Background: Preeclampsia is a major public health problem especially in low- and middle-income countries. It is associated with a serious burden on the health care system and the economy of the family. This study aimed to determine the prevalence of preeclampsia and feto - maternal outcome of women diagnosed with preeclampsia in a secondary health facility in North central Nigeria. Materials and Methods: This was a retrospective cross-sectional study carried out among women diagnosed with preeclampsia at Nigeria Customs Hospital KaruAbujaover a seven-month period from 1st of January 2022 to 31st July 2022.Case notes were identified from records in the labour ward, antenatal clinic, theatre, gynaecological emergency and the intensive care unit. The case notes were retrieved from the Central Medical Record’s library. Data was entered and analyzed using the IBM Statistical Product and Service Solutions (SPSS Statistics) Version 27. Armonk, NY: IBM CorpA. Results: The total of 420 deliveries were reported during the study period of which 56 cases developed preeclampsia and only 47 has the complete information and were included in the statistical analysis. The retrieval rate was 83.9%. The prevalence of preeclampsia among the study participants was 13.0%. The mean age of the study participants were 31.04 (5.01) years, The mean gestational age at the booking was 23.86 (4.73) weeks. The mean gestational age at the diagnosis preeclampsia was 35.60(4.87) Only12 (25.5%) participants had severe preeclampsia. Perinatal mortality was 8.5 per 1000, Thirty-three (77.0%) of the neonate were born prematurely, and 2 (4.6%) had birth asphyxia. No maternal death or stroke were reported among the study participants. Only six (12,8) of the women sustained acute kidney injury. Conclusion: The prevalence of preeclampsia was high in the rural community of Karu Abuja. No maternal death was reported among the study participants. The perinatal mortality was 8.5 per 1000 birth.