Background:Pregnancy Induced Hypertension (PIH) is a life-threatening complication of pregnancy which adversely affects the maternal and perinatal outcome. Most of the deaths associated with PIH occur due to its adverse effects. Proper management of these complications can improve the perinatal outcome. The present study was aimed to find out the perinatal outcome associated with PIH. Method: A quantitative approach with the prospective cross-sectional design was adopted to study the perinatal outcome of pregnant women with PIH in tertiary care hospital, Dehradun, Uttarakhand. Fifty-one pregnant women who diagnosed with PIH and registered in respective study centre belongs to a hilly area, is Primigravida, gestational age between 26 – 30 weeks, is experiencing at least three vascular symptoms were selected purposively. The women with PIH followed till early puerperal period. Ethical permission was taken from the Institutional Ethical Committee. Informed written consent was taken from each participant. The data were entered and analyzed in SPSS version 21. Result: More than half of the women with PIH (66.67%) hospitalized during pregnancy. Among them, 17.65% had specialized care in ICU. The highest percentage of women (64.71%) had preterm labour. More than half (54.90%) of the women had undergone an emergency caesarean section and every fifth woman (21.57%) underwent elective caesarean section. Most of the women (94.12%) have developed complications. Most of the babies (90.38%) had low birth weight. Majority of the newborn (71.43%) were admitted in NICU. Among them, 42.86% of the babies were resuscitated. All (100%) babies were developed complications. The most common complication seen in the women was Intra Uterine Growth Retardation (IUGR) (79.17%). Conclusion: Early Screening and treatment of women with PIH will help in improving perinatal outcome.