A total of 13,779 pregnant women attended maternity care at Mbale RRH, of which 328 (2.4%) had PE. Of the 328 pregnant women with PE, 108 (32.9%) were between 20-24 year of age, 166 (50.6 %) were prime gravida mothers, 174(57%) had delivered by caesarian section, 284 (87%) delivered live babies, 20 (6%) had fresh still birth, and 22 (7%) had macerated still birth.  The overall incidence of PE in Mbale RRH was 23.8 per 1,000 pregnant women with two deaths CFR=0.61%. PE was high among women aged ≥45 years and para≥ 9 women (100/1,000) and (26.6/1,000) respectively.