Background: Eclampsia is one of the leading direct causes of maternal mortality and remains a serious obstetric disorder particularly in tropical obstetric practice. Provision of quality antenatal and maternity care services are essential in reducing the incidence of the disease and the complications associated with it.

Objective: To determine the prevalence, socio- demographic variables and feto-maternal outcome in patients with eclampsia.

Study Design: A 5-year retrospective study on Eclampsia at Federal Teaching Hospital (FTH) Katsina, from 1st January 2009 to 31st December 2013.

Results: There were 105 cases of eclampsia out of 11,734 deliveries during the study period, giving a prevalence of 0.89%. About 51.4% of the patients were adolescents, 64.28% were primigravidas and majority of them (82.9%) were unbooked. Caesarean section was the mode of delivery in 68.57% of cases. Thirty percent (30%) of the babies were of low birth weight. Maternal and Perinatal mortalities occurred in 21.42%, and 91.42% respectively.

Conclusion: Eclampsia is highly prevalent in our setting and is more among adolescent unbooked primigravidas and is associated low birth weight and significant maternal and perinatal mortalities.