If you had a hospital birth with twins, did you take your giant twin nursing pillow? How long was your stay, and was it worth including it with your bags?
No. I was only there 48 hours. Unless your DH/SO isn't able to be there to help, you can just arrange regular pillows to support your arms as needed. And you shouldn't feel too much pressure to tandem from the start. If babies had ended up being hospitalized longer I can imagine wanting to use it at the hospital, but unless you live pretty far from the hospital you can always have someone bring it to you if you need it.
Work at home, homesteading mom sharing child care 50/50 with my wonderful WAH DH. DD1 born Jan. 2010. March '12. DD2 & DD3 (twins) born Feb. 2013