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Location: Singapore

A veterinary surgeon at www.toapayohvets.com and founder of a licensed housing agency for expatriate rentals and sales at www.asiahomes.com

Saturday, October 21, 2006

424. A protruding sideways abdomen - 2 pups entangled

PROTRUDING ABDOMEN -- ENTANGLED PUPS IN UTERINE BODY

Singapore breeders want the least veterinary cost. No fanciful ultrasonic scans. In this case, the dam looked as if she had more than 3 pups as the abdomen was stretched sideways and protruding.

"X-rays are not reliable," the breeder had confirmed that the X-rays taken at another vet practice showed 3 pups. For this breeder, X-rays were routinely used.

She phoned for an elective Caesarean as there was long straining by the dam. On the way to the Surgery a small pup was born.

"Do you want a Caesarean?" I asked. This dam sure looked as if she had more than 3 pups because of the protruding abdomen.

On Caesarean, I had great difficulty getting out the pup. I made a bigger than my usual incision in the skin and inner layer --- 1 cm longer --- since the 2 pups were both in the uterine body and it was too difficult to take one out. I saw a water bag with fresh reddish blue blood.

Unusual. I had done nearly a hundred Caesareans and had not encountered this. The umbilical cord had ruptured. There was no time to waste.

The large pup came out with the umbilical cord 3/4 ruptured. So, the bleeding in the water bag was due to the rupture of the cord blood vessels.

Nature always surprise the veterinarian.

"2 pups left. An easy Caesarean," I thought.




It was good that all 3 pups were strong and active. The market value for these high quality Miniature Schnauzers would be around S$2,000 per pup. If the breeder had been complacent or not decisive, only 1 out of 3 pups could be alive. But this is an experienced breeder.

So, the ending was a happy one. A protruding sideways abdomen, without the fanciful ultrasonic scan, would indicate that the 2 pups had entangled and struggling to be forced out. However, the birth canal was not able to let both out at the same time.
The breeder's elective Caesarean saved the 2 pups.

As to the bloody vaginal discharge after the first pup was born, this might be a sign that something was not right with the dam.

In this case, the breeder was happy. The pups were very beautiful and of high quality stock.

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