Veterinary Advice on Free Whelping Following C-Section

Dr. Marty Greer joins host Laura Reeves for a deep dive on the question of when your female has had a C-section and you breed her again. Is it safe to have the bitch whelp her puppies naturally? This question comes from a listener request.

“The most important thing to ask is why did you have a C-section in the first place,” Greer said. “If you had a C-section in the first place, because she’s a Bernese Mountain Dog or because she’s a Bulldog or a Frenchie or maybe a Clumber or a Corgi, some of the breeds that are more commonly having their puppies by c-section, you still have a Clumber or a Bulldog. They didn’t change breeds while they were pregnant, so that’s the most important reason.

“Secondly. What were the other reasons? Did she just have too many puppies? If she had 14 and she’s going to have eight this time, yeah, that’s a whole different conversation. If she had a puppy that was oversized or misdirected, that’s a different conversation. But it’s going to depend on what happened previously. So you really need to have a good history on what went on when this last C-section was done.

“Statistically, according to the numbers, 75% of the time the bitch has the C-section because of a bitch cause and 25% are a puppy cause. So that kind of gives you some numbers to work with is 3/4 of the time you’re probably going to need another C-section, but 1/4 of the time it was an anasarca puppy, it was a misdirected puppy, it was oversized, it had some other kind of a birth defect, two were coming at the same time, so you had a log jam. I mean you just have to try and sort that out.

“That’s the general thought. It’s “V-back” on the human side, it’s vaginal birth after C-section, V-back. So most of the time you absolutely can go ahead. From a safety perspective, there’s reason to believe that it’s going to be unsafe. You assume that the veterinarian did a nice job closing the uterus.

“What I always kind of laugh about is when veterinarians say, ‘ohh, the uterus was paper thin when I did her C-section. You can never have another litter.’ OK, you take a uterus and you put 14 puppies in it and you stretch it out like a pair of old pantyhose and you wonder why it’s paper thin. It’s supposed to be thin. That’s the way your stomach looks after Thanksgiving dinner. That’s the way your bladder looks when you need to go to the restroom. That’s the way the organ works. It stretches out and it becomes thinner, but that doesn’t mean that it’s so thin that she can’t have a normal pregnancy and a normal vaginal birth.”