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How Your Puppy Can
Liver Longer Elective Caesareans or vaginal births? Do bitches have a choice? Elective or planned Caesareans may be necessary to save puppies and the mother in cases where the mother has a small pelvis.  The
Yorkshire hides a tiny puppy from the vet during Caesarean.The Yorkshire Terrier bitch was healthy and there was no labour pains. She looked like she would have three pups. Her right abdomen was a big more swollen than her left and so I visualised two pups on the right uterine horn and one large one on the left. No X-rays or ultra-scan were done as this would add to the veterinary bill and all breeders want the least cost veterinary services. Mr Formicelli demanded the lowest veterinary cost, like all successful businessmen and big corporations. The veterinary service was just a commodity and the cheapest tender would win his business. He noted the bitch's rectal temperature to be 37.1 degrees Celsius, a drop from the average 38.5 degrees. This drop indicated that she would be giving birth 24 hours later, but the exact timing would be hard to predict. It might mean 3 a.m in the morning when he was not around in the kennels. This was her first litter. If she had problems, the puppies would be dead and he would have lost around $1,700 per puppy and so much time preparing her for her birth. If she had no labour problems, he would save on the veterinary costs of a Caesarean section. What should he do? Yorkshire Terriers do give birth naturally. However, he had just lost one Yorkshire Terrier puppy as he was not available to assist another bitch that had delivered by vaginal birth and had difficulty. So, what should he do in this case? He decided to have an elective Caesarean. The bitch looked calm and had no signs of labour. "Is it too early?" I asked Mr Formicelli as there would be premature puppies if the Caesarean was performed too early. "The bitch had 37.1 degrees and had passed a watery stool," Mr Formicelli said. "She is 60th day pregnant." He was the top breeder and knew what he was doing. "There is still time. Please finish your case first." There was an owner with an appointment made. It was a Jack Russell with red rashes and itchiness in her belly area. I attended to the Jack Russell and apologised to the owner for the quickie consultation and treatment. "Any milk production?" I asked as I put the Yorkshire under the gas anaesthesia. "Plenty," Mr Formicelli stated. The Yorkshire was too healthy and fought the gas mask. She gripped the mask with her hands to pull it off her face. She made loud noises of protests. Mr Formicelli was anxious. He checked after ten minutes. Still, the Yorkshire was not going to sleep without putting up a big fight. She should have a tranquiliser but that might make the puppies drowsy after birth and that was what Mr Formicelli and all breeders disliked. It would be an easy surgery as the mini-Yorkshire was so small. I pressed her abdomen with my left hand and a lump indicated that the first puppy had descended into the birth canal ready for birth. The bitch slept peacefully while I extracted the puppy one by one, giving much time for Mr Formicelli and his partner to revive the puppies. They did not breathe immediately on rupturing the amniotic sac. They were not exactly ready for the new world but they cried immediately on rubbing their necks. Two were in head presentation and one was presenting in breech with the backside first. "Three puppies are large," Mr Formicelli said. "They will grow up well since they were not stressed out by the difficult birth." He was satisfied that he had made the correct judgment in getting an elective Caesarean delivery. It was convenient and it saved the lives of the puppies and mother. He had $5,100 worth of Yorkshire puppies and that meant a lot of money to cover part of his overheads. Yorkshire Terrier puppies are selling at the pet shops at around $2,000 as there are few of them around. The Yorkshire Terrier's abdomen had deflated. As slim as any normal trim bitch sleeping upside down. Time to stitch up the womb, I said to myself and attend to the owner who had made an appointment for his Papillon with diarrhoea and was waiting past the time. I tried to avoid the unhappiness of making the client wait past the appointment time. Yet, I had better take out both horns of the uterus to be sure there was no puppy. The left uterine horn was empty. I pressed the bitch's abdomen under the surgical drapes. There was a small hard lump about the size of a ping-pong ball. Curled inside the far end of the right uterine horn was another much smaller Yorkshire puppy! It had curled up. I put my right finger into the horn to hook it up. My left hand pressed the abdomen to milk out the unwilling-to-be born Yorkshire. Taking out the whole length of the uterine horns to make sure that there are no puppies must be the standard operating procedure. If not, the inexperienced or busy veterinary surgeon leaves a calling card, a hidden puppy that may be born naturally after Caesarean delivery.
NOTES: Some bitches have a hidden puppy
deep inside the uterine horn and these are easily missed during the
Caesarean section. |
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