Hi there, was it an essential hypertension issue that led to the pre-e and HELLP, or pregnancy induced? I had high bp before falling pg, developed pre-e 27+3 and HELLP at 27+6, delivered 28+0. Apparently the earlier you develop it, the faster it progresses, and most importantly if you had existing high bp are your risk factors. As I was pre 30 weeks, progressed within a week even on monitoring and had high bp prior to falling pg my chances of developing pre-e again are about 75%, and about 50-50 chance of pre 30 weeks. If you didn't have high bp before getting pregnant you'll be monitored a lot more closely next time, meaning if you starts to show signs they should be able to control things better. I don't know where you're based, but NICE guidelines in the UK have only very recently changed to take note of recent research so now you'll not only be prescribed aspirin but also vitamin D, as it's been shown that women with low vitamin D levels are at much higher risk of pre-e and HELLP. The NHS doesn't routinely test for vitamin D deficiency, but you can get reliable private tests online for about £25. The normal range is 50-150 and my level came back at 2.6! I'm hopeful that between vitamin d supplementation, loosing weight (gone from bmi of 24.5 to 19.5) and taking a multivitamin (studies show about a 45% reduction in pre-e risk in women who take a multivitamin prior to conception compared to those who don't). Also look up the Brewer Diet, it seems to have had very positive results, as does regular exercise both prior and during pregnancy, as it widens the blood vessels.
At the end of the day there are no guarantees, but doing everything you can to reduce risk will at least give you peace of mind and maybe it's that calming effect that will keep you pre-e rather than any dietary or lifestyle changes, but something, somehow helps.
