Background: Preeclampsia is one of the main causes of maternal and perinatal morbidity and mortality in the world with possible serious consequences for the mother and fetus Methodology: Retrospective cross-sectional study. 385 randomly selected patients were included from the total number of patients with a diagnosis of severe pre-eclampsia according to the current criteria. Demographic, clinical variables, maternal, early neonatal outcomes, and management were included. Descriptive statistics were used and possible differences between groups were explored. The protocol was approved by the hospital's research committee and the ethics committee of the Universidad del Rosario. Results: The mean age of the patients was 28 years SD 6.28, the majority nulliparous 65.45% (95% CI 60.77; 70.45), with no relevant history. They presented a late onset (greater than 34 weeks) in 62.33% of cases (95% CI 57.66; 67.50). Among the maternal outcomes, the need for antihypertensive drugs at discharge was identified in 85% (CI 9581.67; 88.56), followed by cesarean delivery in 83.72% (CI 80.31; 87.50). The average fetal weight at birth was 2281 SD 837.73. The variables associated with maternal and fetal outcomes were consistent with the characteristics of the disease. Conclusion: This study characterized the clinic and outcomes of severe Preeclampsia at the Hospital Universitario Mayor-Méderi, being a representative sample of the maternal population with this condition at the institution
