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Disclose all medications, supplements, herb and substances you takein addition to nicotine, common products such as aspirin, green tea, and even essential oils can interfere with anesthesia or increase risk for bleeding after surgery

4 EVALUATION AND SCREENING The American College of Obstetricians and Gynecologists recommends that clinicians ask about tobacco use (along with secondhand smoking) before pregnancy, throughout pregnancy, and during postpartum periods, and advise patients regarding the significant perinatal risks and the importance of quitting tobacco or nicotine use in any form, including e-cigarettes and vaping

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