We’ve outlined the entire birthing process that pet owners should know, from preparing for late-stage pregnancy to the three stages of labor and recognizing emergencies. We also cover emergency first aid for newborn puppies.

| Item | Purpose | Preparation Timing |
|---|---|---|
| Whelping Box | A safe space for the mother and newborns to stay | 2 weeks before delivery |
| Digital Thermometer | Predict the timing of delivery by detecting a temperature drop | 1 week before delivery |
| 10 or more clean towels | Wiping newborns, keeping the mother warm | 1 week before delivery |
| Dental floss & sterilized scissors | Ligating and cutting the umbilical cord (if needed) | 1 week before delivery |
| Electronic scale (1g increments) | Measuring newborn body weight | 1 week before delivery |
| Animal hospital after-hours contact | Preparing for emergencies | 2 weeks before delivery |
Set up the whelping box starting 2 weeks in advance so the mother can adapt to it beforehand

Danger Signs Requiring Immediate Veterinary Care
Seek emergency veterinary care immediately if any of the following occur: 1) Strong contractions lasting more than 20 minutes with no puppy delivered; 2) Weak contractions persisting for over 2 hours; 3) More than 4 hours between the birth of consecutive puppies; 4) Dark green discharge from the vulva without a puppy being born; 5) The dam’s body temperature exceeding 39.5°C or dropping below 36°C; 6) The dam showing signs of confusion or seizures. In these cases, conditions such as uterine inertia, dystocia, or eclampsia may be present, and a cesarean section may be necessary.

Postpartum Care Precautions for the Mother
For the first 24 hours after giving birth, it is normal for the mother to pass green to dark red lochia (discharge). However, if the discharge has a foul odor or appears purulent, it may indicate a uterine infection (pyometra). Additionally, if the mother exhibits trembling, seizures, or panting within one to three weeks postpartum, there is a risk of eclampsia (hypocalcemia), which requires emergency veterinary care. Small-breed dogs are at higher risk for eclampsia and should be monitored closely. Because energy requirements increase significantly during lactation, provide an adequate amount of food formulated specifically for pregnancy and lactation on a free-feeding basis to ensure sufficient milk production.

A veterinarian who majored in veterinary medicine at Khon Kaen University, Thailand, and completed the IVSA program at North Carolina State University in the United States. Drawing on clinical experience at animal hospitals, he works in the pet healthcare field and is dedicated to building a digital care environment that connects pet parents with veterinarians.
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[1] Münnich, A. and Küchenmeister, U. (2014). Causes, diagnosis and therapy of common diseases in neonatal puppies in the first days of life. Reprod. Domest. Anim. 49 (Suppl 2): 64–74.
[2] Mila H, Grellet A, Chastant-Maillard S. Prognostic value of birth weight and early weight gain on neonatal and pediatric mortality: a longitudinal study on 870 puppies. 7th International Symposium on Canine and Feline Reproduction, 2012.
[3] Johnston, S.A. (2017). Veterinary Surgery: Small Animal, 2nd Edition.
[4] Lavely, J.A. (2006). Pediatric neurology of the dog and cat. Vet. Clin. North Am. Small Anim. Pract. 36 (3): 475–501.