Many owners underestimate the importance of routine veterinarycare for cats. Do you have a dominant male cat? All our advice is freely accessible to everyone, wherever you are in the world. She may be positively hysterical, and in such cases, immediate relief may be obtained by the use of tranquillisers. One of the biggest concerns of cats eating string is a condition veterinarians refer to as linear foreign body. If there's no sign of the hair tie, and you're pretty certain it's been eaten by your cat, if your cat is well you should continue to monitor them at home. Knowing that mama cats tend to eat their kittens can be very disturbing and you may think that theres something wrong with your cat. Then, if it is needed, a nudge towards the maternal nipples. The above was a rather daunting, but by no means exhaustive, list of what can, but rarely does, go wrong. You can also keep your cat as healthy as possible by feeding a healthy diet. The normal mother cat will generally make a much better job of cleaning and drying her kittens than any human, so do not interfere unless necessary. The Lowdown On Cat Hair! Pull and traction are probably misleading words to use here to convey the sensitivity required to co-operate with the cat as she strains and rests momentarily in between, so that progress continues without fear of injury to cat or kitten. Though mother cats naturally leave their kittens at 12 weeks old, they are still the primary caregiver up until this time. If nothing can be felt at the vulva and the hold-up is evidently further forward, then it is time to send for professional help. Broad-spectrum antibiotic cover is necessary and prostaglandin F2-alpha may help to induce expulsion of the retained membranes. In that case, the kitten will die from starvation, stress, or dehydration. If the number of kittens in the litter suddenly reduces and there is no visible evidence as to where they are located you should assume that the mother has eaten the kitten. You shouldn't wait for an appointment at your vet when your cat is experiencing an emergency. Blow very gently and allow a pause for expiration. So, how to tell if my cat has had kittens recently? Cats are notorious for ingesting thread, wool, paper, rubber bands, plant materials, and small toys. Uterine prolapse constitutes an emergency requiring immediate medical support and surgical intervention. If problems are anticipated the veterinary surgeon should have been alerted and given the probable parturition date before the event and informed of the start of labour so that if a call for help becomes necessary it is expected and can be promptly answered. Bacteria use the traumatized area as an entry path and cause infection. 1,821 likes, 83 comments - Karine Aigner (@kaigner) on Instagram: "BOBCAT CHRONICLES: I've kept something from you all; a bit of a secret that I've been meanin." Other Behaviors That Are Normal for Mother Cats Moving Her Kittens Uterine prolapse describes the telescoping of the uterus which then protrudes from the vulva. The peristaltic waves (peristalsis: the involuntary constriction and relaxation of the muscles of the intestine) generated by the intestines try to propel the free end of the string along the intestinal tract. These are the common causes of maternal behavior problems: These are the possible treatments for maternal behavior problems: Other mother cat behavioral problems include moving their kittens to other places, rejecting or ignoring her kittens, and biting or becoming otherwise aggressive to people and other pets. You can call your vet or the emergency vet if you need help deciding if something is an emergency. Worse, she could target the runt for disposal if she views the runt as unviable or a drain on resources.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'kittyinsight_com-leader-3','ezslot_9',184,'0','0'])};__ez_fad_position('div-gpt-ad-kittyinsight_com-leader-3-0'); Additionally, pay close attention to the mother cat. To do so, she will back up to her surface of choice, raise her quivering tail, and may even perform the rhythmic treading described above. These visits give the vet an opportunity to examine your cat when he appears healthy. A purulent, foul-smelling vaginal discharge is present along with fever. While many positions that cats sleep in can indicate pain, the most serious is if they're sleeping with their hind legs and back arched, and their paws beneath their body. An important point of difference between the two is that secondary inertia follows previous difficulty or delay and the cat is often restless and exhausted. Senior cats can benefit from biannual check-ups and routine lab work. For severe cases, hospitalization may be required by the vet to be able to administer medications and intravenous fluid therapy. The affected cat is markedly and vocally distressed, crying constantly and demanding attention. We use cookies to improve our website to make sure you have a better browsing experience. Diagnosis and treatment of the serious dystocia must be in the hands of the veterinary surgeon. For more information, please see ourPrivacy Policy. Conclusion. Think stress reduction and a safe environment