This study evaluates the effectiveness of External Cephalic Version (ECV) in managing term breech presentations. The research was conducted at the Apollo Institute of Medical Sciences & Research in Chittoor, Andhra Pradesh, between January and December 2023. Ten patients with uncomplicated breech presentations at 37 weeks gestation were selected for ECV. The success rate of ECV was 60%, and the rate of cesarean section following a successful ECV was only 10%. Emergency cesarean sections were performed in 10% of cases. Prognostic factors associated with successful ECV included multi-parity and flexed type of breech. No serious fetal or maternal complications were observed. The study concludes that ECV is a highly successful and safer alternative to vaginal breech delivery or cesarean delivery when performed in centers with appropriate emergency and operating facilities. The procedure should be monitored to ensure the patient is not in labor and the baby is not in distress.This study evaluates the effectiveness of External Cephalic Version (ECV) in managing term breech presentations. The research was conducted at the Apollo Institute of Medical Sciences & Research in Chittoor, Andhra Pradesh, between January and December 2023. Ten patients with uncomplicated breech presentations at 37 weeks gestation were selected for ECV. The success rate of ECV was 60%, and the rate of cesarean section following a successful ECV was only 10%. Emergency cesarean sections were performed in 10% of cases. Prognostic factors associated with successful ECV included multi-parity and flexed type of breech. No serious fetal or maternal complications were observed. The study concludes that ECV is a highly successful and safer alternative to vaginal breech delivery or cesarean delivery when performed in centers with appropriate emergency and operating facilities. The procedure should be monitored to ensure the patient is not in labor and the baby is not in distress.