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March 3, 2017 - Columbus, Ohio, U.S - ARNOLD SCHWARZENEGGER lights up his cigar at the Arnold Experience Friday, March 3, 2017 at the Wolfe Circus House in Columbus, Ohio

"The message from this research is that women should quit smoking before becoming pregnant, or very early on, to reduce the chance of having a baby with a serious and lifelong physical defect." Co-author, Professor Charles Rodeck, UCL Institute for Women's Health, added: "The results of this research are of the greatest significance for the health of mothers and babies and for public health policy

Source: SMH

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Hence in seeing a smoker it is important to take a full emotional history including all childhood traumas as well as more recent events