Propofol is a fast-acting sedative medication used to help patients relax during medical procedures. In this trial, it is used as a sedative agent during External Cephalic Version (ECV), a procedure to turn a baby from breech position to head-down position before birth.

Bupivacaine is a local anesthetic medication used for spinal anesthesia. When injected into the spine, it blocks pain signals and provides numbness in the lower part of the body. In this trial, it is used to provide pain relief and relaxation during the External Cephalic Version procedure.

Breech Presentation – A condition where a baby is positioned with its buttocks or feet first in the uterus, rather than the normal head-first position. This positioning typically becomes apparent in the third trimester of pregnancy. The condition occurs in approximately 3-4% of pregnancies at term. The position can sometimes change naturally as the pregnancy progresses, though it may remain unchanged until delivery. Breech presentation can be influenced by factors such as uterine shape, multiple pregnancies, or amniotic fluid volume.

External Cephalic Version – A procedure performed during pregnancy where the healthcare provider applies pressure to the mother’s abdomen to turn the baby from a breech position to a head-down position. This procedure is typically performed around 37 weeks of pregnancy. The maneuver involves carefully manipulating the baby through the abdominal wall, using ultrasound guidance to monitor the baby’s position. Success rates vary depending on various factors including the mother’s body type, amount of amniotic fluid, and the baby’s position.