Q&A: Should I get second opinion about decreased fetal movement?

Assuming you're talking about THIS pregnancy having one viable twin and one demise, it wouldn't be unreasonable to ask that a maternal-fetal specialist supervise, review, or perform the biophysical profile. If you're talking about a previous demise in a previous pregnancy but are carrying twins now, you're still high risk from both past and present history.

The bio profile is the best test you can have short of a contraction stress test. The heart rate pattern isn't troubling if the bio profile looks good. As far as breathing movements go, the most common reason for not seeing it is not waiting long enough to see it. If it was done over about 10 minutes, that might not have been enough; if over 30-40 minutes, then this might bear a repeat bio profile within a week. Either way, wanting a 10 out of 10 on the biophysical profile isn't unreasonable when you've been through the trauma of a demise.