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Preeclampsia complicates 5% to 8% of all pregnancies. Previous studies have examined the maternal morbidity and mortality associated with preeclampsia and the expectant management of severe preterm preeclampsia. However, these studies either did not comment on outcomes by race or were primarily made up of nonblack participants. This study aimed to determine whether maternal morbidity associated with the expectant management of severe preterm preeclampsia varied by race. We performed a retrospective cohort study of women with a diagnosis