Background: Pregnancy is a normal physiological process that involves a complex interplay of social, emotional, physiological and anatomical adaptations, which begins soon after fertilization and continues throughout pregnancy. However, a host of medical disorders are known to complicate pregnancy. Hypertensive conditions in pregnancy appear to be one of the major causes of elevated rates of maternal and perinatal mortality and morbidity. Objective: To know the incidence, etiology, clinical course and fetal outcome of early onset of preeclampsia. Methods: After obtaining a detail history a thorough examination was carried out. • Laboratory investigations were done as follows: Hemoglobin. Platelet count. Peripheral Blood Smear for Hemolysis, Blood Urea, Serum Creatinine. Scrum Uric Acid, Liver function test, Urine routine examination and microscopy, Fundoscopy. Obstetric Color Doppler. Antiphospholipid antibody syndrome, Non stress Test after 32 weeks. LDH. Results: In LSCS Emergency was done in 17 patients out of 20 and elective was seen in 3 patients of 20.In Vaginal delivery, Induced was done in 22 patients out of 30 and spontaneous was done in 8 out 30 patients. During Fetal Status, Development of IUGR was seen in 68% of the cases, Abnormal disorder was seen in 50% of the cases, IUD was seen in 34% of the cases, Non Reassuring NST was seen in 32% of the cases. Birth weight was 1 to 1.5Kgs was seen in 46% of the cases, 1.5 to 2 kgs was seen in 16% of the cases. 2 to 2.5kgs was seen in 12% of the cases. In 2% of the cases birth weight was >2.5kgs. In outcomes, NICU admission was done in 42% of the cases, IUD was seen in 34% of the cases, Early perinatal death