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An editorial in The Lancet medical journal labelled the 2014 paper an extraordinarily flimsy foundation on which to base the major conclusion of Public Health Englands review

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Abstract Background It has been shown that active exposure to tobacco is associated with adverse pregnancy outcomes including, but not limited to, intrauterine fetal death, reduced fetal weight, and higher risk of preterm birth

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All forms of tobacco are harmful and may jeopardize a persons health and wellbeing