Introduction: Hypertensive disorders are among the most common medical disorders during pregnancy and continue to be a serious challenge in obstetric practice. Aims: This study investigated the various risk factors, fetal and maternal outcome in cases of preeclampsia Study Design: This was a cross sectional study conducted over a period from January 2019 and June 2020. This study enrolled 100 cases of non severe preeclampsia and 100 cases of severe preeclampsia. Methods and Materials: Participants were selected by consecutive sampling and baseline data were collected by using a predesigned and pretested structured questionnaire. Data Analysis: Data were entered and analysed by using SPSS version 20 Results: It was observed that preeclampsia was more common in the age group of 21 to 30 years (68%), women living in rural area (71.5%), low socioeconomic class, unbooked antenatal history (70%). Maximum number of patients were Primigravida (52.5%). 79.5% were anemic. 50% patients had vaginal delivery, 50% had Caesarean section. 73.5% babies born were full term alive babies, preterm were 20.5% (41), 4% (8) IUD and 2% (4) stillbirth .Early neonatal death occurred in 4.5% babies (9), 26% (52) babies were low birth weight, 18.5% were Growth restricted, 5.5% babies had Neonatal jaundice and 18.5% babies were admitted in Neonatal Intensive Care Unit. The most common maternal complication was Post Partum Haemorrhage (7.5%), which was observed in 15 cases, the next common complication was Abruption, which occurred in 10 cases (5%). Maternal mortality occurred in 2 cases (1%). Conclusion: This study concludes that fetal and maternal outcome were markedly affected by preeclampsia and also the grave complications were more common in severe preeclampsia cases than in non severe preeclampsia cases. So proper Antenatal care, early diagnosis of preeclampsia and timely intervention will decrease perinatal morbidity and mortality.