Abstract: Background: Eclampsia is the term used to describe preeclampsia that is complicated by widespread tonic-clonic seizures. The present study was conducted to assess perinatal outcome in eclampsia patients.

Materials & Methods: 58 women presenting with antepartum and intrapartum eclampsia were selected. Obstetrics characteristics, gestational age, mode of delivery, intensive care unit admission, time of eclampsia in relation to labour and maternal and foetal complications were recorded.

Results: The mode of delivery was caesarean sectionsin 42, vaginal deliveryin 10 and instrumental deliveries in 6 cases. The difference was significant (P< 0.05). There were 8 primi very preterm babies, 7 primi moderate preterm, 18 primi and 4 multi late preterm, 16 primi and 2 multi early term and 2 primi and 1 multi full term babies. The difference was significant (P< 0.05). Perinatal outcome was birth asphyxia in 12, low birth weightin 32, IUD in 6 and SNCU admission in 7 babies. Maternal outcome had pulmonary edema in 4, HELLP in 2, abruptio placentae in 3 and cardiomegaly in 1 case.

Conclusion: Mass education about the value of ANC checkups for early diagnosis and prevention of eclampsia is necessary because eclampsia is a preventable condition if preeclampsia is identified by ANC. Predisposing factors include nulliparity, delayed referral, inadequate transportation, lack of understanding, and irregular ANC checkups.