Hypertensive disorders of pregnancy are a leading cause of maternal complications and are strongly linked to cardiac events during cesarean delivery. These disorders, combined with anesthesia-induced hemodynamic changes, can precipitate arrhythmias, myocardial ischemia, or pulmonary edema, posing significant risks to maternal health. This study evaluated cardiac complications among women with hypertensive disorders undergoing cesarean section and explored the role of intraoperative hemodynamic monitoring in improving outcomes. Findings showed that cardiac events were more common in women of advanced age, higher body mass index, and those receiving general anesthesia. The use of invasive hemodynamic monitoring during surgery was associated with a lower likelihood of undetected hemodynamic instability and better postoperative recovery. Overall, careful perioperative management and advanced monitoring were found to enhance safety, reduce cardiac complications, and improve recovery in high-risk obstetric patients.

Wajeeha Fatima has completed her MBBS at the age of 24 years from the University of Lahore, Pakistan. She is the Junior Clinical Fellow, Obstetrics and Gynaecology department of Mid City Hospital, Pakistan. With over three years of experience in Obstetrics and Gynaecology, her research interests focus on maternal health, pregnancy outcomes, and quality improvement in obstetric and perinatal care.