Introduction: Pregnancy-related hypertension is a prevalent medical complication, responsible for a quarter of all antenatal admissions. It poses a significant risk to both maternal and fetal health, often resulting in morbidity and mortality. Global statistics show that hypertensive disorders of pregnancy affect around 10% of pregnant women, with Preeclampsia being a specific concern for 3-5% of pregnancies. This research aims to investigate the gestational age at delivery, delivery methods, maternal health outcomes, and fetal well-being among patients with hypertensive disorders of pregnancy. Materials and Methods: This was a prospective study conducted at a tertiary care teaching institute, in Western India, from June 2019 to September 2021. 150 patients fitting as per criteria were included in study and their maternal and fetal outcome was analysed. Results: Maximum number of patients (63.3%) were between 21-30 yrs of age and were primigravida (96). 116(77.33%) patients were booked. 75 patients were diagnosed with preeclampsia. Mean gestational age at the time of delivery was 34 weeks in our study. Out of total patients, 111 underwent LSCS and 39 delivered vaginally. Of 67(44.66%) patients having complications, highest was eclampsia followed by abruption. 122(81.3%) babies required NICU admission. Total perinatal death was 22(14.66%) and 3(2%) maternal mortality occurred. Conclusion: Maternal parameters of blood pressure, proteinuria along with premonitory signs and symptoms should be regularly monitored. Fetal well-being should be ensured with serial USG. Nonstress test, modified biophysical profile and fetal doppler studies should be used to detect fetal compromise at the earliest and to decide a timely step for best feto-maternal outcome.