: Maternal mortality is still one of the world health problems. It was estimated that more than 536,000 women per year died due to labor. In 2007, Indonesia maternal mortality rate (MMR) was 248 per 100,000 live births, which was the highest among SoutheastAsia countries. The most frequent cause of maternal mortality is hypertension in pregnancy. The insidence of pre-eclampsia in Indonesia is approximately 3-10% of all cases of pregnancies, which is 23.6 per 1,000 births. This study aimed to determine the characteristics and outcomes of pre-eclampsia in Prof. Dr. R.D Kandou General Hospital Manado. This was a retrospective descriptive study. Data were obtained from the medical records of pre-eclampsia patients from January 1 until December 31, 2011 at the Department of Obstetrics Gynecology Clinic. There were 328 patients admitted to the hospital with a diagnosis of pre-eclampsia or eclampsia. The data consisted of 121patients with mild pre-eclampsia, 103 patients with severe pre-eclampsia, 86 patient with superimposed pre-eclampsia, and 18 patients with eclampsia. Maternal deaths were 11.1 %. Perinatal deaths in mild preeclampsia were 1.6%; in severe preeclampsia 3.8%; in super-imposed pre-eclampsia 3.5%; and in eclampsia 11.1%. Conclusion: The most frequent cases of pre-eclampsia were mild pre-ecxlampsia, followed by severe pre-eclampsia, super-imposed pre-eclampsia, and eclampsia respectively. Perinatal deaths were the highest in eclampsia cases