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To investigate the association between a maternal history of spontaneous abortion and intellectual disability in children. This cohort study included 1778786 children (913 340 males, 865 085 females, 361 missing data; mean age 15y 2mo, SD 8y 11mo, range birth to 40y) born in Denmark between 1977 and 2016. Cox proportional hazard regression was used to estimate the hazard ratios (HRs) of intellectual disability. The overall HR of intellectual disability for children with a maternal history of spontaneous abortion was 1.17 (95% confidence