Twin pregnancy is assumed to increase the risk of maternal and neonatal complications. This situation is worse in Sub-Saharan Africa because of lack of well-equipped facilities. Studies on twin pregnancy and maternal complications are limited in Ethiopia. Thus, this study aimed to fill this gap. A hospital-based cohort study was conducted in Jimma University Specialized Hospital on 144 twin deliveries and 288 singleton deliveries. Data were collected through face-to-face interview by using structured-questionnaire and analysed by SPSS V.20.0. The relative risks of twin deliveries were significantly higher for the occurrence of hypertension, preterm labor, poor progress of labor, premature rupture of membrane, polyhydramnos, cord prolapse, uterine atony, postpartum haemorrhage, puerperal sepsis and maternal death as compared with singleton deliveries. In conclusion, women with twin pregnancy were at a higher risk of medical and obstetric complications during antepartum, intrapartum and postpartum periods. Thus, special emphasis should be given to mothers with twin pregnancies during antenatal care, delivery and postnatal care so as to prevent or manage the complications earlier.

Chronic Pelvic Pain (CPP) is defined as chronic or persistent pain perceived in structures related to the pelvis for at least 6 months. This condition accounts for 10% of all outpatient gynecology visits and it significantly affects patients' health. Etiologies of chronic pelvic pain are multifactorial in nature and vary with patients' age. But retained intrauterine device in the uterus beyond its expiry date was not reported as the cause of chronic pelvic pain in postmenopausal age group. This case is presented to show that retained (expired) intrauterine device left in situ in postmenopausal woman could cause chronic pelvic pain. In conclusion, intrauterine devices in situ should be remembered at menopause and removed per the guideline before it causes problems and unnecessary interventions.

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Uterine didelphys represents a uterine malformation where the uterus is present as a paired organ. It is characterized by the presence of two endometrial cavities, each with a uterine cervix, and often a double or single vagina as well. Uterine didelphys, like other uterine malformations, is often asymptomatic and therefore remain unrecognized. The didelphic uterus has a poor reproductive outcome with a 20-30% chance of carrying pregnancy to term. I report a case of successful pregnancy in the left sided uterine body of a didelphic uterus which was complicated by recurrent preeclampsia and breech presentation. The case also demonstrates how didelphic uterus sometimes remains unrecognized until delivery. In conclusion, it is important to have high index of suspicion of didelphic uterus when term pregnancy is complicated by recurrent breech presentation.

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