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Background: The rate of twin's births continues to increase and the number of higher order multiple births has plateaued. Twin pregnancies are associated with a variety of maternal and fetal complications several studies suggest that twin gestation imposes greater demands on the maternal physiological system than do singleton pregnancies. The aim of this study to maternal and perinatal outcome of twin pregnancies at our institution. Materials & Methods: The study was undertaken in 180 patients with twin pregnancies attending the Jay Kay Loan Hospital attached to Govt. Medical College, Kota during October 2011 to September 2013 time period. Ante partum, intrapartum, postpartum complications were noted. Data was analyzed using Microsoft excel and SPSS v 16 software. Results: In present study observed that out of 140 cases of 1 st twin presenting as vertex there were 27 (19.28%) perinatal deaths whereas out of 116 cases of 2 nd twin presenting as vertex there were 26 (22.41%) perinatal deaths. Apart from preterm labor patients needed preterm induction/caesarian section for other obstetric or medical reasons hence the total no. of preterm deliveries was 82.21%. Conclusion: Antenatal care needs to be further improved so that all pregnant women are covered. However bigger and multi centric trails are needed to compare the outcome after vaginal delivery and caesarian section.

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