Maltese puppies are often born through a needed cesarean section to protect the dam and the puppies.  Below are pictures take during a recent C-section on our girl Sierra which delivered three live puppies. These pictures are quite graphic in nature but they show how serious breeding maltese really can be, and what these little maltese go through.  Breeding is not for the faint hearted.  The mother in these pictures is now doing just fine, and has made a complete healthy recovery.


This is our champion girl "Sierra" that is pictured below having the c-section.

 





This is Sierra after she has been put under anesthesia.
 



This is the vet covering her belly with the sterile clothes to reveal
the area to be exposed and cut to get the puppies out through
the opening which will be about 4 inches long.


The beginning initial cut into the abdomen.  My vet is extremely fast in the actual time she takes to get the babies out from this initial incision, it is good because the mom and babies are under the anesthesia for a very short period of time; only minutes.



This is the puppies still in the uterine horn, they look they sausage links.
 The vet then cuts open the horn and removes the puppies one by one.



This is the first of three puppies being born, being removed from
the uterine horn and then passed to the vet technicians to briskly rub
 the puppies down and bring them to life getting then to breath in our world.




This is my vet stitching up the abdomen after she has cleaned
out and sewed closed the inside uterine horn after removing the three puppies. 



This is Sierra after the incision is closed on the top layer with the staples.  Some vets use sutures it depends on the dog and situation, Sierra had staples used due to her reaction to regular sutures previously.  Surprisingly, these dams heal very quickly and recover very nicely. After about 7-10 days their abdomen is totally healed and the staples are removed.




Sierra is awake here and warming up after her surgery recovering with my son who is giving her loving tender care.


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