Danladi, K. Y.Sotunmbi, P .T.Awolude, O. A.Obisesan, K. A.2026-04-1420050189-51172543-148Xui_art_danladi_challenges_2005Tropical Journal of Obstetrics and Gynaecology 22(2), pp. 202-204https://repository.ibadanedu.com/handle/123456789/13699An unusual case of morbid obesity, severe hypertension and twin gestation at 36weeks in an unbooked multigravid patient was presented for cesarean section. She was referred from a private clinic to the obstetric emergency unit of the University College Hospital, Ibadan with history of hypertension in pregnancy. She was a known hypertensive for ten years and her blood pressure was poorly controlled due to non-compliance with medications and medical check-up. She had been having progressive visual loss over the ten year period and had lost three previous pregnancies. Following comprehensive clinical and radiological evaluation, she had a carefully planed single-shot spinal anaesthesia for cesarean delivery of a set of twin which was performed on a double operation table. She remained stable throughout the procedure and post operative period.enSingle-Shot Spinal AnaesthesiaObesityHypertensionCesarean SectionArticle