A skilled provider with a systematic approach to shoulder dystocia will minimize these effects. Non-invasive maneuvers like the Gaskin, Mazzanti, or McRoberts’ avoid the need for episiotomy and perineal trauma. Calm, consistent, and clear execution of maneuvers that dislodge the impacted shoulder and affect delivery will reduce trauma to mother and baby. Brachial plexus injury is less likely to occur when a provider skillfully recognizes and uses a shoulder dystocia management plan appropriately.