Background: Eclampsia remains a significant contributor to maternal and perinatal morbidity and mortality in developing countries. This study aimed to evaluate the maternal and fetal outcomes of eclampsia patients admitted to Dinajpur Medical College Hospital. Methods: This cross-sectional study was conducted in the Department of Obstetrics and Gynaecology at Dinajpur Medical College Hospital, Dinajpur, Bangladesh, from July 2008 to December 2008. In this study, we included 52 patients who were admitted with eclampsia at Dinajpur Medical College Hospital during the specified study period. Results: Most patients were aged 21–25 years (48.1%), primigravida (65.4%). Nearly half (48.1%) delivered between 33–37 weeks of gestation. Most of the patients had the antepartum eclampsia (55.8%), followed by postpartum (25.0%) and intrapartum (19.2%) eclampsia. Regarding morbidity, 44.2% experienced complications, most commonly wound infection (15.4%) and raised blood pressure (15.4%). Maternal mortality was 5.8%, with stroke (66.7%) and pulmonary edema (33.3%) as the leading causes. Among 54 neonates, 88.9% were live births and 11.1% stillbirths. Of the 26 neonates referred for pediatric evaluation, prematurity (46.2%) and birth asphyxia (34.6%) were the predominant causes. Early neonatal death occurred in 23.1% of referred cases, mainly due to birth asphyxia (50%) and prematurity (33.3%). Overall, 77.8% of neonates were discharged healthy, while perinatal death accounted for 22.2%. Conclusion: Eclampsia remains a significant cause of maternal and perinatal complications. Maternal morbidity was common, though mortality was relatively low, while perinatal death and neonatal morbidity were substantial, largely due to birth asphyxia and prematurity.