Background: Hypertension in pregnancy disorder is most common medical complication of pregnancy and approximately a quarter of all pregnant women admissions. Hypertension, haemorrhage, infection, form the deadly triad that contributes to maternal mortality and morbidity during antenatal and postnatal period. Aims and objectives: In this study was find out that lateral location of placenta detect on ultrasound at 18 to 24 weeks pregnancy as a predictor of preeclampsia. Result:A retrospective, prospective and observational study was conducted on 130 pregnant women randomly selected in our hospital, out of which 62 females had laterally located placenta and 68 had centrally located placenta.68.09 percentage women in lateral placenta group developed preeclampsia. So, that in women with laterally located placenta developing preeclampsia was 3.769 times greater than those with centrally located placenta, overall risk of developing PIH with laterally located placenta was 3.769. Conclusion: In this study laterally located placenta increased association of development of preeclampsia in patients than centrally located placenta which reduces the hospital burden, and long term consequences of the disease thereby reducing the burden of critical care for mother and newborn in hospital. Thus, making ultrasonography a cost effective, practical, painless, beneficial and reliable screening tool.