was different in the pre (MD =0.411 min/d; P 0.05). In a meta-regression, RT from primiparous cows showed a lower predicted value for MD (0.48 min. d; P