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research aimed at analyzing the antenatal care parameter which became the risk factor on the preeclampsia incident in the primigravida at kolaka Regency. This was the case control research namely the observational research namely the observational research using the retrospective approach. The research population was all primigravida pregnant women recorded in the medical record BLUD of H. M. Djafar Harun Hopital comprising 5,796 women and BLUD Benyamin Guluh Hospital comprising 5,065 women. The sampels in the case group were the primigravida women suffering from the preeclampsia from January 2014 to September 2018, and the control grup samples were the primigravida women who did not suffer from the preeclampsia in the same period. The research result indicates that the primigravida women of 14-28 years old have 1.581 times bigger risk to undergo the preeclampsia than 29-49 years old group. The hypertension incident in trimester 1 in the primigravida women have 3,405 times bigger risk to under go preeclampsia than the women who do not have the hypertension incident history in trimester 1. The irregular antenatal visits have 1,095 times bigger risk to under go the preeclampsia than the regular antenatal visits. The weight gain of 1-10 kg of the primigravida women have 1,540 times bigger to undergo the preeclampsia than the weight gain of 10-20 kg. the non-obedient primigravida women to undergo the pregnancy examination in accordance with the antenatal care service standard have 1,333 times bigger risk to undergo the preeclampsia than the obedient primigravida women to conduct the antenatal care examination. The most risky variable with the preeclampsia incident in the primigravida women based on the multivariate analysis is the variable of the hypertension incident 1 trimester 1 with the value of OR : 3.363 with the value of CI lower value of 3.363 and upper value of 5.318.