Background and Objectives: Twin pregnancies remain a major health problem given the increased incidences of both maternal and foetal complications in the country. This study provides relevant clinical and public health information that will help the clinicians on how to manage multiple pregnancies and prevent complications. Purpose of the Study: 1. To determine maternal complications in multifetal pregnancy; 2. To determine the foetal and postnatal outcomes in multifetal pregnancy. Materials and Methods: Research approach and design -A Prospective and Retrospective Cohort study.