Background: Due to the rising trend of delayed marriages and infertility the use of ART in today's scenario is quite common causing an increase in the incidence of twin gestation which is significantly associated with maternal and fetal morbidity and mortality. Hence a deep insight is needed to identify these risk factors and plan proper management. Materials & Methods: A retrospective study done over the period of 1 year (August 2021- July 2022) in the Deptt of obstetrics & Gynaecology SMGS Jammu over 50 patients with twin pregnancy beyond 28 weeks period of gestation after excluding all the patients with preexisting chronic disorders, with the aims of studying the sociodemographic factors associated with twin pregnancy and the maternal and neonatal outcome in such pregnancy. Data was statistically analysed using the specific tests. Results: Incidence of twin pregnancy was found out to be 17.6/1000 live births with the diamniotic dichorionic type being more common, mostly seen in the age group of 21-30,with more common occurence in primigravida, presenting to hospital mostly between 28-36 weeks. Caesarean section being the commonest mode of delivery. Maternal complications commonly seen were anaemia, preterm labour and hypertension and fetal complications commonly seen were low APGAR scores at birth and birth weight discordance between the two twins. Conclusion: Twin gestation is a high risk for both the mother and the babies. Proper identification of risk factors along with timely intervention and survillence is needed to improve the obstetric outcome.