Keep her on preventive medications for heartworms, fleas and ticks and be sure to give those that have been studied for safety in pregnant dogs and their fetuses/puppies.” “You should update a bitch’s vaccinations ahead of time if you know her vaccinations will be due around her estrus cycle, pregnancy or into lactation. “It also is important to stay up on vaccines,” she says. Likewise, Andrea Hesser, DVM, DACT, a board-certified veterinary reproduction specialist who practices at Josey Ranch Pet Hospital in Carrollton, Texas, affirms the positive impact that comes from monitoring body condition, feeding a healthy diet, practicing good basic pregnancy management, and adhering to deworming regimens. Monitor a bitch’s body condition to keep her healthy and fit and also monitor the rate of growth of puppies to reduce the risk of metabolic bone diseases, such as osteochondrosis dissecans and hip dysplasia.
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