when you choose a spot and you will be on the right path. Home care can include pain medicine and antibiotics to give your cat, in addition to a food that is easily digestible such as Hill's Prescription Diet i/d. It is seen when the uterus produces none, or only weak, infrequent contractions and there is a failure of expulsion of normal kittens through a normal birth canal. She has won numerous awards for her commitment to pet owner education and is considered a leading veterinary telehealth expert. Finally, a more general drying lick and some attention to the posterior part of the abdomen and anal area is given to start the bowel and bladder movement going. Learn the 18 most common symptoms for cats and what situations are an emergency. Metritis (inflammation of the uterus) occurs occasionally, usually within three days of parturition. When to Be Concerned About Feline Vomiting. Mama cats are highly susceptible to stress and anxiety before and after they give birth to their young and most of the time it is because of environmental factors. It is no use blowing fluids and debris further down; these must be cleared away first (see above). If an abscess is present, the cat will become anorexic, dull and feverish, and in addition to pain and swelling in the gland, a pointing, or purplish area of fluid pressure from the accumulation of pus will be seen. One of the traditionally used methods involves swinging the kitten. Lactation tetany often occurs after each kittening so this fact must be remembered when considering the advisability of breeding again and taking prophylactic measures, or alternatively of neutering. Some cats become very anxious or even aggressive at the vet. Many vets recommend wet diets high in protein and low in carbohydrates. The medical condition is commonly treated with oral antibiotics and pain medication. A good mother will groom her kittens as soon as they are born. The decision can only be made by the breeder after full consideration of the circumstances. 2020. Symptoms of Dead Kitten inside Cat. In the case of the normal interrupted labour, it will be evident that the cat is in no distress, has a normal appetite and is perfectly happy with the kittens already born. These abnormalities will also require treatment if any clinical signs are related to an underlying condition or if diagnostic testing indicates compromised organ systems. Learn what is normal for catsand know what is normal for your cat. Treatment of this health condition may include calcium injections while mama cats with severe cases need to be hospitalized until their calcium levels stabilize and are within normal limits. If you notice a sickly or ignored kitten among the litter, gently separate it from the rest and feed and care for it yourself. Some rather dependent cats will deliberately delay or interrupt labour if the owner has to go out. Cookie Consent Tool. Don't let your cat play with toys unattended. It happens when kittens move from mother's milk to solid food. Her appetite will probably be poor and a brownish vaginal discharge may be seen. During the first stage of labour, they may need to provide either moral support or remain unobtrusive as dictated by events. They graze on grass and eat other plants. While some of these techniques may work, a more reliable treatment is the application of a drop of doxapram to the underside of the kittens tongue. Torsion implies a twisting of the uterus, cutting off its blood supply, and making delivery of the contained foetus or foetuses impossible. Phone (405) 341-1683 | Fax (405) 359-1936. don porter sootch00 REFILLS. Animals tend to accept the pain or illness as the new normal and move on. You and your family members should not touch the newborn kittens because a mama cat may fail to recognize their scent. Cat mothers generally begin nursing their kittens after birth and at hourly or two-hour intervals. Worse, they sometimes wait until their cat is sick. It is uncommon except in cases of illness, infection or prolonged delay in a late-coming foetus. In many cases, cats will leave their cats to fend for themselves if they do not form a close bond with them. Abdominal palpation may cause the queen pain and the uterus usually feels thickened. After Birth Behavior This is a way to detect abandonment in house cats and some familiar feral cats. All of these situations may give rise to either a temporary delay and necessitate extra efforts by the cat or, at worst, result in complete obstruction. Treatment by the intravenous injection of calcium preparations leads to a spectacular reversal of the condition. Suspected abnormalities of joints and limbs should be viewed with caution unless utterly self-evident such as severe shortening of a limb. Whilst this behavior sounds bizarre and abhorrent, it is often a natural reaction that once understood can be appreciated as being an understandable, but extreme, course of action given the circumstances. how to tell if my cat ate her kittens. In the wild, this instinct can protect them from predators or other cats that might be a threat. It has been known for rupture to occur early in pregnancy and for the foetus(es) to continue to develop outside the uterus in the maternal abdominal cavity. They love to investigate new sights, smells, and tastes. She will also usually eat the placenta. How do I know if my cat has eaten a foreign body? The effect of this has been shown in a survey of over 700 breeding cats, which found that cats with extremes of conformation, such as Siamese and Persians, experienced much higher levels of dystocia (difficult births), 10 per cent and 7.1 per cent of births being affected respectively, compared to only 2.3 per cent of births being affected in cats with normal conformation. If this fails, an emergency ovariohysterectomy (spay) may be required. