If you have not yet read our previous blog post, Understanding Preeclampsia: The Silent Danger Every Expectant Mom Should Know, we recommend checking it out first, as we are continuing that important conversation here.(https://loveandgracewellness.com/2024/10/02/understanding-preeclampsia-the-silent-danger-every-expectant-mom-should-know/)
The journey of pregnancy is both beautiful and complex, but it can also come with challenges that require us to be vigilant. Preeclampsia is one of those pregnancy conditions that can sneak up on you, but don’t worry, knowledge is power. Being familiar with the signs and symptoms of preeclampsia can make all the difference. If you’re pregnant, or know someone who is, understanding these signs can help you recognize preeclampsia early and get the necessary care for both you and your baby.
Here are some key symptoms you should keep an eye out for:
1. High Blood Pressure (Hypertension)
A sudden spike in blood pressure, reaching 140/90 mmHg or higher, is one of the earliest and most common signs of preeclampsia. Unfortunately, it doesn’t always come with noticeable symptoms, which is why routine check-ups are crucial. Blood pressure checks are your body’s way of sending early warning signals, even when you might feel perfectly fine.
2. Protein in the Urine (Proteinuria)
Proteinuria, or high levels of protein in the urine, is a sign that your kidneys are under stress. If your urine looks unusually foamy or bubbly, it’s worth mentioning to your doctor. This symptom often accompanies hypertension and can be one of the first clues that preeclampsia is affecting your body.
3. Shortness of Breath
If you find yourself feeling out of breath or struggling to take in a full breath, it may be due to pulmonary edema—fluid buildup in the lungs caused by preeclampsia. Don’t brush off sudden shortness of breath; it’s important to seek medical attention quickly.
4. Severe and Persistent Headaches
Headaches in pregnancy are not uncommon, but if you’re dealing with a relentless, pounding headache that does not respond to medication, it could be a sign of preeclampsia. These headaches are often described as persistent and intense, signaling the need for immediate medical attention.
5. Vision Changes
Blurry vision, seeing flashing spots, or sensitivity to light may mean preeclampsia is affecting your brain and nervous system. Vision changes can feel disorienting, but don’t brush them off—they are your body’s way of telling you that something serious might be going on.
6. Sudden Swelling (Edema)
While some swelling is a normal part of pregnancy, sudden and significant swelling in the hands, face, or feet could be a red flag. This kind of swelling, especially if it’s paired with rapid weight gain, can be a sign that preeclampsia is causing your body to retain fluid.
7. Pain in the Upper Abdomen or Shoulder
Preeclampsia can cause pain in the upper right side of your belly, just under the ribs, or even in your shoulder. This pain is often linked to liver distress, which is a more serious complication of the condition.
8. Nausea or Vomiting
While morning sickness is common in early pregnancy, unexplained nausea or vomiting in the later stages can be a sign of preeclampsia. If you experience this symptom, especially after mid-pregnancy, speak with your healthcare provider to rule out any serious concerns.
9. Low Blood Platelets (Thrombocytopenia)
Thrombocytopenia can cause unusual bruising or prolonged bleeding due to a drop in your blood’s platelets—cells that help with clotting. A simple blood test can reveal if your platelet levels are low, which could indicate that preeclampsia is starting to affect your blood system.
10. Organ Dysfunction
Preeclampsia can affect multiple organs, particularly the kidneys and liver. If these organs aren’t functioning correctly, you may notice symptoms like reduced urine output or pain in the upper right abdomen, just under your ribs. These are signs of serious complications that must be addressed immediately to prevent further damage.
What Should You Do If You Notice These Symptoms?
If you notice any of these symptoms, don’t hesitate to reach out to your healthcare provider. Preeclampsia can develop quickly, and early detection is key to ensuring you and your baby stay healthy. Your doctor may monitor your blood pressure, test for protein in your urine, or run other checks to make sure your organs are functioning well.
We understand how overwhelming pregnancy can already feel, and adding concerns about preeclampsia might seem daunting. But you’re not alone on this journey. At Love and Grace Wellness, we’re here to help you stay informed, confident, and supported. Remember, the sooner you speak up about anything that feels off, the better prepared you and your healthcare team will be to keep both you and your baby safe. Stay informed, stay safe, and trust your instincts—they’re your best guide.
Still feeling unsure about any of these symptoms? Don’t worry—we’ve got you covered. Check out our short video on Youtube: WHAT IS PREECLAMPSIA? Black women’s health series.
1. Cleveland Clinic (2021) Preeclampsia: Symptoms, causes, treatments & prevention, Cleveland Clinic. Available at: https://my.clevelandclinic.org/health/diseases/17952-preeclampsia#symptoms-and-causes.
2. Dimitriadis, E. et al. (2023) ‘Pre-eclampsia’, Nature Reviews Disease Primers, 9(1), pp. 1–22. Available at: https://doi.org/10.1038/s41572-023-00417-6.






