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Women who stop smoking before or during the first trimester of pregnancy reduce risks to their baby to a level comparable to that of women who have never smoked

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However, there is a growing trend in the use of alternative tobacco products, such as waterpipe (shisha or hookah), cigars, cigarillos, pipes, bidis (hand-rolled cigarette), medwakh (Arabic traditional pipe), and heated tobacco products (HTPs), as well as electronic nicotine delivery systems (ENDS), such as e-cigarettes and nicotine pouches [6, 7]

The roller opens to reveal a series of rolling mechanisms, two are in the smaller half, and four in the larger