Strengths and limitations:
Our study had several notable strengths. This was a large population
study and the first study to address FCM in maternal trauma. The SZMC
computerized database is updated in real time and further validated,
hence minimizing any potential bias. In addition, during the study
period, our department followed a strict indication protocol for
performing FCM testing with a uniform decision-making process and
obstetric practice for maternal trauma. Accordingly, our study is
appropriate for generalization.
Our study had some limitations, mainly attributable to its retrospective
design and inherent pitfalls. In this study, we did not include women
with trauma during pregnancy in whom FCM test was not obtained. For many
women, delivery information was not available in their medical files
because they delivered in other medical centers. Nevertheless, when
comparing maternal, pregnancy and trauma characteristics between those
who delivered in our medical center and those who did not, we did not
find major differences. A positive FCM was determined by our laboratory,
however, it may be possible that only higher FCM is associated with
adverse outcome.
In conclusion, in this retrospective cohort study FCM result was not
related to adverse maternal or fetal/neonatal outcomes of women involved
in minor trauma during pregnancy or their offspring. We suggest that FCM
should not be routinely assessed in pregnant women involved in minor
trauma, hence reducing patients’ and physicians’ unjustified
expectations and the cost of care.
Declaration of interest: The authors declare that they have
nothing to disclose and that they have no financial or non-financial
conflict of interest.
Disclosure of interests: The authors report no conflict of
interest.
Funding/Support: This study was not funded.
Financial Disclosures: No financial disclosures.