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There are reports that females may have up to six puppies, but that is overall rare for the race. The average is of two or three puppies per litter.

The Chihuahua can have caesarians as the other races, but the caesarian, different then most believe, is not a rule. Many females are able to deliver through normal birth, with an amount of ease. The ideal is that there is some pre-natal following with a trusted vet, and that the owner chooses a male smaller then the female as to avoid big puppies that may make birth more difficult.

Females that are too small (less than 1 kg) should not be used for reproduction due to risk during pregnancy and birth.