Twin pregnancy has been a fascinating subject and has generated a lot of interest in obstetrics, many religions, communities, and cultures. Multiple gestation still pose challenging problems for modern medicine. Almost every maternal and neonatal problem is increased in multiple gestations justifying their high-risk status and need for specialized management. Awareness of multiple birth is vital amongst patients, families, community, society, health care professionals and national health policy makers. They should have awareness about diagnosis, complications, management, socio-economic impact of multiple birth.