Among women who had preeclampsia in only one of their three pregnancies, the risk of ESRD was higher if preeclampsia occurred in the third pregnancy than if it occurred in the first pregnancy. The same trend was seen for women with two pregnancies: the risk was higher if preeclampsia occurred in the second pregnancy. Women with severe preeclampsia in a first pregnancy are less likely to become pregnant again than are women with no preeclampsia; this finding may reflect that preeclampsia was likely to have been mild in a first pregnancy in women who went on to have subsequent pregnancies. The risk of ESRD also was greater in women with more than one preeclamptic pregnancy than in those with only one such pregnancy.