**6. Conclusions**

In conclusion, in terms of the frequency of multiple pregnancies, perinatal mortality in our region did not differ significantly from that of other advanced countries in Western Europe and North America.

Increased vigilance and care is required in the arrangement of childbirth and the resuscitation of the second newborn because we found that his perinatal condition is significantly lower than that of the first. Significant effort should be made to extend the time of twin pregnancies which would effectively help reduce the frequency of preterm births and caesarean sections.

Although twins appear to be at higher risk for perinatal neonatal outcomes than single pregnancies, they are better when they are born at a mature gestational week and close to the expected due date. To date, however, the optimal delivery time of the duo although still controversial, based on current results, is 37+3 weeks of gestation. Regarding the manner and time of termination of labor beyond 35 weeks of gestation is determined according to the literature by many factors gestational age of the two fetuses estimated weight projection twins experience of the obstetrician.
