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The smoke, coupled with the tobacco, makes for a photo-realistic portrayal of pipe or hookah tobacco

2 Furthermore, recent data showed that 14% of pregnant patients enrolled in Medicaid smoke during pregnancy, which is more than 3 times higher than the rate in those enrolled in private insurance (3.6%), underscoring the need to decrease tobacco use before and during pregnancy

Table of Contents Why smoking is often worse for women Short answer : Although tobacco harms everyone, a large body of evidence shows that for several major outcomes especially cardiovascular disease (CVD) , chronic obstructive pulmonary disease (COPD) , some measures of lung-damage and reproductive outcomes the magnitude of harm per unit of tobacco exposure is often larger in women than in men