Studies undertaken into gemini births between 1968 and 1977 have shown that reduction in perinatal mortality has been obtainable from high-intensity programmes of antenatal and intranatal attention to multiparae. Perinatal mortality had accounted for 13.4 per cent, between 1968 and 1974, and dropped to 7.4 per cent, between 1975 and 1977. This achievement is analysed and discussed. More improvement may best be expected from earlier detection of gemini pregnancy and earlier action of intensive care.