The vet had difficulty sewing her up due to the many abdominal C - section scars incurred from carrying numerous litters of puppies. (stoponlinepuppymills.org)
This can involve a lot of trial and error, such as providing numerous litter boxes or different types and observing which are most preferred. (texaswestveterinarian.com)
Numerous litters exist to choose from, most offering some degree of odor control. (dogcare.dailypuppy.com)