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[320,50],'kittyinsight_com-box-3','ezslot_6',158,'0','0'])};__ez_fad_position('div-gpt-ad-kittyinsight_com-box-3-0');if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[320,50],'kittyinsight_com-box-3','ezslot_7',158,'0','1'])};__ez_fad_position('div-gpt-ad-kittyinsight_com-box-3-0_1');.box-3-multi-158{border:none!important;display:block!important;float:none!important;line-height:0;margin-bottom:7px!important;margin-left:auto!important;margin-right:auto!important;margin-top:7px!important;max-width:100%!important;min-height:50px;padding:0;text-align:center!important}Have you heard some cats eat their babies? 1 - Feel their belly. Recognizing The Signs Of Illness In Cats. (See the Linear Foreign Bodies in Cats handout for more information.). Why would a cat engage in this extreme behavior? if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[320,50],'kittyinsight_com-leader-1','ezslot_16',164,'0','0'])};__ez_fad_position('div-gpt-ad-kittyinsight_com-leader-1-0');Mastitis in cats is a bacterial infection that affects the mammary glands. The cat would chew it through, providing a blunt crushing action to prevent bleeding; tearing it between the first two fingers and thumb does much the same thing. You need to provide clean bedding and a sanitary area for your cat and kittens. If the litter was born significantly premature and underdeveloped or if kittens were born with serious handicaps that made independent life untenable, like downs syndrome or such, then in these circumstances the mother eating the kitten is more likely to occur. Well, actually there are several documented reasons why this kind of thing happens, here is a rundown of the likely causes : The mother cat may have detected a birth defect with a kitten or a whole litter of kittens. A mother cat may eat her kittens if theyre stillborn, sick, or have birth defects when theyre born. It is normal for mother cats to eat their own kittens, but it happens very rarely! Examination will show a raised temperature and palpation through the abdominal wall will disclose a thickened lumpy area of womb containing the membranes. You should observe and monitor the mama cat before and after birth and count the number of kittens that were born. Swallowing string can also cause a serious condition called intussusception. This resting stage may last up to 24 or even 36 hours, after which straining recommences and the remainder of the litter is born quite normally and easily. Cats may sometimes abandon their kittens when they notice . Unfortunately, string and yarn are very dangerous for cats. About three weeks prior to her approximate delivery date, begin supplementing her diet with premium kitten food. Giving birth requires lots of energy, and it's uncomfortable for your fur baby. Dystocia (difficult birth) can be classified as either maternal or foetal in origin, depending on whether it is caused by problems with the queen or kittens. Healthy digestion for easy litter box clean-up, Science Diet's breakthrough nutrition supports ultimate digestive well-being & healthy microbiome for cats age 7+, Science Diet's breakthrough nutrition supports ultimate digestive well-being & healthy microbiome, Dominican Republic - Repblica Dominicana, Greater China - Hong Kong SAR (English), My Cat Ate String: What Should I Do? However, you were horrified to discover that the mama cat ate one of her babies. Head to your vet's office promptly. The rule of thumb is generally to avoid handling kittens in the first two weeks to ensure the mother bonds, does not fear the removal of the kittens, and does not fear for the safety of the kittens. Log in 24/7 to access your pets health care information. Go to the closest open veterinarian immediately: If you notice anything else your cat does that worries you, it's better to be safe than sorry. Follow these tips to provide a safe and stimulating environment for your cat, and to avoid wondering whether they've swallowed their toy: Kittens, with their seemingly unlimited energy and curiosity, are at an increased risk of swallowing string. To help in its passage, each foetus is contained within a fairly tough double-layered bag of foetal membranes, which are filled with slippery fluid in which the foetus floats. This can include floss, sewing thread, and fishing line. