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Morbidity and Mortality Weekly Report, 2016;65(14):3617 [accessed 2016 Apr 14]

Fourth, for maternal pre-pregnancy smoking, the NVSS only collected information on smoking within 3 months before pregnancy

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Smoking or vaping can easily fall into the main categories of distraction: Manual Distraction: Taking one or both hands off the wheel to find a vape device, search for a lighter, light a cigarette, handle an ashtray, or adjust device settings

Thats different from nicotine replacement patches used to quit smoking: research has found no adverse interaction between HRT and nicotine replacement therapy, so most providers consider combining them compatible