Shoulder dystocia occurs when a baby's shoulders become lodged inside the mother's pelvis during childbirth, making normal vaginal delivery difficult or impossible. The document discusses risk factors for shoulder dystocia such as obesity, gestational diabetes, macrosomia, and previous shoulder dystocia. It recommends calling for help, performing an episiotomy, applying suprapubic pressure, and using maneuvers like McRobert's and Wood's screw to increase the pelvic space or change the baby's position for delivery. Complications can include maternal injuries and fetal nerve injuries, fractures or birth asphyxia if not resolved quickly.