Aim: To study the fetal and maternal outcome in patients with eclampsia in central Indian population. Background: Eclampsia is associated with devastating maternal and fetal complications, so we decided to study pregnancy outcome in eclampsia patients. Methodology: A Retrospective study carried out in department of Obstetrics and Gynaecology in Indira Gandhi Government Medical College, Nagpur. Fifty Cases of eclampsia from January 2015 to July 2016 were included in our study. Study deals regarding the association of eclampsia to age of women, parity, gestational age, number of convulsions, mode of delivery, complications and fetal outcome. Results: Study comprised of 50 pregnant women with eclampsia. We found that 1) Mean maternal age was 23.6 years. 70% were primigravidae. 16 patients (32%) had foetuses with intrauterine growth restriction 2) 50% patients had convulsions after 36 weeks of gestation and mean gestational age was 36.4 weeks 3) Significant association was present between the rising levels of liver enzymes (i.e. SGOT and SGPT) and the maternal complications like HELLP syndrome, DIC and postpartum haemorrhage with p value of <0.001 4) Rising levels of uric acid were not significantly associated with the risk of maternal complications.5)Four(8%) patients required ICU admission, out of which two (4%) had mortality.6) In our study 3 babies were stillborn and 7 died in early neonatal period. The perinatal mortality in our study was 20%. Conclusion: As in our study all except one were unbooked for antenatal care, the high incidence of eclampsia can be reduced by proper antenatal care, diagnosing, admitting and treating mild and severe preeclampsia cases. Timeliness in the management of these cases can reduce the perinatal mortality.