Cesarean Section

Description: Cesarean section (c-section) is a surgical procedure involving a midline abdominal incision allowing access to the uterus to deliver puppies or kittens in cases of dystocia. Dystocia is, by definition, difficulty giving birth and can be influenced by a variety of factors including; genetics, size disparity (i.e. father much larger than mother), poor nutrition, exhaustion, etc.
Symptoms of dystocia: prolonged gestation (being past the due date), labor lasting more than 24hours, puppy/kitten visible in the birth canal for more than 15 minutes without progression, green discharge without a puppy/kitten being produced within 15 minutes, more than 2 hours between puppies/kittens WITHOUT active contractions.

What questions do we ask?

How long has your pet been in labor?
Have any puppies/kittens been born?
How long in between?
How long has your pet been having active contractions?
Are they moving around?
Is there a puppy/kitten in the birth canal?
How long has it been there?
Is your pet having any discharge?

What are the steps we take to treat your pet?

The first step in diagnosing and treating your pet is a taking a thorough history and completing a thorough physical exam.
We may also recommend some general blood testing (chemistry panel and complete blood count) to check organ function and for infections.
A full dental cleaning under anesthesia is typically needed to remove all dental buildup, assess tooth health and do any extractions or other necessary treatments.

What are potential treatment plans?

Manipulative Intervention: may be appropriate in cases of mild dystocia with only a few puppies/kittens remaining.

Medical Therapy: may be appropriate in cases of mild dystocia where the mother has weak or infrequent contractions. Medications (oxytocin, calcium) are more successful if the Ferguson reflex can be stimulated.

Surgical Therapy: cesarean sections are performed when medical therapy fails, there is an obstruction or fetal distress.