Maternal cytokine balance on the third postpartum day is not affected by the mode of delivery after healthy pregnancies.
Previous reports have suggested that delivery is associated with the induction of inflammatory cytokines. The present study was designed to investigate whether increased cytokine production was present on postpartum day 3 after a normal pregnancy and whether any changes were associated with the mode of delivery. In total, 33 pregnant women were enrolled; 18 delivered vaginally and 15 underwent an elective caesarean section (C-section). The levels of 17 cytokines and growth hormones were measured at the beginning of delivery or before anaesthesia and on postpartum day 3. While interleukin (IL)-6 and IL-8 levels decreased significantly postpartum, other cytokine concentrations were comparable before and after delivery. Only IL-7 levels were significantly increased in the C-section patients compared with the vaginal birth patients postpartum. In conclusion, there was no risk of a prolonged maternal inflammatory reaction after an uncomplicated vaginal birth or elective C-section, so it is probably not necessary to consider this as an issue when making a decision on the mode of delivery following uncomplicated pregnancy.
Department of Obstetrics and Gynaecology, Uzsoki Hospital, Budapest, Hungary.
B
B
Gyarmati
G
G
Beko
B
B
Szalay
A
A
Cseh
B
B
Vásárhelyi
A
A
Treszl
D000328:Adult; D002585:Cesarean Section; D016207:Cytokines / Q000097:blood*; D036861:Delivery, Obstetric; D005260:Female; D013006:Growth Hormone / Q000097:blood*; D006801:Humans; D010865:Pilot Projects; D049590:Postpartum Period / Q000097:blood*; D011247:Pregnancy / Q000097:blood*
D016207:Cytokines; D013006:Growth Hormone