Introduction: Despite being preventable, eclampsia continues to be one of the most common life threatening complication afflicting pregnancy. Aims and objectives: To study the incidence and the clinical profile in patients of eclampsia. Material & Method: It was a prospective observational study, undertaken in one of the Obstetric units of Government Medical College, Amritsar from March 2015 to December, 2015. Clinical profile, maternal and perinatal outcome among eclamptic patients was studied in the patients admitted in this tertiary care facility. Result: In the study period there were 50 cases of eclampsia of which 10 had been referred after delivery for postpartum eclampsia. The incidence of eclampsia was 2.4% amongst deliveries conducted at our institute. 96% of all cases were prim gravidas and 92% were in the age group of 20-35 years. Majority (66%) were having antepartum eclampsia and 56% underwent caesarean section. Most common complication was pulmonary oedema in 12% patients and 16% patients required ICU care. Maternal mortality due to eclampsia was 4% perinatal death was 34 % in eclampsia patients. Eclampsia contributed 15% to all cause maternal mortality. Conclusion: Improved pre referral care may improve the prognosis in eclampsia.