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Stalled Labor and Delivery Problems in Dogs
Written By Mel Lee-Smith
Published: 03/10/2016Updated: 12/22/2021
Veterinary reviewed by Dr. Linda Simon, MVB MRCVS
What are Stalled Labor and Delivery Problems?
Stalled labor and delivery problems refer to abnormal uterine contractions during birth. There are 2 types of stalled labor and delivery problems in dogs: primary and secondary uterine inertia.
Primary uterine inertia is a rare condition that occurs when a dog doesn’t experience contractions at all. The presence of a dark green liquid called placental fluid is the only way to confirm she’s in labor. Secondary uterine inertia occurs when the mother dog has strong contractions that decrease in strength or disappear.
Both types are a form of dystocia, or difficult birth. Several factors can cause stalled labor and delivery problems, including your dog’s genetics and environment. If your dog is displaying signs of labor and it’s close to her due date, you should monitor her closely. Seek veterinary help immediately if: 
  • your dog produces placental fluid without having contractions or birthing puppies 
  • there’s a delay of 2 hours or longer between puppies
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Stalled Labor and Delivery Problems Average Cost
From 367 quotes ranging from $500 - $5,000
Average Cost
$1,800

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Symptoms of Stalled Labor and Delivery Problems in Dogs
The symptoms of stalled labor and delivery problems depend on the type of inertia the bitch is experiencing.
Primary Uterine Inertia
  • Failure to go into labor within 70 days after ovulation
  • Signs of pain or being uncomfortable, though these may be subtle
  • Loss of appetite
  • Pale gums
  • Dark green vaginal discharge
Secondary Uterine Inertia
  • Prolonged labor
  • Straining without producing a pup
  • Longer than two hours between pups
  • Delivery of a dead pup
  • Distress or illness of the mother
  • Pup visibly stuck in the birth canal
  • Dark green vaginal discharge
Causes of Stalled Labor and Delivery Problems in Dogs
Your dog’s age and weight may cause stalled labor and delivery problems. Overweight and older dogs have a higher risk of birth difficulties. Other causes of primary and secondary inertia in dogs include:
  • Small litters with only 1 or 2 puppies
  • Large litters that overstretch the uterus
  • Failure to produce hormones that trigger contractions
  • Puppy lodged in the birth canal
  • Low blood sugar
  • Calcium deficiency
  • Exhaustion of the uterine muscles
  • Physical traits (narrow pelvis, uterine torsion, etc.)
  • Uterine tumors or other obstructions in the birth canal
  • History of uterine inertia
Diagnosis of Stalled Labor and Delivery Problems in Dogs
First, your veterinarian will examine your dog to determine whether an underlying condition is causing the stalled labor or delivery problems. Provide as much detail as you can about your dog's symptoms, medical history, and recent behavioral changes.
Some tests will be necessary to determine what's causing the uterine inertia, including:
  • Blood chemistry panel to check oxytocin, albumin, calcium, and glucose levels
  • Urinalysis
  • Vaginal examination to check for amniotic sac, presentation of the fetus, tone and dimensions of the vaginal canal
  • Ultrasound to assess the health of the puppies
  • X-rays of the abdomen to check for position of puppies and any blockages
Treatment of Stalled Labor and Delivery Problems in Dogs
To ensure the mother and puppies survive, prompt treatment is crucial. Dogs experiencing primary uterine inertia require an emergency cesarean section (C-section). Your vet may recommend oxytocin injections to stimulate contractions, although one vet notes most dogs with primary uterine inertia don’t respond to them.
In the case of secondary uterine inertia, the veterinarian may try to restart the labor and contractions. Calcium and oxytocin may be administered, but only if your dog and her puppies are in good health and not in distress. If one puppy is blocking the birth canal, your vet may try to reposition it. If a large litter is the cause, a C-section may be required. If the puppies aren't breathing upon delivery, your vet will administer oxygen.

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Recovery of Stalled Labor and Delivery Problems in Dogs
Prompt treatment is key for a good prognosis, particularly for primary uterine inertia. If the C-section is performed too late, the puppies may die and the mother dog may develop a serious, life-threatening infection.
If your dog is able to birth the puppies safely with the help of her veterinarian, she'll be able to go home after a short observation period. Place her in a comfortable, quiet place where she and her puppies won't be disturbed by other people and animals. Your vet may prescribe opioids like tramadol for post-operative pain.
Follow all your vet's instructions, and make a note of any symptoms or behavioral changes during the recovery period.
Cost of Stalled Labor and Delivery Problems in Dogs
While medicine alone (such as an injection of oxytocin) can treat some cases of stalled labor and delivery, other dogs will require an emergency C-section. The cost varies depending on the treatment but can be up to $2,500.
Caring for a pregnant or breeding dog can be expensive. Most accident and illness policies don’t cover costs related to pregnancy. But some providers, like Trupanion, offer add-ons that reimburse vet care costs. Start comparing pet insurance plans today to find the right fit for your fur-baby.
Stalled Labor and Delivery Problems Average Cost
From 367 quotes ranging from $500 - $5,000
Average Cost
$1,800
Top
Stalled Labor and Delivery Problems Questions and Advice from Veterinary Professionals
Shih Tzu
9 Years

