Eclampsia account for significant cases of complicated hypertension in pregnancy as well as leading cause of maternal mortality worldwide in view of its multi systemic involvement. It is the onset of seizure with altered sensorium during pregnancy or postpartum in a woman with signs or symptoms of pre eclampsia. It typically occurs after the twentieth week of gestation or in the postpartum period, though most cases occur in the third trimester of pregnancy.

However, Magnesium sulphate in addition to other interventions in Nigeria has been effective in the management of eclampsia with the midwife playing the pivotal role in the reduction of mobility and mortalities associated with the condition.

This presentation focuses on the etiology/risk factors of eclampsia, pathophysiology, diagnosis, complications, prevention and role of the midwife in the management of eclampsia in Nigeria.