Shoulder dystocia is most often an unpredictable occurrence. Inappropriate management may lead to long term sequelae for both mother and infant. Correct management includes specific steps to follow when attempting to deliver the infant with shoulder dystocia. It is imperative that we as nurse-midwives be thoroughly familiar with the difficulties encountered with shoulder dystocia and commit the management steps to memory. This paper presents an overview of the problem as well as the steps included in clinical management.