tpvets_logo.jpg (2726 bytes)TOA PAYOH VETS 
toapayohvets.com
Last Updated. 13 February, 2005  
Focus:  Small animals - dogs, cats, hamsters, rabbits
Singapore Toa Payoh VetsBlk 1002, Toa Payoh Lor 8, #01-1477, Singapore 319074. Inside the industrial park, near the golf driving range, polyclinic and Indian temple.  Near Lor 7 and Lor 8 junction. 

A private small animal practice. Mainly dogs, cats, hamsters and rabbits.  10am - 5pm  daily including public holidays and weekends.  

Tel  +65 6254-3326, 9668-6469 (James for appointment), 9668-6468 (Emergency),  6253-1122 (Emergency at James Tan Vet Centre).  
Fax  +65 6256-0501.  
judy@toapayohvets.com 
toapayohvets.com

BY APPOINTMENT ONLY to save time. 
Pet owners are welcome to drop in without appointments but sometimes we are in the middle of surgery and Caesarean deliveries.
Toa Payoh Vets in Feb 11 2005, 3rd day Chinese New Year. Alaskan Malamute

We may not be able to attend to you promptly if we have emergencies or if you don't have appointments. Please call 6254-3326 if you can't turn up after making an appointment.  
 

"Doctor, you ought to have a hair dryer!"

Singapore Schnauzer puppies - Caesarean delivery 10 minutes ago"Why are the Schnauzer puppies still wet?" I asked the breeder as I noted the waxy layer shone on the black coat.  Like a newly polished black car gleaming under the afternoon sunlight. Clasping each other for warmth, the puppies were quiet.

These puppies were a bit under weight and had been stressed for at least 12 hours before the emergency Caesarean section.  Were they dead?

"You ought to have a hair dryer," the breeder said. I had provided him a towel and he wrapped the puppies with the towel.

"Why don't you rub the puppies dry with the towel? Or the paper towels?" I asked.  I had just stitched up the bitch and did not expect to see such wet puppies. I had handed them to the breeder as I took them out of the womb.

I thought he would do what the other professional breeders would have done. The end result would be dry puppies.  None of them had asked for hair dryers. 
It was not necessary to provide hair dryers although it would be nice to provide one.  Unnecessary equipment increases veterinary health care and professional breeders, being business people, are always looking for the least expensive veterinary bills. 

 I picked up the pups and rubbed the back of their head, above the neck with the cloth towel.

"You are using too much force to rub the puppy," the breeder's eyes opened wide in disbelief at such rough handling. "Please be gentle!"  He was like a new father holding a first born human baby like a piece of fragile pottery. The puppies stirred. Their noses sought each other like heat-seeking missiles.

I presumed he was an experienced breeder since he was renti
ng kennels and paying a rental of around $2,000 per month. I knew little about him.  Except that he had not more than five puppies for vaccination per month. He could have sent most of his puppies to another  veterinarian for vaccination.

This was the second time his bitch had a greenish vaginal discharge and the second time he had asked the same question.

"Is a Caesarean necessary? Will the other puppies be born naturally if I wait?"

In the first case, the emergency Caesarean delivered two live puppies and one stillborn.  History repeated itself.  The breeder asked the same questions again.  I replied that an emergency Caesarean delivery was necessary.

This time the stillborn pup was dead and enclosed inside the amniotic sac whereas in
the first case, the sac had broken. The placenta had shrunk, beginning to decompose. The contents of breakdown cells  flooded the uterine body with greenish-black discharge out. 


The discharge looked blackish inside the womb. 

The two pups had been greatly distressed and did not move when taken out of the womb unlike healthy plump and vigorous pups (picture of Maltese pup) removed by Caesarean at the correct time.  Healthy pups usually struggle and breathe within one minute of being delivered from the amniotic sac. The blood from the womb in this Schnauzer mother  was darkish red unlike the bright red shine of healthy uterine blood (picture of Maltese uterine body being stitched, see below).

