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Tobacco smoking during pregnancy causes many detrimental effects on health and reproduction, in addition to the general health effects of tobacco.A number of studies have shown that tobacco use is a significant factor in miscarriages among pregnant smokers, and that it contributes to a number of other threats to the health of the foetus.
Smoking during pregnancy is dangerous to the unborn baby and may cause pre-term birth, birth defects such as cleft lip or cleft palate, or miscarriage. [93] [80] Tobacco is the most commonly used substance among pregnant women, at 25%. [87] [94] Nicotine crosses the placenta and accumulates within fetal tissues.
Pregnancy is the time during which one or more offspring develops inside a woman's uterus (womb). [4] [13] A multiple pregnancy involves more than one offspring, such as with twins. [14] Pregnancy usually occurs by sexual intercourse, but can also occur through assisted reproductive technology procedures. [6]
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This is a growing phenomenon, which aided in reducing smoking rates in the United States. The overall smoking rate in the United States dropped from approximately 46% in 1950 to approximately 21% in 2004. [27] Smoking rates continued to slowly decline throughout the 2000s and 2010s.
Smoking cessation, usually called quitting smoking or stopping smoking, is the process of discontinuing tobacco smoking. [1] Tobacco smoke contains nicotine, which is addictive and can cause dependence. [2] [3] As a result, nicotine withdrawal often makes the process of quitting difficult.
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On 16 November 2004, a Public Health white paper proposed a smoking ban in almost all public places in England and Wales. Smoking restrictions would be phased in, with a ban on smoking in NHS and government buildings by 2006, in enclosed public places by 2007, and pubs, bars and restaurants (except pubs not serving food) by the end of 2008. [4]