Background: Preeclampsia remains a major cause of maternal and perinatal morbidity, particularly in low-resource settings. While biological mechanisms are well documented, less attention has been paid to demographic and obstetric determinants. Understanding these factors is critical for early risk assessment and prevention. This study aimed to compare sociodemographic and obstetric characteristics between preeclamptic and normotensive pregnant women attending a tertiary care hospital in Dhaka, Bangladesh. Methods: A case-control study was conducted at Sir Salimullah Medical College Mitford Hospital from February 2022 to January 2023. One hundred pregnant women were included—50 with preeclampsia and 50 normotensive controls. Data on age, BMI, socioeconomic class, gravidity, gestational age, and family or past medical history of diabetes, hypertension, or preeclampsia were collected using a structured questionnaire. Statistical analyses were performed using SPSS version 24. Independent t-tests and chi-square tests were applied, with significance set at p<0.05. Results: Mean age and BMI did not differ significantly between preeclamptic and normotensive groups (p>0.05). Most preeclamptic women belonged to lower socioeconomic classes (44%) and were primigravida (68%), though these differences were not statistically significant. Family histories of hypertension, diabetes, or preeclampsia showed no association with disease occurrence. Gestational age was comparable across groups. Conclusion: Sociodemographic and obstetric parameters, though more adverse among preeclamptic women, did not show statistically significant differences in this cohort. Nevertheless, the predominance of low socioeconomic status and primigravidity among cases underscores the need for focused antenatal surveillance and health education in vulnerable populations.