Background: Hypertension is the most common diagnostic sign of preeclampsia, although some women present with convulsions, abdominal pain or general malaise. Preeclampsia occurs in 5 to 7 percent of all pregnancies. Although its pathogenesis is incompletely understood, it is a major cause of maternal and neonatal morbidity and mortality. Objectives: The aim of the study was to evaluate the fetal outcome in preeclamptic mothers in a tertiary Hospital. Methodology: The Study was conducted in the department of obstetrics and gynecology of Sylhet MAG Osmani Medical College Hospital. Sylhet, Bangladesh to find out the common indications of fetal outcome of preeclamptic mother. 120 cases were randomly selected for the study whose common indication of fetal outcome of preeclamptic mother. Clinical examination and evaluation were done from July 2006 to June 2007. Other necessary investigations were done if clinically indicated and to prepare the patient for anesthesia. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Results: Comparison of mean (±SD) age (24.30±4.03 and 24.654.41 years) and height (61.43±1.80 and 61.92±1.52 ern) did not show any significant difference. However, comparison of mean (±SD) weight (71.20+4.38 and 69.27±2.86 kg), blood pressure (systolic: 154.83±9.48 and 112.33±11.10; diastolic: 102.58±9.94 and 71.33±6.23 mmHg), gestational age (36.12±2.45 and 38.42± 1.03 weeks) and gravidity (1.45±1.13 and 1.10±0.30) showed significant differences between case and control groups. Conclusions: To avoid and/or reduce fetal and neonatal morbidity and mortality among preeclamptic women, careful examination and investigations are required for early detection and thus to reduce. Maternal and fetal morbidity and mortality.