Pre-eclampsia is one of the common complications of pregnancy and contributes significantly to high maternal and perinatal morbidity and mortality, especially in developing countries like Bangladesh. Objective: The aim of this study is to identify the risk factors and maternal and foetal outcomes of pre-eclampsia patients. Methods and Materials: This descriptive and observational study with data from the Department of Obstetrics and Gynaecology in Sir Salimullah Medical College and Mitford Hospital, Dhaka, during July 2011 to December 2011. Participants 123 pregnant women with pre-eclampsia included in the study. Main outcome measures Identify the risk factors associated with maternal & fetal complications, maternal and perinatal mortality & morbidity and incidence of pre-eclampsia. The patient with particular reference to age, parity, religion, occupation socioeconomic condition, gestational age, rapid weight gain, family history of hypertension and pre-eclampsia, obesity, new paternity, preexisting vascular disease, thrombophilias, previous history of pre-eclampsia, blurring of vision, pain in epigastrium, or pain in right upper quadrant, diabetes mellitus etc. Results: The incidence of pre-eclampsia is 4.3% and majority of the patients was found to be of 3rd decade. More than a half (51.2%) two third of the patient were primigravida. Maximum (65.9%) number was found in the gestational age group of 37 to 40 weeks. Lower abdominal pain 15.4%, Swelling of legs 15.4%, Headache 11.4%, less foetal movement 9.76% and Blurring of vision 8.13%. Mild pre-eclampsia was 44.0% and severe pre-eclampsia 56.0%. Fundal height had corresponded with 29 to 34 weeks in 42.0% patients, presentation was cephalic in 84.0%, fetal heart sounds was audible in 87.8% cases. The mean systolic and diastolic blood pressure was 164.76±9.34 mmHg and 101, 83±8.64 mmHg respectively and all patients had cephalic presentation. Fresh still birth was 3.5%, macerated still birth 1.8%, and Prematurity and IUGR were 7.0%. More than one third (36.4%) was low birth weight and male of female ratio of the babies were 1.1:1. According to APGAR score >7, were 51.5% and 81.8% during 1st and 5th minutes after birth respectively and 16.2% babies received neonatal resuscitation. Conclusion: Pre-eclampsia usually occurs in third trimester, and maternal outcome is better than fetal outcome although the maternal response to the treatment is in positive side.