80 found this helpful

80 found this helpful

My pet has the following symptoms:
Started signs of labor over 24 hr ago and hasn't produced a puppy.
Feb. 24, 2021
Answered by Dr. Maureen M. DVM
80 Recommendations
Hallo, Labour in dogs can go up to 48 hours however in that period of time, the labour has to be progressive with at least a few puppies born. Your dog may have what we call dystocia which means difficulty giving birth. This can be cause by either an obstruction in the birth canal where a puppy can be facing the wrong direction, puppies being too big to pass through or in other cases they could experience what we call uterine inertia. This where the uterus is not contracting enough to expel the puppies. Caesarian section is advised in such cases or assisted birth where the vet pulls out the puppies manually if they are close to the vulva. Please rush your dog to the vet asap to avoid any birth complications that can occur with prolonged labor. Good luck
Feb. 24, 2021
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Pug
Four Years

20 found this helpful

20 found this helpful

My pet has the following symptoms:
We found out she was pregnant, and she started to release fluids this morning at 7. Then we saw a bag of fluid release around 2pm. We aren’t sure if we need to take her to vet
Jan. 21, 2021
Answered by Dr. Sara O. DVM
20 Recommendations
Hello, Pugs can have issues having puppies and may need help. It does sound like she is in the beginning stages of labor. if you notice contractions and no puppies within an hour it would be best for you to take her to the vet right away.
Jan. 21, 2021
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Chihuahua
4 years

33 found this helpful

33 found this helpful

My pet has the following symptoms:
This is my dogs second litter. She gave birth to 5 puppies the first one was dead at birth wasn't fully developed the second one was also dead also not fully developed. The other 3 are good they are eating crying & doing puppy things. My dog is eating & drinking water. She is using the bathroom. She is attentive to her pups. However she has what looks like black discharge coming from her vulva nothing major I just don't remember seeing this last time she had puppies. This litter is bigger than the previous. She doesn't seem to be in pain. She is almost back to normal.
Dec. 20, 2020
Answered by Dr. Sara O. DVM
33 Recommendations
Hello, this could be parts of the placenta that she is passing. If this continues for more than just a few days after the birth of the puppies it would be best for your vet to look at her. They can give her a shot to help her pass these easier and quicker. If mom and puppy are otherwise healthy, you can just monitor her for now.
Dec. 20, 2020
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mix
7 Years

34 found this helpful

34 found this helpful

My pet has the following symptoms:
Been in labor for about a day and a half. 2 still born puppies. No appetite, trouble urinating. Lathargic. Depressed
Dec. 16, 2020
Answered by Dr. Michele K. DVM
34 Recommendations
Thank you for your question, I'm sorry that your dog is having problems. From your description, she needs to be seen at the ER immediately. She may have puppies that are still inside, she may be septic, she may be going into organ failure, without seeing her it is difficult to say. She needs veterinary care right away.
Dec. 16, 2020
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Miniature Dachshund
1 y

16 found this helpful

16 found this helpful

My pet has the following symptoms:
Whelping
Is whelping pause a thing, if so how long can it last?
Oct. 5, 2020
Answered by Dr. Sara O. DVM
16 Recommendations
Hello, So dogs will take a break between puppies. If there are no puppies within a few hours it is best to see your vet. They can make sure that your dog has had all their puppies or if any are stuck. They can help them deliver these puppies or do a c-section. Good Luck.
Oct. 5, 2020
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Labrador Retriever
Remy
2 Years

0 found this helpful

0 found this helpful

My pet has the following symptoms:
Panting
Restless
Labor
Whelping
My dog is on day 63 of pregnancy. On Day 60 her temp dropped- we are at 48+hrs after temp drop. She appears to go into early labor (panting, restlessness) for about two hours and then sleeps and repeats the cycle and has done this about four times. I have called her Vet and they advise to keep waiting. Anything I can do to aid the process or help her along? I keep her hydrated, go for walks, rub her belly. She is still eating also.
Red heeler
Shadow
3 Years

0 found this helpful

0 found this helpful

My pet has the following symptoms:
Panting
Restless
Nesting
Steering Into Space Glazed
I just don't know if I am being paranoid or there is a labor problem. My dog has been panting almost constantly since yesterday morning (almost 24 hours).... Last night, she began nesting an all signs of labor are there except vaginal licking. She is acting VERY uncomfortable and has to go outside and potty many times today. I saw a very small about of clearish/cream discharge a few hours ago, and she has been acting like she is having contractions for hours. I know some say stage one can last up to 18 hours, but I don't know if that is where we are still or if something is wrong. The amount of panting is what has me so worried since it has gone on for so long.
maltipom
Malana
3 Years

3 found this helpful

3 found this helpful

My pet has the following symptoms:
Has Symptoms
I have a Maltese/Pomeranian she started labor at 8 this morning she’s given birth to 3 puppies 1 every one she’s resting now she’s been drinking water now she’s sleeping no signs of any more contractions but she tends to shake just a little bit how long after do you think and if she still has more puppies will she give birth again
Great Dane
Payton
Three Years

0 found this helpful

0 found this helpful

My pet has the following symptoms:
Panting
Still Born Pups.
Delayed To Little Contractions
Sleeping Through Contractions
My dog Payton has been in laybor for about five or six hours now but had only delivered two puppies that were both still born, I have no clue what to do and I currently don’t have enough money to get her to a vet. I can still see some puppies moving but I’m still concerned on if they will make it or not due to how long I have been waiting with her. It’s a very large litter and I’m worried.
Stalled Labor and Delivery Problems Average Cost
From 367 quotes ranging from $500 - $5,000
Average Cost
$1,800

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