BACKGROUND OF STUDY: Preeclampsia is a multi – organdisease of unknown aetiologycharacterized by abnormal vascular response to placentation that is associated with increased systemic vascular resistance, enhanced platelet aggregation, activation of the coagulation system, and endothelial cell dysfunction. Coagulation abnormality associated with preeclampsiaincreases the risk of bleeding complications.The coagulation complications attributed to preeclampsia could be prevented by early assessment for coagulation factors so as to decrease maternal and foetal morbidity and mortality. OBJECTIVE: To determine and compare the coagulation profile parameters of pre-eclamptic women with normotensive controlsbetween 28 – 42weeks gestation, presenting for delivery at the study locations. It also determined the association between the coagulation profile parameters and the severity of preeclampsia.Maternal and neonatal outcomes was determined and compared. METHODS:This was a comparative cross – sectional study among pregnant womenin the Departments of Obstetrics and Gynaecology, Federal Teaching Hospital, Ido-Ekiti and Ekiti State University Teaching Hospital, Ado – Ekiti, Ekiti State.One hundred and twenty-four (124)parturientswith 62 in each arm that satisfy the inclusion criteria and gave consent were recruited. Plasma prothrombin time (PT) and the international normalised ratio (INR), partial thromboplastin time with kaolin (PTTK) and fibrinogen were measured in the pre-eclamptic and compared with that of the normotensive controls. Patients with established coagulopathy were excluded. DATA ANALYSIS:The data generated was analysed using the Statistical Package for Social Science (SPSS) for Windows software version 22.Frequency tables and chartswere made and ii appropriate tests for statistical significance was used to determine the difference in thecoagulation profile parameters of pre-eclamptic women and normotensive controls with level of significance set as p < 0.05.