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09; 95% CI, 1.004-1.17). We could not evaluate potential influences of disease duration, activity, or severity. Newborn outcomes could not be evaluated. HS appears to be an independent risk factor for adverse pregnancy and maternal outcomes. This risk is influenced by comorbidities that may be modifiable with early identification and management. HS appears to be an independent risk factor for adverse pregnancy and maternal outcomes. This risk is influenced by comorbidities that may be modifiable with early identification and management.Co