The Dog's Medical Dictionary / An encyclopædia of the diseases, their diagnosis & treatment, and the physical development of the dog

by Alfred Joseph Sewell

Difficulties arise at parturition in consequence of the unnatural position of the fœtus; a puppy should come with the head first, the nose extended, and the fore legs placed one on either side of the neck. Another easy position for birth is when the hind legs come first, but in these cases, unless the puppy is delivered quickly, it dies from asphyxia.

From some unaccountable reason a fœtus frequently assumes a wrong position, which renders its birth extremely difficult. In such cases it is useless giving ecbolics or medicines to stimulate the labour pains, but means must be taken to place the puppy, if possible, in a proper position, and then a dose of ergotine is useful. Perhaps the most common malposition is when both fore legs are thrown in a backward direction, causing the shoulder to project, thus inducing a mechanical impediment to birth. These are not very troublesome cases, as a rule, for the legs, by means of a blunt-pointed round hook, may be drawn forward; if there is nothing better at hand, a long button-hook will answer the purpose.

This accomplished, the puppy should come away easily; but if the bitch is weak from long straining, it is advisable to remove the puppy entirely, especially if it is thought there are more to come. I may mention here when one has to use instruments of any kind to assist the patient, the puppy is generally in some way injured, so that if it does not die at the time, it usually does very soon after; but after all, this is of little consequence compared with the life of the mother.

In some instances the puppy presents itself at the mouth of the womb with the top of the head foremost, the nose being pressed down against the chest; if it is at all large, birth is very difficult in this position. In such cases, one should try and elevate the nose with the point of the finger; when the bitch is not a large one this is often possible, but when she is, it is necessary to employ a crotchet or crook—as mentioned before, a button-hook with a long handle does very well—and, if possible, it should be fixed in the mouth and the nose drawn up; this is rendered more easy, if one can, by means of the finger of the other hand, press the neck backwards towards the body of the bitch. It is, however, often impossible to raise the head, and the only thing to be done is to seize the neck firmly with a pair of forceps, and by traction at each time of straining, extract the puppy. Care must be taken not to injure the bitch, or inflammation, which may prove fatal, will occur.

In other cases the head may be bent in a backward direction, the front of the neck presenting. These cases, though somewhat more difficult, require similar treatment to the previous kind. When all other means have failed, the neck may be divided and the head removed by forceps; the body will then generally come away by itself.

The fœtus assumes numerous other positions besides those mentioned—as, for instance, lying transversely, the puppy’s side presenting to the mouth of the womb, and when the labour pains are strong, no amount of manipulation will put the body in a normal position. Rather than let the bitch waste her strength uselessly, the puppy should be divided or broken up by means of a sharp-cutting hook, and removed by means of forceps.

When a fore and a hind leg are presented into the vagina, the former should be pushed back into the womb, and the hind leg seized with forceps and made fast with a piece of tape. (It is easy to distinguish one leg from the other by feeling for the hock-joint in the hind limb.) When this is done, the other back leg should now be felt for, and when its position is ascertained, it should, if possible, by means of a small pair of forceps (ordinary dressing forceps answer very well for this purpose) or crotchet, be drawn into the vagina, or made fast with tape like its fellow, and then by gentle traction on both limbs the puppy is delivered.

It occasionally happens, in cases of head presentation, that the hind legs are bent forward on the body, which renders the delivery difficult, and unless the passage is large, and the pains are very strong, the bitch cannot bring forth the pup without assistance. This is best rendered by grasping the puppy across the hips with a small pair of thin-bladed parturition forceps, and gently pulling the puppy during each throe.

It frequently occurs that though a puppy may lie in a normal position, the mother is unable to give birth to it in consequence of its being too large. The nose may be just inside the vagina, and there become fixed in spite of the bitch’s straining for hours. I have seen hundreds of such cases. It is a mistake to leave the bitch in this condition too long, thinking matters will come all right, as it is wasting time and the mother’s strength; and if there are other puppies to come, she probably will not have strength either to expel them herself or help anyone who may try to assist her. In this instance, the head is so firmly fixed in the mouth of the womb that it is impossible to take hold of it with forceps, however small or thin the blades may be, but the hook of the crotchet may generally be passed into the mouth of the puppy, and by fixing it well into the palate a good hold is obtained, and the puppy drawn through the passage by main force. If care be taken, it is astonishing what amount of force may be used in promoting delivery without at all injuring the bitch, but it is best not to pull on the puppy except during the labour pains, if there are any.

It is the custom of some veterinary surgeons to give the bitch, during labour, a hot bath if the parts are not considered sufficiently relaxed, or if the pains are dull; at the proper time the tissues always become sufficiently dilated, providing the parts are in a normal state—that is, bar a stricture in the vagina, or something of the kind—and if there is any abnormal condition, a warm or hot bath, in my opinion, does more harm than good by often checking the pains.