Introduction: Eclampsiacontinue to be a major problem in developing countries like India contributing to significant maternal and perinatal morbidity and mortality. Aim and Objective: identify risk factors that lead to eclampsia and decrease the complication related to eclampsia in future. Material and methodology: A cross sectional study is conducted to identify the risk factors of all women presenting with eclampsia at new civil hospital Surat, Gujarat during 6 months period. Results: 25 cases (83.33%) are primigravida among total 30 cases in study. Majority of the patients were unbooked (73.33%), low socioeconomic class (80%) and presented at late term beyond 36 weeks (50%). Antepartum eclampsia (73.33%) accounted most of the cases and 90% with pre monitor sign and symptoms in which headache (60%) is the most common pre monitor symptom. Mostly present with Blood pressure more than 160 mmHg (56.66%) and proteinuria more than +4 (60%). Conclusion: The high incidence of eclampsia and its complication during this study indicate the need for early identification of risk factors and timely intervention to improve maternal and perinatal outcome.

Keyword: Eclampsia, risk factor, maternal complication, parity