Birthing/Labor struggles (Dystocia), needs a Caesarean/Cesarean (C-section)

What we will do

Gather Historical Data: How much did the patient struggle during and between contractions? Was she actively pushing for hours on end or mostly resting as though labor has stopped? When did labor start and is it early, late or on time as expected? Is it known how many are expected? Were some puppies or kittens already delivered? Were they alive? Currently taking any supplements or medication? Current on vaccines, routine deworming?
Gather Current Data: We will perform a thorough physical examination to assess how critical the patient and remaining fetuses are. Bloodwork and radiographs (X-rays) are high priorities–as well as ultrasound to assess fetal heart rates. If there is green vaginal discharge (uteroverdin), this indicates separation of placental from fetus and delivery or surgery needs to happen quickly for that fetus to have a chance at survival. Discharge with a bad odor suggests fetal death or other abnormalities and that likely require surgical intervention.
Treatment: Medical management by addressing abnormalities that could have halted labor (exhaustion, dehydration, low calcium, low blood glucose). Surgical management when it is determined to be the safest (or only) option. Many cases, both surgically managed and medically managed are discharged the same day (or night). Cases that are critical remain on IV fluids and multiparameter monitoring.