my wife took a female dog who was having complications having the puppies and the vet in shift did not seem to know what he was doing, with the exception that he gave her a shot to improve the contractions on the dog, then after 2 hours a pup had it's head sticking out of the birth canal of the mama he decided to pull it out, but by then he was death, so my wife took it back home and deliver the other 2 pups by ourselves, having to pull 'em out with our bare hands, the pups are doing just fine, and I have to thank the vet for giving my dog the shot for the contractions, besides that I wouldn't recommend it. And I am sorry if this discourages anybody from going to the er vet at this location.
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