Objectives : To evaluate the clinical course and outcome of pregnancy in eclampsia with emphasis on the pitfalls in the diagnosis and management. Methods : The present study is a retrospective analysis done between Jan 2004 to Dec 2008 . There were 3750 deliveries in this period. Out of which 166 patients developed severe preeclampsia and eclampsia 120 patients were treated with standard Pritchard method of magnesium sulphate therapy. Remaining 46 patients received low dose magnesium sulphate therapy. Nifedepin (10 mgm) was used to control hypertension. If patient was conscious, it was given orally otherwise sublingually. Results : 56(38.65%) women didn't have edema.