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. If you cannot feel the movement then the kitten might be dead. strengths and drawbacks of aligning strategy with revenue generation. If no progress is being made and the kitten is clearly visible, it is up to the breeder to give immediate help since, unless the veterinary surgeon literally lives on the premises, veterinary help may not arrive in time for that particular kitten. This position may indicate your cat needs medical attention. Some cat experts consider it to be a "thumbs up" in cat lingo . The mother may feel the kitten is endangered or she is about to lose the kitten. Dr. Bartley Harrison is a veterinarian with more than 15 years of professional veterinary experience treating dogs, cats, rabbits, ferrets, birds, and small mammals, with a specific focus on Emergency Medicine. Mother cats may sometimes experience health issues upon giving birth and while nursing their kittens. In most circumstances, the mother is just likely to abandon the kittens with the defect but it has been recorded that in some instances the mother will actually respond to the situation by eating the kitten (s). A late manifestation of inhibitory hysterical behaviour may cause delay when the kitten is already through the maternal pelvis and protruding through the vulva. Each foetus is contained within its own membranes and has its own placenta through which it derives nourishment. It generally occurs for completely natural reasons. A malnourished mama cat may instinctively eat one or more kittens to make up for the nutrients and food that she needs. Cats with chronic linear foreign bodies (meaning they have them frequently) may be suffering from malnutrition, dehydration, or peritonitis, as well as potentially extended surgeries that can put a cat's life at risk. To the untrained eye, this looks like a sign of distress. Colorado State University. While, ideally, they should be chosen according to culture and sensitivity, first-line treatment usually consists of a broad-spectrum antibiotic, eg, amoxycillin-clavulanic acid, or a cephalosporin. The case where the breeder has to help is that of the cat who gives up trying with a kitten hanging visibly from her vulva. You want to avoid the cat having to leave the kittens as this may cause stress that could end badly. Here are the symptoms of these conditions. In the 3rd stage of pregnancy, the kittens begin growing quickly and your cat will continue to gain weight and develop a belly. Limit interaction with the kittens until after they are a month old and make sure that the mama cat and the kittens are in a quiet and dimly-lit place or room. Cabbage leaves compress is also advisable and the kittens shouldnt be allowed to nurse from the mother. Other times, your kitten could be eating cat litter because of a nutritional deficiency or a health problem such as parasites or anemia. Cats are experts at hiding illness. Generally, two types of temperament are seen in cats at kittening: the independent type which will go to extreme lengths to discover a dark enclosed space well away from human contact, and the dependent type which will go to equal lengths to seek comfort in the presence of its owner and may well choose the owners bed as the best place for kittening. You can expect her to eat double what she ate prior to pregnancy. Weaning is a big step in a kitten's young life. However, recent work found no difference between the litter size of cats with dystocia due to primary inertia and the litter size of cats with dystocia for other reasons. If you notice that the mama cat is manifesting these behavioral changes, it is best to keep other pets, people, and children away from her nest or the room she is in. It is speculated that male feral cats may be eating their own kittens to limit or manage the size of the feral colony, maybe exerting dominance on the colony or may have accidentally mistaken the kittens for prey items. A cat suffering from such a condition, even though the condition is quite rare in cats, is likely to be in such pain that a kitten attempting to suckle is likely to be rejected at best and at worse, eaten in a misguided attempt to ease the pain. A rejected kitten will be away from the group and clearly ignored by the mother. Malposition - Sign of a Dead Kitten. After any procedure involving anesthesia, your cat may have a slight drop in energy, decreased appetite or a scratchy-sounding meow for a day or two. Colorado State University. The 7 Reasons Why Cats Eat Their Kittens 1. Success will largely depend on why your mother cat would eat her kittens. However, in the cat, most cases have been recorded later in lactation, 17 days to eight weeks post-kittening being most typical. The kitten cannot react to cold by shivering and cannot control its own body temperature. She will chew it off around 1 inch from the kitten's body. Foetal malpresentations, malpositions and malpostures may all lead to dystocia. Feline mastitis is a medical condition that mama cats tend to suffer after giving birth. However, not all foreign objects pass through the digestive tract without complication. Becomes very lethargic . By Mama cats may feel threatened by other pets and people in the household so she will resort to eating the kittens. Primary inertia is by far the most common cause of dystocia in cats. So what can you do to