
Once all the puppies have been born the dog enters this 3rd stage of labor during which time the uterus contracts fully, expelling any remaining placenta, blood and fluid. It is not unheard of for a puppy to still be inside, when you think all is done. This is 1 very important reason to have an x-ray done, so that you know how many puppies to expect. Once you are sure that all puppies have been pushed out, you can then begin cleaning the area. Once everything is clean, allow her and her pups to cuddle and snuggle on a new and clean sheets or blankets. A heating pad should be placed under the sheets or blanket; do not allow pups to lie directly on the heating pad. A close eye must be kept on everyone. Often a tiny newborn will have trouble crawling over to the dam and will need some assistance getting close enough to suckle.