If the dog does not give birth within two hours after the amniotic fluid breaks or the interval between the births of the two puppies exceeds two hours, assisted delivery is required. The main causes of dystocia include excessive fetal size, abnormal fetal position, and lack of physical strength of the . If part of the fetal limb has come out, you can pull it out with your hands to avoid suffocation. #pet #pets #cat #god #cats #dogs