Abstract: The prevention of spinal anesthesia induced hypotension is important, especially among pregnant women. The women receiving crystalloid loading in spinal anesthesia for cesarean delivery, the co-load strategy reduced the incidence of intra operative maternal hypotension and the need for vasopressors. Even though, both pre-loading and co-loading techniques are effective in prevention of hypotension among pregnant women, the co-loading was found to be more efficient. Therefore, the purpose of this study was to evaluate how different internal policies affected the management of spinal anesthesia-induced hypotension.