• Unase Buyukkocak, Osman Caglayan, Hulya Oral, Hulya Basar, and Cagatay Daphan.
• Department of Anaesthesiology, Kirikkale University, School of Medicine, Kirikkale, Turkey. unaseb@hotmail.com
• Clin. Biochem. 2003 Feb 1; 36 (1): 67-70.

ObjectivesTo investigate the effects of anesthetic techniques and delivery types on stress response during uncomplicated delivery.Design And MethodsForty pregnant women at term were divided into four groups. Group-I, cesarean section with general anesthesia; Group-II, section with spinal anesthesia; Group-III, section with epidural anesthesia; and Group-IV, vaginal delivery with epidural analgesia. C-reactive protein and albumin were measured on hospital admission, immediately after delivery and 24 h later.ResultsAlbumin and CRP levels decreased significantly in Group-II and Group-III, just after delivery. CRP increased significantly in all groups at the 24(th) hour of delivery. The effect of hemodilution on CRP and Albumin, due to volume loading, during spinal and epidural anesthesia disappeared after 24 h.ConclusionWe found no influence of anesthetic techniques on acute phase response except hemodilution effect. In the view of delivery types, vaginal delivery caused less stress response than section.

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