The aim of this paper was to describe the role of the midwife in predicting and preventing preeclampsia. Preeclampsia is the most common form of hypertensive disease in pregnancy. It is defined as the appearance of hypertension after the 20th week of pregnancy, with blood pressure values >140/90 mmHg (18.7/12.0 kPa) in two measurements more than 6 hours apart and proteinuria of 300 mg in 24-hour urine or 0,1/L urine in 2 samples taken 4-6 hours apart. Given the public health significance of preeclampsia, numerous studies have been conducted on the etiopathogenesis and prevention of this disease. Prediction methods today include personal and obstetric anamnesis, arterial pressure measurement, ultrasound Doppler measurements, and biochemical tests and their combinations. Heparin, pravastatin, magnesium sulfate are used for prevention, whilst the most widely used is aspirin in a dose of 100 mg from the 12th week of pregnancy. There are numerous divisions of preeclampsia, the most significant of which nowadays is early onset (before the 24th week) and late onset (after the 37th week). The midwife's role in prediction is to single out pregnant women with a personal and obstetric history that could result in the onset of preeclampsia during the first examination. At the next examinations, the midwife should warn the pregnant woman about the signs that can lead to preeclampsia. Also, in agreement with the doctor, the pregnant woman can be introduced to other prediction methods. In terms of prevention, the midwife's role is to guide the pregnant woman through general hygiene and dietary measures on how to reduce the frequency of preeclampsia through responsible behavior.