My dog, even when she was puppy, didn't like peeing outdoors. We trained her to pee inside the compound. There would be some accidents when she would pee inside the house, but since she has given birth to her first litter, she does this quite often.
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Her muscles may not be as strong as before she had puppies. I would ask the vet
My female dog gave birth in February to 3 puppies. Right after giving birth, she would not leave the puppies alone. She would find a place not too far from her puppies and pee. This lasted about a week.
I had to finally move her puppies to a plastic laundry basket and leave them in the kitchen for her to see. She would then go out the door and pee and come right back in.
If your dog is young like mine, she will have separation issues at first. I couldn't even get my dog to leave her babies long enough to eat. I had to take her food and water to her.
You must be more strict with your dog. If she can go poop outside, then she should go pee also. Take her outside more often. If you have a closed yard and the weather is nice leave her outside for a few hours.
Male dogs are harder to train to go pee outside. My male dog would poop outside and come in the house to pee. I finally broke him of this habit by leaving him in the yard during the day. At night we leave a door open for him to go outside and pee.
You do not say how old the puppies are but I assume they are quite young so it seems your mama dog just does not want to leave her puppies - maybe? Since she never liked the outdoors anyway this just makes it easier for her to revert to this behavior. You may have to move her pups so she can see them when she goes outside or put puppy pads or newspaper down near the pups for a few more days.
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