Danladi, K. Y.Sotunmbi, P. T.Awolude, O. A.Obisesan, K. A.2024-02-202024-02-202005-100189-5117ui_art_danladi_challenges_2005Tropical Journal of Obstetrics and Gynaecology 22(2), pp. 202-204http://ir.library.ui.edu.ng/handle/123456789/8717An 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 planned 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 AnaesthesiaHypertensionObesityCesarean SectionArticle