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In total, 71,159 women had preeclampsia, including 270 (0.4%) with OSA. Women with preeclampsia and OSA were more likely to experience severe maternal morbidity than women without OSA (OR 2.65, 95% CI [1.94-3.61]). Moreover, women with concomitant OSA had more severe cardiovascular morbidity than women without OSA (OR 5.05, 95% CI [2.28-11.17]). Accordingly, OSA was associated with increased healthcare utilization in women with preeclampsia (OR . 2.26, 95% CI [1.45-3.52]). In women with preeclampsia, OSA increases the