My Golden was in labor, she had a sac break and no puppy for over 45 minutes. We went hoping for a healthy deliver with assistance. As the next guy wore on I was sure it was time for a C-section. After exhausting all of their options they left me to sit when Time was of the essence! Then when they finally returned, suggested I call around to other ER clinics to see if someone could do a C-section. They didn't consider her situation enough of an emergency. If you have a pregnant dog and you care about your puppies making it, go to a clinic that sees them as a priority!