Preeclampsia is a major cause of morbidity and mortality during pregnancy. To date, the pathogenesis of the disease is not fully understood. Recent studies show that preeclampsia is associated with overexpression of hemoglobin genes α2 and γ and accumulation of the protein in the vascular lumen of the placenta. Hypothesizing that cell-free hemoglobin leaks from the placenta into the maternal circulation and contributes to the endothelial damage and symptoms by inducing oxidative stress, we analysed fetal and adult hemoglobin (HbF, HbA), haptoglobin, oxidation markers and the heme scavenger and antioxidant α 1 -microglobulin in plasma, urine and placenta in preeclamptic women (n=28) and normal pregnancies (n=27).The mean plasma concentrations of HbF, HbA, protein carbonyl groups, membrane peroxidation capacity and α 1 -microglobulin were significantly increased in preeclamptic women. The levels of total plasma Hb correlated strongly with the systolic blood pressure.The plasma haptoglobin concentrations of women with preeclampsia were significantly depressed. Increased amounts of α 1 -microglobulin-mRNA and protein were found in placenta from preeclamptic women and the levels of plasma and placenta α 1 -microglobulin correlated to plasma Hb-concentrations. The heme-degrading form t-α 1 -microglobulin was significantly increased in urine in preeclampsia. These results support that hemoglobin-induced oxidative stress is a pathogenic factor in preeclampsia.