726 — Postpartum Complications in Dogs: Dr. Marty’s Whelping Survival Guide
Postpartum Complications in Dogs: Dr. Marty’s Whelping Survival Guide
Whelping doesn’t always end with a tidy pile of healthy puppies and a relaxed, glowing mama dog. Host Laura Reeves is joined by our favorite best friend in veterinary medicine, Dr. Marty Greer, to walk through the most common (and most dangerous) postpartum complications breeders face — from retained puppies and metritis to mastitis, eclampsia, and even the terrifying “SIPS” bleeding that shows up weeks later. If you’ve ever had a bitch crash after delivery… or you’re hoping you never will… this is the episode that helps you stay calm, prepared and ready to act fast.
The conversation begins with one of the biggest preventable tragedies: retained puppies. Dr. Greer emphasizes the importance of a properly timed puppy-count x-ray (day 55–60) and shares practical tips for improving accuracy, including using digital x-ray equipment, taking two views, and ensuring the bitch has an empty stomach and colon before imaging. Her bottom line is simple: know your count — and don’t go to bed if you’re missing a puppy.
From there, Marty and Laura tackle early postpartum red flags, including aggression toward puppies, which can be linked to low calcium. They discuss proactive tools like calcium gel during labor (not before), pheromone support collars, and the surprisingly effective trick of saving placental fluids after a C-section to help “switch on” maternal behavior once puppies get home.
Next up: poor milk production, dehydration, and what to do when a bitch simply won’t lactate. Dr. Greer shares her go-to strategies — from metoclopramide and OxyMama to boosting fluid intake with creative options like starter mousse mixed into water. And yes… even bratwurst makes an appearance as a lactation hack that longtime breeders swear by.
The episode also dives into the “big three” postpartum medical complications: metritis, mastitis, and eclampsia. Dr. Greer explains what to watch for, why fever is never something to ignore, and why antibiotics should always be vet-directed — not pulled from leftover bottles in the cabinet.
Finally, Marty demystifies normal postpartum discharge (lochia) versus SIPS (sub-involution of placental sites), a dramatic but usually benign bleeding episode that can happen around eight weeks after delivery.
If you breed dogs, this episode gives you the tools to recognize problems early — and save lives when it matters most.
685 – Mastitis is not Metritis is not Pyometra
Mastitis is not Metritis is not Pyometra
Dr. Marty Greer joins host Laura Reeves to walk through the differentials in diagnosing possible infections in the breeding bitch, including mastitis, metritis and pyometra.
“There’s a lot of reasons that postpartum bitches can run a fever. So I think it’s a really good topic because when you go to the vet or if you know if you’re calling for a vet appointment or you’re getting to the vet, it can be a little more muddy than you think it should be.
“Before you call your vet with a sick postpartum bitch, take her temperature. Please take her temperature because the second thing the receptionist is going to ask you is what’s her temperature? And you’ll be like, I don’t know, I can’t find my thermometer. So have a thermometer dedicated to the dog, have a jar of Vaseline, and be sure that you’ve taken it and written it down. Because by the time your postpartum bitch is sick, you are stressed, you are tired, and you can barely remember your own name. So write down the stuff.
“How are the puppies doing? Are they gaining weight? Losing weight? Are they sick? Because there is a big difference. Both metritis and mastitis can cause the puppies to be sick as well. Because the bitch is sick. So mastitis is inflammation and infection of the mammary glands, and metritis is inflammation and infection of the uterus to be differentiated from pyometra.
“The top two differentials are always going to be metritis: infection of the uterus, inflammation of the uterus, and mastitis: infection, inflammation of the mammary glands. Now, just because the mammary glands are firm does not mean the bitch has mastitis. And just because the mammary glands are firm does not mean you automatically slam her on antibiotics.”
Marty continues with a complete discussion of metritis (within 24-48 hours of whelping), mastitis (not exclusively, but commonly 3-4 weeks post whelping) and pyometra which generally occurs when a bitch is not in whelp and normally is not accompanied by a fever.
Remember, if you enjoy our conversations, check out our new show! Recorded for you, your puppy buyers, your non-doggy friends and your cousin’s uncle’s girlfriend, the show is designed to reach the general pet owning public with reliable accurate information in an accessible format.