WIDER IMPLICATIONS OF THE FINDINGS: The estimated prevalence of

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steroids drugs History of HG was the strongest independent risk factor (aOR = 4.74, 4.46 “5.05). Women with higher parity had a lower risk of HG compared with nulliparous women (aOR = 0.90 steroid side effects, 0.89 “0.91), which was not explained by women with HG curtailing further pregnancies.LIMITATIONS, REASONS FOR CAUTION: Although this represents the largest population based study worldwide on the topic, the results could have been biased by residual and unmeasured confounding considering that some potential important risk factors such as smoking, BMI or prenatal care could not be measured with these data. Underestimation of non routinely screened comorbidities such as hypercholesterolemia or thyroid dysfunction could also be a cause of selection bias.WIDER IMPLICATIONS OF THE FINDINGS: The estimated prevalence of 1.5% from our study was similar to the average prevalence reported in the literature and the representativeness of our data has been validated by comparison to national statistics. steroids drugs

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