If a cat is pregnant with only one kitten, does it need a cesarean?

A cat pregnant with one kitten does not necessarily need a cesarean; it depends on whether difficult labor occurs. Get a pre-birth check with X-ray and ultrasound to estimate dystocia risk; X-ray measures if the fetal skull exceeds the pelvic diameter.

With one kitten, over-nutrition can make a large fetus and cause dystocia, so avoid over-feeding early and get veterinary assistance or cesarean if labor does not proceed.