Out of 446 twin births in 1946-1971, 177 (19.8%) were stillborn or perinatally dead. The main reason of twin perinatal mortality is prematurity, which is also confirmed by clinical and anatomopathologic findings. The essential role in the reduction of perinatal mortality is being attributed to ambulatory “K” Centres through early diagnosis of multiple pregnancy and pregnant women hospitalization at 30-32 weeks of pregnancy.