A study on routine ultrasound scans at 35 to 36 weeks of gestation revealed insights into fetal presentations, external cephalic version, and spontaneous rotation, demonstrating the potential for reducing unexpected abnormal fetal presentations during labor. ECV had a success rate of 44.1%, while spontaneous rotation accounted for a significant portion of noncephalic to cephalic presentation transitions. Maternal and pregnancy characteristics influenced the likelihood of noncephalic presentation at the 36-week scan, successful ECV, and spontaneous rotation, with limited predictive performance. The research highlights the importance of considering routine late-pregnancy ultrasounds and additional scans during labor presentation to optimize maternal and fetal outcomes.