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C-reactive protein (CRP) levels after normal and complicated caesarean section
P Stavén1, S Suonio, S Saarikoski
1Department of Obstetrics and Gynaecology, University Central Hospital of Kuopio, Finland.
Serum CRP level was measured in mothers after uncomplicated vaginal and after both uncomplicated and complicated abdominal deliveries. A rapid rise was observed after vaginal delivery, and after abdominal delivery the change was slower but more intense. Postoperative endometritis was detected quite accurately (with cut off level 90 mg/l) with sensitivity of 100% and specificity of 81%. Endometritis and postoperative haematoma could not be distinguished from each other with CRP. The causes of variation of CRP level after vaginal and abdominal delivery are discussed.
Serum CRP level was measured in mothers after uncomplicated vaginal and after both uncomplicated and complicated abdominal deliveries. A rapid rise was observed after vaginal delivery, and after abdominal delivery the change was slower but more intense. Postoperative endometritis was detected quite accurately (with cut off level 90 mg/l) with sensitivity of 100% and specificity of 81%. Endometritis and postoperative haematoma could not be distinguished from each other with CRP. The causes of variation of CRP level after vaginal and abdominal delivery are discussed.