The bitch was in great pain when giving birth and she exerted herself but no dog came out; the dog was not seen for two hours after the amniotic water broke; no pups appeared within 3 hours of the bitch giving birth. All of the above situations are: Dystocia. If there is no one around to rescue the mother dog and the puppies, both the mother dog and the puppies will die. After discovering the above symptoms, the breeder can inject the dog with an oxytocin injection or send the dog to the pet hospital.