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Shoulder Dystocia with Neonatal Resuscitation

Drill Description

Community birth complicated by a shoulder dystocia and initial steps of neonatal resuscitation with subsequent hospital transfer.

Learning Objectives:

  • Identify and respond to risk factors and signs of a shoulder dystocia in the community setting.
  • Perform maneuvers to resolve a shoulder dystocia.
  • Identify and respond to risk factors for neonatal distress immediately after birth.
  • Perform initial steps of NRP.
  • Identify need for higher level of care and initiate appropriate hospital transfer.
  • Communicate openly and effectively with patient, support people, and additional healthcare personnel in the event of intrapartum and neonatal emergencies and transfer.
Publish Data

Authored by:

Jennifer Johnson, MS, CNM

Reviewed by:

Alexa Dougherty, MSN, PHN, CNM
Julie Moon, CNM, APRN
Amy Romano MBA, MSN, CNM, FACNM

Last updated: July 2024


Will you be coordinating a partial or full transfer drill?

Set up for the Step Up Together drills depends on whether you plan to run a Partial Transfer Drill or a Full Transfer Drill. Select which type of drill you will be coordinating and follow the instructions in the following sections.

Need help deciding which type of drill to run? Watch our video on Running Full or Partial Transfer Drills.

Partial Transfer Drill


What is it?

An emergency drill of a clinical scenario that requires transfer, but participants are only practicing part of the scenario: either the part that happens in the community before hospitalization, or the arrival at the hospital and post-transfer management.

Who's involved?

Minimum of two individuals from a practice, up to the full practice/facility, with or without collaborating partners present.

Planning Needs

Can be impromptu with a small group or scheduled in advance at regular times, for which participation should be compensated.

Full Transfer Drill


What is it?

An emergency drill of a clinical scenario that requires transfer and participants practice all phases of the transfer: care in the community, emergency transport, and arrival and management at the hospital.

Who's involved?

Full practice/facility team from the community birth setting, plus transport and hospital personnel.

Planning Needs

Requires coordination and advanced planning with community practice, EMS, and hospital teams. Compensate for time to participate.


Sign up to coordinate this drill.

Access everything you need to run a Shoulder Dystocia with Neonatal Resuscitation drill.