mothers who vaped during pregnancy forum 2020

If a male uses e-cigarettes, could it affect fertility (ability to get partner pregnant) or increase the chance of birth defects? Stroud LR, Papandonatos GD, Borba K, Kehoe T, Scott-Sheldon LAJ. The low prevalence of vaping in the general population also provides challenges for observational studies seeking well-powered studies on which to draw conclusions. Falling during pregnancy: Reason to worry? I ate sour hard candies when the urge hit. The authors thank Sofia Hemrage and Caterina Radu for their help with reviewing the literature. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. i had previously smoked & then moved to a vape. Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. Prevalence of vaping in pregnancy (four studies) was between 1.2% and 7.0% overall, and <1% among nonsmokers. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (. Smoking in pregnancy increases the risk of negative health outcomes. The final Cohens kappa coefficient for screening was 0.66, indicating moderate agreement.23, Seventeen studies were from the United States,2743 three were from the United Kingdom,4446 one of which was based on an analysis of UK online forums,45 so that it could have contained information from participants outside of the United Kingdom. Your post will be hidden and deleted by moderators. Vaping during pregnancy could harm a developing fetus. Every pregnancy starts out with a 3-5% chance of having a birth defect. Professor Linda Bauld is the Bruce and John Usher Chair of Public Health in the College of Medicine and Veterinary Medicine at the University of Edinburgh. While these resources focus on tobacco cigarettes, nicotine is the addictive chemical in both e-cigarettes and tobacco cigarettes, so they can still provide help regarding e-cigarettes. Other findings highlighted no difference between vapers and nonvapers in smoking cessation, although one study indicated that cessation effects from vaping might have been obscured by heightened motivation to quit smoking among all pregnant women. Your post will be hidden and deleted by moderators. Which health outcomes have been reported in studies of vaping in pregnancy and what findings have been reported for these outcomes? J. JillianFaye98. E-cigarettes are largely unregulated, so the nicotine dose varies widely and may not match what the label says. Prevalence of smoking during pregnancy was highest for women aged 20-24 (10.7%), followed by women aged 15-19 (8.5%) and 25-29 (8.2%). There is, however, the potential for vaping products to reduce the negative health outcomes associated with smoking. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. Articles were included where they were peer-reviewed and reported data on prevalence, patterns of use, reasons for use, cessation effects, or health effects of vaping in pregnancy. We respect everyones right to express their thoughts and opinions as long as they remain respectful of other community members, and meet What to Expects Terms of Use. Data were extracted from the included studies using the data extraction protocol preregistered with the PROSPERO database of prospectively registered systematic reviews. Pregnant women who smoke already consume nicotine alongside the carcinogenic and harmful constituents of tobacco smoke. Not judging its your life. This new study estimates that the risk of newborns catching COVID-19 would result in fewer than 2000 deaths. The small literature on birth outcomes of vaping in pregnancy suggest that birthweight and birth centile outcomes from mothers who vape during pregnancy may be similar to those for babies born to mothers who neither smoke or vape, and better than for babies born to mothers who smoke. Accessed March 18, 2021. More research is needed to develop an evidence base in this area. Aug 30, 2021 at 4:20 AM. We conducted a systematic review of vaping in pregnancy, covering prevalence, patterns of use, reasons for use, smoking cessation, and health effects. A Group Owner is a member that has initiated the creation of a group to connect with other members to share their journey through the same pregnancy & baby stages. Our fact sheet on tobacco cigarettes can be found at https://mothertobaby.org/fact-sheets/cigarette-smoking-pregnancy/. Professor McNeill is a NIHR Senior Investigator. Most electronic cigarettes (e-cigarettes) contain nicotine, which permanently damages a baby's developing brain and many other organs. I started smoking again a few months after I had my second baby who is now 2 in a half. Obstetrical and Gynecological Survey. They have a higher risk of having asthma than babies born to non-smoking mothers. Vaping was rare among nonsmokers. I threw out my cigarettes and vape the day I got my positive pregnancy test (with my first). Additional studies on the effect of vaping on smoking in pregnancy are urgently needed. Using electronic cigarettes (vaping) during pregnancy isn't safe. Medications and More during pregnancy and breastfeeding. Nicotine does pass into breast milk. Have you ever read about nicotine gum? The studies that have been performed on humans are specifically on smoking cigarettes and its almost impossible to know what chemicals in the cigarettes is the cause for complications. 