Upon taking the pups and Belle Starr to the vet yesterday I had a great visit with the vet about the delivery.  Hindsight is always better than foresight which this time was tragic. What he figured happened is that she delivered the first horn first and we got 4 healthy puppies.  He felt she got fetal Dystocia where the pup was too big and she ended up with Euterine Fatigue and she didn't have enough energy to push the pup out.  If that happens you can give them Oxytocin to help with contractions or with her big litter and big puppies could have caused Dystocia.  I had oral calcium from Breeders Edge that I gave her but it wasn't enough.  Oxytocin is a prescription you can get from a vet.  If that doesn't help and if she doesn't deliver in an hour then she needs to be rushed to a vet for c-section. He says that once this happens it is possible it would happen again. Having just changed vets I should have gotten more established before whelping time. Note to self:  Make sure your vet knows when your bitch is showing signs of Stage One labor and have him on call for emergencies. If this problem isn't addressed the possibilityyou could lose the pups and your dam.  The good thing is that with all the exercise and good diet, Belle Starr came through with no complications.  The pups are healthy, Belle Starr is healing good, and with the dew claws off and a bottle of worming medicine to use at day 10 and 20 in place, it is watch them grow and keep them safe.