Eclampsia is a serious obstetric complication that, especially in developing countries, is linked to high rates of maternal and perinatal morbidity and mortality. The study's goal is to assess the clinical characteristics of eclampsia, the maternal and perinatal outcomes and proffer suggestions for improvement. The cases of eclampsia managed at the University of Benin Teaching Hospital (UBTH) in Benin City, Nigeria, for over 5 years (from 2015 to 2019) were the subjects of the study. The medical records library, special care infant unit, labour ward, theatre, postnatal wards, and emergency room records were retrieved. SPSS version 23 was used to analyze the generated data. Eclampsia occurred in 16.7 out of every 1000 deliveries. The majority (66.9%) of eclampsia cases included women; between the ages of 20 and 35, who were unbooked (98.1%), and nulliparous (61.3%). 73.8 percent of the cases involved antepartum eclampsia, and 71.9 percent of deliveries were emergency caesareans. Eclampsia contributed to 31.7% of all maternal deaths, had a case fatality rate of 18.97%, and had a mother mortality ratio of 316/100,000 births. Eclamptic deliveries had a 149/1000 perinatal death rate. Pulmonary oedema, renal failure, HELLP syndrome, cerebrovascular accident, and disseminated intravascular were determinant factors in maternal mortality. Eclampsia remains a significant factor in maternal morbidity and mortality, particularly in resource-limited countries. Risk factors such as nulliparity and unbooked status were linked to increased prevalence. It also shows the need for early referral and timely management of the disease.