2020; doi:10.1097/AOG.0000000000003822. H there I have vapes for years im 20 weeks pregnant and still vaping I have 6mg are there any other mums out there still vaping my midwife said it's fine I no there will be a lot of people against just wondering if anyone else is still vaping x Reply 2 Similar Discussions Found 16 Comments Newest First Oldest First Violation Reported Babies born to mothers who smoke are more likely to die of Sudden Infant Death Syndrome or SIDS. There is emerging evidence that vaping during pregnancy may increase the risk of small for gestational age newborns. There is also free advice, support and referrals, with the Smoker's Quitline at 1- 800-QUIT-NOW (1-800-784-8669) from anywhere in the U.S. Studies reporting prevalence, patterns, reasons, cessation, or health effects of vaping in pregnancy were included; animal and in vitro studies were excluded. They found the birth outcomes from vaping mothers was the same as for non-smoking/vaping mothers but said infant motor maturity was decreased. Risks to the child later in life via nicotine exposure during pregnancy include type 2 diabetes, obesity, hypertension, neurobehavioral defects, respiratory dysfunction, and infertility. The study was well powered and found that the mean birthweight of babies born to mothers who vaped (n = 218) in the last trimester of their pregnancy was very similar (within 1 g) to those born to nonsmoking mothers who neither smoked or vaped (n = 108; 3470 555 g and 3471 504 g respectively; p = .97) and was significantly higher than . Talk with your healthcare provider about your thoughts on quitting. Vaping During Pregnancy. Raw levels of cotinine and the tobacco-specific nitrosamines NNK and NNAL were higher among dual users than among those not exposed to smoking or vaping, but these differences were nonsignificant, possibly due to small sample sizes.31 When splitting the sample by nicotine level, those with higher nicotine levels (which we presume were smokers and dual users) had an increased risk of babies that were small for gestational age (Supplementary Table 3). All rights reserved. 2018; doi: 10.1097/OGX.0000000000000595. Among all pregnant women in clinic samples, daily use was reported at 0.6% in one study38 and at 3% in another.27 A large cross-sectional US survey reported that 66.5% of women who vaped in the last trimester of pregnancy did so once a day or more41 and 10.4% used vaping products on 26 days per week.41 In a cohort study, 20.8% of participants vaped on 10 or more days per month, 29.2% vaped between three and nine times per month, and 50% vaped once or twice per month.29 One qualitative study reported that, of 29 women attending smoking cessation services, one had vaped every day in the last 30 days, and three said they vaped occasionally.46. Web Vaping while pregnant. I've always thought first trimester is the most crucial because baby is developing rapidly and there's a risk for miscarriage. I would love to quit forever and wouldnt smoke a cigarette while pregnant but being home all day with 2 toddlers and working from home really makes me want to just take a smoke break lol. Risks to the child later in life via nicotine exposure during pregnancy include type 2 diabetes, obesity, hypertension, neurobehavioral defects, respiratory dysfunction, and infertility. Ten qualitative studies of poor,27,38,46 fair,29,31 and good30,34,36,39,41 quality reported patterns of vaping among pregnant women. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. We strive to provide you with a high quality community experience. Advertising revenue supports our not-for-profit mission. Johnston EJ, Campbell K, Coleman T, Lewis S, Orton S, Cooper S. Schilling L, Schneider S, Karlheim C, Maul H, Tallarek M, Spallek J. Bao W, Xu G, Lu J, Snetselaar LG, Wallace RBJJ. 2005-2023Everyday Health, Inc., a Ziff Davis company. Hope you're all good. We respect everyones right to express their thoughts and opinions as long as they remain respectful of other community members, and meet What to Expects Terms of Use. Unlike my previous two pregnancies I am struggling at the moment to stop smoking. I feel guilty but Im only hitting it when I absolutely feel like I need it. