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Many patients do not consider vaping, nicotine pouches, or other non-tobacco nicotine products to be tobacco use, so these exposures may go unrecognized unless we ask specifically. Clinician counseling on non-tobacco nicotine use should reflect that nicotine itself not just cigarettes can contribute to adverse pregnancy outcomes

[DOI] [PMC free article] [PubMed] [Google Scholar] 15.Ladin DA, Soliman E, Griffin L, Van Dross R

Cannabis and tobacco use are related and co-use has deleterious effects 24,25