Prasav means is a challenging process in a woman's life. Although the relationship between fetal head engagement and normal vaginal delivery remains debated, several studies suggest that nulliparous women with an unengaged fetal head at term are more likely to require a caesarean section. Since engagement is the first step in the labour process, it is clear that labour cannot progress without the fetal head passing through this phase. The ancient Acharyas of Ayurveda advocated about regimen for normal labour and to ease the process. Basti and Yoni Pichu are Ayurvedic procedures where indicated drug are instilled through anus and vaginal orifices respectively to establish the normal labour. Aim - To study yogbasti & Bala tail Yonipichu in facilitating engagement of fetal head for Prasav in Primigravidae women. Material and Methodology - A prospective case study was conducted with four primigravidae women who presented at 34 weeks of gestation or later, with a floating fetal vertex where 4/5 to 5/5 of the fetal head was palpable above the pelvic brim, and who met the inclusion criteria. The recent ultrasound confirmed the cephalic presentation, while the engagement of the fetal head was evaluated clinically through abdominal palpation of the fifths. Yogbasti & Bala tail Yonipichu is administrated to four enrolled women after 35 weeks of gestation, according to the study protocol. Result - All four women exhibited foetal head engagement after an average gestational age of 37 weeks. Each participant had a successful and uncomplicated vaginal delivery, with no intrapartum or postpartum complications for either the mother or the baby. Conclusion – This study indicates that Yogabasti and Yonipichu might help facilitate the engagement of the foetal vertex in primigravidae women, contributing to positive outcomes for vaginal delivery.