Shih Tzu - Birth Process/the Cord And Placenta
If you need to help remove the afterbirth: First be sure your newborn puppy is breathing well on its own, the sac has been removed from the face, eyes, nose, head and the puppy has either been stimulated by mother or you, the doggie midwife, to breathe well on its own, you can then remove the afterbirth if it does not appear on its own of course. To do this, with one hand about one inch from the stomach of the puppy, grasp the umbilical cord and, with the other hand close to the matron, gently try to pull the afterbirth down and out of the matron, but be sure you do not pull hard on the cord near the navel of the puppy....