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Dimensions: 6000 x 4000 px | 50.8 x 33.9 cm | 20 x 13.3 inches | 300dpi Date taken: 2 March 2020 Photographer: ZUMA Press More information: This image could have imperfections as its either historical or reportage.

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INTRODUCTION Maternal tobacco smoking and secondhand smoke (SHS) exposure during pregnancy are the leading preventable causes for a variety of unfavorable pregnancy outcomes and continue to be a major public health concern 1,2