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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

Tobacco product use among middle and high school students National Youth Tobacco Survey, United States, 2024

Haustein, K.-O (2003)

The effects of smoking and alcohol consumption as a combination leads to more serious adverse events in these patients

In that world, smoking is a sacrament