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What are the warning signs of pre-eclampsia?

A bad headache and flashing lights in late pregnancy can be an emergency.

Medically reviewed by Dr. Christopher Sterling, obstetrician ·

The short answer

Call your midwife, maternity unit or doctor right away if you have a severe headache, vision problems (blurring or flashing lights), pain just below your ribs, vomiting, or sudden swelling of your face, hands or feet — usually after 20 weeks, and even after birth.

Illustration of a blood pressure gauge

Why it matters

Pre-eclampsia is a condition of high blood pressure and organ strain that develops after 20 weeks. It can become dangerous for mother and baby if not treated.

It can also appear after birth — usually in the first few days but up to around 6 weeks — so keep watching for symptoms postpartum.

That’s why your blood pressure and urine are checked at every appointment. People at higher risk may be offered low-dose aspirin from 12 weeks.

What to do

  • Learn the symptoms and don’t dismiss a severe headache as “just tiredness”.
  • Call your maternity unit the same day if symptoms appear.
  • Keep every antenatal appointment — blood pressure checks catch it early.

Common questions

Can you get pre-eclampsia after giving birth?

Yes. Postpartum pre-eclampsia usually occurs within days of birth but can happen up to about six weeks later.

Sources

  1. NHS — Pre-eclampsia
  2. ACOG — Preeclampsia and high blood pressure during pregnancy

Medically reviewed by Dr. Christopher Sterling, obstetrician, on against the sources above. Guidance can differ between countries — always follow the advice of your own midwife, doctor or pharmacist. Medical disclaimer.

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