
I had similar. As my bitch wasn't proceeding with her whelping (mine did tend to go to secondary inertia) I took her across to my then vet who was some distance away (in Canada) and he looked, and gave her an oxytocin inj. which produced puppy number one. As he lived over the Practice, I opted to stay put in one of the exam. rooms and camped down for the night, giving it a couple of hours if nothing happened at which point I rang him to get him down. I did this with all that litter and by morning, when he finally came down, he pronounced her to be empty, and sent me and pups home.
I was getting myself sorted out, leaving my husband (who'd had a good night's sleep!!) to watch. He yelled that there was another puppy arriving. That puppy must have been in the birth canal, out of reach of my vet's fingers, or palpation. So it can happen that one would be 'hidden' - in the birth canal. I was really happy because at that point she'd only had the one bitch (and 4 males) and she was a doubtful as she'd been very slow coming through and I feared for her. Quite rightly as she'd suffered with oxygen starvation and by 18 weeks, we had to let her go as she was brain affected. Happily the delayed pup was a good-un which I kept and showed to her Championship out there. She featured in all my ongoing breeding programme.