Sometimes when the ergot fails to induce or stimulate the throes, I have applied with advantage to the abdomen an ice-bag; but what I find the best of all, when one or two subcutaneous injections of ergotine have not worked satisfactorily, is to put the bitch in some vehicle and give her a drive, and if nothing else will induce the labour pains this shaking up will do so in most cases.
The worst of all, are those cases when the bitch is due to pup, the parts are relaxed, and there are no labour pains to expel the fœta. Examined per vaginum, no puppy can be felt, and no amount of excitement of the parts by passing a cold instrument into the passage, or injections of ergot, causes contraction of the womb. If the patient seems all right, it is best to wait some hours, during which time everything should be done to try and excite contraction of the parts. If the means taken do not succeed, then there is nothing to be done except the Cæsarean operation, as it is not safe to attempt delivery with forceps or the crotchet when the puppies cannot be felt with the finger.
The best forceps for using, in my opinion, in cases of parturition, are those made by Messrs. Krohne & Sesemann, of Duke Street, Manchester Square, London. They are made after the pattern of Will’s ovariotomy forceps, of very fine hard steel; the blades are extremely thin and small, and deeply serrated, so that when a puppy is taken hold of they do not easily slip off. My crotchet was also made by the same firm, and, if care is used when working with it, it is a most valuable little instrument. When from causes due to mechanical impediment either on the part of the bitch or puppies, or from want of proper labour pains, it is impossible to obtain the birth of the puppies through the proper channel, the abdomen should be opened. If the operation is done in good time (that is, before the bitch has become weak), and proper antiseptic precautions taken, there is a chance, though the operation is a dangerous one, of saving the mother’s life. At any rate, some of the puppies can be almost certainly brought forth alive; whilst if the operation is not undertaken in these circumstances, one knows that not only the bitch but all the puppies are sure to die.
Prolapsus, or inversion of the womb or uterus, into the vagina, sometimes, but very rarely, occurs during parturition, due to very severe straining, or as the result of too much force being used to remove a puppy with forceps, or by other artificial means. Care must be taken in these cases not to mistake protrusion of the uterus for prolapsus of the vagina or a polypus. The latter may be recognised as a solid, pear-shaped body with a narrow neck, whilst a prolapsed vagina is generally a large, solid, oval body, which almost fills the vaginal canal, if it does not protrude externally. It has a broad base, and rises at the back part of the passage, just in front of the meatus or opening to the bladder. The uterus is soft, reducible, and rough, and tubular in shape, besides showing dark-coloured patches where the placenta has been attached.
After the womb has been cleansed by being sponged with a weak, tepid solution of permanganate of potash, it should, if possible, be returned by gentle pressure on the fundus of the uterus with a piece of whalebone, with the point covered with a sponge. The returning is assisted if the hind legs are raised—in fact, by the bitch being held upside down. Care must be taken not to use undue force, or the uterus may be ruptured. After the return, it is a good plan to inject a quantity of cold water into the vagina to act as an astringent.
When the protruding uterus shows signs of having been injured, or is much congested, or decomposition has set in, amputation is advisable. This is best done by drawing the part gently out and applying a strong silk ligature as high up as possible, and cutting off the free portion.
The bitch, when she has finished pupping, requires little attention beyond a change of bed and a fair supply of nutritive food. She does best when least noticed; but it is well to see that she takes sufficient exercise. On the following day she should be taken out two or three times for a few minutes to relieve herself, and every day after that she ought to be about pretty much as before. Some bitches, however, are such devoted mothers as to sacrifice health, and occasionally life itself, to enjoy the pleasure of being with their young ones. This excess of affection must be controlled, for, if not checked, it will seriously injure both parent and offspring. All animals, however, are not thus distinguished. Some bitches cannot be induced to suckle the pups they have given birth to; and others, though less frequently, will eat their progeny. The disposition to desert or destroy their young seems to prevail among the parentage of this world. In the female of the dog the maternal instinct is most powerful, but under certain conditions of the animal’s body the natural impulse seems to be perverted, and she takes the life she would else have perished to preserve.
Some persons entertain a notion that the bitch which has once devoured her litter will ever after retain the disposition. This is a false idea. On the next occasion, if properly treated—that is, if not persecuted, chastised, alarmed, and annoyed, but properly dieted—she may prove, and most likely will prove, an excellent mother, the very excitability which, when over-stimulated, induced her unnatural impulse, making her, when tranquil, the more alive to the instincts of her nature.
For the first week the bitch is, as a rule, very attentive to her family, and as it gives her pain when one is taken up, it is better not to handle the pups more than is absolutely necessary. She should be well fed; not crammed, but nourished; and she will require more food than formerly, for there are many mouths to feed through hers. The quantity of support she needs may be conjectured from the rapid growth of the pups.
A small bitch of my own had a litter of four. The mother weighed seven pounds six ounces, and between the second and fourth week the young ones daily added one ounce and a half each to their bulk. It would require some amount of milk to supply such a quantity of flesh; and we have also to remember that, during the rapid growth, the process of consolidation is simultaneously going forward. Good nourishing food, sufficient in bulk, is absolutely imperative; for if the pups be stinted, the dogs will assuredly be weak.