Introduction: Eclampsia is a very serious and relatively frequent complication of pregnancy which is considered as ‘obstetrical tragedy’ to the unborn fetus the mother and to the obstetricians. Early diagnosis and proper treatment can reduce the maternal mortality due to eclampsia. Aim of the study: The aim of this study was to assess the maternal outcome of intensive care management for the critically ill eclamptic patients admitted in Dhaka medical college Hospital. Methods: This longitudinal prospective study was conducted in Eclampsia ward and ICU Ward of Dhaka medical college Hospital from January to December of 2004. Sixty Seven very critically ill eclampsia patients were included in this study. Relevant information regarding demographic, during pregnancy, complications, past history of eclampsia, history of antenatal check-up, including drug history were collected. Result: In this study among the 757 eclampsia patient, 67 (8.85%) were critically ill. Maternal mortality was 43.11% due to eclampsia. 70% patients had very high diastolic blood pressure, 44.77% patients have severe oliguria, and 61.69% patients had severe degree of proteinuria. 26.86% of patient’s level of consciousness was less than 5. Unavailability of bed is the prime (75%) cause of delay in shifting patient to ICU ward. Those treated by peritoneal dialysis recovered completely (100%). 25.37% patients had HELLP syndrome and 20.89% had CVA. The most common cause of maternal death in eclampsia ward was cerebrovascular accident 31.42% and in ICU multiorgan failure (33.33%). Mortality was very high among the patients who were with no ante-natal check-up (82.23%). Twenty patients received ICU support and mortality is 12 (60%), but among those 47 patients not received support mortality is 35 (75%). Conclusion: Many patients come to the Hospital at the terminal stages, not only with primary complications but also with many secondary complications. Therefore, a last minute best management effort should be given to everyone by when the complications are diagnosed, a teamwork approaches by multidisciplinary health care.