Hypocalcemia in Lactating Bitches

               ---------------------------------

           (milk fever, eclampsia, puerperal tetany)



                      General Information



Hypocalcemia (milk fever) occurs in female dogs of all breeds,

but most frequently in smaller breeds.  Females with a heavy milk

production and a large litter of actively nursing puppies are

most likely to be affected.  The exact cause is unknown, but

there appears to be an imbalance between calcium uptake from the

digestive tract and calcium outflow in milk, bone, urine and

feces.  Because the level of calcium in the blood is reduced,

replacement of calcium is essential.  Without prompt treatment,

the condition can be fatal.



Milk fever may recur in later pregnancies.  The doctor will

discuss prevention if you plan to breed your pet again.



                 Important Points in Treatment



1.  Initial treatment consists of intravenous calcium until signs

    are relieved.



2.  Give all medication as directed.  Call the doctor if you

    cannot give the medication.



3.  Diet:  Follow the instructions checked.



    ____Feed the normal diet.



    ____A special diet is necessary.  Feed as follows:





4.  Care of Puppies:  Follow the instructions checked.



    ____Allow the pups to nurse the mother.



    ____Feed the pups as follows:





        Notify the Doctor if Any of the Following Occur:



    * Your pet staggers or has a stiff gait.



    * Your pet has muscle tremor or rigid limbs.



    * Your pet acts restless or anxious.



    * Your pet pants excessively.