“…17 First, early detection of twin pregnancies, good antenatal care tailored towards the needs of mothers pregnant with twins, and timely referral for hospital delivery are important preconditions for twin survival and maternal health during and after delivery. 5,35,36 However, still too few women pregnant with twins in the region receive appropriate medical care. 5,37 For example, almost half of the women giving birth to twins in a Nigerian tertiary hospital did not receive antenatal care 35 and of the mothers who delivered twins in a study hospital in Guinea Bissau, as many as 65% were not aware that they were pregnant with twins.…”