Introduction: Eclampsia is one of the commonest causes of maternal deaths. The various factors influencing maternal and perinatal outcome were evaluated in the present study. Aim: To determine the factors affecting maternal and perinatal outcomein Eclampsia. Materials and methods: Present study is a prospective observational study of factors affecting maternal and perinatal outcome in Eclampsia for a period of 6 months. Results: The incidence of eclampsia in 1.42%. Hypertension, oedema and proteinuria are important signs in eclampsia. The incidence of maternal mortality in the present study was 4% and the common causes of death were acute renal failure and pulmonary oedema. The maternal mortality in correlation with age, parity, blood pressure, duration of labour is not statistical significant. The perinatal mortality in the present study was 24% and corrected perinatal mortality, excluding cases of absent FHS at admission was 18%. Prematurity was the most important cause of neonatal deaths. Perinatal mortality was maximum in unbooked cases (37%) and is statistically significant. Perinatal mortality was maximum, when the number of convulsions were maximum that is in between 6-10 (100%) and it is statistically highly significant.