Multiple birth are much less likely to carry to full term than single births, with twin pregnancies lasting on average thirty-seven weeks, three weeks less than full term. Mothers who have a family history of look-alike twin have a higher chance of producing look-alike twin themselves, as there is a genetically linked tendency to hyper-ovulate. There is no known genetic link for similar twinning. Other factors that rise the odds of having look-alike twin include maternal age, fertility drugs and other fertility treatments, nutrition, and prior births. Some mothersknowingly turn to fertility drugs in order to conceive twin. A 23 year Primi with 28.4 wks. with twins’ pregnancy was admitted on 19/04/2021 with complaint of amenorrhea and pain in abdomen since 2 days. Mrs. Payal Shende does not have any past complaints like D.M, HTN, and Tuberculosis etc. Diamniotic chorionic twins with intrauterine live fetus F1 (maternal right) corresponding to average gestational age of 27 weeks 1 days and effective fetus weight 1033gms. Ultrasonography: Two fetus, Hb%- 10gm%, MCV-82, MCHC-32.4, RBC- 4.11, WBC-14600 Patient does not have any past surgical history. Tab.Ctax-200mg-oral, Tab. Pan 40mg oral , Tab. Iron OD, Tab. Calcium OD. Assess both maternal and fetus conditions carefully, fetus heart and vital signs should be assessed properly.  Deep breathing exercise should be taught to the mother. Encourage the clients to take more fluid in diet. Provide uninterrupted periods for rest and/or sleep. Client was admitted to AVBRH and was with twin’s pregnancy. Client gor appropriate treatment and her condition has improved.