Background: Eclampsia is a life-threatening emergency that continues to be a significant cause of maternal mortality worldwide Aim: To study the incidence of eclampsia and factors influencing maternal outcome in Karnataka population Materials and Methods: A total of 50 eclampsia cases of > 32 weeks of gestation age utilized for the present study. Patients with medical complications like anaemia, pre-existing hypertensive, diabetes, vascular or renal disease, multiple gestations, and polyhydramnios excluded from the study. The eclamptic management by Zuspan regimen, anti-hypertensive management, and obstetric management by vaginal route or cesarean section was planned for the patients in our study. The mothers followed up for evidence of a decrease in BP followed by other complications of eclampsia for six weeks, and the babies delivered are followed up during the early neonatal period for difficulties in the present study Results: The majorities of the patients belong to low socio-economic status 94%, belong to middle class 6% in the present study. The Maternal deaths occurred in the low socio-economic group with an incidence of 4.3%. Maternal mortality increases with an increase in the first fit-admission interval was observed in the present study. Maternal mortality was higher in patients with higher Blood Pressure levels at the time of admission. The Incidence of eclampsia was 0.64%, followed by maternal mortality was 0.4% in the present study. The maternal mortality was significantly higher in patients who had six or more episodes of convulsions. The maternal mortality was 10% in convulsion delivery interval >24 hours and 4.2% in convulsion delivery interval were 13-24 hours. Maternal mortality was not observed in convulsion delivery interval <12 hours in the present study. Conclusion: The incidence of eclampsia is high due to the high referral of eclampsia cases, and reflecting poor antenatal care in the present study suggests that early attention and intensive management are essential for improving the maternal outcome in eclamptic patients.