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6% vs 5.9%). In multivariable analysis the risk for perinatal mortality was greater with each additional complication (adjused odds ratio [aOR] 1.64, 95% confidence interval [CI] 1.30-2.07, P0.001; aOR 2.55, 95% CI 1.61-4.04, P0.001; aOR 7.88, 95% CI 3.81-16.29, P0.001 for one, two, and three or more complications, compared with no complications, respectively). Complications in first pregnancy ending with live birth are associated with increased risk for perinatal mortality in a subsequent pregnancy. Complications in first p