ABSTRACT Introduction: Hypertensive disorders in pregnancy (HDP) is the spectrum of disorders ranging from already existing chronic hypertension in the index pregnancy to complex multisystem disorder like preeclampsia leading to the complications like eclampsia, HELLP syndrome, acute renal failure, pulmonary edema, stroke and left ventricular failure. Preeclampsia, which affects 5–8% of pregnancies worldwide, is one of the leading causes of maternal and fetal morbidity and mortality. Aims: The aim of the study is to know the usefulness of Gestosis Score in the early prediction of Hypertensive disorders in pregnancy (HDP) Materials and Methods: The present study was a Prospective comparative observational study. This Study was conducted from April 2021 to September 2022 at Department of Obstetrics & Gynaecology, Chittaranjan Seva Sadan, College of Obstetrics, Gynaecology and child health. Result: In our study, higher number of patients had LBW [19 (25.3%)] in group A compared to group B [13 (17.3%)] but it was not statistically significant (p=0.2317). Conclusion: We found that, significant number of patients from the high-risk group developed thrombocytopenia, elevated transaminases, HELLP and severe hypertension. We also found that risk of IUGR and number of SNCU admission were much higher in group A