Hi there, this probably isn't much help, so sorry in advance! It's just personal experience. On the checklist it asked about pre-eclampsia, I said my mum had had this with me and just because of that they wanted me to take aspirin from week 12 to birth.
When I spoke to my doctor he was less concerned about it and said, take it if you want to, don't if you don't want to. It's guidance at the end of the day. He said that taking aspirin is not a guarantee that you won't get pre-eclampsia. I'm on meds for something else and was sure years ago I was told not to take aspirin with this, so I've not taken it to be honest...hoping I don't regret that. I a) don't want to take more meds than I need to b) have never taken an aspirin in my life and c) my mother and I have completely different bodies, so I don't think just cause she had it, means I will get it. My doctor didn't seem to think it was necessary. Obviously your situation is slightly different, so I would gain a second opinion if you have concerns or are unsure?
Maybe speak to your doctor as well. I think sometimes the midwifes can have a 'one size fits all approach' whereas your doctor will look at it on a more personal level?