Hypertensive disorders in pregnancy are one of the common causes for maternal and fetal mortality and morbidity related the pregnancy, incidence being 5-15% of cases in general. They pose significant threat over the community health for which they are to be identified at the earliest and optimally managed. Sonographic Doppler studies offer promising results in identifying the complications and outcomes of pregnancies complicated by pregnancy related hypertensive disorders. Doppler parameters offer important clues regarding normal fetal outcome. Umbilical artery Doppler is a strong and independent predictor of adverse perinatal outcome in patients with pre-eclampsia, significantly related to low birth weight. MCA/UA Pulsatility index ratio had high sensitivity and positive predictive value, in predicting adverse perinatal outcome.