Preeclampsia (PE) still causes maternal-fetal-naonatal morbidity and mortality. We attempted to find correlation of Ductus Venosus Doppler velocimetry, pulsitility index (MCA/UA ratio) and amniotic fluid index in prediction of perinatal outcome in severe PE. Umbilical artery Pulsatility Index (PI), the presence of absent or reversed end diastolic blood flow, middle cerebral artery PI, and ductus venosus (DV) PI were examined. We found a correlation between an increased DVPI and adverse perinatal outcome, with a sensitivity of 91.7% and a specificity of 76.6%. Also, decreasing amniotic fluid index predicted poor outcomes. Ductus venosus Doppler waveform and decreased amniotic fluid index may be a predictor of poor perinatal outcome in PE.