Preeclampsia is a multiorgan, heterogeneous disorder of pregnancy associated with significant maternal and neonatal morbidity and mortality. The risk factors of pre-eclampsia and its maternal and fetal outcomes were investigated. This prospective observational study included 200 patients with pre-eclampsia and 100 patients with normal pregnancy. Significant risk factors of pre-eclampsia found in our study are primiparity, obesity, unbooked cases and positive family history of hypertension and teenage pregnancy. Headache was the common presenting complaint in 68.5% of severe pre-eclampsia cases. Abnormal Doppler findings were observed in 32.5% cases of severe pre-eclampsia cases, 11.7% of mild group and 6% of control. Caesarean section was the common mode of delivery for patients in pre-eclampsia (58%) and fetal distress was the common indication. More maternal and neonatal complications were encountered in women with pre-eclampsia when the pre-eclampsia was severe. The complications of severe preeclampsia could be prevented by more widespread use of prenatal care, prompt diagnosis of high-risk patients and timely intervention.