It upset me too for all reasons mentioned above.
Mom looked thin & weak, there's no doubt that she could have been cared for a lot better. Also, the fact that the person filming (owner?) grabbed the moms head and pulled her away from cleaning her pups to get a better view.... aaagh.
I just tell myself that at least those pups have that much. It could be a lot better, but it could be a lot worse too.