To assess the efficacy of calciuria as a diagnostic test for the prediction of preeclampsia, and also to determine the changes in urinary excretion of calcium in preeclampsia and normotensive women. A prospective study was conducted on 60 primi mothers in the age group of 20-30years, and all were enrolled at 16weeks of gestation with clinical follow up by 4weeks and 24h urinary calcium and creatinine estimation. Ten mothers developed preeclampsia (study groups) and fifty remained normotensive (control groups). By means of Receiver-operator curve, a cut-off level of urinary calcium in 24h was chosen for predicting preeclampsia. Preeclamptic women excreted significantly less total urine calcium (87.0±3.59mg/24h) than normotensive women (303.68±17.699mg/24h) (p<0.0001) at 40weeks of gestation. Urinary calcium and calcium/creatinine (Ca:Cr) ratio decreases progressively from 28weeks to 40weeks in the study group when compared to normotensive group. Preeclamptic women excrete less calcium than normotensive women. This parameter would predict preeclampsia earlier in pregnancy.