First of all, a caesarean section is required to deliver the pups (current stats indicate that 95% of English Bulldog births are via c-section). There are several reasons why c-section is a necessity in English Bulldogs:
Secondly, once the pups are born, they require hand help when feeding. This requires 24-hour supervision during feeding. In addition, the bulldog mother may accidentally lie on the puppies without realizing it, resulting in suffocation o the pup.