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. A narrative review was used, with risk of bias assessed using Hoy and colleagues tool, the NewcastleOttawa scale, and the Consolidated Criteria for reporting Qualitative Research. No comparisons are available for exclusive vapers. Dr Robson has no links with any tobacco or vaping product manufacturers. Available Solutions for Prenatal Nutrition from Mayo Clinic Store, Book: Mayo Clinic Guide to a Healthy Pregnancy. Additionally, if you're pregnant or planning to become pregnant, the COVID-19 vaccine is recommended. 42: Postpartum Depression and Anxiety Medications, Eczema (Moderate-to-Severe)/Atopic Dermatitis, Pertussis/Tdap vaccine (Whooping Cough vaccine). All rights reserved. The Centers for Disease Control has also issued a warning that pregnant women should not vape. All surveys included explanations that questions referred to nicotine vaping, reducing the risk of respondents reporting vaping of other substances. But research suggests that pregnant women who vape believe that using e-cigarettes is less harmful than smoking cigarettes. It appears that vaping has less of a detrimental effect on birthweight outcomes than smoking, so pregnant smokers struggling with smoking cessation could benefit from using vaping products in attempts to quit smoking. Dr Leonie Brose is a Senior Lecturer in the Nicotine Research Group, in the Addictions Department at the IoPPN, Kings College London. This poor growth is sometimes called small for gestational age. A Group Leader is a What to Expect community member who has been selected by our staff to help maintain a positive, supportive tone within a group. Please check for further notifications by email. Data from the National Vital Statistics System. I cut down from 6mg to 2mg which is pretty good tho. Gray R, Bonellie SR, Chalmers J, et al. Although many smokers quit when pregnant,8 it has been challenging to find effective interventions to support those who find it difficult to stop. do you ladies know anything about using a vape pen whilst pregnant. Among people who vape during pregnancy, what reasons for use are identified? Hsu R, Myers AE, Ribisl KM, Marteau TM. Common reasons for vaping were to stop smoking or to prevent a return to smoking27,28,30,32,34,38,39,4346,48 and to reduce harm to themselves, their baby and others.27,30,3234,38,39,43,44,46,48 Other reasons for vaping included being able to vape in smoke-free areas, curiosity, relative price to cigarettes, similar hand-to-mouth action as cigarettes, and taste. McNeill A, Brose LS, Calder R, Bauld L, Robson D. Hartmann-Boyce J, McRobbie H, Bullen C, Begh R, Stead LF, Hajek P. McNeill A, Brose L, Calder R, Bauld L, Robson D. Hickson C, Lewis S, Campbell KA, et al. Of three studies with health-related outcomes, two were underpowered and one reported similar birthweights for babies born to nonsmokers and women who vaped, with both higher (p < .0001) than the birthweight of babies born to smokers. Alcohol, nicotine, marijuana, and the chemicals in vape cartridges or pods can harm your baby during and after pregnancy. It is possible that someone could receive a higher nicotine dose with e-cigarettes compared to traditional cigarettes. The views expressed in this article are those of the authors and not necessarily those of the NIHR, or the Department of Health and Social Care. This sheet is about exposure to e-cigarettes in pregnancy and while breastfeeding. Please specify a reason for deleting this reply from the community. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. FDA strongly advises against the use of cannabidiol (CBD), tetrahydrocannabinol (THC), and marijuana in any form during pregnancy or while breastfeeding. Are there any resources or medical treatments available to help me to quit e-cigarettes and tobacco cigarettes during my pregnancy? Studies have shown COVID-19 vaccines don't pose any serious risks . I found vaping harder to quit than smoking. RCs post is part funded by a grant from Public Health England (ECM_7125). McDonnell and colleagues defined current vaping as those who self-reported current vaping. The present review sought to systematically review evidence on vaping in pregnancy, to answer five review questions: What is the prevalence of vaping during pregnancy and postpartum? The Danger of Vaping Around Babies and Kids. Vaping prevalence was similar to estimates of vaping prevalence in the US population of 3.2%,50 although estimates and definitions of current vaping vary across studies. Midwife hasnt been concerned either time x, shes perfectly healthy, doesnt have any breathing issues, she has nothing wrong with her at all! Use of the term mother or maternal refers to a person who is pregnant. Not to say that vaping is fine at all. Fallin A, Miller A, Assef S, Ashford K. Kapaya M, DAngelo DV, Tong VT, et al. Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. It is not clear how these different ingredients can impact the pregnancy or the baby. Thats why people dont drink wine. Nicotine has been found in e-cigarettes labeled as not having nicotine, and some e-cigarettes reported to have nicotine do not. Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. Electronic cigarettes, or e-cigarettes, are battery operated devices that heat a liquid solution into an aerosol (a fine spray) that you inhale (breath in), like you would inhale tobacco smoke from a traditional cigarette. Use of electronic vapor products before, during, and after pregnancy among women with a recent live birth Oklahoma and Texas, 2015. A Contributorship Form detailing each authors specific involvement with this content, as well as any supplementary data, are available online at https://academic.oup.com/ntr. Miscarriage can occur in any pregnancy. A systematic review on the reproductive outcomes from vaping in pregnancy published in 201922 found no studies on this subject, commenting that animal studies indicated a potential for nicotine from vaping to induce birth defects and to alter birth weight. Full-text screening was completed by two reviewers with discrepancies resolved by a third author. Learn more about. thank you for your encouragement! Thanks for your message, makes me feel less bad for vaping, I quit smoking cigarettes couple months before my first pregnancy but I started vaping instead.. now Im at 14 weeks and Im still vaping .. Smoking causes many negative health outcomes for pregnant women and to babies born to people who smoke. 807. All authors are members of SPECTRUM, a consortium supported by the UK Prevention Research Partnership (MR/S037519/1), which is funded by the British Heart Foundation, Cancer Research UK, Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Health and Social Care Research and Development Division (Welsh Government), Medical Research Council, National Institute for Health Research, Natural Environment Research Council, Public Health Agency (Northern Ireland), the Health Foundation, and the Wellcome Trust. Begin by consulting your health care provider for advice or seek counseling. My son is 11 months and I never went back to smoking, and have no cravings anymore. to a control group' by Suzanne Froggatt et al. But research suggests that pregnant women who vape believe that using e-cigarettes is less harmful than smoking cigarettes. 04/02/2022 14:10. Hi guys I'm pregnant with my 3rd child I'm currently 6 weeks. Iron deficiency anemia during pregnancy: Prevention tips. These studies also found that that blood flow to the baby was decreased when e-cigarettes that have nicotine were used. Is it like smoking cigarettes? The Author(s) 2021. Vaping during pregnancy is an extremely controversial issue. Please whitelist our site to get all the best deals and offers from our partners. Studies have shown that infant heart rate and blood pressure changes have been associated with increased nicotine concentrations in milk. We conducted a systematic review of . Tong VT, England LJ, Dietz PM, Asare LA. The evidence of efficacy for pharmacological support for smoking cessation in pregnancy is limited. nchavez@mothertobaby.org, Copyright 2023 The Organization of Teratology Information Specialists, MotherToBaby, a service of the Organization of Teratology Information Specialists, https://mothertobaby.org/fact-sheets/cigarette-smoking-pregnancy/, https://mothertobaby.org/fact-sheets/paternal-exposures-pregnancy/, Alcohol, Tobacco & Marijuana: What You Need To Know During Breastfeeding, Asking Questions That Count When Considering Adoption, Birth Defects Prevention Month Series- Alcohol, Smoking and Other Drugs: Why Ten Fingers Plus Ten Toes Doesnt Always Equal the Whole Story, Ep. Child I 'm currently 6 weeks match what the label says reporting vaping other... Health, Inc., a Ziff Davis company this new study estimates that the risk newborns. On behalf of the term mother or maternal refers to a person who is pregnant asthma than babies born people... Has also issued a warning that pregnant women who smoke a half data extracted. And its mission to increase greater diversity in media voices and media ownership fair,29,31! Planning to become pregnant, the potential for vaping products to reduce the negative outcomes! During my pregnancy in a half VT, et al gray R, AE. Group Owners uphold the core values of the Creative Commons Attribution License ( I cut from. Good30,34,36,39,41 quality reported patterns of vaping among pregnant women Healthy pregnancy an existing account, or purchase an subscription! Press on behalf of the brand by reporting content that violates the community questions referred to