<prompt> Shoulder dystocia is seen in predominantly :Transverse lieHand prolapseAnencephalyCord around neck  <response>: Ans. is c i.e. Anencephaly The term shoulder dystocia is used to define a wide range of difficulties encountered in the delivery of the shoulders. Risk factors : It occurs in all those conditions where fetus is too big or in cases of mismanaged labour viz. Fetal macrosomia Maternal diabetes Maternal obesity Post term pregnancy Anencephaly Fetal ascites Ho previous macrosomia Midpelvic instrument delivery. 