How can a puppy be delivered naturally?

Most dogs can deliver naturally without outside help; the owner only needs to prepare a quiet, comfortable place without direct sunlight as a whelping area. During labor the owner can stay nearby to soothe the dog and help it relax, and if the dog runs out of strength, offer some goat milk, nutritional paste, canned food, or glucose to replenish nutrition.

If the dog keeps failing to deliver, it is likely a case of dystocia and should be taken to a veterinary hospital promptly for examination, using oxytocin to assist delivery or performing a cesarean section directly.