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Disease-Associated Maternal and/or Embryo/Fetal Risk Smoking during pregnancy causes increased risks of orofacial clefts, premature rupture of membranes, placenta previa, placental abruption, ectopic pregnancy, fetal growth restriction and low birth weight, stillbirth, preterm delivery and shortened gestation, neonatal death, sudden infant death syndrome and reduction of lung function in infants

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The chemicals in tobacco, especially nicotine, carbon monoxide, and cyanide, speed up the rate at which those eggs are damaged or lost

So, while a doctor might infer drinking from a routine test, a does blood test detect alcohol query has a definitive yes with specialized tests like EtG and PEth