Background: Pre-eclampsia is a multisystem disorder of pregnancy characterized by Hypertension and proteinuria. It is a common pregnancy related disorder that originates in the placenta and causes variable maternal and fetal problems. Objective: To find out the feto-maternal outcome of severe pre-eclamptic patient. Methodology: It was a cross-sectional study among the pregnant woman who were admitted with severe pre-eclampsia in labour and in antenatal ward in the hospital during the study period in Department of Gynaecology, Dhaka Medical College and Hospital, Dhaka from July 2015 to January 2016. A total of 50 pregnant women with severe pre-eclampsia were included in the study. After detailed history, clinical examination, blood pressure measurement and bedside urinary protein levels, patients were diagnosed as severe pre-eclampsia. The data were analyzed by SPSS. Results: Commonest age group of the patients suffering from severe pre-eclampsia was found to be ranging from 15-35 years of age and the mean age was 26 years. Majority of the study, patients were primiparous (56%) coming from rural areas (56%). Literacy has a great impact on the incidence of pre-eclampsia which was reflected from the study of educational status. The study revealed that 40% of patients were under secondary school level and only 28% of them were graduates or above HSC. Data was collected regarding their occupation, which showed 80% of them were house-wives and 12% were day laborer. Most of them gave a positive family history of hypertension and 32% of them gave no relevant history. Incidence of antenatal care was assessed which showed majority (60%) were on irregular antenatal care which again contributes to the progress of severity of the disease. 92% of severe pre-eclamptic patients were found to be present in last trimester. Blood pressure levels were assessed and 80% of patients had systolic pressure more than 160 mmHg and 76% had diastolic pressure more than 110 mmHg. Among the various symptoms of severe pre-eclampsia most common symptom were Oedema (76%), headache (40%), epigastric pain (12%) and Insomnia (32%). Study of blood biochemistry levels showed high levels of uric acid (72%) and raised serum creatinine levels (26%). Caesarean section rate was found to be extremely high. 72% of the patients underwent caesarean section and rest was delivered vaginally. Overall neonatal outcome was- healthy babies 40%, premature 20%, IUGR 20% and IUD was 8%. Most of them had average birth weight (56%). And overall maternal outcome was Eclampsia 4%, HELLP Syndrome 4%, Abruptio placenta 4%, Renal Insufficiency2% and maternal death 2%. Conclusion: The incidence of morbidity and mortality related to sever pre-eclampsia are remarkably higher in developing countries like Bangladesh. Therefore, measures should be taken to control this deadly condition through Behavioral Change Communication (BCC) regarding antenatal care, danger signs, delivery plan etc. involving public and private sector.