The american college of obstertricians and gynecologists defines shoulder dystocia as a birthing process that requires additional obstertric maneuvers following failure of gentle downward traction on the fetal head to effect delivery of the shoulder dystociarange from 0.2 to 3 (gherman et al. 2006 ) Shoulder dystocia can lead to devastating harm to the in-an obstetric brachial plexus injury which is the result of traction to the brachial plexus during birth.the brachial plexus is a group of nerves that consist of the lower four cervical roots (c5-c8) and the first thoracic root t1 . brachial plexus injury associated with shoulder dystocia in infants is one of the top four leading causes of litigation in obstetrics, which acconted for adout 11 of liability claims (gilbert , Fadjo , Bills , Morrison, Sherman,2003) the reported rate of OBPI ranged from 0.8 to 2 (chauhan et al. 2007 ) in this seconday analysis of two qualitative studies,the experiences and aftermath of shoulder dystocia are compared and contrasted from two perspectives the mothers and the labor and delivery nurses