Hi. I had severe pre-eclampsia (bp 200/120's) and was induced at 38.3 weeks. I then developed post-partum HELLP syndrome. I was hospitalized for 11 days after giving birth, and was still in pretty rough shape when I was discharged. I was considered in critical condition. It took about 3 months on meds and a strict diet to get everything back to normal. I never thought I would have another child.
This past December I went and saw a high risk OBGYN specialist for a consultation. He said there are certain things they look for to figure out your risk of getting pre-e (and in my case HELLP) again. Because you were late in your pregnancy when it developed, the risk goes down significantly to under 10%. That is with the assumption that you will be taking a low dose aspirin throughout your pregnancy and closely monitored by your OB.
If you do develop it again, it should be less severe than the first time. I was petrified to even think about getting pregnant again, but after my hour long conversation with him, I feel much better. There still is fear, but I know I am in very capable hands if something does go wrong.
I got my BFP in July and I have seen him twice since. Our first appointment he did a very thorough exam. He checked my bp, urine, pap, and a physical exam for any swelling or pain in my liver area (with HELLP you tend to get epigastric pains from liver failure). He went over in detail what our plan of action is going to be. I am going to have normal check ups until I am 20 weeks, then I will see him every other week, until 30 weeks where I will see him every week. He gave me his cell phone number to call if ANY symptom arises. He told me to have a plan for my daughter in case I have to be hospitalized, as he said he is taking zero chances and will admit me for any change. We went over every possible symptom just as a reminder. He told me to take my BP once a day (not more if BP is okay - doesn't want to cause anxiety).
I am 16 weeks and so far everything is perfect.
The main thing I would say is to get an OBGYN that you trust, and is very familiar with pre-e. My Dr said I was horribly mismanaged by my first OB, and although he cannot say for sure, he doesn't think I would have been so severe if action was taken sooner. (My BP was over 160's over 100's by 36 weeks). Also ask your Dr about baby aspirin.
Another thing he stressed, I mean STRESSED, was ABSOLUTELY NO smoking or being around second hand smoke. Pre-eclampsia wrecks havoc on your blood vessels and cigarette smoke makes it so much worse. Not to scare you but everyone who has ever had pre-eclampsia is at an increased risk of heart disease in our future. Talk to you OB and your family Dr about it. My OB wants me on aspirin not only for pregnancy, but forever.
Wishing you a heathy, happy and pre-e free pregnancy! I'll be stalking this thread to see how you're doing!
They've been keeping an eye on me very closely though. I was hospitalised at this point with my son, so just try to stay positive ladies, every pregnancy is different 
