Abstract: Background: In post - surgical state there might be a low formation of the albumin in liver or high degradation of the albumin. In either of the ways the serum albumin will be lowered. Stress and strain is also known to cause hypoalbuminemia i.e low serum level of albumin. Since albumin is a protein it has to be transcribed rom the genes and studies have shown that TNF - alpha supresses this transcription process. This study is intended to help the practising obstetricians to understand and intervene in the event and thus help the patient to recover earlier and in a better way.