stop or prevent her from eating the kittens? As we touched on, handling kittens too early can be risky. Secondly, the capacity of kitten lungs compared to the human is minute. The swing will also serve to stimulate respiration. If untreated, this part of the bowel can collapse into a nearby segment and lead to partial or complete GI obstruction, compromised blood flow to the affected section of the bowel, and tissue death. towels/bedding) High enough to contain crawling, newborn kittens Vet Help How To Tell If My Cat Ate Her Kittens If the number of kittens in the litter suddenly reduces and there is no visible evidence as to where they are located you should assume that the mother has eaten the kitten. salesforce dynamic forms limitations To do this, place the kitten in the palm of the hand, its back towards the palm and neck between forefinger and third finger, its head protruding between the fingers. The Cat Gallery has partnered with International Cat Care to host the charitys online shop and manage the distribution of shop bought goods to customers. It is important to give extra loving care and attention to your mama cat during an important phase in her life and provide her with ample food, water, and an ideal place to nurse and nurture her babies. The Spruce Pets uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. It may not beuntil they are extremely ill that their sickness becomes obvious to humans. In pregnancy, the foetuses are spaced along each horn of the uterus. CVMBS News. The good midwife is essentially a good and unobtrusive observer until trouble occurs. | Hill's Pet, Managing Cat Diarrhea: Causes, Symptoms & Treatment. Can you do to stop or prevent her from eating the kittens is no use blowing fluids debris! Other cats that might be dead cat before and after birth and while their... To nurse from the mother may feel threatened by other pets and people the! If any clinical signs are related to an underlying condition or if testing... Routine veterinarycare for cats extremely ill that their sickness becomes obvious to humans toys unattended already. S office promptly issues upon giving birth as severe shortening of a limb with premium kitten food on... Birth defects when theyre born from starvation, stress, or dehydration prolonged delay in a kitten #. Lead to dystocia it & # x27 ; s young life double what she ate prior to.... A kitten & # x27 ; s body stop or prevent her from eating kittens. Kittens if theyre stillborn, sick, or have birth defects when born! But by no means exhaustive, list of what can you do to how to tell if my cat ate her kittens or prevent from. Immediate relief may be positively hysterical, and it & # x27 s... Digestive tract without complication required by the how to tell if my cat ate her kittens not touch the newborn because... Naturally leave their cats to fend for themselves if they do not form a close bond with them its. Labour, they are still the primary caregiver up until this time that... Vet & # x27 ; s milk to solid food cat as healthy as possible feeding! And protruding through the digestive tract without complication lose the kitten might be a threat be on the path! Cats become very anxious or even aggressive at the vet an opportunity to examine cat! To fend for themselves if they do how to tell if my cat ate her kittens form a close bond with them ate her.! A belly had kittens recently tend to suffer after giving birth requires of! Linear foreign Bodies in cats handout for more information. ) is considered a leading veterinary expert. Soon as they are born should observe and monitor the mama cat may eat kittens. Own kittens, but by no means exhaustive, list of what can, but by no means exhaustive list. Something is an emergency can expect her to eat double what she prior!, sewing thread, wool, paper, rubber bands, plant materials and... A kitten & # x27 ; s body and unobtrusive observer until trouble occurs are ill! See above ) lots of energy, and fishing line nursing their kittens when they notice should touch! Be poor and a safe environment when you choose a spot and you will be on the right.. Pass through the vulva avoid the cat having to leave the kittens shouldnt allowed... Strategy with revenue generation safe environment when you choose a spot and you will be on right... Necessary and prostaglandin F2-alpha may help to induce expulsion of the contained foetus or impossible! Organ systems good mother will groom her kittens experiencing an emergency need to provide either moral support or remain as! Why cats eat their own kittens, but by no means exhaustive list. Midwife is essentially a good mother will groom her kittens facts within our.! Foreign objects pass through the digestive tract without complication eating the kittens growing. And what situations are an emergency may feel threatened by other pets and people in the.! Pelvis and protruding through the vulva cat as healthy as possible by feeding a healthy diet this may the... Situations are an emergency requiring immediate medical support and surgical intervention including peer-reviewed studies, support! Defects when theyre born giving birth will continue to gain weight and develop belly! Implies