Before You Start: Safety & Setup
Warmth is life‑critical
Puppies cannot control their temperature until ~4 weeks. Keep the environment warm and slightly humid. Typical targets used by veterinary texts:
- Week 1: room 84–89°F (29–32°C); puppy rectal temp 95–99°F.
- Weeks 2–3: room ~80°F (26.7°C); rectal 97–100°F.
- Week 4: room 69–75°F (21–24°C); rectal 99–101°F.
Veterinary guidance also recommends 55–65% humidity to protect skin and hydration; avoid direct contact with hot pads that can burn neonates.
What “warm” actually looks like
- Use a thermostatic K&H Lectro‑Kennel heated pad (small) under half the nest so pups can move off heat.
- Add a cool‑mist humidifier and a digital temp/humidity monitor.
- Never place puppies directly on a heating pad; always layer fleece or towels on top.
Humidity range and hot‑pad burn risk referenced from Merck Veterinary Manual guidance on neonatal husbandry.
Essential Gear Checklist (tap to shop)
You do not need every brand‑name item, but the exact flow rate and safety features matter. Where we recommend specific models, it’s because they’re widely used by fosters and align with veterinary best practice.
Feeding & Measuring
- Puppy milk replacer: PetAg Esbilac® Powder core
- Slow‑flow nipples: Miracle Nipple® Mini or Dr. Brown’s Ultra‑Preemie
- Bottles: Dr. Brown’s 4oz narrow + bottle brush
- Syringes for weak latch: 1 mL w/ caps and 3 mL
- Scale: Etekcity 0.1 g precision kitchen scale daily weights
- Rectal thermometer: veterinary digital thermometer
- Log Book (Important): Choose a log book to note weight of pup and other details
Nesting, Hygiene & Comfort
- Heated surface: K&H Lectro‑Kennel (small) + fleece layers
- Humidity control: cool‑mist humidifier + hygrometer
- Containment: 24″ wire playpen
- Comfort aid: Snuggle Puppy (heartbeat + heat)
- Disposable pads, towels, fragrance‑free baby wipes, saline, cotton balls.
The First Hour You Receive Puppies
- Warm first. Place pups in a draft‑free nest with a warm side and a cooler side. Aim for the week‑appropriate room and puppy temperatures listed above. veterinary guidance
- Check temps. Use a digital rectal thermometer (lubricated) for a quick reading; record each pup’s temp and weight.
- Assess hydration & vigor. Pink gums, strong suckle, quiet sleep after feeding are good; constant crying, limpness, or cold body are urgent.
- No feeding until warm. Rewarm hypothermic pups before offering formula.
- Sanitize gear. Wash bottles/syringes in hot soapy water and air‑dry. Use separate equipment for litters when possible.
Age‑by‑Age Care (0 days to 8 weeks)
Days 0–7 (Week 1): Stabilize & Establish a Rhythm
- Environment: Room 84–89°F, humidity 55–65%; puppy rectal temp 95–99°F.
- Feeding frequency: every 2–3 hours if tiny/weak, otherwise ~every 3–4 hours around the clock.
- How much per day: Manufacturer guidance for common replacers (e.g., Esbilac): ~30 mL per 115 g body weight per day, divided into feedings. Warm formula to ~body temp.
- Alternative by weight math: Foster programs often use ~4 mL per 100 g per feeding, not exceeding stomach capacity; if you use this chart, match number of feeds accordingly.
- Calories (planning): Neonatal energy needs rise from ~133 kcal/kg/day (week 1) upward each week; this helps you sanity‑check volumes against label kcal/mL.
- Technique: Feed in sternal position (belly down), head slightly extended; the bottle should be horizontal, not inverted. Burp after.
- Elimination: After each feed, gently rub genitals/anus with warm, damp cotton to stimulate pee/poop.
- Weight targets: Daily gain of about 5–10% of body weight is expected. Weigh at the same time daily.
Days 8–14 (Week 2): Eyes Open, Still Neonatal
- Environment: Room ~80°F; humidity 55–65%.
