Shoulder dystocia can occur unpredictably in some cases. However, certain conditions could increase the likelihood of shoulder dystocia, including:
- Maternal diabetes
- Prolonged labor
- Fetal macrosomia (larger-than-average baby)
- Prior history of shoulder dystocia
When identifiable risk factors are present, healthcare providers may consider alternative planning, including cesarean section when circumstances are appropriate. One of the main questions in legal reviews is whether known risk factors were evaluated and managed before and during labor.






