ArticleFrontiers in veterinary science2026
Dams fed diet with no or minimal amounts of carbohydrates during pregnancy and lactation produce normal and healthy puppies: seven case reports.
Article in Frontiers in veterinary science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A diet containing approximately 20% carbohydrates is typically recommended for pregnant bitches. Carbohydrate-free diets have been indicated as risk factors for low birth weight, increased neonatal mortality and stillbirths, hypoglycemia, and ketosis in the dam. Here, seven cases of dams fed raw-food diets are presented. These diets contained 0 to 6% of metabolizable energy from carbohydrates. Altogether, there were 41 puppies in these seven litters, including two stillbirths and two mummified fetuses, with 100% survival among live-born puppies. Four dogs gave birth naturally, two had emergency C-sections, and one had an elective C-section. Postnatal survival compares favorably with the previously reported ranges, while prenatal loss fell within previously reported intervals. Health issues observed among the dams after giving birth included metritis in a French Bulldog and mastitis in a Mastiff. These case reports show that dams can give birth to healthy puppies with excellent survival rates, even when their diet contains few or no carbohydrates.
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