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The uterus is located and an incision made within the uterine
horn(s) to enable removal of each puppy
The umbilicus is clamped using an artery forcep.
The puppy is then handed to a nurse who checks for a heart
beat and clears any remaining mucus membranes from around the mouth and nose.
The puppy is gently but firmly rubbed to stimulate breathing if necessary and to
dry the coat. This is repeated for each puppy.
 
The placentas are each removed from the uterine horns after
each individual puppy is 'born'
The uterus is then sutured
The muscles are sutured followed by the subcutaneous skin
 
Skin sutures complete the surgical procedure
As soon as possible the puppies are put with the mother and
encouraged to suckle
 
Jade dozes while her three puppies suckle
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