You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in


If you are an ACOG Fellow and have not logged in or registered to Obstetrics & Gynecology, please follow these step-by-step instructions to access journal content with your member subscription.

ACOG Practice Bulletin No. 40: Shoulder Dystocia

Obstetrics & Gynecology:
Practice Bulletins List of Titles

Shoulder dystocia is most often an unpredictable and unpreventable obstetric emergency. Failure of the shoulders to deliver spontaneously places both the pregnant woman and fetus at risk for injury. Several maneuvers to release impacted shoulders have been developed, but the urgency of this event makes prospective studies impractical for comparing their effectiveness. The purpose of this document is to provide clinicians with information based on published studies regarding management of deliveries at risk for or complicated by shoulder dystocia.

© 2002 The American College of Obstetricians and Gynecologists