| Summary: | Background: Twin gestation with its attendant complications has been on the rise worldwide. Its periodic evaluation is necessary to update the extent of its contribution to maternal morbidities. Objective: To determine the incidence and maternal antepartum, intrapartum, and postpartum complications associated with twin pregnancies. Materials and Methods: This was a retrospective study carried out in the Federal Medical Centre, Umuahia, Abia state, Nigeria, over a 5-year period from January 1, 2009, to December 31, 2013. During the period of study, there were 264 twin pregnancies, but only 186 folders had enough information for data analysis. Data were analyzed using WinPepi version 11.65. Statistical significance was calculated using Chi-square test with level of significance set at P < 0.05. Results: The incidence of twin pregnancy was 3.2% (32/1000 deliveries). The mean age was 29.5 ± 5 years. Most of the patients (35.5%) were aged between 25 and 29 years. Most of the patients (64.5%) were booked. Preterm delivery accounted for 30.6% of antenatal complications, while hypertensive disorders of pregnancy made up 14.5%. Majority of the patients (54.3%) had cesarean delivery, and the most common indication for cesarean delivery was malpresentation of the leading twin which accounted for 40.6% of the indications for cesarean deliveries. Anemia was the most common postpartum complication noted in 25.3% of patients and that was followed by primary postpartum hemorrhage with a rate of 10.8%. Conclusion: This study has highlighted the high incidence of twin pregnancy in our environment. It has also affirmed the significant maternal morbidities associated with this obstetric condition.
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