Introduction. Originally developed for untreatable tubal conditions, in vitro fertilization (IVF) is now widely applied for the treatment of infertility from various causes, including endometriosis, male factor and indeterminate infertility. Today about 3-5% of all births in developed countries are due to IVF. Twin pregnancy and delivery differ from those with singleton pregnancies and is influenced by the course of pregnancy and complications associated with multiple pregnancy. Material and Methods. The study included 580 patients who gave birth between 2019-2023 at IMSP IMC and IMSP SCM "Gh. Paladi". Results. Patients had obstetric history complicated by miscarriages - 14% cases, medical abortions - 7.8%, stalled pregnancies 8.2% and ectopic pregnancies - 15.5% cases. Most of patients included in the study had singleton pregnancies - 62.2% cases, twin pregnancies 37.8%. The results of the study showed that most frequently pregnancies were completed at 37-40 weeks in 71% of cases. Preterm birth occurred in 28.1% cases. Emergency caesarean section (CS) was the way of finishing the birth in 49% cases, followed by flat CS - 37% cases, and only 14% of pregnant women gave birth naturally. Conclusions. Twin pregnancies conceived by IVF are more commonly associated with higher rates of CS and low birth weight. Increased use of assisted reproductive technologies and a general increase in the incidence of multiple pregnancies leads to the need for increased monitoring of mother and fetus.