Introduction: Pregnancy induced hypertension is one of the most common causes of both maternal and fetal morbidity and mortality. This study aims to determine the feto-maternal outcome and correlation with severity of PIH. Material and methods: 250 cases of PIH were studied and divided according to severity. The maternal and fetal outcome parameters were documented and analysed using statistical methods. Results: More the severity of PIH, more are the chances of maternal and fetal complications. Earlier onset of PIH was also seen more in severe cases as were the number of inductions. C onclusion: T he clinical course of PIH is progressive and is characterised by continuous deterioration that is ultimately stopped only by delivery. Early detection and appropriate management of the pregnancy may improve the outcome for both the mother and the fetus.