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Effects on the fetus In cases of active smoking by a pregnant woman: Increased risk of miscarriage, ectopic pregnancy, and preterm birth Delayed fetal development Lower birth weight (for a given gestational age) In utero fetal death (47% increased risk) Reduced academic and cognitive abilities Development of congenital malformations Secondhand smoke exposure among non-smoking pregnant women whose partners smoke has a measurable effect on the child, although less significant

Both hands and both cards are shown on both sides and without further manipulation, the two cards are placed together face to face, and a silver dollar is seen to slowly emerge from between them

The CDCs overview of why quitting is hard lays out this cycle in plain language: repeated nicotine exposure trains the brain to expect it, and then absence feels uncomfortable