ABSTRACT
During the one year period from 1st January 1993 to 31st December 1993, forty twins deliveries occurred at Obstetric Unit-I, Services Hospital/Allama Iqbal Medical College, Lahore. The perinatal mortality rate was 237.5 per thousand total births [adjusted rate was 227.84]. Sixteen twin pairs were born at less than 37 weeks and 24 at 37 or more weeks of gestation. Perinatal mortality for babies weighing less than 1500gm and at 32 weeks or less, was found to be 1000 and 900 per thousand total births respectively irrespective of method of delivery. The most common cause of early neonatal death in this study was immaturity [63.52 percent] rather than intrapartum problems. Abnormal presentation was found in more than half of twin gestation and the most frequent abnormality was breech presentation involving one or both twins [33.75 percent]. Delivery of both twins by Caesarean section was conducted in 42.5 percent cases and in 55 percent of cases both twins were delivered by vaginal route. In 2.5 percent of cases twin A was delivered by vaginal route and twin B by abdominal route