My dog is in labor, water broke an hour ago, no puppy. What to do?

Yes I would be concerned about River. While it is normal to see a greenish discharge after puppies are born, having it before puppies can indicate premature separation of the placenta. It's also concerning that two hours have passed since this sac broke and there is no sign of puppies. Boston Terriers frequently have problems giving birth and often require c sections to give birth safely. River needs veterinary attention now. Please take her into an ER vet clinic; if there isn't one in your area, there will be a vet on call for emergencies. The information to reach that vet is found on a clinic's answering machine or website.

Poor Angel! If she's been having contractions for several hours and has not produced any puppies yet, something is definitely wrong. The puppies may be too large to be born naturally, or one may be stuck in an awkward position in the birth canal. I would recommend taking her to the vet right away to be checked, as she may need an emergency c-section.

This may be a sign of miscarriage. If no puppies are seen in the next 1 hour an immediate check up would be required. Immediate check up would be needed as well if the fluid she is passing is very cloudy or green or bloody.

I typically recommend heading to the vet if it has been more than four hours between puppies. While it can be perfectly normal to take long breaks in between puppies it’s best to have a vet check for signs of fetal distress if it has been more than four hours, especially since one puppy was already still born. Good luck to Coffee!

If there has been a discharge of fluid then yes, labor may indeed have started. Please keep them completely segregated as the presence of the male is very threatening to her as he may be a danger to her pups. If active contractions do not start within 2hours you should have her assessed by an emergency vet

If your [pregnant dog](https://www.petcoach.co/dog/condition/pregnancy/) is having some fluid discharge and she is at or near her due date, expect her to have her pups soon. Confine her to an area that is quiet (if she isn't already in a whelping box) since noise or stress can cause her to delay the delivery. If you've been [monitoring her temperature](https://www.petcoach.co/article/how-to-take-your-pet-s-temperature-in-7-easy-steps/) and it has fallen below 100 degrees, the pups should come in the next 24 hours. [As labor nears](https://www.petcoach.co/article/whelping-giving-birth-in-dogs), she may become agitated, getting up and down or licking herself. Once you see firm signs of labor, simply monitor her. Most dogs will deliver a litter without human intervention. If she does not begin pushing within 2-4 hours of the start of labor, a call or visit to your local emergency vet to ensure everything is still going fine is strongly recommended.

No, foetal sacks without a puppy is not normal and is an emergency as the pups oxygen and blood supply is likely disrupted, putting the pup at risk. Please have her assessed by an emergency vet to determine if a c section is required.