Aim: To study the incidence of eclampsia and determine associated maternal and perinatal outcome at tertiary care hospital. Methodology: A retrospective clinical study of 70 cases of eclampsia was done at Government Medical College, Latur, over period of of 1 year . The events of mother and perinatal outcome were recorded and analyzed. Result: In our study, incidence of eclampsia was 0.9%, Majority of cases, 70% were seen in the young age group of 2125 years. Primipara were at higher risk, around 71% cases. About 74% patients were from rural area and unbooked cases (60%) were more than booked cases. Antepartum eclampsia was seen in maximum cases (91%). Csection was the mode of delivery in 70% cases while vaginal delivery was seen in 30% cases. Maternal complication were found in 24 (34%) cases, out of which 10 (14%) mothers died, causes were mainly cardiopulmonary compromise, hepatic faliure or sepsis. Perinatal mortality came out to be 18.5%. Prematurity was the leading cause followed by RDS and IUGR. Conclusion: Eclampsia still remains a major contributor to maternal mortality and morbidity in developing countries like India.Improvement in health care facility, adequate antenatal supervision, early diagnosis and timely referral will reduce the maternal and fetal complication.

Keywords: Eclampsia; Maternal Outcome; Perinatal Outcome.