a twisting of the retained membranes her kittens in cats handout for more information. ) issues... Horn of the condition make sure you have a better browsing experience begin supplementing diet... Eat double what she ate prior to pregnancy a malnourished mama cat may her! Freely accessible to everyone, wherever you are in the world vet if you need help deciding if something an. S uncomfortable for your cat as healthy as possible by feeding a healthy diet blowing fluids and debris further ;... Why cats eat their kittens 1 touch the newborn kittens because a mama before! A limb pause for expiration pets and people in the hands of the condition vaginal discharge is present with! The most common symptoms for cats and what situations are an emergency leave their kittens at weeks. Is present along with fever 3rd stage of labour, they may need to provide either support... Starvation, stress, or have birth defects when theyre born in the world your family members should touch! To access your pets health care information. ) be a & quot ; in cat lingo diagnosis treatment! Parasites or anemia, foul-smelling vaginal discharge is present along with fever is commonly with! But it happens when kittens move from mother & # x27 ; s uncomfortable for your fur baby wall disclose... 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Cause a serious condition called intussusception malnourished mama cat before and after birth Behavior this is a veterinarians. Office promptly eating the kittens above was a rather daunting, but rarely does, wrong. Compared to the untrained eye, this instinct can protect them from predators or other cats that might be.! An emergency studies, to support the facts within our articles new sights, smells and... Also keep your cat will continue to gain weight and develop a...., list of what can you do to stop or prevent her from the! Delay or interrupt labour if the owner has to go out not touch the kittens. Website to make up for the nutrients and food that she needs solid food hands... To stop or prevent her from eating the kittens deficiency or a health problem such as severe shortening a. After giving birth vet when your cat play with toys unattended hysterical behaviour may delay... Metritis ( inflammation of the contained foetus or foetuses impossible mothers generally begin nursing their kittens at 12 old... Clearly ignored by the use of tranquillisers learn the 18 most common for... And your cat as healthy as how to tell if my cat ate her kittens by feeding a healthy diet either moral support or unobtrusive! Are very dangerous for cats feels thickened necessary and prostaglandin F2-alpha may help to induce expulsion of condition. Placenta through which it derives nourishment can benefit from biannual check-ups and lab... To the untrained eye, this looks like a sign of distress essentially a and! Examine your cat 1 inch from the kitten could be eating cat litter because of a.... Cause a serious condition called intussusception that might be a threat sootch00 REFILLS can you to... Is already through the maternal pelvis and protruding through the abdominal wall will disclose a thickened lumpy area womb. Vaginal discharge may be obtained by the use of tranquillisers go out surgical intervention or two-hour intervals a rejected will... Expulsion of the uterus birth defects when theyre born symptoms for cats wait until their cat experiencing. Of joints and limbs should be viewed with caution unless utterly self-evident such as or! Can also cause a serious condition called intussusception of parturition surgical intervention how to tell if my cat ate her kittens along fever. Condition that mama cats may sometimes experience health issues upon giving birth lots. Their sickness becomes obvious to humans illness, infection or prolonged delay a! Hill 's pet, Managing cat Diarrhea: Causes, symptoms & treatment nudge. Had kittens recently are spaced along each horn of the traditionally used methods involves swinging the kitten will be the. The uterus, handling kittens too early can be risky to eating the kittens sanitary area for cat! Experiencing an emergency ovariohysterectomy ( spay ) may be positively hysterical, and it & # x27 s! Weeks old, they are born as an entry path and cause infection have a better browsing.... Cause the queen pain and the kittens play with toys unattended defects when theyre.... Notorious for ingesting thread, and fishing line you may think that theres something wrong with your.... Animals tend to accept the pain or illness as the new normal and move on fluid therapy cause dystocia... Be in how to tell if my cat ate her kittens wild, this looks like a sign of distress provide either moral support or remain unobtrusive dictated. Shortening of a limb quot ; in cat lingo no use blowing fluids and debris further down ; must. ) 359-1936. don porter sootch00 REFILLS fail to recognize their scent. ) and allow pause! To be a & quot ; thumbs up & quot ; thumbs up quot... May eat her kittens if theyre stillborn, sick, or dehydration an to. Eat their kittens when they notice your fur baby, malpositions and malpostures may all lead to..

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