Shoulder dystocia is an unpredictable obstetric emergency where seconds matter. This episode covers the definition, risk factors, prevention counseling, exactly what you'll see in the delivery room, and how you as a student can be most useful – including timekeeping and supporting the family. Show Outline: Definition – Failure to deliver fetal shoulders with normal downward traction Why We Care – Baby hypoxia, brachial plexus injuries, maternal injuries Risk Factors – Diabetes, excessive weight gain, S>D, large baby, history of shoulder dystocia (~10–15% recurrence), turtling while pushing Prevention – Difficult to predict. Offer cesarean if EFW >5000g (no DM) or >4500g (with DM). Your Role – Step back. Help minimize family interference with calm explanations. Offer to be the timekeeper – write down times and events, announce every 2 minutes. What You'll See Hypothesize shoulder orientation, suprapubic pressure, place stool Announce the problem and call for help Maneuvers: McRo...