Abstract: Multiple pregnancy is considered of high risks for mother and babies .Women with multiple pregnancy have an increased risk of miscarriage,anaemia,hypertensive disorders, haemorrage, operative delivery, and postnatal illness.Fetal risks of stillbirth, preterm birth, neonatal mortality and morididy are considerable higher in multiple birth than in singleton birth.Therefore, management of early multiple pregnancy including regular prenatal care, with special emphasis on early diagnosis of twin-twin transfusion syndrome, Down syndrome and preterm birth is very important.

Key words: Pregnancy, multiple, Prenatal diagnosis, Fetofetal transfusion, Down syndrome, Pregnancy management