Objective : To study the clinico–social risk factors for preeclampsia in a tertiary care hospital in Bhubaneswar, Odisha. Methodology : A case control study was done in a tertiary care hospital in Bhubaneswar. Clinical and socio–demographic data was collected from 167 inpatients with preeclampsia and similar number of controls and was analysed. Results : Majority of the women(63.9%) belonged to the low socioeconomic class with low education level. More than half were overweight(57.3%) and 61% of them were primipara. A significant number of patients(18.5%) gave a previous history of preeclampsia. Insulin resistance also presented as a risk factor. Conclusion: Though the aetiology of preeclampsia still remains obscure, there are certain risk factors which have remarkable association with the prevalence of the disease. Understanding these will enable the clinicians for early diagnosis and timely intervention