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4 EVALUATION AND SCREENING The American College of Obstetricians and Gynecologists recommends that clinicians ask about tobacco use (along with secondhand smoking) before pregnancy, throughout pregnancy, and during postpartum periods, and advise patients regarding the significant perinatal risks and the importance of quitting tobacco or nicotine use in any form, including e-cigarettes and vaping

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Rachel Epstein, a postdoctoral research fellow in infectious diseases at Boston Medical Center and a co-author of the study, which was presented at the annual meeting of the Infectious Diseases Society of America in early October

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