Original Article: PDF OnlyShoulder DystociaHIBBARD, LESTER T. MD, FACOGAuthor Information From the Los Angeles County-University of Southern California Medical Center, and the Department of Gynecology and Obstetrics, Los Angeles Obstetrics & Gynecology: September 1969 - Volume 34 - Issue 3 - p 424-429 Free Abstract The key to management of shoulder dystocia is release of the anterior shoulder. If the head and neck are pressed posteriorly and upward toward the rectum, the anterior shoulder is dislodged from above the symphysis. Subsequent strong fundal pressure provides the force to complete delivery. © 1969 The American College of Obstetricians and Gynecologists