I doubted that the two Schnauzer pups would not survive past seven days but I could be wrong. Therefore I kept mum.  I dared not ask the breeder as no news is good news.

But, three days later, I asked the breeder. The puppies had died because the bitch was not a good nursing mother. This was common.  "How about surrogate mothers?" I asked him.

"The other bitch rejected the puppies." the breeder said. Would the puppies survive if bottle-fed every two hourly?  I don't know the answer to this case but
there are few success stories amongst the experienced Singapore breeders. 

With weak and stressed puppies, it would be hard for them to survive.   Every puppy's life is precious and valuable to the breeder. 

Natural birth will be the best but careful observation and timely emergency Caesarian deliveries lead to a sustainable and profitable breeding
business. The inexperienced breeder usually learns the hard way through puppy deaths unfortunately as there are no proper dog breeding schools.  This is the reality of business.  Once there is a greenish black vaginal discharge in the pregnant bitch, the puppy is dead. An urgent emergency Caesarian section is necessary to save the other puppies and the mother.
A healthy and vigorous pup moving its mouth inside the amniotic sac, Singapore maltese, Toa Payoh Vets Caesarean section.
Singapore. Timely emergency Caesarean saved Maltese puppy (middle). The other 2 were delivered naturally. Singapore Schnauzer. A greenish vaginal discharge in a bitch. Emergency Caesarean section is necessary.
Previous Caesarean day-time. What to do now, past midnight? Miniature had 6 vigorous crying  pups. One stillborn.
tpvets_logo.jpg (2726 bytes)164. The owner was wise not to listen to waiting advices from a close breeder friend. 1 pup for breeder who provided the male stud dog.  tpvets_logo.jpg (2726 bytes)163. An experienced breeder knew that the greenish black water bag meant a pup had died. Pups not premature at 56th day. 
Timely Caesarean - 4 vigorous large Miniature Schnauzers. Everybody is happy. 3rd pregnancy. 57th day. Copious watery discharge from vulva - to blood-tinged at Toa Payoh Vets.
tpvets_logo.jpg (2726 bytes)156. Feb 6, 2005.  X-rays showed 1 pup top-down view, having chest rib cage wider than the pelvic inlet. Not possible to be born naturally.  tpvets_logo.jpg (2726 bytes)153. Feb 1, 2005. The Siren & The Water of Life
 

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Update: 13 Feb 2005
Copyright © Asiahomes Internet.  All rights reserved. Revised: February 13, 2005   · Asiahomes Internet
· Blk 1002, Toa Payoh Lor 8, #01-1477 · Singapore · 319074
Tel: +65 9668 6468, 6254 2728, 6254 3326, 9668 6469.

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The experienced breeder just wants the vet to get on with the Caesarean!

"Why do you still try to hook out the puppy?" the breeder asked when I saw him the evening after the Caesarean section. "I could not do it and that is why I request a Caesarean section!"

"I was trying to save you money," I replied.

This was a very experienced breeder. Therefore, it would be best for me just to perform the Caesarean and not waste time and anaesthetic gas.  I charge the same fee and it would be to my advantage to complete the Caesarean as early as possible.

The puppy was dead. Its head had swelled. I could not pulled it back into the womb to remove the whole body. Sadly,  I had to remove the head first. It was quite a traumatic experience to do this.

 
3rd Fox Terrier stuck inside the vagina. The experienced breeder had used his fingers to hook out the leg without success. You could see some redness on the lower right of the vagina. An emergency Caesarean was requested. The puppy was dead. First 2 Fox Terrier pups born naturally photographed at one day old. Note the plump size and vigorous state of such healthy pups compared to the Schnauzer puppies above.
So far, none of the breeders had complained about the bitch biting the skin stitches.  24 hours after stitching the skin. The bitches seem to leave the absorbable  horizontal mattress sutures alone. 

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