Reducing pre-eclampsia risk in a second pregnancy

Having pre-eclampsia in a previous pregnancy raises the need for closer planning, but it does not mean the condition will definitely return. Pre-eclampsia involves high blood pressure and signs that organs such as the kidneys or liver are under strain. Risk also depends on medical history, age, multiple pregnancy and conditions such as hypertension or diabetes.

Tell your obstetric team about any previous pre-eclampsia before or early in pregnancy. Ask whether low-dose aspirin or another measure is appropriate; do not start it without medical advice. Keep antenatal appointments, take prescribed medicines, stay active within safe limits, and manage blood pressure, diabetes and kidney disease with your care team. An antenatal care package can provide structured checks and opportunities to act on changes early.

Get urgent maternity advice for a severe or persistent headache, visual changes, pain beneath the ribs, sudden swelling of the face or hands, shortness of breath, vomiting or feeling markedly unwell. Reduced fetal movement or any concern about your blood pressure also warrants prompt contact. These symptoms need assessment rather than home monitoring alone.

When should my risk assessment happen? Should I monitor blood pressure at home? Which symptoms require same-day review, and how might induction or caesarean birth be considered if pre-eclampsia develops?