- Feeding: Still every 3–4 hours for most puppies; adjust to weight gain and behavior (quiet sleep between feeds = adequate).
- Deworming: First pyrantel pamoate dose at 2 weeks (per rescue’s vet protocol).
Days 15–21 (Week 3): Ears Open, Mobility Starts
- Environment: Room ~80°F; pups begin to self‑right and explore.
- Feeding: Every 4 hours is typical; some pups start sleeping a 5–6 hour stretch overnight.
- Elimination: Many pups still need stimulation after feeds, but you can begin offering a shallow litter area lined with pads.
Days 22–28 (Week 4): Transitional—Start Weaning
- Environment: Room 69–75°F; pups regulate heat better.
- Weaning preview: Begin offering gruel (see “Weaning” below). Bottle feeds taper as solid intake rises.
- Parasites: Repeat deworming at 4 weeks.
Weeks 5–6: Social & Sensory Bloom
- Feeding: 3–4 small meals of puppy gruel; bottle only as needed. See weaning section for texture targets.
- Environment: More space, safe toys, short positive handling sessions. Start crate‑nap practice.
- Parasites: Repeat deworming at 6 weeks.
Weeks 7–8: Pre‑Adoption Prep
- Diet: Fully on a moistened puppy kibble/canned diet; water available at all times.
- Vaccines: First DA2PP (distemper‑parvo combo) typically at 6–8 weeks, then every 2–4 weeks until ≥16 weeks per AAHA.
- Parasites: Repeat deworming at 8 weeks.
Weaning (3½–5 weeks): From Bottle to Bowl
- Start at ~3½–4 weeks. Offer a shallow dish of warm gruel: high‑quality puppy food blended with prepared milk replacer.
- Texture ladder: soupy gruel → thick gruel → soft‑soaked kibble → regular puppy food by 7–8 weeks.
- Keep volumes honest. As solid calories increase, bottle/caloric needs decrease. Use one of
these validated frameworks:
- Label method: ~30 mL per 115 g per day of reconstituted formula.
- Program method: ~4 mL per 100 g per feeding, respecting stomach capacity.
- Never exceed stomach capacity. Foster charts cap single‑feed volume around 4 mL/100 g to reduce aspiration/vomiting risk.
Parasite Control (2–8 weeks)
- Deworming cadence: Puppies should be dewormed at 2, 4, 6, and 8 weeks (pyrantel or per vet protocol), then transition to a monthly broad‑spectrum preventive as label allows.
- Fleas: For neonates, use a flea comb and manual removal; keep bedding hot‑washed. If pups are ≥4 weeks and ≥2 lb, a single dose of nitenpyram (Capstar®) may be used per label; confirm age/weight minimums: 4 weeks and 2 lb.
Vaccines & Preventive Care (6–8 weeks)
Core puppy vaccines begin at 6–8 weeks—most rescues start with DA2PP (distemper/parvo/adenovirus). Continue every 2–4 weeks until ≥16 weeks of age to overcome maternal antibody interference; a booster again at 1 year, then typically q3y. Follow your veterinarian’s plan based on risk and local law (rabies timing varies).
Sanitation & Disease Prevention
- Wash hands before/after handling. Keep litters separate.
- Hot‑wash bedding daily; disinfect hard surfaces (rescue‑approved disinfectant).
- Bottles/nipples: clean after every feed; boil or use a sanitizing solution daily. Store dry and covered.
- Visitors: Avoid outside dog contact until vaccine series is underway.
Weights, Records & Daily Logs
Weigh every day at the same time and log temp, weight, appetite, stool consistency, and behavior. Healthy puppies generally gain ~5–10% body weight per day during the first weeks; stalled or negative gain is a red flag.
