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Representatives from Altria, British American Tobacco, Imperial Brands and Japan Tobacco did not respond to requests for comment Thursday evening

But Dr Jackson said others factors could also be to blame and warned against complacency

Practice relaxation techniques such as paced breathing, visualisation, or meditation before and during your workout to minimise the adrenaline effect

This paper provides an up-to-date summary of the adverse effects of smoking in pregnancy, factors and challenges associated with smoking cessation in pregnancy, and available evidence regarding best practices for smoking cessation in maternity care settings, with a focus on midwives and obstetricians

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