Background: The purpose of this study was to compare fetomaternal outcome of twin pregnancies with singleton pregnancies Material and method: This was the prospective study done on patients coming to antenatal clinic and labour room emergency of Nalanda Medical College And Hospital, Patna. Consecutive sampling was done till sample size reached 50 for both twin pregnancies and singleton pregnancies >28 weeks of gestation. Patients fulfilling the inclusion criteria were divided into two groups: