Aim: To determine the maternal outcomes in women presented with severe pre-eclampsia. Study Design: Prospective/Observational Place and Duration: Obs & Gynae department of Akhtar Saeed Medical and Dental College and Hospital, Lahore and Kausar hospital/Khairpur Medical College, Khairpur Mir's Methods: Total 100 patients with ages 18 to 45 years presented with pre-eclampsia were included in this study. Patients detailed demographic including age, parity, gestational age, and body mass index were

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... recorded after taking written consent. Patients complete blood picture was examined. Complications associated with preeclampsia were examined. Data was analyzed by SPSS 23.0. Results: Out of 100 patients 23 (23%) were ages <20 years, 42 (42%) were ages 20 to 30 years, 30 (30%) were ages 31 to 40 years and 5 (5%) were ages above 40 years. 41 (41%) were primigravida while 59 (59%) were multigravida. Mean gestational age was 34.11±3.88 weeks. HELLP syndrome found in 21 (21%) patients, 11 (11%) patients had eclampsia, and 16 (16%) patients had placental abruption, coagulopathy found in 4 (4%) patients, 3 (3%) patients developed acute renal failure and 2 (2%) patients were died. Conclusion: It is concluded that pre-eclampsia is highly associated with major maternal complications such as HELLP syndrome, eclampsia, placental abruption and maternal mortality. Keywords: Pre-eclampsia, HELLP Syndrome, Placental Abruption, Eclampsia, Mortality