The aim of the present study was to evaluate the effects of spinal and epidural anaesthesia on newborn adaptation (Apgar score) after caesarian delivery. Live births with caesarian delivery (474) in the Hospital of Târgu- Mureş (Obstetrics and Gynecology I.) were studied in year 2005. In caesarian deliveries for preeclampsia or fetal distress sy. the newborn adaptation was better if epidural anaesthesia was used. In caesarian deliveries for placenta praevia with bleeding or abruption placenta the newborn adaptation was better if spinal anaesthesia was used. We found no differences between epidural or spinal anaesthesia regarding the newborn adaptation, if the indication for caesarian delivery was feto- pelvic disproportion or previous cesarean section scar (or other previous uterine incisions) with prerupture sy.