If the dog does not give birth even after giving birth all night, it means that the dog has a difficult labor and needs to go to the hospital immediately for induction of labor. The doctor will give the bitch an injection to induce labor, or give her a direct caesarean section. The inability to give birth to a puppy may also be caused by the abnormal fetal position of the puppy, lack of nutrition and insufficient productivity of the female dog, etc. In this case, midwifery can be performed under the guidance of a doctor.

For pet owners who lack artificial midwifery experience, it is best to take the dog to the pet hospital in time to have the dog undergo a caesarean section. C-section is relatively safe for both the mother dog and the fetus.