A 31-year-old G3P1 with prior early-onset pre-eclampsia at 29 weeks asks about recurrence risk in the current pregnancy. The most accurate statement is:

• A Recurrence risk is less than 5 percent if she was normotensive between pregnancies
• B Recurrence depends solely on the partner in each conception
• C Prior pre-eclampsia protects against superimposed disease in later pregnancies
• D Recurrence risk is approximately 25 percent or higher with prior early-onset disease ✓

Explanation

A history of pre-eclampsia is one of the strongest risk factors for recurrence: roughly 15 to 30 percent overall, rising above 25 percent when the index episode was early onset or severe. Prior affected pregnancy places her in the high-risk category warranting aspirin prophylaxis. Paternal factors influence risk modestly but do not determine it alone.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.