Obstetrics injuries during shoulder dystocia in a tertiary perinatal center

•Fetal shoulder dystocia or incarceration of fetal shoulders is peracute and mostly unpredictable obstetric complication.•Our results confirmed that strategy of prompt identification of SD accompanied by cessation of axial fetal head traction decrease the risk of brachial plexus strain.•We think that our good results corelates with our opinion that the performance of external obstetrical maneuvers should be done without one minute postpone since efforts should be put in sooner shoulder liberation decreasing the time of fetal hypoxia.•Proper medical documentation should not be neglected. We can conclude that our results confirm our experience and our approach to the fetal SD philosophy with the goal of obstetrical injuries and permanent disability reduction as a globally major problem of SD.