Background: The perinatal mortality in pre–eclampsia in developed countries ranges between 7–10% and in developing countries it is about 20%. Diastolic blood pressure >95mmhg is associated with 3 fold increased in fetal death rate. Fetal mortality markedly increases with rising maternal diastolic pressure and proteinuria. In eclampsia the perinatal mortality is very high to the extent of about 30– 50%. This article provides a systematic evaluation of the current state of knowledge in this area. Aim: To compare the mode of delivery between control group and PIH group and compare the difference in the outcome between PIH group and control group such as gestational age, birth weight of new born. Materials and Methods: The study was conducted in a teaching hospital in Telangana State, India over a period of 6 months from June 2018 to December 2018. All pregnant women coming to antenatal outpatient were screened for PIH by measuring blood pressure, if initial BP was high or >140/90 mmHg 2nd reading was taken after 4 hrs and if BP persisted to be and found >140/90mmHg, labeled as PIH and included in study as PIH group. Total no of cases –75 and Total no of controls –100. At the time of delivery mode of delivery noted. Babies were weighed immediately after birth and on 2nd day of life. Gestational age assessment was done within 12hrs of life by New Ballard Scoring. The data was recorded on a predesigned proforma tabulated and analyzed statistically. Results: Out of 75 cases 22 had normal vaginal delivery, 53 delivered by LSCS. In 100 controls 27 had LSCS while 73 had normal vaginal delivery. i.e. 70.67% of the cases and 27% of the controls had undergone LSCS. Out of 75 cases 41 had low birth weight and in 100 controls 23 had low birth weight babies. In PIH cases there were more preterm deliveries. 63.01% (n=46) of the babies in cases are preterm compared to 23.23% (n=23) in control group. Conclusion: Pregnancy–induced hypertension (PIH) is the development of new hypertension (systolic above 140 or diastolic above 90 mmHg) in a pregnant woman after 20 weeks of gestation. It is one of the most common causes of death due to pregnancy. Pre–eclampsia usually occurs after 32 weeks; however, if it occurs earlier it is associated with worse outcomes. Complications of PIH can affect both the mother and the fetus. Our study is prospective observational study and shows PIH is associated with increased frequency of Caesarean Section, preterm delivery, and low birth weight babies.