Once I eased the baby's head out, I realized that it was only out to about the base of her skull or midway at her ears. I waited through a contraction for her head to turn or anything to budge a little bit more and nothing budged **at all** With that next contraction, I gave a bit of a push and nothing budged then at all, either. I realized her shoulder was stuck, so I stood up (was in the bathtub) and rolled over to a hands and knees position.
Once I did that, she was still really, really stuck and was not budging at all. I started directing my husband to "get the shoulder!" He looked at his hands and realized that it was going to be extremely difficult for him to do (he has really big hands, thus the linebacker child!) anything since she had no shoulder or neck or anything showing but her head to her chin. At that point, my mom jumped into the tub to help (big bathtub). She tried to give the shoulder she could reach a little pull to see if that would help the baby out, but she couldn't, so she pushed on the baby's trunk/upper shoulder in a corkscrew motion as described in "Heart and Hands." That did it and then the baby pretty much rocketed out once that shoulder was dislodged.
I really can't say enough about "Heart and Hands." I remember reading up on shoulder dystocia in it and I actually had discussed it with my mom about a month ago, so we both knew what to do pretty quickly. From the time I suspected her shoulder was stuck to the time she was born completely was a little under 4 minutes. It seemed a lot longer, but she was born just fine and did not really seem to need any stimulation to get going. She was actually quite peaceful once she was born and had good muscle tone, was looking around, etc.