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Ultrasound pregnancy confirmation is possible as early as day 20-22 after breeding, but can be missed this early. ... Ultrasound has the drawback of not being accurate to count puppies, but can determine heartbearts in the puppies.
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It is usually recommended to wait until later in the pregnancy to obtain a puppy count with radiographs as it can be difficult to visualize all the puppies in early films.

Ultrasound pregnancy confirmation is possible as early as day 20-22 after breeding, but can be missed this early.

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