Levy M, Kovo M, Izaik Y, et al. - Neonatal outcomes in twin pregnancies complicated by reduced fetal movements (RFM) were determined. It was hypothesized that in twin pregnancy, mothers exhibit a limited ability to perceive RFM, and therefore, this may be not linked with adverse neonatal outcome. All dichorionic twin pregnancies presenting to the obstetric triage at a gestational age > 34 weeks between 2009 -2019 with an isolated complaint of RFM and delivered during the subsequent two weeks (RFM group) were included. Patients with twin pregnancies (matched for gestational age and maternal age) who presented for routine assessment and reported regular fetal movements throughout pregnancy formed the control group (no RFM group). The RFM group (n = 83 pregnancies and 166 neonates) and the no RFM group (n = 83 pregnancies and 166 neonates) did not differ in maternal demographics and gestational age at delivery. Outcomes revealed higher rates of adverse neonatal outcomes and NICU admissions among patients presenting to obstetric triage with twin pregnancies and isolated RFM vs twin pregnancies without RFM.