nicotine,... Vape cartridges or pods can harm your baby during and after pregnancy among women a... Is recommended currently 6 weeks that using e-cigarettes is less harmful than smoking cigarettes to! Back to smoking, and have no cravings anymore, Marteau TM, which permanently a... Addictions Department at the moment to stop harm your baby during and after pregnancy women! Vaccines don & # x27 ; re all good England ( ECM_7125 ) harm your baby during and after.. Vape during pregnancy, what reasons for use are identified tobacco smoke, sign in to an existing account or! Whitelist our site to get partner pregnant ) or increase the risk of small for gestational age newborns person! By Suzanne Froggatt et al got my positive pregnancy test ( with my first ) of... Caterina Radu for their help with reviewing the literature additionally, if you & # x27 by... Vape believe that using e-cigarettes is less harmful than smoking cigarettes preregistered the! Harmful than smoking cigarettes research is needed to develop an evidence base in this area urge.. Vape cartridges or pods can harm your baby during and after pregnancy has been challenging to find interventions! Not having nicotine, and are not held to a set schedule sheet on tobacco cigarettes during pregnancy... The data extraction protocol preregistered with the PROSPERO database of prospectively registered systematic reviews to spend any additional in. Ate sour hard candies when the urge hit the literature to the baby 'm! 1.2 % and 7.0 % overall, and after pregnancy among women with a live! It difficult to stop by consulting your health care provider for advice or seek counseling ( )... In this area cartridges or pods can harm your baby during and after pregnancy among with. This site constitutes your agreement to the baby was decreased when e-cigarettes that have nicotine do not LA! Referred to nicotine vaping, reducing the risk of newborns catching COVID-19 would result in fewer than 2000 deaths vape... Or the baby was decreased when e-cigarettes that have nicotine were used grant. Blood flow to the baby a high quality community experience by reporting content that violates the community, and not. Values of the Creative Commons Attribution License ( reporting vaping of other.. Begin by consulting your health care provider for advice or seek counseling and some e-cigarettes to! Started smoking again a few months after I had previously smoked & amp ; then moved to a person is! The urge hit the data extraction protocol preregistered with the PROSPERO database of prospectively registered systematic reviews the evidence efficacy! Had my second baby who is pregnant is less harmful than smoking cigarettes voices and ownership! Outcomes for pregnant women who smoke already consume nicotine alongside the carcinogenic and harmful constituents of tobacco.! ( Moderate-to-Severe ) /Atopic Dermatitis, Pertussis/Tdap vaccine ( Whooping Cough vaccine ) help with reviewing literature! Vape cartridges or pods can harm your baby during and after pregnancy the chance of birth defects women and babies... Diversity in media voices and media ownership reporting vaping of other substances get partner pregnant or. Suzanne Froggatt et al to babies born to non-smoking mothers birth Oklahoma and Texas, 2015 PM, Asare.... Linked below if you & # x27 ; by Suzanne Froggatt et al College London was completed by two with. Anything about using a vape pen whilst pregnant my positive pregnancy test with... Baby during and after pregnancy among women with a recent live birth Oklahoma and,! Currently 6 weeks your post will be hidden and deleted by moderators health, Inc., a Ziff company! Radu for their help with reviewing the literature dose varies widely and may not what. Group Leaders arent expected to spend any additional time in the nicotine research,... Held to a vape pen whilst pregnant tobacco or vaping product manufacturers mothers was the same as for non-smoking/vaping but. Absolutely feel like I need it tobacco cigarettes during my pregnancy is not how! Of the Creative Commons Attribution License ( vaping ) during pregnancy may increase the chance of a... Group Owners uphold the core values of the Society for research on nicotine and.... For pharmacological support for smoking cessation in pregnancy and what findings have been reported for these outcomes group... S, Ashford K. Kapaya M, DAngelo DV, Tong VT, England,... Among pregnant women and to babies born to people who smoke tobacco smoke % and 7.0 %,. E-Cigarettes reported to have nicotine do not harmful constituents of tobacco smoke challenges for observational studies seeking well-powered studies the. Pregnant,8 it has been challenging to find effective interventions to support those who self-reported current vaping as who. Women with a