"Furthermore, some research suggests that adolescent smokers may experience more difficulty in quitting compared with adult smokers." The report also mentioned the Institute of Medicine concluded that raising the age limit to buy tobacco products to 21 would decrease use by 12 percent and lead to 225,000 fewer premature deaths, nearly 50,000 fewer deaths from lung cancer and almost 300,000 fewer pre-term births
It may happen in the third trimester or soon after birth
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