Reproductive Form

Number of breedings__Number pregnancies__

History of Reabsorption? Abortion or Miscarriage?

Previous C-Section?____ Difficulty conceiving? Y/N

History of pyometra?___________

Number litters____Average size litter____
Survival rate of last litter____
Overall survival rate of kittens___

Diet_____________________________________

Supplements_______________________________

Table,scraps,treats__________________________ Supplemental food__________________________

Any medications given in last month?_______If so, what?________

When___________How much?________________

IF CURRENTLY IN LABOR, OR NEAR DUE DATE

When did she last eat?_______________________
Appetite good in past week?__________________

If in labor, when did it start?_____ First pregnancy?______________

Have you seen  discharge from vulva? (circle) blood/ clear liquid/ membrane/ pieces off tissue/ bad odor to discharge

Any oxytocin given? _____If so, when?_____
How much?____

Any antibiotics given?____If so, which? ____
When?______How much?_______

Any other medications given?____
If so, what?_________When?____How much?____________________________________

Is ovariohysterectomy (spaying) considered an option if deemed medically necessary? Y/N