In a twin pregnancy, it may be difficult to notice the decreased fetal movements, which is one of the main symptoms of fetomaternal hemorrhage, in one fetus due to the movements of the other fetus.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8142297PMC
http://dx.doi.org/10.1002/ccr3.4330DOI Listing

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