Contraceptives sometimes fail. Sometimes you make a really bad judgement call. Sometimes the guy might be an asshole intentionally break/remove the condom. Sometimes bad things happen.
Not everybody is comfortable with using abortions to deal with unplanned pregnancies even if it is the financially expedient thing to do.
Twins are much more common among people using fertility drugs than the majority of the population; so if you are on those drugs, you might expect them.
P.S. not trying to be snarky, just thought it was an interesting fact