A 6-year-old female alpaca in late gestation presented to the Large Animal Medicine Service at Cornell University Hospital for Animals for evaluation and treatment of acute hemorrhage due to a vaginal tear. Although the hemorrhage stopped shortly after presentation, her packed cell volume (PCV) and total protein (TP) continued to fall over the subsequent 24 hours. A whole blood transfusion was performed with minimal complications using a donor alpaca supplied by the farm manager. One day following admission, no evidence of fetal life could be detected using transabdominal ultrasonography. A Caesarian section was performed after the alpaca failed to abort the deceased fetus. The alpaca remained stable and was discharged to the farm manager five days later.