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Although the liquid used in e-cigarettes contains lower levels of nicotine than traditional cigarettes, it's still addictive

Nicotine sickness (green tobacco sickness) is caused by a sudden stimulant spike

Other contributing factors include elevated intra-abdominal pressure, which can push stomach contents upward into the esophagus

Addressing tobacco use in maternity care settings Given the importance of tobacco use on pregnancy outcomes, all the healthcare professionals, especially obstetricians and midwives, must be prepared to identify and support pregnant smokers with quitting using evidence-based treatments as a standard of care in maternity care settings 3,5,11,12,46,48