Dead pups are more difficult to deliver, and stimulants are generally needed to promote their expulsion; but manual help is to be given with caution. Youatt speaks of working hard, till his nail was soft and his finger sore, for two hours at a time; and that author tells us the passage was, by his industry and frequent examinations, so much swollen, that only with considerable difficulty could the finger be passed.
The humanity which shines in every wish that writer ever penned, and the purpose of all his teaching, assures us he thought such a proceeding was not only imperative but praiseworthy. He was, however, a good man actuated by an imperfect knowledge. Let no one follow his example; but be passive till the time for action is ascertained—and it is of no use to grope for it. Frequent examinations are injurious; the more seldom they are made the better; for, if undertaken only when the judgment sees a chance of hope, no harm will be occasioned. Under every delay, therefore, have patience; for often the pup which originally would resist every attempt to bring it forth, will, after it has been dead a few hours, be delivered with a facility we could not anticipate. If the parts are not irritated and rendered dry, there is little to be apprehended; but if this be done, inflammation of the uterus is apt to be induced, and should that occur, it is of little consequence to the life of the bitch whether the pup be delivered or not delivered.
From the pup, whether it be dead or alive, we are not to look for those signs which denote there is a pressing necessity to accomplish the delivery without delay. I have known a fœtus, after being ascertained to be dead, to be retained four days, and the bitch to survive. Instances of the dead pup remaining in the womb a day or two are very common; and, if we had no other proofs, these would be sufficient to convince us there need be no immediate hurry. When, however, the bitch becomes restless, gets in and out of her bed, pants, staggers, refuses food, drinks largely, and is shortly afterwards sick; when the tongue becomes dry, and the pulse grows quick and thin, or unnaturally hard and strong, there is danger, and at every hazard delivery must be accomplished. There will, however, then only be a distant chance of success; and where these indications have been remarked, the life of the mother has generally been lost. If a portion of the litter has been born, and, on the appearance of the symptoms just described, the pups refuse to suck, and when placed to the teats turn from them, the termination will be fatal. The milk seems to have lost its inviting properties, and to be rendered disgusting by the approach of death; and the sign is as conclusive as the departure of vermin from the carcase of an animal.
Forcible delivery is to be accomplished by every means in our power; for it is undertaken only when hope by ordinary process is despaired of. Forceps of any kind, however, are to be employed with extreme care. These instruments are always dangerous in the bitch; as we cannot see, and can but imperfectly feel, so there is little guide to their proper use. The crochet, a blunt hook—and for the dog it can hardly be too blunt—is to be preferred. As I have before submitted to the public my opinion of this instrument, I here extract from a paper which appeared in The Veterinarian for February, 1847:—
THE CROCHET.
"I was obliged to meet my pupils in the evening, and was not sorry to leave a case which had now, in my mind, become hopeless; but as I walked, I could not forbear thinking of that which had occupied most of my attention during the day. The different instruments employed to facilitate the labors of different animals passed in review before me; but some were not applicable to the dog, and others could not be manufactured with sufficient speed to benefit my present patient. The crochet, used with such power by the human practitioner, seemed the one most likely to avail; indeed, it had often before occurred to me, that an adaptation of this instrument would, in our hands, be of infinite service; and, after I had dismissed my class, I hurried to procure what I had conceived would be useful. Mr. Perry, to whom I applied, had a human crotchet in his shop, and this he consented to alter according to my directions. I stayed till the alterations were completed, and by eleven at night reached home, to put the adaptation of the crotchet to the test. It answered beyond my utmost expectation, and I was enabled to bring away the whole of the contents of the womb with comparative ease. Four pups were extracted; and while I compared them with the little animal from which they had been removed, it required the evidence of my senses to convince me that the disproportioned mass had been forced through the narrow passage of the Italian greyhound's vagina. The pups were all dead. Each bore the well-marked character of the Russian, and by their size indicated their sire: nor was that size decreased by their having been retained a week beyond their usual period.
"So far my labor was accomplished; but the appearance of the bitch indicated that all had been done to little purpose. The pulse began to decrease in number, and, nevertheless, continued hard and jerking—the eyes became fixed—the jaw closed—the head pendulous—and all the symptoms of approaching death were exhibited. I tried to support the system; but the poor animal died in spite of every attention, and the examination after death showed the womb to be intensely inflamed.
"It was with some anxiety that I looked for injuries and abrasions, scarcely deeming it possible the violence I had necessarily employed had not lacerated the delicate structure with which the instrument had been in contact. Not a mark which I could attribute to the crotchet was to be discovered. I have seen fearful wounds made by the forceps used to deliver the bitch; but here, in the most desperate case of the kind which I had ever undertaken, was not a scratch or a bruise to be detected.
"I have since confirmed the indications of utility which were given by the crotchet on the first occasion of its employment; and had I not received such proofs in its favor as appeared to be conclusive, I should, perhaps, on the results of a few cases only, have hesitated to introduce it to general notice. Besides the instances before alluded to, I have employed the instrument on four occasions—three times in my own practice, and once at the request of a practitioner, whose name it is desired I should conceal. Two of the cases were successful, so far as the bitches were concerned; one, which was evidently sinking when brought to me, was delivered of a pup in a decomposed state, and died five hours afterwards, the post-mortem displaying acute peritonitis; the other, which I attended to yesterday, was alive when I last saw it; but I am of opinion its hours are numbered. The pulse is hard, but not quick—the animal restless—and the eye dull: worse symptoms can hardly be present. The poor beast had been left too long unassisted for help of any kind to be of much avail.