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During 2017–2019, HDP prevalence among delivery hospitalizations increased from 13.3% to 15.9%. The highest prevalence was among women aged 35–44 (18.0%) and 45–55 years (31.0%), and those who were Black women (20.9%) or American Indian and Alaska Native women (16.4%). Among deaths occurring during delivery hospitalization, 31.6% had a diagnosis code for HDP documented.