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Imbroane et al 13 investigated 4267 adults with GLP-1RA exposure within 2 years of pregnancy compared with controls matched by propensity score (based on age, race and ethnicity, a broad categorical overweight/obesity designation, prediabetes, type 2 diabetes, and chronic hypertension), finding a lower risk of gestational diabetes, hypertensive disorders of pregnancy, preterm delivery, and cesarean delivery in those exposed to GLP-1RA