
Shoulder Dystocia: The Basics
The head had come out, mostly. The chin pressed deep into the mother; it didn’t emerge in the way expected. The baby grimaced but stayed tight. His chin didn’t arch and swing to the side so that he could face his mother’s thigh. My mentor said softly but firmly, “check for the cord.” Slipping my finger out of sight, I felt an odd crease around the baby’s neck but couldn’t get under it; so, no cord, I thought. I placed the same finger on his shoulder and pressed gently to corkscrew the baby. I worried that pressure could cause him discomfort. My finger pressed tentatively. No movement resulted at all.