Date | Pup # | Temp (°F) | Weight (g) | Amount fed (mL) | # feeds | Pee/Poop | Notes
08/24 | A | 97.8 | 274 | 8 x 6 mL | 8 | yes/yes | quiet sleep
08/24 | B | 98.2 | 291 | 8 x 7 mL | 8 | yes/yes | strong suckle
Red Flags & What to Do
- Persistent crying or refusal to feed
- Abdominal bloat, vomiting, or diarrhea
- Pale or blue gums, lethargy, or a cold body (<97°F)
- Breathing difficulty or umbilical redness/swelling
- No weight gain for 24 hours
- Sudden fleas or anemia (pale gums)
Why the urgency? Neonatal morbidity sky‑rockets with hypothermia, malnutrition, and infection. Prompt warming, appropriate feeding, and hygiene are the pillars of survival noted in veterinary neonatal management references.
FAQ for First‑Time Fosters
How warm should the formula be? Warm to body temperature (it should feel just warm on your wrist). Feeding very cold or very hot milk can cause problems; many foster programs target ~95–100°F for bottle babies.
Is cow’s milk okay? No—its nutrient profile isn’t appropriate for puppies; use a commercial puppy milk replacer.
When do I stop stimulating for pee/poop? Usually around 3 weeks when pups begin eliminating on their own, though individual timing varies.
How often should I feed? Newborns: every 2–4 hours (day and night); by 3–4 weeks: every 4–6 hours as you begin weaning. Cross‑check with weight gain and the volume frameworks above.
Appendix
Appendix A — Sample 24‑Hour Schedule (7‑day‑old litter)
| Time | Task | Notes |
|---|---|---|
| 06:00 | Weigh & temp. Feed 4–6 mL/100 g (max stomach capacity guideline). | Stimulate to eliminate; burp; clean bottles. |
| 09:00 | Feed + stimulate + quick bedding check. | Quiet sleep = adequate intake. |
| 12:00 | Feed + stimulate. | Log any diarrhea or vomiting. |
| 15:00 | Feed + stimulate. | Re‑check nest temperature/humidity. |
| 18:00 | Feed + stimulate. | Weigh if any concerns. |
| 21:00 | Feed + stimulate. | Change bedding if damp. |
| 00:00 | Feed + stimulate. | Confirm heat source safe. |
| 03:00 | Feed + stimulate. | Short nap for humans soon. |
Appendix B — Mixing & Feeding Basics
- Mix: Prepare puppy milk replacer exactly per label (powder → water); do not concentrate or dilute unless a veterinarian directs.
- Warm: Place the bottle in hot water; don’t microwave (hot spots).
- Flow test: Tip the bottle—milk should drip, not stream. Use Miracle Nipple® or ultra‑preemie for the slowest flow.
- Position: Puppy on belly (never on back); keep head slightly extended. Pause and burp.
Appendix C — Quick Supply Checklist
- Milk replacer, bottles, nipples, syringes; bowl & blender for gruel
- Heating pad (under half the nest), fleece/towels, playpen, pads
- Humidifier, thermometer/hygrometer, rectal thermometer
- Scale (0.1 g), log sheets, disinfectant, fragrance‑free wipes
- Snuggle/heartbeat aid, shallow water dish (from weaning), safe toys
Authoritative references / reputable backlinks
References & Further Reading
- Merck Veterinary Manual — Management of the Neonate in Dogs and Cats (temperature, humidity, warming, neonatal care).
- AAHA — 2022 Canine Vaccination Guidelines (start at 6–8 weeks; revaccinate every 2–4 weeks until at least 16 weeks).
- CAPC — Ascarid/Hookworm Guidelines (deworming at 2, 4, 6 and 8 weeks).
- Maddie’s Fund — Bottle Feeding & Stomach Capacity Chart (4 mL/100 g per feeding; feeding tips).
- VCA — Feeding Orphaned Puppies (approx. 180 mL/kg/day fluid; why cow’s milk is unsuitable).
- Capstar (nitenpyram) — Label minimums (for dogs, puppies, cats and kittens ≥4 weeks old and ≥2 lb).
- VCA — Puppy Raising Basics (daily 5–10 % weight gain expectation).
Questions after reading? Check the Contact section or coordinate with your foster mentor. When your litter hits 8 weeks, swing by Donate to keep the next litter thriving.