Introduction: Previous studies have shown that location of placenta may predispose the pregnancy to an adverse outcome like pregnancy induced hypertension(PIH). Objective(s): To find out whether placental laterality as determined by ultrasound can be used as a predictor of development of preeclampsia. Method: This prospective study consisting of 120 singleton pregnant women was evaluated to fi nd out whether the lateral location of placenta as shown by ultrasound at 18-24 weeks of gestation can be used to predict the development of preelampsia. Results: Out of 120 pregnant women, 14 patients had PIH, and 86 patients didn't development any maternal complications. Among these 14 patients, 64.28% were primigravidae, 21.42% were secondgravidae while 14.28% were multigravidae. Further, 21.42% of patients with central placenta had developed PIH and 78.57% of patients with lateral placenta developed PIH (P<0.001). Even incidence of complications of PIH like IUGR (Intrauterine Growth Retardation) were high in PIH developed with laterally implanted placenta when compared centrally located placenta. Conclusion: The detection of laterally located placenta on ultrasound can be considered as a reliable predictor of preeclampsia.