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|book = Small Animal Soft Tissue Surgery Q&A}}
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'''A three-year-old, female 84 English Bulldog is presented for suspected dystocia. It is 67 days since the first breeding and 65 days since the second. On examination the dog has marked mammary enlargement with minimal milk production, and a distended abdomen. No other abnormalities are noted.'''
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'''A three-year-old, female English Bulldog is presented for suspected dystocia. It is 67 days since the first breeding and 65 days since the second. On examination the dog has marked mammary enlargement with minimal milk production, and a distended abdomen. No other abnormalities are noted.'''
    
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Secondary inertia is caused by maternal factors (e.g. vulvar or pelvic obstruction; uterine torsion or rupture;
 
Secondary inertia is caused by maternal factors (e.g. vulvar or pelvic obstruction; uterine torsion or rupture;
 
and uncommonly from hypocalcemia or hypoglycemia), and by fetal factors such as oversize fetuses (commonly with small litters and brachycephalic breeds), congenital disorders (e.g monster puppies and hydrocephalus), fetal malpositioning and dead fetuses.
 
and uncommonly from hypocalcemia or hypoglycemia), and by fetal factors such as oversize fetuses (commonly with small litters and brachycephalic breeds), congenital disorders (e.g monster puppies and hydrocephalus), fetal malpositioning and dead fetuses.
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|l1=Dystocia - Dog & Cat
 
|q2=Does this dog have primary or secondary uterine inertia?
 
|q2=Does this dog have primary or secondary uterine inertia?
 
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This dog has shown no clinical signs of active labor or whelping abnormality ruling out
 
This dog has shown no clinical signs of active labor or whelping abnormality ruling out
 
secondary inertia as a problem and has not yet exceeded the gestational time range considered normal for ruling out primary uterine inertia.
 
secondary inertia as a problem and has not yet exceeded the gestational time range considered normal for ruling out primary uterine inertia.
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|l2=Dystocia - Dog & Cat
 
|q3=What is the treatment, given your diagnosis?
 
|q3=What is the treatment, given your diagnosis?
 
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After 69–70 days from the time of the second breeding (or ideally LH peak), primary uterine inertia is considered present, and diagnosis and treatment for dystocia initiated.
 
After 69–70 days from the time of the second breeding (or ideally LH peak), primary uterine inertia is considered present, and diagnosis and treatment for dystocia initiated.
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|l3=Dystocia - Dog & Cat
 
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