Pregnancy, birth and neonatal outcomes associated with reduced fetal movements: A systematic review and meta-analysis of non-randomised studies

•Maternal perception of reduced fetal movements is an important alarm signal.•Reduced fetal movements is associated with risk of adverse perinatal outcomes.•Reduced fetal movements is associated with increased risk of intervention during pregnancy and labor.•The findings will assist healthcare providers optimize the care and management of women presenting with reduced fetal movements.