The clinicomorphological features were examined in 10 cases with multiple pregnancies after reproductive tecnologies application (IVF) and 10 cases with spontaneous multiple pregnancies. The age of primiparas after IVF was over 30. Selective reduction of multifetal pregnancies were not complicated. Apgar score assessment of newborns after induced multiple gestations was more than 7 points. All multiple pregnancies of a various genesis had complicated gestation and a delivery in time. The bichorionic placentation was registered more often in group of induced multiple gestations. At the same time in group of spontaneous multiple gestations monochorionic and bichorionic placentations were diagnosed equally. Velamentous placenta was registered in 5% cases only in the course of spontaneous multiple pregnancies.