Ventral midline caesarean section for dystocia secondary to failure to dilate the cervix in three alpacas

Three alpacas that presented with dystocia characterised by failure of the cervix to dilate, underwent caesarean section. Surgery on each animal was performed through a ventral midline incision under general anaesthesia. Two live crias were delivered and one cria was dead at delivery. All three alpacas had retained foetal membranes for a period of 12 h to 4 d and one developed uterine prolapse, which was replaced using sedation and epidural anaesthesia. There were no complications associated with the surgical procedure and all three alpacas went on to have confirmed pregnancies. Caesarean section through a ventral midline incision should be considered an alternative for treatment of difficult dystocias in alpacas.