When my niece and her husband conceived their triplet daughters just three months after giving birth to their first daughter she was very closely monitored for preeclampsia since she had some HBP issues, although not full blown preeclampsia with their first, but she did have a very long labor that stopped progressing and when her blood pressure rose and the babys heartbeat started to drop after 32 hours in labor, it necessitated an emergency C-section, that and her first born with her former husband was born 2 months premature so there was a lot of concern about the triplet pregnancy but she found a high risk OBY and a hospital that could handle such a complicated and high risk birth.
So with the triplets, she had nearly weekly urine tests to look for proteins and weekly BP readings taken. She also had to be given weekly hormone shots through most of her pregnancy to prevent early labor and because it was so high risk, was hospitalized a full month prior to her scheduled C-section at 32 weeks. Just after giving birth to the Triumvirates or the minions as we like to call them, she had to get shots of magnesium to reduce the chance of seizure.
But I also understand that sometimes preeclampsia can come on very suddenly. My nephews wife with their first child was such a case.
His wife had never prior to or during her pregnancy had any HBP readings or any high protein urine tests during her pregnancy, and she was on the thin side, very fit and very healthy, excellent diet and got plenty of pregnancy appropriate exercise. But in the last few days before delivery she had some swelling around her ankles but was told it was normal. It wasnt until she went into labor that things started to go wrong, potentially very wrong. During labor her BP sky rocketed through the roof but her labor had progressed too far at that point for a C-section. Fortunately, she and baby came out fine but she and she didnt have such issues with their second child. Except that during her second pregnancy it was discovered that she had developed cataracts.
About six months after she gave birth she underwent surgery for cataracts and at 29 years old. When she went to the ophthalmology surgery center, she said she was the only patient there under 70 years old. And shes also now on HBP meds and probably will be for life.
She also probably wasn’t drinking enough water, as probably the groom and most others in the wedding that day. Would make a strokethat much more easy to occur.