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To examine the association of preconception paternal health and risk of adverse maternal outcomes among healthy mothers. Retrospective analysis of live births from 2009-2016 among healthy women 20-45 years of age in the IBM Marketscan® research database. Infants were linked to paired mothers and fathers using family ID. Preconception paternal health was assessed using the number of metabolic syndrome (MetS) components and the most common individual chronic disease diagnoses (hypertension, diabetes mellitus, obesity, hyperlipidemia, COPD
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