Background: Twin gestation have been associated with numerous pregnancy related complications and perinatal morbidities. Although there have been many numerous international studies on this topic, very little has been studied regarding twin pregnancies in South India, which is why this study has been taken up.
Materials and Methods: a total of 150 pregnancies, irrespective of the gestational age and parity at the time of admission who presented to the OPD of Department of Obstetrics & Gynaecology or to the casualty during July 2024 to June 2025 were included in the study.
Results: Most of the patients belonged to 31-35 years of age group. Majority of the study participants were multigravidae, registered cases, had underwent c- section. Preterm labor was the most common maternal complication followed by anemia. Most of the neonates had low APGR score at 1st min. there were 5.5% intrauterine deaths and 6% neonatal deaths reported.
Conclusion: screening for maternal and fetal complications in twin pregnancies helps in better management, and prevention of the perinatal and maternal morbidity and adverse outcomes. This calls for implementation of health schemes and programs by the government to enhance obstetric care, neonatal care.