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While some consumers shifted to tobacco-flavoured or unflavoured vapes, a substantial share returned to combustible cigarettes

The main meta-analysis, with 22 observational studies comprising 795,632 cases and 1,829,256 control participants, used a random-effects model to find no significant association between maternal smoking during pregnancy and ASD in offspring (pooled odds ratio (OR) = 1.16, 95% CI: 0.971.40)

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