We’ve compiled the essential information every pet owner should know, including week-by-week changes in pregnancy symptoms, nutritional care, and preparation for delivery.

| Week | Physical Changes | Behavioral Changes | Checkpoints |
|---|---|---|---|
| 1–3 weeks | Almost none | Possible decreased appetite and vomiting | Ultrasound examination (after week 3) |
| 4–5 weeks | Swollen abdomen, mammary gland changes | Decreased activity level | Begin nutritional supplementation |
| 6–7 weeks | Abdomen noticeably enlarged | Nesting behavior | X-ray (to confirm number of fetuses) |
| 8–9 weeks | Milk secretion, abdomen at maximum size | Restlessness and anxiety | Monitor body temperature, prepare for delivery |

Go to the Vet Immediately If You See These Symptoms
Vaginal bleeding (green or black discharge) during pregnancy, a high fever above 39.5°C, vomiting or loss of appetite lasting more than two days, and severe lethargy may signal miscarriage or uterine infection. Additionally, if labor has not started past the due date, or if the mother is straining intensely during labor but no puppy is delivered within 20 minutes, these are signs of dystocia. In such cases, do not delay and seek emergency veterinary care immediately.


Precautions for Medication and Vaccine Use During Pregnancy
During pregnancy, certain dewormers, antibiotics, and vaccines can affect the developing fetus. Live vaccines (modified live virus vaccines) are especially risky because they can cause fetal malformations, so they should not be administered during pregnancy. The safest approach is to complete all vaccinations and deworming before breeding. If medication is needed during pregnancy, always consult your veterinarian first.

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] Hill P, Warman S, Shawcross G. 100 Top Consultations in Small Animal General Practice. Blackwell Publishing, 2011. Chapter 71: Pregnancy and whelping.
[2] Applied Veterinary Clinical Nutrition, 2nd Edition. Chapter: Feeding the Gestating and Lactating Dog.
[3] National Research Council. Nutrient Requirements of Dogs and Cats. National Academies Press, 2006. Chapter: Nutrient Requirements and Dietary Concentrations.
[4] Serrano LE et al. Potassium deficiency in the pregnant bitch. 1964.