Incidence and risk factors of hypotension in cesarean section patients under spinal anesthesia at a referral hospital in Mogadishu, Somalia

This study found a high incidence of hypotension among mothers undergoing cesarean section under spinal anesthesia in Mogadishu. Significant risk factors included high BMI, low preoperative hemoglobin, lack of preload and absence of ephedrine use. Targeted interventions-such as preoperative risk screening, hemoglobin optimization, and prophylactic ephedrine use-are recommended to reduce the occurrence of spinal anesthesia-induced hypotension.