Michaela Renčková, Tibor Matuška
Shoulder dystokia is dreaded sudden complication in labour. Incidence is 0.6 - 1.4 % of all vaginal labours. It is unpredictable. Combination of risk factors can have high predictable value, but lack of these risk factors do not negate possibility of onset. In presented case report some risk factors (obesity of the mother, higher age of the primipara, gestational diabetes) were found. To solve the severe shoulder dystokia all recommended maneuvers were used. Zavanelli´s maneuver was used as ultimum refugium.