We all love a Caesarean Section no matter what time of day
or night it is and Bronwyn was no exception to the rule! She
was admitted to the surgery late one morning because she had
gone into labour and had not produced any puppies. This can
happen for a number of reasons including breach puppies, large
puppies which get stuck in the birth canal, single puppies,
or a very tired uterus that is no longer able to contract.
Generally, we allow a bitch to have good, active contractions
for up to a couple of hours and, if no puppies are produced,
and depending on the results of a clinical examination, a
caesarean will be performed.
Caesareans have to be performed with care. We have to think
of both the mother and the unborn puppies. The aim is to remove
them from the uterus as quickly as possible so, that they
are not affected by the anaesthetic agents and also to allow
the mum to recover as quickly as possible.
Bronwyn had as much preparation as possible before anaesthetising
her this included clipping her abdomen and preparing
it to save anaesthetic time. When this was done she was given
a very small dose of anaesthetic just enough to get
her to sleep and allow us to put her breathing tube down.
She was then set up onto intravenous fluids. This is important
because during a caesarean large physiological changes can
occur within the circulatory system and removing large quantities
of puppies from an abdomen quickly could easily send her into
shock. Once she was dripped and her final preparation had
been done she was transferred to theatre for the operation.
We had heat pads and plenty of towels ready to go as well
as all the nurses we could find!
We always have one nurse whose sole responsibility is to
look after the anaesthetic and then we find as many nurses
as possible to help with resuscitation of the puppies once
they are delivered.