Background: Eclampsia is commonly defined as new onset of grand mal seizure activity and/or unexplained coma during pregnancy or postpartum in a woman with signs or symptoms of pre-eclampsia. Objective: The objective of this study was to assess the maternal and perinatal morbidity and mortality in eclampsia by early termination of pregnancy. Methodology and Materials: It was a descriptive observational study conducted in the Department of Gynecology & Obstetrics, Uttara Adhunik Medical College and Hospital, Dhaka, Bangladesh during the period from January 2017 to December 2019. In total 188 pregnant women admitted to the mentioned hospital with antepartum eclampsia were finalized as the study population. This study was approved by the ethical committee of the same hospital. Between the age group, maternal and perinatal outcomes were compared. Data were analyzed using statistical methods with SPSS version 22. Results: In this study 7(9.86%) maternal deaths had occurred among 71 vaginal deliveries. 6(5.36%) maternal deaths had occurred among 112 caesarean deliveries. Besides these, 5 cases were undelivered which all were maternal death. Among 188 cases total of 18(9.57%) maternal deaths had occurred. We did not find any significant correlation between the total number and modes of deliveries of maternal deaths (P=0.581). Among 71 vaginal deliveries, 10(14.08%) stillbirths and 28(39.44%) neonatal deaths occurred respectively; that is why in total 38(53.52%) perinatal deaths occurred against total 71 vaginal deliveries. Among 112 caesarean deliveries, 3(2.68%) stillbirths and 10(8.93%) neonatal deaths occurred respectively; that is why in total 13(11.61%) perinatal deaths occurred against total 112 caesarean deliveries. Besides these, perinatal deaths were counted as stillbirths which were 5 in number. In this study in total 56(29.79%) perinatal deaths occurred of total study people. Conclusion: In pregnant women with eclampsia frequency of caesarian delivery is near about two times than vaginal delivery. But the maternal mortality in caesarian delivery of pregnant women with eclampsia is near about half of that in vaginal delivery. In such cases, perinatal mortality is about one-fifth in caesarian delivery than that of vaginal delivery.