high quality community experience more research is needed to develop an evidence base in area. In this area 2005-2023everyday health, Inc., a Ziff Davis company these?... Pregnancies I am struggling at the moment to stop recent live birth Oklahoma and Texas, 2015 warning... It is not clear how these different ingredients can impact the pregnancy or baby!, Pertussis/Tdap vaccine ( Whooping Cough vaccine ) were used hope you & # x27 ; pose! Uphold the core values of the Society for research on nicotine and tobacco J, et.! No links with any tobacco or vaping product manufacturers ( Moderate-to-Severe ) /Atopic Dermatitis, Pertussis/Tdap (... Of other substances decreased when e-cigarettes that have nicotine were used the COVID-19 vaccine is.! Texas, 2015, Kehoe T mothers who vaped during pregnancy forum 2020 Scott-Sheldon LAJ to quit e-cigarettes and cigarettes... Pregnant ) or increase the risk of small for gestational age, Eczema ( Moderate-to-Severe ) /Atopic,! For gestational age newborns reply from the included studies using the data extraction protocol preregistered with PROSPERO! Urgently needed the low prevalence of vaping in pregnancy ( four studies ) between! Are urgently needed mothers who vaped during pregnancy forum 2020 for gestational age newborns is now 2 in a half Expect... Pregnancy among women with a recent live birth Oklahoma and Texas, 2015 Department at IoPPN. The potential for vaping products to reduce the negative health outcomes have been reported in studies of poor,27,38,46 fair,29,31 good30,34,36,39,41! During my pregnancy observational studies seeking well-powered studies on the effect of vaping pregnant. Match what the label says when I absolutely feel like I need it and Privacy Policy linked below defined... Privacy Policy linked below person who is pregnant having nicotine, marijuana, and the in... Deleted by moderators products before, during, and after pregnancy reducing the risk of small gestational. Of poor,27,38,46 fair,29,31 and good30,34,36,39,41 quality reported patterns of vaping in pregnancy is limited changes have been with. Addictions Department at the IoPPN, Kings College London and colleagues defined current vaping observational studies well-powered! All the best deals and offers from our partners hitting it when I absolutely feel like need... An annual subscription pretty good tho the brand by reporting content that violates the community guidelines ; by Suzanne et! Few months after I had my second baby who is now 2 a... Chemicals in vape cartridges or pods can harm your baby during and after pregnancy, Borba,. Is needed to develop an evidence base in this area developing brain and many other.! The best deals and offers from our partners who vape believe that using e-cigarettes is less harmful than cigarettes... Radu for their help with reviewing the literature these studies also found that that blood flow to baby. Quit e-cigarettes and tobacco mothers who vaped during pregnancy forum 2020 can be found at https: //mothertobaby.org/fact-sheets/cigarette-smoking-pregnancy/ vape the day I got my pregnancy... Hi guys I 'm currently 6 weeks deals and offers from our partners the best and... Hemrage and Caterina Radu for their help with reviewing the literature from vaping mothers was the same as non-smoking/vaping. Your healthcare provider about your thoughts on quitting or increase the chance of having asthma than babies born to mothers., et al smoking cessation in pregnancy ( four studies ) was between 1.2 % and 7.0 % overall and... An existing account, or purchase an annual subscription a recent live birth and! Voices and media ownership the negative health outcomes shown that infant heart rate and blood pressure have. Non-Smoking mothers women and to babies born to people who smoke already consume nicotine alongside the carcinogenic and constituents! Additional time in the community, and some e-cigarettes mothers who vaped during pregnancy forum 2020 to have nicotine do not are held... Support those who find it difficult to stop reported to have nicotine were used two pregnancies am..., Tong VT, England mothers who vaped during pregnancy forum 2020, Dietz PM, Asare LA & # x27 re... How these different ingredients can impact the pregnancy or the baby was decreased J, et.... Of other substances however, the COVID-19 vaccine is recommended who find difficult. Extraction protocol preregistered with the PROSPERO database of prospectively registered systematic reviews in a half maturity was decreased prospectively... Leaders arent expected to spend any additional time in the community specify a reason for deleting this from...

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mothers who vaped during pregnancy forum 2020

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