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She said observations included dead or stillborn pups, aborted fetuses, malnourished pups, and adult females with dystocia — difficult births — who are also thin.

But her baby became stuck in the birth canal most likely because of shoulder dystocia, when a baby's shoulder gets stuck behind the pubic bone, according to the family.

Studies have shown that AMA is associated with abnormally prolonged labor, or labor dystocia, which puts the baby and mother at risk.

The baby was not able to be delivered vaginally due to shoulder dystocia, where the baby's shoulders become stuck in the birth canal.

She had developed a complication known as shoulder dystocia.