Background: Preeclampsia is a hypertensive disorder of pregnancy associated with significant maternal morbidity and mortality worldwide. Identifying risk factors and understanding maternal complications are crucial for timely diagnosis and management, especially in tertiary care settings.

Objective: To evaluate the maternal risk factors and complications associated with preeclampsia among pregnant women admitted to a tertiary care hospital.

Methods: This observational study included 100 pregnant women diagnosed with preeclampsia after 20 weeks of gestation. Demographic data, clinical risk factors, severity, and maternal complications were recorded and analyzed using descriptive and inferential statistics.

Results: The majority of patients were primigravida (66%) and aged 21–30 years (58%). Common risk factors included obesity (42%), family history of hypertension (21%), and history of preeclampsia (18%). Severe preeclampsia was noted in 38% of cases, and early-onset disease (<34 weeks) in 26%. Maternal complications occurred in 47%, with eclampsia (14%), HELLP syndrome (9%), and acute renal injury (8%) being most frequent. Cesarean delivery was performed in 64% of cases. No maternal deaths were reported.