Which factor can indicate a high risk for developing hypertensive disorders during pregnancy?

A history of gestational hypertension in previous pregnancies is a significant risk factor for developing hypertensive disorders in subsequent pregnancies. Women who have experienced gestational hypertension are more likely to encounter similar complications in later pregnancies due to underlying factors such as endothelial dysfunction, chronic inflammation, and genetic predispositions that can contribute to the development of hypertension. This history prompts healthcare providers to monitor pregnant individuals more closely for signs of hypertension, as the recurrence rates for gestational hypertension can be substantial.

In contrast, low body mass index is generally associated with lower risk, being under 25 years of age does not typically indicate a higher risk, and high levels of physical activity are often linked with better pregnancy outcomes. Therefore, the presence of gestational hypertension in prior pregnancies directly correlates with increased vigilance and a higher likelihood of recurrence, making it the primary concern when assessing risk for hypertensive disorders during pregnancy.