Here’s a step-by-step guide to the key care practices that help ensure a smooth recovery and stable nursing period for your dog in the three weeks after giving birth.

| Item | Week 1 | Week 2 | Week 3 |
|---|---|---|---|
| Key Goal | Uterine recovery·infection prevention | Stabilizing milk production·mammary gland care | Nutritional reinforcement·weaning food preparation |
| Food Amount | 1.5× or more depending on the number of puppies | 2–3× depending on the number of puppies | Up to 3× depending on the number of puppies |
| Check Frequency | 3 times a day | 2 times a day | 1–2 times a day |
| Outings/Walks | Brief, for elimination only | 10 minutes near home | 20–30 minutes possible |
Energy requirements vary greatly depending on the dam's body weight and the number of puppies. Especially with 5 or more puppies, requirements can increase significantly even from Week 1, so consult your veterinarian for the exact feeding amount.

Emergency Signs Requiring Immediate Veterinary Care
If you notice any of the following symptoms, take your pet to a 24-hour emergency clinic immediately, even at night. • A body temperature noticeably higher or lower than normal (check for abnormalities right away using a thermometer) • Foul-smelling, dark green or black discharge lasting for several days or more • Hind leg convulsions, staggering, or drooling (suspected postpartum eclampsia) • Mammary glands that are red, swollen, hot, and painful (suspected mastitis) • Complete loss of appetite lasting more than a day • Refusing to nurse the puppies, avoiding them, or showing aggression

What to Prepare After Week 3
Puppies typically begin weaning around 21 days of age. Here’s what you should prepare during this period: • Prepare puppy-specific weaning food, a nursing bottle, and shallow bowls. • Plan to gradually reduce the mother dog’s food intake (sudden reduction increases the risk of mastitis). • Schedule a health checkup for the mother dog (to confirm the final status of her uterus and mammary glands). • Consult on the timing for spaying/neutering (recommended 1–2 months after complete cessation of lactation). • Set up the first vaccination schedule for the puppies (at 6–8 weeks of age).

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] Notes on Canine Internal Medicine, 4th Ed — Reproductive Disorders Chapter
[2] 100 Top Consultations in Small Animal General Practice — Postpartum Care (Ch.69)
[3] Münnich A, Küchenmeister U. Causes, diagnosis and therapy of common diseases in neonatal puppies. Reprod. Domest. Anim. 49 (Suppl 2): 64–74, 2014