A shoulder dystocia occurs when the fetal shoulders fail to spontaneously deliver secondary to impaction of the anterior shoulder against the pubic bone after delivery of the head has occurred. Management of Shoulder Dystocia - Call for help Suprapubic pressure to disengage the anterior shoulder Mc Robe's maneuver (flexing maternal legs upon the abdomen) Wood's corkscrew maneuver (rotating the posterior shoulder) and delivery of the posterior shoulder Zavanelli Restitution Gaskin maneuver - In a Knee chest position A generous episiotomy should always be made to allow manipulations There is no role for fundal pressure.