Bioethics is  essential  dimensions  of  Obstetrics   practice. Modern era has witnessed  many  technological  advances like  Assisted Reproductive Techniques. Presence of Higher Order Multiples  is  higher with  ART.  Multiple  pregnancies are  associated with  many maternal and fetal risks. Ethical  issues in multiple pregnancy are multidimensional  having many aspects.These are related to fetal reduction and selective termination of pregnancy, congenital malformations  in multiple pregnancy, impact on parents and physicians perspective.  Multiple pregnancy has impact on  parents,community and health resources. Adequate support  is essential to tide over the situation.

Keywords: Ethics; Multiple Pregnancy; Fetal Reduction; Selective Termination of  Pregnancy; Congenital  Malformations.